What You Pay, Right Up Front
Initial consultation and treatment plan
- A one-time fee to get started
Membership
Your ongoing membership includes:
- Follow-up visits, typically every 6 to 12 weeks depending on your needs
- Direct messaging access to Dr. Twist between visits
This is a membership/subscription model designed to make your care and costs clear from the beginning. There are no surprise bills or insurance-related denials to navigate. Discounts may be available, so ask Dr. Twist directly. That transparency is the point: you should know exactly what your care costs so you can make a confident decision about your health.
What Is Included
Your initial consultation is a full 60-minute visit with Dr. Twist that includes a complete health history review, a medication review, treatment planning, and a personalized care plan built around your goals. This is time to be heard, to ask the questions you have been holding onto, and to understand the reasoning behind every recommendation. Your monthly membership covers ongoing visits, typically every 6 to 12 weeks as needed, along with treatment adjustments, prescription management, and secure messaging access to Dr. Twist between appointments so your questions do not have to wait for the next visit. The goal is continuity: one physician who knows your history and stays with you as your needs change.
Why Membership Instead of Insurance
A membership model is what makes the rest of this care possible. There are three concrete reasons it benefits you:
Longer, unrushed appointments with one physician who knows your history, instead of a rotating panel of prescribers.
No pre-authorization delays or coverage denials when hormone therapy is the right choice for you.
Treatment decisions made by you and Dr. Twist together, not by an insurance reviewer who has never met you.
For many women, the math is simple once they see it clearly. A membership built around real appointments and direct physician access often delivers more value than an insurance plan that still leaves hormone care out of reach.
Is This Right for You?
This care is an excellent fit if you are seeking ongoing hormone management, want a consistent relationship with one physician, or have been frustrated by insurance barriers to HRT. It may not be the right fit if you need in-person physical exams, obstetric care, or surgery. In those cases, Dr. Twist can help coordinate a referral to the right local provider in your Montana community.
Friends and Family Discounts
Discounts may be available for friends and family of existing patients. To learn what you may qualify for, reach out and ask Dr. Twist directly. You can find the best way to get in touch on the contact page.
How to Get Started
Getting started is straightforward: book your initial consultation, complete a short intake, and meet Dr. Twist by secure video. If you want to compare every service first, browse the full list of services.
Frequently Asked Questions
No. Wild Women Medicine is a membership practice and does not bill insurance directly. You pay the $500 initial fee and a $250 monthly membership, which keeps pricing transparent and appointments unrushed by coverage rules.
Some patients with an HSA or FSA account may be able to use those funds toward membership fees. Check with your plan administrator first, since eligibility depends on your specific plan.
The $250 monthly membership covers your ongoing care, including follow-up visits, typically every 6 to 12 weeks, and secure messaging with Dr. Twist between appointments. There is no separate per-visit charge.
Friends and family of existing patients may qualify for a discount. Reach out and ask Dr. Twist directly, and she will let you know which current offers you are eligible for.