Your visit gave you answers. Membership is how your care continues.
At your first visit, your provider talked through your symptoms, your history, and the treatment that fits you. Membership keeps that care going between visits — messaging, refills, dose adjustments, and lab review. Once you activate, most patients begin treatment within 24 hours (Mon–Fri).
Care that keeps going — visits optional.
Most ongoing care happens through messaging in the patient portal — no scheduling, no waiting room, no copays per visit. Video visits are available when you need them.
Refills, dose changes, side effects, lab results — message us in the portal whenever something comes up. No appointments needed for most things.
No appointment needed — message your concern in the portal and your provider replies with prescriptions, education, and clear next steps. Not a chatbot, not a nurse line.
When your provider writes a prescription, it's sent electronically to your pharmacy the same day. Pickup timing is up to your pharmacy.
Insurance reimburses for visits — the appointment itself. It doesn't reimburse the messaging, refill management, lab review, and dose adjustments that actually deliver your treatment between visits. Membership is what funds that ongoing care so your provider can give you real attention without the constraints of fee-for-service billing.
- Your written treatment plan
- Prescriptions to your pharmacy
- Lab orders & review
- Dose adjustments as you respond
- Refill management
- Patient education handouts
- HSA / FSA documentation upon request
- Superbill for insurance reimbursement
Care that actually moves the needle.
The goal isn't that you were seen — it's that you sleep again, think clearly, and feel like yourself. Here's what that looks like for the women who continue care with us.
report significant symptom improvement within three months
remain in care after a full year of treatment
most treatment begins within a day of activation (Mon–Fri)
"I finally feel like someone actually listened."
Member · perimenopause, HRT + mood support
Based on internal patient-reported outcomes and retention data from The Menopause Clinic. Individual results vary, and no outcome can be guaranteed.
Your membership, start to steady.
Ongoing care is a flat monthly membership — no per-visit copays, no surprise bills. Everyone starts in Active Care while we get your treatment working, then steps down to Maintenance Care once it's stable.
- Secure portal messaging with your clinician
- Structured symptom updates & medication response review
- Medication adjustments when clinically appropriate
- Prescription & refill management
- Lab guidance & review when needed
- Up to 2 video visits included
The first four months — when symptoms, medications, labs, and dosing need the closest review. Additional patient-requested video visits $50.
- Everything in Active Care
- Ongoing prescription & refill management
- Dose review when symptoms change
- Lab review when needed
- Safety monitoring & annual care review
- 1 video visit per year included
Once your plan is stable, your membership steps down automatically. Month-to-month — cancel with 10 days' notice. Additional video visits $50.
The fee from your first visit — $50 video or $100 in person — is credited toward your first month of membership when you enroll within two weeks of your visit. So you pay just the difference on month one: $79 after a video visit, $29 after an in-person visit. That works out to less than $30 a week for unlimited access to your provider.
Add-ons are applied by your clinician when they're part of your plan — you don't select them here. They're added on top of your monthly membership.
For: patients whose plan includes testosterone. Covers the added monitoring, dosing, lab review, and controlled-substance refill oversight that testosterone therapy needs. Includes the required annual in-person testosterone review; an in-person visit is also required before testosterone can be prescribed.
For: patients using or starting GLP-1 therapy (semaglutide or tirzepatide). GLP-1 care needs closer ongoing management — dose titration, side-effect support, lab monitoring, and refill coordination — so it's offered as an add-on rather than bundled in. It's available only after your hormone therapy is established and a medical assessment confirms it's appropriate.
- Dose titration and escalation review
- Side-effect guidance and management
- Lab guidance and monitoring
- Refill and pharmacy coordination
- Metabolic and progress check-ins
- Messaging with your clinician about your GLP-1 plan
Medication is not included. Your GLP-1 prescription is sent to the manufacturer's direct self-pay program, where brand semaglutide and tirzepatide are now available at substantially reduced cash prices, and you pay the manufacturer for the medication separately. This add-on covers your clinical management — the ongoing part insurance doesn't reimburse.
Five steps. About five minutes.
You only do this once — most of it is one-time setup so you can focus on care from here on out.
- What you'll do
- i. Create your patient portal account
- ii. Add your payment method (nothing charged until your registration is reviewed)
- iii. Upload your photo ID
- iv. Review your membership
- v. Submit your enrollment form
Activate within two weeks of your visit and your visit fee comes straight off your first month — so month one is just $79 (video) or $29 (in-person).
Create your patient portal account.
The portal is where every part of your care lives — provider messages, your treatment plan, prescriptions, and education materials.
When the portal opens
- Click New Sign Up — not the regular login fields.
- Use the same email you gave us at your visit so we can match your account.
- Create your password and finish the signup prompts.
So you never miss a portal message: info@menopauselouisiana.com and no-reply@optimantra.com
Add your payment method.
Required so we can process your membership. Nothing is charged until your registration is reviewed and your membership is confirmed.
Stored in Optimantra's encrypted vault. We never see the full card number.
Upload your photo ID.
Required for prescribing. We can't send prescriptions to your pharmacy without verified ID.
Three things to get right
- Set Record Type to ID Card.
- Choose your driver's license or state ID photo.
- Click Upload File before leaving the page.
The most common issue: patients choose the file but forget to click Upload File. Don't close the tab until you see the confirmation.
Review your membership.
There's nothing to choose here — your membership follows one simple path. Quick recap:
Need to see the full breakdown again? View full membership details →
Submit your enrollment form.
This confirms your membership and officially activates ongoing care. You're not fully registered until this form is submitted.
- Before you click submit
- Portal account created
- Payment method added
- Photo ID uploaded
- Membership reviewed
Finish all five steps and treatment begins within 24 hours (Mon–Fri).
Once you complete the five steps above and submit your enrollment form, our team reviews it and sends it to your provider. Within 24 hours (Mon–Fri), a message from your provider arrives in your patient portal with everything you need to start.
- Your personalized written treatment plan
- Prescriptions sent electronically to your pharmacy — usually the same day, though some plans start labs first
- Lab orders, if labs are part of your plan
- Patient education and clear next steps for follow-up
A note on timing. Most prescriptions are sent to your pharmacy the same day your plan is released. In some cases — like when your plan starts with labs, or a medication needs a baseline result first — your provider may order labs before prescribing. If that's your plan, your portal message will explain exactly what comes first and when. Submitted on a weekend? Your 24 hours starts the next business day (Mon–Fri).
- Go to the Member Hub on our website and click Patient Portal.
- Open and read the message from your provider.
- If it asks you something — like your lab preferences — reply right there in the portal. Your provider finalizes your plan once you do.
Why the portal? All clinical communication lives in your patient portal — it's private and secure, so your treatment plan and your provider's replies are always there. You may get a text letting you know a portal message is waiting, or a quick supportive reminder along the way — but anything clinical, and any reply to your provider, happens in the portal.
Messages you may receive from us
A few are automated. Here's what each one means — and which ones need a reply.
You're fully registered.
Our team reviews your registration and sends it to your provider. Within 24 hours (Mon–Fri), a message from your provider arrives in your patient portal.