BHRT Program Details
Bioidentical Hormone Replacement Therapy (BHRT)
Dr. Casad and Nurse Practitioner Melissa Lang offer BHRT programs. These focus on targeting the root cause of your symptoms.
We encourage our patients to preserve and promote long-term wellness. Taking proactive measures will ensure that you can achieve optimal health!
Our knowledge and understanding help to design the right protocol. This can include BHRT balance, nutrition, and gut health testing.
Our BHRT programs are a comprehensive overall approach to health and wellness.
BHRT Program Services included:
- Lab testing is appropriate for bioidentical hormone replacement therapy and functional medicine.
- Physician or Nurse Practitioner consultations. All of your appointments will include a comprehensive medical evaluation.
- Customized Bioidentical Hormone Replacement Therapy (BHRT). We will uniquely prescribe your bioidentical hormones based on your symptoms and lab results.
- Vitamin and supplement recommendations. All recommendations are critical nutrients needed for your hormone metabolism, energy production, and restorative sleep. Additionally, these products support the body’s natural detoxification mechanisms and overall health. Dr. Casad has vetted vital supplements that have proven efficacy for best absorption and overall results.
- Progress-monitoring consultations. As a BHRT patient, you will receive three to four consultations during your first year. This will ensure that you are progressing. Your provider will make any needed adjustments to ensure all hormones are well-balanced. After the second year, you will go on a maintenance plan, and consultations will occur twice a year. Labs are done before each appointment to track progress.
- Staff correspondence. Throughout your BHRT program, you may correspond with our staff through face-to-face consultations and by email or phone.
Comprehensive Lab Testing
Our lab testing looks at several health markers, hormones, and critical vitamin levels to include:
- Progesterone – women only
- Prolactin – women only
- Sex binding globulin, serumTestosterone, Free, serum with total testosterone
- Vitamin B12
- Vitamin D
- CBC (Complete blood count)
- CMP (Comprehensive metabolic panel)
- CRP – C-Reactive Protein
- Estradiol – women only
- Free T3 – thyroid
- Free T4 – thyroid
- TSH – thyroid
- FSH – women only
- Hemoglobin A1c
- Luteinizing Hormone
- Lipid panel
Bioidentical Hormone Replacement Therapy Options
Nurse Practitioner Melissa Lang
Our Nurse Practitioner, Melissa Lang, also sees BHRT patients. She has many years of experience helping patients with proper hormone balancing. She’s an advocate for proactive wellness for both women and men. Melissa can also help with your individualized needs.
Nurse Practitioner Melissa focuses on one-on-one patient care. She has a deep knowledge of the problems and issues that both women and men experience. And she provides a profound understanding of the causes of your symptoms and the best way to address them.
Melissa makes the investment of time to get to know her patients. She will get to know your concerns, symptoms, and history. Her approach differs from what you may be used to. She takes the time to listen to you and will investigate solutions that will improve your quality of life. She looks at both lab results and your symptoms.
Melissa will go over all of your test results in detail and work with you on any follow-up needs toward long-term wellness.
Labs will need to be done at least two weeks prior to your appointments. Labs are a separate fee and may be covered by your insurance.
Your initial consultation with Melissa is 60 minutes long, and follow-ups will be 30 to 45 minutes. The first appointment is a prescribing appointment. The second is about three months later to check and adjust your levels.
Melissa will want to see you every three months during the first year. After that, she will want to see you every six months for the second and subsequent years.
To help defray the costs of the BHRT appointments, labs, and hormones, we have worked out a program. This allows flexibility to help meet everyone’s needs and potential insurance benefits. We call it our “Inspired Health and Wellness Bioidentical Hormone Service.” It applies to services with our experienced NP, Melissa. Some details are below, and you can read more about it HERE.
Our Subscription Program and Pricing:
The costs involved are:
- $250 deposit when you book
- $500 due at the first appointment
- $150 per month thereafter for the rest of the year (11 payments)
These payments cover all appointments for the initial year (four in total). These payments do not cover labs, medications, or supplements.
We will file for any possible insurance benefits you may receive for the appointments. We will also forward to you any insurance payments we can get through your insurance.
It has been our experience that the usual amount of reimbursement is between $350 and $400 per year. In some cases, with really good insurance, the reimbursement amount has been $600 to $700 per year.
Lab Work under the Subscription Program:
This program allows you to use your insurance benefits for the needed lab work before each appointment.
As an alternative, we also offer heavily discounted labs if you are self-pay. Self-pay lab costs are $175 for your first set of labs. They are $75 for each set of labs for the other three appointments.
If you believe your insurance will cover your labs, you should use insurance to cover them.
It may turn out that you get a bill for more than the above self-pay costs. In that case, we can reverse this lab order and change it to self-pay, and you would only owe us for the self-pay costs of the labs.
Insurance Information: Please bring your insurance card with you to the first appointment. Our office staff will look into possible benefits/reimbursement.
Dr. Connie Casad BHRT Program
Due to Dr. Casad’s current patient load, she has trained and worked closely with her Nurse Practitioner Melissa Lang for several years. This way, we can competently and confidently service more patients and ensure they get the best possible care.
To offer better service to new patients and not have them wait two months to get in to see Dr. Casad, Nurse Practioner Melissa follows the same protocols and has appointments available with little to no wait.
Dr. Casad supervises and oversees Melissa’s cases. So, in addition to having a highly skilled and experienced Nurse Practitioner working with you, you will also have Dr. Casad overseeing your care.
Dr. Casad is also taking new patients. To start the BHRT program with Dr. Casad, you will begin with two appointments bundled together for a total cost of $595. We ask for a $250 deposit at the time of booking, and this will hold your first appointment, leaving a balance of $345 due at your first appointment. There is no further cost at your second appointment since the first two are bundled together.
The first appointment is a prescribing appointment, requiring labs done prior to this appointment, and the second is about three months later to check and adjust your levels.
Dr. Casad will want to see you every three months during the first year to check your progress. She will want to see you every six months for the second and subsequent years. These follow-up visits are 60 minutes long. Labs will need to be completed at least 2 weeks prior to your appointments.
Additional visits during the first year with Dr. Casad are $450 . She will want to see you every three months during the first year. After that, she will want to see you every six months for the second and later years.
The cost of labs, hormones, and supplements are additional. I do not include these in the office visit fees.
Labs will need to be done at least 2 weeks prior to your appointments. These require a separate fee that your insurance may cover. Your initial consultation with Dr. Casad is 60-75 minutes long.
We offer two Lab Options for Patients
- Option 1 – You will present their insurance card to the laboratory at the time of service. The lab will directly bill your insurance company. It is your responsibility to verify lab benefits specific to your policy.
- Option 2 – For those patients who are cash-pay or who have high deductibles, LabCorp offers you a big discount. The initial comprehensive lab panel is $275, and additional or follow-up lab fees are $175. Many patients find that it’s more economical to pay for labs out of pocket. This is especially true if you have high co-pays or deductibles.
Starting as a New Patient
Once you schedule your first appointment, our office will email you your health questionnaire. We will also email you your lab order. We ask that you complete your health questionnaire no later than one week prior to your first visit. This way, we can be prepared for our visit with you.
We also ask that you have your labs drawn no later than two weeks prior to your appointment. Adequate time is needed for the results to get to our office. If you are female and still have a regular menstrual cycle, you should have your labs drawn between days 19 and 21 of your cycle. This is not applicable if you are on birth control pills.
At your first appointment, we will go over your health history. We will also address all concerns, symptoms, and goals. We will interpret your lab results with you. The treatment plan will be based on your individual symptoms and lab results.
Your first appointment is also your prescribing appointment. We offer a variety of hormone application methods. These include capsules, creams, troches, and pills. If you choose to use pellets, we will get your first pellet inserted at this visit as well.
Bioidentical Hormones at MedQuest Compounding Pharmacy
All types of hormone applications are ordered through MedQuest Compounding Pharmacy. Dr. Casad is very particular about the quality of hormones that all patients receive. This pharmacy rates as being in the top 2% for quality in the United States. Hormones are shipped with a three-month supply.
Hormones and Supplements Average Fee Scale
- Hormones – For a 90-day (3 months) supply of hormones, the average cost will range between $100 and $200 monthly. Expect to spend $200 – $600 for a 90-day supply of multiple hormone prescriptions.
- Hormone pellets for women – The cost of a pellet with one hormone is $250. Additional hormones are $40 each. Pellets usually last 3-4 months.
- Hormone pellets for men – The cost of pellets can range between $490 and $600 for men. These last from 4 – 6 months.
- Supplements – Monthly supplement fees can range between $20 and $150 or as needed. Note: Our supplements are optional.
We do offer interest-free Care Credit plans for six to 18 months, depending on the amount financed.
We accept HSAs and FSAs.
Will Insurance Cover the Costs?
We are an out-of-network provider. If you have a PPO type of plan, it is possible that you could get reimbursed for the cost of your appointments. The cost may also go toward your deductible — it really depends on the type of plan you have. It is not common for insurance to cover these services.
It is possible that your insurance will cover your lab work. If they don’t, we have a discount program established with LabCorp that allows for a very significant discount on those labs.
We usually recommend to patients that they call the number on the back of their insurance card. Ask if they will allow you to see an out-of-network provider and if they will cover a set of comprehensive labs 100%.
About Our Providers
Connie Casad, M.D.
For over three decades, Dr. Casad has provided the best possible medical care for her patients. She has built her practice on a foundation of serving, caring, and staying up to date on the latest research and technology in health and wellness.
Dr. Casad is Board-Certified by the American Board of Obstetrics and Gynecology and holds a Fellowship with the American College of Obstetricians and Gynecologists. She’s also a member of the Dallas Medical Society.
Over the years, Dr. Casad has continually trained herself in the specialty of functional medicine, reading scores of books, extensive research studies, and attending countless seminars and educational programs.
Dr. Casad now focuses her practice on preserving and improving the quality of her patients’ lives through Bioidentical Hormone Replacement Therapy Concierge Medicine.
Melissa Lang, W.H.N.P., B.C.
Melissa Lang is an experienced and dedicated Healthcare Nurse Practitioner. She offers Functional Medicine and Bioidentical Hormone Replacement Therapy services through our office.
Melissa has been working alongside Dr. Connie Casad for several years, learning her protocols and gaining so much knowledge.
Melissa’s functional medicine/whole-body approach includes BHRT and long-term solutions for health and wellness for both men and women. This also includes nutrition and lifestyle changes so that her patients can experience optimal wellness.
Like Dr. Casad, Melissa believes that teaching is an integral part of every patient relationship and looks forward to the opportunity to meet and serve patients who are seeking long-term solutions promoting wellness and a healthier life!
Free Phone Consultation with Our New Patient Coordinator
Our providers at Dr. Casad’s office are devoted to understanding our patient’s health concerns and symptoms. We use scientific-based protocols to find the root cause of hormonal imbalances, thyroid dysfunction, nutritional deficiencies, and more.
We believe that spending quality, personalized time with each patient provides the foundation to help you achieve optimal health and wellness. Our system incorporates provider consultation, comprehensive health assessment, and laboratory testing in a warm and caring environment.
Call our New Patient Coordinator
Contact our New Patient Coordinator for a Free Phone Consultation. She can explain our protocols and fees in more detail, answer questions or concerns you have, and explain how our approach can help with hormonal balance, anti-aging, and disease prevention so that you can enjoy a vibrant and healthy life!
We are now available for calls from 9 am until 5 pm on Friday.