If you would like to see one clinician in particular, go ahead and book a visit, then reach out to our care coordinators at care@joinmidi and we will reschedule your visit, doing our best to pair you with the person you request. But we want you to know that Midi trains all of our clinicians in perimenopause and menopause, and every one of them has deep experience in female midlife health. Our process ensures consistently excellent care and our clinical leaders oversee everything we recommend to patients. So you should feel confident booking your visit with any of our clinicians.

Yes, the hormones Midi prescribes are bioidentical, which means they have the same chemical and molecular structure as hormones that are produced in the human body. We choose from a range of FDA-approved preparations that are “bioidentical” including pills, patches, and vaginal formulations.

Your Midi clinician will work with you to make sure you’re up to date on your in-person care, including Paps and mammograms. If you need testing, we’ll direct you to a facility that’s convenient for you. For bloodwork, Midi generally uses Labcorp because it has a vast network of drop-in locations, but we can order tests elsewhere if you prefer. Just let us know in your health questionnaire if there’s a specific facility you’d like us to use.

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Once your tests are completed, your clinician will review your results and make changes to your Care Plan if needed. We will reach out to you if it’s necessary to talk through your results in a follow-up visit.

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Care at Midi is entirely virtual. While we do not perform any physical exams, we can refer you to a clinician in your area if you need an in-person exam, or if you are due for your Pap smear.

Midi is a virtual clinic, so you'll still need to get in-person care from time to time (for vaccinations, Pap smears, etc.) from a primary care physician and/or a gynecologist in your local area.

Midi provides you with a personalized Care Plan that summarizes your visit, recommended treatments, and advice. This can be shared with any other doctors you see now or in the future. Your doctors can also learn about our clinical principles and care philosophy by viewing our position papers for clinicians. Your doctor can also request a copy of your records—just ask our care coordinators and they’ll complete the process.

We refer to your first visit with a Midi clinician as the Midi Essential Visit, because we use it to get to know you, your symptoms, and your full health history. We also take time to discuss your preventative care, reviewing any health screenings you might need and pinpointing steps you can take to strengthen your long term health. 

Following your Midi Essential Visit, we may recommend that you see another provider if you could benefit from more specialized care. We may also suggest a specialist visit with a Midi clinician who focuses on a specific area.

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We ask that you complete all sections of your health questionnaire 24 hours before your appointment, to give your clinician time to review it and prepare for you. Expect reminders from us to keep you on track with this important pre-visit step.

Our clinicians are licensed nurse practitioners (NPs), CNMs (nurse midwives), doctors (MDs), and naturopathic doctors (NDs) who specialize in women’s midlife health. In addition to their invaluable clinical experience, they receive intensive training from nationally-recognized experts in perimenopause and menopause. All Midi treatment is overseen by menopause doctors who work closely with clinicians to create a Care Plan personalized to every patient.

Midlife care is uniquely suited to telehealth, because what women require at this stage, more than anything, is in-depth conversation with a clinician who has the time to listen to her experience and explore personalized solutions. In-person exams reveal very little that you can’t tell us yourself. In fact, after age 45, the only routine in-person Ob/Gyn care you need is a Pap smear, and for most women, it’s recommended every five years, not annually. We order any labs or screening needed to inform and guide your treatment. While we encourage you to keep up your relationships with your regular doctors (and we will refer you to one if necessary), we think our virtual care is the key to strong support at midlife. Here’s why:

• Expertise: Specialists in perimenopause, menopause, and other areas of women’s midlife health are in short supply. Most have long waiting lists. Midi gives you access to expert guidance immediately.
• Convenience: Telehealth allows you to connect with a Midi clinician from anywhere, with no travel time or sitting in a waiting room. Our care coordinators send you to local labs and imaging centers to make the testing you need easy. 
• Comfort: Virtual visits from your own private space help you to feel relaxed so you can better connect with your clinician.
• Communication: Our digital platform supports messaging that lets you reach us anytime, and get a prompt response.
• Frequent check-ins: The ease of virtual visits allows us to stay in touch with you, scheduling check-ins throughout the year instead of annually, to track your progress and get ahead of any new symptoms. That approach helps you stay healthy and well through this chapter of change.

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It depends on how you choose to pay for your visit.

• Using health insurance? The cost or “patient responsibility” can vary depending on your plan. A Midi care coordinator will review your insurance coverage details to confirm that you are in-network (this is why we ask you to upload an image of your insurance card). If we find any issues with your coverage, we will reach out within 24 hours of your visit. However this is not a guarantee of coverage and we recommend checking with your insurance provider directly if you are concerned about your exact benefits. 
  
  Depending on your coverage, your responsibility will be a copay or co-insurance. We will bill your insurance and notify you by invoice if there is any remaining balance for you to pay after your claim has been reviewed. Again, that balance may vary depending on your coverage, but it will not exceed $300.
  
  
• Self-paying for Midi care? The cost will depend on the visit type. For your first visit, the Midi Essential Visit, the cash price is $250. For ongoing visits, the cash price will range from $120-$250, depending on visit length and complexity of care.

Currently we are “in-network” with many major PPO plans. For a list of currently accepted plans check our pricing & insurance page. 

When you make your first appointment, a Midi care coordinator will review your insurance coverage details to confirm that you are in-network (this is why we ask you to upload an image of your insurance card). If we find any issues with your coverage, we will reach out within 24 hours of your visit. However, this is not a guarantee of coverage and we recommend checking with your insurance provider directly if you are concerned about your exact benefits.

Note that Midi is only in-network with PPO plans. If your plan is an HMO, Midi is not in-network and your visit will be self-pay. Regulations prevent Midi from serving Medi-Cal, Medicaid, or Medicare patients at this time. (We're working on it!)

When you first register, we ask for an image of your insurance card, which is then added to your patient profile. Our care coordinators use these images to verify your eligibility and will reach out to you if there are any questions.

If you need to provide a new image, or our care coordinators are asking you to upload an image, you can do so from the Account section of your Midi scheduler, under “insurance details.”

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Certain Midi visits may have a copay. Most insurance companies list the different copay amounts right on your card, and they may be different depending on whether you’re seeing a primary care doctor or a specialist. Midi clinicians are considered specialists by your insurance. Feel free to contact the Midi care coordinators (care@joinmidi.com) who can help you determine if you will have a copay for the visit and an estimate for how much you may be charged.

Yes, you can use your HSA or FSA to pay for Midi copays and services.

Yes, supplements and botanicals recommended as part of your Midi Care Plan are HSA-eligible.

If you are using insurance: We will bill your insurance for your visit once it’s complete. When the claim is processed we will send you an invoice for any outstanding amount that insurance does not cover. These charges fall under “patient responsibility” and might include a co-pay, co-insurance, or payment towards meeting your deductible. 

If you are using cash payment (self-pay): We will send you an invoice for the cost of your visit, based on the visit length and complexity of care. You can view our current cash pay rates on our pricing & insurance page.

You will receive your invoice by email from our partner Athenahealth which will direct you to view and pay your outstanding balance online. If you have any questions along the way, reach out to our care coordination team at care@joinmidi. We’re always happy to help.

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Yes, Midi clinicians prescribe any new medications included in your Care Plan, and may also provide refills of some medications you already take for ongoing conditions. Midi clinicians are unable to prescribe certain controlled medications and narcotic pain medications at this time.

Yes, and labs may be needed to give us a full picture of your current health and to personalize your Care Plan. Your Midi clinician will explain which labs she’s ordering, and why, at your visit. Midi generally uses Labcorp because it has a vast network of drop-in locations, but we can order tests elsewhere if you prefer. Just let us know in your health questionnaire if there’s a specific facility you’d like us to use.

Midi clinicians are highly trained in the use of all treatments for the symptoms of perimenopause and menopause, including HRT. We determine if you are a good candidate for hormones based on your symptoms, health history, genetics, and general approach to health. We also order any labs and/or screening tests needed to prescribe HRT safely. If hormones aren’t right for you, your Midi clinician will recommend other evidence-based therapies that are highly effective in providing relief, including non-hormonal medications, supplements, botanical treatments, and wellness therapies (eg, acupuncture, healing movement).