Hormone Restoration--The Nuts and Bolts
Dr. Lindner seeks to make state-of-the-art hormone restoration affordable for everyone. He
charges for his time, as needed, on a pay-as-you-go basis at a rate of $5 per minute, $100 for 20
minutes, $300 per hour. See the contract for details. For most persons, the physician fees will add
up to $300 to $800 the first year and can be as little as $100/year afterwards. Those who just need
simple sex hormone replacement or only thyroid optimization will usually require minimal time. Dr.
Lindner responds to e-mails in a timely manner, and usually at no charge (see fee schedule).
This is an important benefit and it necessary for handling dose adjustments or problems between
consultations.
Dr. Lindner does not accept any insurances nor is he a Medicare or Medicaid provider. He will
provide a receipt so that those persons with recognized diagnoses can submit the bill to their
health insurance for reimbursement. Dr. Lindner does not profit from any tests, hormones, or
supplements he recommends; patients purchase these directly from labs and pharmacies.
Health insurance plans will usually cover the cost of blood tests and the hormone prescriptions
when a recognized diagnosis exists. For most women, the sex hormones made by a
compounding pharmacy will cost between $45 to $50/month. Thyroid and adrenal hormones cost
another $10 to $30/mo each. Commercial bioidentical hormone products are more expensive
than compounded hormones, but may be cheaper for some persons if their insurance doesn't
cover compounded hormones and their co-pays are low. Saliva cortisol testing is covered by
insurance. Medicare has notified Dr. Lindner that after Jan. 2011, they will not pay for tests ordered
by non-participating physicians. This means that Medicare patients will need to get a participating
physician to order their tests, or they will need to self-order and pay for their tests.
Dr. Lindner will answer preliminary general questions by e-mail for free, but he cannot order
insurance-covered blood tests until a doctor-patient relationship is established by a formal
consultation. He cannot prescribe hormones to anyone without an in-office consultation. Initial
appointment forms can be downloaded here. Fill them out and bring them with you to your first
visit.
At the initial office visit, Dr. Lindner can initiate hormone restoration if a deficiency is already
established by prior test results or history--for instance is a woman is clearly in menopause and
having estradiol deficiency symptoms. Otherwise he'll give you a laboratory request for the relevant
hormone levels as required. If fatigue, pain, or depression are a problem, he'll also give you a kit
for saliva cortisol testing. His assistant will notify you when she has received all the
results--usually in about 2 weeks from the test date--so that you can set up a follow-up visit to
discuss the results and decide upon hormone restoration. Additional follow-up tests will be
ordered as needed. Doses are adjusted according to symptoms primarily, and blood test results
secondarily. It can take many months or even years to fine-tune hormone restoration as
individuals vary greatly in how they absorb and eliminate hormones and how their body responds
to them. It can also take many months for the body to adapt to and fully benefit from higher
hormone levels. All hormones affect all other hormones--so getting the dose, form, and delivery
method right for each hormone for each person is a complex art often requiring a lot of
trial-and-error. This is especially true for those persons who need to restore and balance 5 or
more hormones.
Dr. Lindner seeks to make state-of-the-art hormone restoration affordable for everyone. He
charges for his time, as needed, on a pay-as-you-go basis at a rate of $5 per minute, $100 for 20
minutes, $300 per hour. See the contract for details. For most persons, the physician fees will add
up to $300 to $800 the first year and can be as little as $100/year afterwards. Those who just need
simple sex hormone replacement or only thyroid optimization will usually require minimal time. Dr.
Lindner responds to e-mails in a timely manner, and usually at no charge (see fee schedule).
This is an important benefit and it necessary for handling dose adjustments or problems between
consultations.
Dr. Lindner does not accept any insurances nor is he a Medicare or Medicaid provider. He will
provide a receipt so that those persons with recognized diagnoses can submit the bill to their
health insurance for reimbursement. Dr. Lindner does not profit from any tests, hormones, or
supplements he recommends; patients purchase these directly from labs and pharmacies.
Health insurance plans will usually cover the cost of blood tests and the hormone prescriptions
when a recognized diagnosis exists. For most women, the sex hormones made by a
compounding pharmacy will cost between $45 to $50/month. Thyroid and adrenal hormones cost
another $10 to $30/mo each. Commercial bioidentical hormone products are more expensive
than compounded hormones, but may be cheaper for some persons if their insurance doesn't
cover compounded hormones and their co-pays are low. Saliva cortisol testing is covered by
insurance. Medicare has notified Dr. Lindner that after Jan. 2011, they will not pay for tests ordered
by non-participating physicians. This means that Medicare patients will need to get a participating
physician to order their tests, or they will need to self-order and pay for their tests.
Dr. Lindner will answer preliminary general questions by e-mail for free, but he cannot order
insurance-covered blood tests until a doctor-patient relationship is established by a formal
consultation. He cannot prescribe hormones to anyone without an in-office consultation. Initial
appointment forms can be downloaded here. Fill them out and bring them with you to your first
visit.
At the initial office visit, Dr. Lindner can initiate hormone restoration if a deficiency is already
established by prior test results or history--for instance is a woman is clearly in menopause and
having estradiol deficiency symptoms. Otherwise he'll give you a laboratory request for the relevant
hormone levels as required. If fatigue, pain, or depression are a problem, he'll also give you a kit
for saliva cortisol testing. His assistant will notify you when she has received all the
results--usually in about 2 weeks from the test date--so that you can set up a follow-up visit to
discuss the results and decide upon hormone restoration. Additional follow-up tests will be
ordered as needed. Doses are adjusted according to symptoms primarily, and blood test results
secondarily. It can take many months or even years to fine-tune hormone restoration as
individuals vary greatly in how they absorb and eliminate hormones and how their body responds
to them. It can also take many months for the body to adapt to and fully benefit from higher
hormone levels. All hormones affect all other hormones--so getting the dose, form, and delivery
method right for each hormone for each person is a complex art often requiring a lot of
trial-and-error. This is especially true for those persons who need to restore and balance 5 or
more hormones.
For Health and Quality of Life
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