We’re a cash-pay practice by design.
We work directly with you instead of billing insurance, and that’s exactly what lets us give you the time, access, and continuity that real menopause care requires. No insurance-driven visit limits. No surprise bills. No rotating clinicians. Just your clinician, and a plan built around you.
Do I Still Need Health Insurance?
Yes. Membership is not health insurance, and direct care isn’t a replacement for it. Keep your coverage for everything outside our practice: emergencies, hospitalizations, imaging, specialists, your prescriptions, and lab fees. Think of us as a better way to reach your menopause specialist, not a replacement for comprehensive insurance.
Menopause Care Without Insurance
How Our Care Works
It’s a simple model built on a direct relationship between you and your clinician. You pay directly for care: a one-time consult, and then an ongoing membership if you choose to continue. In return, you get the thing insurance never makes room for: time, direct access, and a clinician who stays with you.
What to Expect
Step One: Book Your Consult
Choose a time and complete a short intake about your symptoms and history.
Step Two: Meet Your Clinician
A comprehensive first visit: your full picture, your options (including whether hormone therapy is right for you), the risk-and-benefit conversation, and baseline labs. You leave with a plan and the reasoning behind it.
Step Three: Continue as a Member
If you want ongoing care, your consult rolls into membership. We optimize your treatment over your first months, then keep you well for the long run.
Step Four: Stay Supported
Secure messaging between visits, prescriptions managed, labs interpreted, and follow-ups on a schedule that matches your care: closer together while we optimize, further apart once you’re steady.
The conventional path
Rushed appointments, sometimes only seven minutes
Referrals, waiting rooms, extra steps
A different face every visit
Care shaped by what insurance covers
A general practice that treats everything
Symptoms managed in isolation
Little time for the “why”
Unhurried visits, with time to actually talk
Direct access to your clinician
The same clinician, who knows your story
Care shaped by your body and your goals
A menopause-only focus, MSCP-certified
Hormones, sleep, nutrition, and long-term health, together
The reasoning behind every recommendation
Leaving with a plan
Leaving with more questions
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About
The TelePause is a physician-led online practice specializing exclusively in perimenopause and menopause care, founded by Dr. Siân West, a board-certified OB/GYN, osteopathic physician, and Menopause Society Certified Practitioner (MSCP). Practicing a direct, cash-pay model, The TelePause offers a comprehensive first consult and an ongoing membership that covers visits, menopausal hormone therapy (MHT) evaluation and management, non-hormonal options, lab ordering and interpretation, and personalized care for sleep, nutrition, and long-term health, all through secure online visits in Michigan, with California coming soon.