Billed Through Insurance | Oregon and Washington Only
Insurance-Based Care
Steady State Health offers insurance-based medical care for perimenopause, menopause, ADHD, metabolic health, and mental health, delivered through personalized, root-cause-focused visits.
Care is provided through individual appointments and follows the same structured, comprehensive approach as our Steady Momentum program, giving you clarity, continuity, and a plan that evolves over time.
What to Expect
Standard medical visits tailored to your symptoms and goals
Ongoing care with regular follow-ups and plan adjustments
Medication management for
Mental health
ADHD
Metabolic health and weight-related concerns
Hormone therapy (estrogen, progesterone, testosterone when appropriate)
Who This Is For
Insurance-based care may be a good fit if you:
- Prefer traditional visit-based care
- Want to use your insurance for labs and appointments
Are looking for support with:
- Perimenopause or menopause symptoms
- ADHD diagnosis or medication management
- Weight, metabolism, or energy concerns
- Mental health
Labs and Billing
Lab testing is ordered as medically appropriate and billed through your insurance.
Patients are responsible for:
- Copays
- Coinsurance
- Deductibles
Coverage varies by plan. We recommend verifying your benefits in advance.
NEXT STEP
Optional Enhanced Support
Enhanced Support Program – $99/month
Includes:
- Direct messaging with your provider
- Priority scheduling
- Extended appointment options
- Nutrition and exercise guidance
- Ongoing support between visits
This can be added at any time to enhance your care experience.
Monthly recurring charge. Cancel anytime.
Insurance-Based Care FAQs
1. What is Insurance-Based Care at Steady State Health?
Insurance-Based Care is the individual-visit pathway at Steady State Health for patients located in Oregon and Washington, billed through commercial insurance rather than as a cash-pay program. It covers perimenopause, menopause, ADHD, metabolic health, and mental health, and follows the same root-cause approach as Steady Momentum, just delivered as standard medical visits with ongoing care over time rather than a structured twelve-week package.
2. What insurance plans does Steady State Health accept?
Steady State Health accepts most major commercial insurance plans for Oregon and Washington residents, but does not accept Medicare, Oregon Health Authority, Kaiser, Providence, or PacificSource Community Plan. Coverage and copays vary by plan, and patients are responsible for copays, coinsurance, and deductibles. Steady State Health verifies benefits before the first visit and recommends contacting the front office to confirm coverage for a specific plan before booking.
3. Can I get hormone therapy through Insurance-Based Care?
Yes. Hormone therapy for perimenopause and menopause is one of the most common reasons patients use Insurance-Based Care. The visit includes evaluation, prescribing of hormone therapy when clinically appropriate, and ongoing follow-up to titrate dose. Labs are billed to insurance, and the patient is responsible for copays, coinsurance, and deductibles. Hormone therapy itself is filled at the patient’s pharmacy and billed under the prescription drug benefit.
4. How is Insurance-Based Care different from Steady Momentum?
Steady Momentum ($2,350 cash-pay) is a structured twelve-week program with twice-monthly visits and bundled labs, designed for women who want comprehensive integrated care. Insurance-Based Care is individual visits billed through insurance — same clinical approach, but visit-by-visit rather than packaged. Patients who want depth and pace choose Steady Momentum; patients who prefer insurance billing or who only need targeted care for one or two issues choose Insurance-Based Care.
5. Does Insurance-Based Care include ADHD evaluation and medication management?
Yes. ADHD evaluation, diagnosis, and ongoing medication management are available through Insurance-Based Care for Oregon and Washington residents. The visits are billed to insurance like any other behavioral health or primary care visit, subject to plan-specific copays and coverage. Patients who want ADHD care integrated with hormone therapy, GLP-1, and metabolic care in one structured plan typically choose Steady Momentum instead, which bundles all of those components.
6. What is the Enhanced Support Program add-on?
The Enhanced Support Program is a $99/month add-on for Insurance-Based Care patients that includes messaging between visits, extended appointments, nutrition and exercise guidance, and priority scheduling. It is designed for patients who want more contact and continuity than standard insurance-based visits provide, without committing to a full cash-pay program. Insurance still pays for the visits themselves; the $99 covers the wraparound support.
7. Can I switch from Insurance-Based Care to a cash-pay program later?
Yes. Patients often begin with Insurance-Based Care and later transition to a cash-pay program such as Steady Momentum or Precision Health if they want a more structured or in-depth approach.
It’s important to understand that insurance and cash-pay cannot be used together for the same visit or billable medical service. If you choose to use insurance, all covered, billable services (such as visits, labs, and medical management) must be submitted to your insurance for reimbursement.
Cash-pay can be used for non-covered services, such as lifestyle support, concierge services, and program-based care.
You may move between insurance-based care and cash-pay programs over time, but they must be used separately, not combined within the same service. We will help guide this transition so your care, labs, and prescriptions continue smoothly.
