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BioIdentical Hormone Replacement Therapy

MacDonald Healthcare


The Answers You Need

Bioidentical hormones are made specifically for you in a compounding pharmacy, at the dose your body requires. They are all plant based and have the same molecular structure as the hormones that your body produces.  Bioidentical hormones are absorbed and used more efficiently by the body. 


Conventional hormones are mass produced in a factory. They have a different molecular structure than the hormones your body produce. These hormones are considered bio-similar not bioidentical. Some conventional hormones are plant base, some synthetic, and some made from animal byproducts. They are produced in two or three standard doses and not able to be customized for your needs.  

What is the difference between bioidentical hormones and conventional hormones?

No. We do not accept insurance. Nearly all insurance companies consider bioidentical hormone therapy to be not medically necessary and preventative and so do not cover these services. 

Do you accept insurance? 

You may submit a superbill to your insurance for reimbursement.  According to our patients, some have received reimbursement for their first visit but not after the first visit. 

Can I bill my own insurance? 

Absolutely! You can use this type of account for your appointment costs, appointment, and supplement fees. 

I have a health savings account or VEBA card can I use it for your services? 

No insurance will not cover the fee for bioidentical hormones prescriptions. 

Depending on your insurance plan, conventional hormone prescriptions may be covered. 

Will insurance cover my prescriptions? 

Yes! Boston Heart, Interpath, and labcorp will all directly bill insurance for your labs. Be sure to provide your insurance card at your lab draw. 

Can my labs be billed to insurance? 

If you do not have insurance lab costs can be outrageous. We have contracted with Boston Heart Diagnostics to provide our patients affordable cash prices for the panels of labs we draw. These prices are often hundreds to more than a thousand dollars less than local lab fees for cash prices. 

Additionally, if you have a high deductible insurance, it may be in your best financial interest to pay cash for your labs. 

What if I don't have insurance for labs? 

No. We do not provide or promote pellet therapy. 

Pellets are surgically inserted into the body and provide a constant dose of hormones. This can be problematic if a dose needs to be changed.  Specifically for women who are still cycling, as they often need a different dose of hormones throughout their cycle. 

We utilized RDTs (rapid dissolve tablets), capsules, and creams to deliver your bioidentical hormones. This allows the provider to alter you dose should you experience any symptoms or are not responding to the initial dose prescribed. For women, this allows you to better stabilize your hormones through your cycle simply by adding more to your daily regimen. 

Do you use pellets?

You may in fact have a thyroid dysfunction! 

Unfortunately, not all providers are trained to treat thyroid at the cellular level.  So, when your labs show a TSH level within 'normal range', their training tells them you do not have a thyroid imbalance.  Treating thyroid at the cellular level requires further testing to include Free T3, Free T4, Reverse T3, TPO, and Thyroglobulin. This in depth profile of the thyroid hormone often reveals thyroid deficiencies and or autoimmune conditions that are typically missed. 

My doctor says my thyroid is fine but I have a lot of symptoms, why? 

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