Metis Midlife Medicine is a cash-pay practice. You pay directly for your care — no insurance middlemen, no prior authorization delays. A detailed superbill is provided after every visit for out-of-network reimbursement submission.
Not sure which tier is right for you? Start with a free 15-minute intro call with Dr. Sapp. There's no obligation — it's a chance to ask questions, describe what you're experiencing, and figure out whether Metis is the right fit before committing to anything.
Schedule your initial consultation or follow-up visit directly — no membership needed.
Register & Schedule a Visit →Start with a free 15-minute intro call — no commitment, just a conversation.
Book a Free Intro Call| Visit Type | Duration | Fee |
|---|---|---|
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Introductory Call
A no-obligation conversation to discuss your history, ask questions, and determine whether Metis is the right fit for you.
|
15 min |
Complimentary |
|
Initial Consultation
Comprehensive new patient visit — full history, symptom review, lab interpretation, and development of your personalized treatment plan.
|
60 min |
$400 |
|
Follow-Up Visit
Treatment review, symptom reassessment, medication adjustments, lab follow-up, and ongoing care planning.
|
30 min |
$225 |
|
Brief Check-In / Rx Review
Focused visit for prescription refills, minor medication adjustments, or a single targeted question — when a full follow-up isn't needed.
|
15 min |
$110 |
|
Member Additional Visit
Additional follow-up visits for active members — beyond the visit included in your monthly membership.
|
30 min |
$150
Members only
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Non-urgent clinical questions answered directly — no portal messaging, no triage nurses. Business hours access to your physician between visits.
Discounted access to a strength and mindset program — an evidence-aligned complement to hormonal care for body composition, resilience, and overall wellbeing.
Extra visits at $150 — $75 less than the standard follow-up rate. For times when you need more support than your included visit covers.
Foundations members have first access to new appointment slots — so you can be seen promptly when something comes up.
Your monthly visit rolls over for one month if unused — so a busy month doesn't mean a wasted visit.
Metis does not bill insurance directly — but that doesn't mean your insurance can't help. After each visit, you'll receive a detailed superbill with the diagnosis and procedure codes your insurer needs to process an out-of-network reimbursement claim. Many patients with PPO plans recover a meaningful portion of their visit cost. HSA and FSA funds can also be used for Metis visits.
Yes — Metis is a specialty practice, not primary care. Dr. Sapp manages your perimenopause, menopause, and hormonal health; you'll maintain a separate relationship with a primary care physician for everything else.
Metis does not bill insurance directly. You can request a superbill after every visit to submit for out-of-network reimbursement — your insurer will determine what, if anything, they cover. HSA and FSA funds may be used for visits; you are responsible for knowing what your specific plan covers.
No. Metis does not see patients for whom Medicare is the primary or secondary insurer in any form — including Medicare Advantage (Part C). If you have Medicare coverage, Metis is not able to see you at this time.
Currently serving Colorado, with Texas coming soon. You must be physically located in the licensed state at the time of your visit — telemedicine licensing is tied to where you are, not where you live.
Both tiers begin with an initial consultation. Foundations ($299/mo) then includes a visit every month and is designed for patients actively adjusting their treatment. Maintenance ($169/mo) includes a visit every quarter and is for patients stable on an established protocol.
Yes. Once you're established and your treatment is stable, you can transition from Foundations to Maintenance. Dr. Sapp will discuss timing with you — most patients make this transition after 3–6 months of active care.
Dr. Sapp addresses the metabolic changes that arise directly from the hormonal transition as part of comprehensive menopause care. She can talk through and prescribe all evidence-based medication options appropriate for your health — the right approach depends on your individual history and goals.
Prescriptions are sent electronically to your preferred pharmacy. For cash-pay medications, Dr. Sapp can discuss manufacturer patient assistance programs and pharmacy options to help manage cost.
That's completely fine. You're welcome to book an initial consultation as an à la carte visit with no membership commitment. Many patients choose to start this way before deciding whether ongoing membership care is right for them.
Either membership tier can be cancelled with 30 days written notice. There are no long-term contracts — membership is designed around your needs, not a subscription model.
Knowing what the experience actually looks like makes it easier to take the first step.
Start with a complimentary 15-minute intro call to ask questions and make sure Metis is the right fit — or book directly into a 60-minute initial consultation if you're ready. Scheduling is done online.
Before your visit, you'll receive a detailed intake questionnaire covering your symptom history, medical history, medications, and goals. Completing it thoroughly means your visit time is spent on you — not paperwork.
A private, secure video visit with Dr. Sapp. She'll review your history, ask follow-up questions, discuss your symptoms in depth, and explain the relevant science clearly. You'll leave with a treatment plan, any prescriptions sent electronically, lab orders if needed, and a clear understanding of next steps. Payment is collected at time of visit, and a superbill is provided immediately afterward.
Lab orders go to your preferred local draw site — no in-person visit required. Prescriptions are sent electronically to your pharmacy. Dr. Sapp reviews results and follows up directly. Most patients have a follow-up visit within 4–8 weeks of starting a new treatment.
Once your initial plan is established, you choose how to continue. Membership patients have a visit included each month (Foundations) or quarter (Maintenance), with direct texting access between visits. À la carte patients schedule follow-ups as needed. Most patients transition to Maintenance membership within 3–6 months as their treatment stabilizes.
No commitment. Dr. Sapp will answer your questions and help you figure out whether Metis is the right fit.