MoonPhase Integrative Psychiatry & Wellness offers several distinct pathways, including psychiatric care, nurse-led education, and nonclinical offerings.

• Psychiatric evaluation, prescribing, and ongoing psychiatric treatment are provided only to women located in Massachusetts.

• Other MoonPhase offerings have separate scopes, eligibility requirements, and availability.

• Psychiatric care is intentionally paced and designed for clinical depth, integrating psychiatric evaluation, medication strategy when appropriate, therapeutic support, and education informed by reproductive and midlife neurobiological change.

• MoonPhase has limited office hours and is not structured to provide rapid-access, emergency, or crisis-oriented treatment.

• If your needs require intensive support, frequent contact, or a higher level of care, MoonPhase may recommend or refer you to services better suited to that level of support, such as intensive outpatient treatment, higher-frequency psychotherapy, crisis services, or other specialized care.

MoonPhase does not provide emergency services, crisis response, or on-call coverage.

For urgent medical concerns, contact your primary care clinician, urgent care, or your local emergency department.

If you are experiencing a mental health crisis, feel unsafe, or believe you may be in immediate danger, use emergency or crisis services, for urgent assistance: dial 911, call/text 988, or go to the nearest emergency department.

MoonPhase is intentionally paced and designed for depth rather than volume.

MoonPhase reserves dedicated appointment time for each client. At least 48 hours’ notice is requested for cancellations or rescheduling whenever possible.

• Late cancellations or missed appointments may be charged a $150 fee.

• Cancellation and no-show fees are not charges for clinical services and generally are not reimbursable by insurance.

• Exceptions may be considered for emergencies or circumstances outside the client’s reasonable control.

• Arriving late does not automatically extend the scheduled appointment time. Depending on the amount of time remaining and clinical appropriateness, the visit may be shortened, rescheduled, or considered a late cancellation.

• Repeated late cancellations, missed appointments, or difficulty attending scheduled care may prompt discussion about whether MoonPhase can continue to provide the appropriate level and continuity of care.

Medication Prescribing & Refills

Medication decisions at MoonPhase are made thoughtfully and conservatively, guided by careful assessment, evidence-informed clinical reasoning, safety considerations, and ongoing treatment goals.

When medication is part of care, prescriptions and medication changes are reviewed over time with attention to benefit, side effects, safety, medical history, medication response, and individual treatment goals.

Psychiatric prescribing is provided only when the client is physically located in Massachusetts at the time of the clinical encounter.

Refills are generally planned within scheduled appointments and prescribed for an appropriate interval based on clinical monitoring, follow-up needs, and the treatment plan.

MoonPhase does not provide one-time or bridge prescriptions outside an established treatment relationship. When assuming medication management from another clinician, appropriate psychiatric evaluation, medication-history review, records review, and coordination with the current prescriber may be required before prescribing begins.

Acceptance into care does not guarantee continuation of an existing medication, dose, or regimen. Prescribing decisions are based on clinical assessment, safety, treatment goals, and MoonPhase prescribing policies.

Controlled Medications

If controlled medications are part of care, prescribing, refill timing, follow-up, and monitoring are more structured and will be reviewed clearly during appointments.

Controlled-medication refills are generally addressed within scheduled visits and are not handled on an urgent basis.

Medication Safety & Monitoring

Medication prescribing requires ongoing clinical monitoring. When clinically indicated—particularly for medications requiring closer safety monitoring—MoonPhase may require additional steps such as more frequent follow-up, review of relevant records or laboratory information, coordination with other clinicians, or other monitoring appropriate to the medication and clinical context.

MoonPhase may recommend modification, tapering, pausing, or discontinuation of medication when clinically indicated for safety, tolerability, treatment effectiveness, or continuity-of-care concerns.

MoonPhase is not able to accommodate urgent refills, routine early refills, or requests for controlled medications as the primary purpose of establishing care.

Medications must be taken only as prescribed. Concerns regarding misuse, unsafe use, diversion, significant medication interactions, or escalating clinical risk may result in additional monitoring, more frequent visits, coordination with other clinicians, modification of the treatment plan, or tapering or discontinuation of medication when clinically appropriate.

When medication-related or psychiatric safety concerns exceed the scope of outpatient care, MoonPhase may recommend a higher level of care or other appropriate clinical services.

Refill Timing & Pharmacy Availability

• Please request refills at least 3 business days in advance. This allows time for requests to be reviewed during regular business hours.

• If no refills remain, please confirm that an appropriate follow-up appointment is scheduled before the medication is expected to run out.

• For medications that require closer monitoring, a refill may not be issued if the recommended follow-up appointment has not been completed or scheduled.

• When possible, do not wait until only the final few doses remain. If you know no refills are available, contacting MoonPhase approximately one week before the medication is expected to run out is encouraged.

• Please plan ahead for weekends, holidays, travel, pharmacy access issues, announced practice closures, or other time away. Last-minute refill requests may not be possible to accommodate.

• If you anticipate travel or being unable to use your usual pharmacy, please request refills 1–2 weeks in advance when possible to allow time for pharmacy processing and coordination.

• Refills are handled during regular business hours only. MoonPhase does not provide after-hours, weekend, holiday, or urgent refill services.

Examples:

• If you will run out on a Monday, request the refill by Wednesday of the prior week.

• If you will run out on a Friday, request the refill by Monday of that week.

Medication Shortages & Pharmacy Availability

Medication availability varies by pharmacy and may be affected by local or national shortages.

MoonPhase does not routinely call multiple pharmacies to locate medication stock. Clients are responsible for contacting pharmacies directly to determine availability before requesting that a prescription be sent or transferred.

If your usual pharmacy does not have a medication in stock, please identify an alternative pharmacy that has confirmed availability and provide MoonPhase with the pharmacy name and location.

Prescription changes, transfers, or requests to use a different pharmacy are reviewed during regular business hours and may require additional time, particularly for controlled medications.

Routine or repeated pharmacy changes cannot always be accommodated as part of each refill cycle.

MoonPhase cannot guarantee medication availability or uninterrupted access when shortages, pharmacy inventory limitations, insurance restrictions, manufacturer supply issues, or pharmacy dispensing requirements are outside the practice’s control.

Controlled Medications

• Medications classified as controlled substances require additional clinical monitoring, documentation, and safety review.

• When controlled medications are part of care, structured refill timelines, follow-up expectations, and monitoring requirements will be reviewed clearly. Monitoring may include treatment response, functional benefit, side effects, medical history, safety concerns, prescription-monitoring data, and other clinically relevant information.

• Controlled substances are prescribed only when clinically appropriate and within the scope of MoonPhase outpatient psychiatric care. Prior use or prescribing by another clinician does not guarantee continuation at MoonPhase.

• When clinically appropriate, controlled medications may also be reviewed as part of a dose-reduction or deprescribing plan based on safety, effectiveness, side effects, medical considerations, functional impact, long-term appropriateness, or current standards of care.

• Because controlled medications may involve risks related to dependence, tolerance, withdrawal, sedation, cognitive effects, medication interactions, and misuse or diversion, MoonPhase uses structured monitoring and ongoing clinical review when these medications are part of care.

• Monitoring is part of responsible prescribing and is intended to support safety, informed decision-making, and continuity of care.

Prescription Monitoring Program / MassPAT

MoonPhase reviews the Massachusetts Prescription Awareness Tool (MassPAT) in accordance with Massachusetts law and whenever clinically appropriate as part of controlled-substance safety monitoring.

MassPAT allows authorized prescribers to review controlled-substance prescription history and may help identify medication overlap, prescribing patterns, and other information relevant to safe clinical decision-making.

Massachusetts law requires use of the PMP each time a practitioner prescribes a Schedule II or III narcotic medication or a benzodiazepine.

MoonPhase may also review MassPAT in other circumstances when clinically appropriate.

Controlled-substance prescribing at MoonPhase is conducted in accordance with applicable Massachusetts Controlled Substances Registration (MCSR), Drug Enforcement Administration (DEA), prescription-monitoring, and other state and federal requirements. Massachusetts requires both an MCSR and DEA registration for authorized controlled-substance activity in Schedules II–V.

Some medications may require prior authorization, formulary review, step therapy, or other insurer approval before coverage is available.

• MoonPhase will complete clinically appropriate prior-authorization requests during regular business hours when required for medications prescribed as part of established care. Approval decisions and timelines are determined by the insurer or pharmacy-benefit manager and cannot be guaranteed by MoonPhase.

• Clients may be asked to provide updated insurance information, pharmacy-benefit information, prior medication history, or other documentation needed to complete the request.

• Submission of a prior authorization does not guarantee approval or coverage. If a request is denied, MoonPhase may review clinically appropriate alternatives, additional documentation requirements, or appeal options when reasonable and consistent with the treatment plan.

• Insurance requirements can change, and a medication previously covered may later require renewed authorization or different documentation.

• Massachusetts does regulate prior-authorization processes and response requirements for many plans, but those rules vary by payer and circumstance, which is another reason I would avoid promising a specific turnaround time on your site.

• For pharmacy inventory, shortages, or requests to change pharmacies, please see the Medication Shortages & Pharmacy Availability policy above.

Pharmacy & Continuity

• For safety and continuity, MoonPhase prescribes medications only within an established treatment relationship and with appropriate clinical follow-up.

• When MoonPhase is asked to assume medication management from another clinician, prescribing does not begin automatically. A psychiatric evaluation and medication-history review are required. Review of prior records and, when clinically appropriate and authorized by the client, coordination with the previous prescriber may also be required before prescribing begins.

• MoonPhase does not provide bridge prescriptions for prospective or new clients before an established treatment relationship has been formed.

• Requests involving medications that are lost, stolen, damaged, misplaced, or taken or used sooner than prescribed may require an appointment and additional clinical review.

• Replacement prescriptions are not guaranteed and may be declined or limited when replacement cannot be supported safely, clinically, or under applicable prescribing requirements.

• When clinically appropriate, MoonPhase may recommend use of a consistent or primary pharmacy to support continuity, reduce medication duplication or dispensing errors, and facilitate safe medication monitoring.

• Clients are responsible for notifying MoonPhase of changes in pharmacy information and maintaining accurate medication and pharmacy information in their record.

Communication, Portal Messaging & Response Times

Business Hours & Response Time

• MoonPhase is a limited-hours practice and generally operates 2–3 days per week.

• For purposes of this policy, a MoonPhase business day means a day on which the practice is scheduled to be open. MoonPhase business days do not necessarily correspond with every Monday-through-Friday weekday.

• Messages are reviewed during scheduled practice hours and are typically answered within 1–3 MoonPhase business days.

• Messages submitted outside scheduled practice hours, on weekends, holidays, or during announced practice closures are reviewed on the next scheduled practice day.

• Same-day responses are not guaranteed. MoonPhase does not provide after-hours, weekend, holiday, on-call, crisis, or emergency messaging coverage.

What Messaging Is For

• The client portal is intended for non-urgent communication, including scheduling needs, administrative questions, refill requests, medication-related updates, and brief non-urgent clinical questions.

• Messaging is not a substitute for a scheduled appointment. Concerns involving medication changes, worsening symptoms, significant side effects, diagnostic questions, changes in mental status, or complex clinical decision-making generally require fuller assessment during an appointment.

• The portal should not be used for urgent safety concerns. Please follow the urgent and emergency guidance below when immediate support is needed.

• MoonPhase may recommend scheduling an appointment when a concern requires fuller assessment, clinical decision-making, documentation, or more extensive discussion than is appropriate through asynchronous messaging.

Between-Visit Clinical Communication

• There is no charge for brief administrative messages, scheduling questions, billing questions, routine clarification, or simple follow-up communication.

• Substantive clinical communication outside a scheduled appointment may be billed when it requires clinical review, assessment, medical decision-making, medication guidance, care coordination, documentation, or follow-up over time.

• This may include portal-based clinical check-ins, repeated clinical messages over several days, medication side-effect concerns, meaningful symptom changes, treatment questions, or requests requiring chart review and clinical response.

• Applicable between-visit communication fees are described in the Financial Policy and client financial agreement.

• When a concern requires fuller assessment, MoonPhase may recommend a scheduled appointment rather than managing the concern through portal messaging.

Phone Calls Between Appointments

• Brief administrative calls are not billed.

• Clinical concerns discussed by phone that require assessment, medication decision-making, documentation, or care planning may require a scheduled appointment.

• MoonPhase may determine that a concern is not appropriate for brief between-visit communication and should instead be addressed during a clinical visit.

Planned Time Away & Practice Closures

• There may be times when the practice is closed for holidays, continuing education, planned travel, or other scheduled time away.

• MoonPhase will provide advance notice whenever reasonably possible.

• Clients are encouraged to plan ahead for medication refills, scheduled follow-up, and anticipated practice closures.

Urgent Concerns Outside Office Hours

• Portal messages are not monitored for urgent or emergency concerns.

• For medication questions that are not emergencies, clients may contact their pharmacist. Concerning medication reactions or urgent medical symptoms should be evaluated through primary care, urgent care, or an emergency department, depending on severity.

• For a life-threatening emergency or immediate danger, call 911 or go to the nearest emergency department.

• For a mental health crisis or immediate crisis support, call or text 988, available 24 hours a day.

• A portal message may also be sent to MoonPhase for later follow-up, but it will be reviewed during the next available business day and must not be relied upon for immediate assistance.

• Location Requirement: MoonPhase provides Telehealth services for clients who are located in Massachusetts at the time of the visit. If you are traveling or temporarily out of state, sessions may need to be rescheduled.

• Third-party: Telehealth visits are one-to-one. Others may join -only with prior discussion and your consent.

• Participation, Technology & Privacy

  • Psychiatric telehealth appointments are generally individual. Another person may participate only after prior discussion, with the client’s consent, and when appropriate to the purpose of the visit.

  • Educational and nonclinical services may be individual or may include partners, family members, groups, or other participants when specified as part of the offering.

  • The presence and identity of anyone else in the client’s location must be disclosed.

  • Clients should join telehealth appointments from a stationary, private setting and use a reliable, secure internet connection whenever possible.

  • Settings that may not provide adequate privacy include grocery or retail stores, cafés, waiting rooms, public transportation, and open or shared workspaces where others may overhear the conversation.

  • Appointments will not be conducted while a client is driving or operating a vehicle. If safety, privacy, or an adequate connection cannot be maintained, the appointment may be paused or rescheduled.

  • If technology fails, MoonPhase may attempt to reconnect, use another appropriate communication method, or reschedule the appointment depending on clinical, privacy, and safety considerations.

• If you are experiencing a crisis, feel unsafe, or need urgent support, call 911, call/text 988, or go to the nearest emergency room

• MoonPhase may use secure documentation technologies, including AI-assisted drafting or transcription, to support accurate and timely clinical documentation.

• Vendors that receive or process protected health information are used with appropriate privacy and security safeguards and business-associate agreements when required.

• When a documentation tool processes audio from an appointment, its use will be disclosed and the client’s consent obtained before the tool is activated.

• Clients may decline the use of AI-assisted documentation. MoonPhase will then use another documentation method.

• AI-assisted tools support documentation only. They do not replace clinical judgment, independently make diagnoses or treatment decisions, or determine the content of the final clinical record.

• All draft documentation is reviewed, edited as necessary, and approved by the clinician before being signed.

• MoonPhase limits information shared with documentation tools to what is reasonably necessary for the intended purpose.

• MoonPhase appointments may not otherwise be audio- or video-recorded by any participant without the prior express consent of everyone participating.

• With your written consent, MoonPhase may coordinate care with other clinicians involved in your treatment (for example: initial intake and or follow up primary care, gynecology, endocrinology, therapy, or specialty providers).

• Collaboration is used to support clarity, safety, and continuity—especially when multiple factors are contributing to symptoms and or decision making.

• Referrals may be recommended when additional medical evaluation or specialized care would best support your goals. When appropriate, MoonPhase can help you identify next steps and coordinate care within the scope of a psychiatric practice.

• MoonPhase does not coordinate care without your consent except as required for safety or legal obligations.

Records, Administrative Requests & Clinical Documentation

MoonPhase may complete clinically appropriate records requests, coordination letters, treatment-related forms, and limited administrative documentation within the scope of care.

Requests are reviewed individually based on clinical appropriateness, the purpose and nature of the request, available clinical information, time required, and practice capacity.

Please allow adequate time for administrative requests. Some requests may require review of the clinical record, additional assessment, or a scheduled appointment before they can be completed.

MoonPhase may decline documentation requests that cannot be supported by the clinical record, fall outside the clinician’s role or scope, require an independent or forensic opinion, or cannot be completed responsibly within the treatment relationship.

Work, Leave, Disability & Accommodation Documentation

Requests for work notes, leave documentation, FMLA or Massachusetts Paid Family and Medical Leave certification, disability-related forms, accommodations, or similar treatment-related documentation are considered individually.

Completion is not guaranteed and may require:

• an established treatment relationship;

• sufficient clinical information to support the requested documentation;

• an appropriate clinical assessment;

• review of relevant records or requirements; and/or

• a separate appointment or administrative/professional service when appropriate.

Any applicable fee will be disclosed in advance.

Access to Clinical Records

Clients may request access to their clinical records in accordance with applicable federal and Massachusetts law and MoonPhase record-release procedures.

Routine clinical documentation created in the course of treatment is part of the clinical record. Fees associated with a client's legal right to access or obtain copies of that record, when applicable, are handled separately in accordance with applicable law and are not subject to the customized-report fee below.

A valid authorization for release of information is generally required when protected health information is disclosed to another person, clinician, agency, employer, program, or organization, unless another legal basis for disclosure applies.

Customized Psychiatric Summaries & Reports

A request for a newly prepared psychiatric summary, treatment history, progress report, clinical status report, or coordination document may constitute a separate professional service when it requires clinical synthesis, professional judgment, or preparation beyond routine treatment documentation or reproduction of the existing clinical record.

When clinically appropriate and authorized, MoonPhase may prepare such documentation for another clinician, agency, program, or other authorized recipient.

Customized Psychiatric Summary / Report Preparation — up to 50 minutes | $350

Additional time, when necessary, will be discussed and agreed upon in advance.

Forensic & Medical-Legal Documentation

MoonPhase does not provide forensic or medical-legal evaluations or opinions, including custody or divorce evaluations, fitness-for-duty or legal-capacity opinions, court-ordered evaluations, expert-witness services, or evaluations, reports, or opinions created primarily for litigation.

Required Forms, Consents & Appointment Confirmation

All initial and follow-up appointments require applicable consents, clinical forms, treatment agreements, payment information, and appointment-related documentation to be completed and kept current.

MoonPhase may review required documentation before an appointment to ensure that consent, treatment, safety, billing, and clinical information remain current.

Completion of required paperwork may be necessary for scheduling, appointment confirmation, and continuation of care. Appointments may need to be delayed or rescheduled when required consents, clinical forms, payment information, or treatment agreements are incomplete or out of date.

Clients are encouraged to complete requested forms as early as possible before an appointment to avoid unnecessary administrative delays.

Self-Pay & Out-of-Network Care

MoonPhase Integrative Psychiatry & Wellness is a self-pay practice and does not participate in commercial insurance networks or bill commercial insurance plans directly.

The self-pay model supports longer visits, thoughtful pacing, and clinical flexibility so that care can be tailored to the individual rather than structured around insurance-based visit requirements.

• Clients are responsible for reviewing MoonPhase fees and financial policies and for payment at the time services are provided.

Payment & Balances

• Payment is due at the time of service.

• MoonPhase does not routinely carry ongoing account balances. If a balance remains after a service—for example, because of a declined payment method—the balance must generally be resolved before the next appointment.

Out-of-Network Reimbursement

Clients who wish to seek reimbursement from their insurance plan are responsible for determining whether they have out-of-network benefits and for verifying applicable deductibles, reimbursement rates, submission requirements, and other plan terms directly with their insurer.

MoonPhase does not:

• verify out-of-network benefits;

• guarantee that services will qualify for reimbursement;

• obtain authorization solely for purposes of out-of-network reimbursement;

• submit or manage out-of-network reimbursement claims on the client’s behalf; or

• appeal an insurer’s denial of reimbursement for MoonPhase services.

Reimbursement decisions are made solely by the client’s insurance plan and are not guaranteed.

Medication Coverage & Prior Authorization

• When MoonPhase is the prescribing clinician, MoonPhase may complete clinically appropriate medication prior authorizations, formulary exception requests, or requests for supporting clinical information related to a medication prescribed by MoonPhase.

• Completion of a medication authorization request does not guarantee approval or coverage. Medication coverage, formulary requirements, copayments, deductibles, and related benefit decisions remain the responsibility of the client’s insurance plan.

Card on File

• A valid payment method on file is required and may be used for session fees and applicable late-cancellation or missed-appointment fees in accordance with MoonPhase policies.

• MoonPhase accepts major credit and debit cards, including HSA/FSA cards when applicable.

Fees

• Current service fees are listed below.

• Fees are provided before scheduling and confirmed at the time of booking. Clients are encouraged to review current fees before scheduling services.

• Fees are subject to change. MoonPhase will provide reasonable advance notice of fee changes when applicable.

• The fee confirmed at the time of booking/scheduling will apply unless otherwise stated.

• Discovery Call
  30 minutes | Complimentary
  A nonclinical conversation to clarify what you are seeking, answer questions about MoonPhase services, and determine whether a comprehensive psychiatric evaluation may be an appropriate next step.

  Comprehensive Women’s Mental Health Initial Psychiatric Evaluation
  90 minutes | $375
  A comprehensive psychiatric evaluation through a menopause-informed and integrative women’s mental health lens. May include diagnostic clarification, medication and treatment review, reproductive and medical history, relevant laboratory information, lifestyle factors, and recommendations for next steps.

  One-Time Comprehensive Women’s Mental Health / Second-Opinion Psychiatric Evaluation
  90 minutes | $450
  For women seeking diagnostic clarification, treatment review, or a menopause-informed psychiatric perspective without necessarily establishing ongoing psychiatric care with MoonPhase. This visit is designed to provide a more complete synthesis and actionable recommendations within a single episode of care.

  Brief Follow-Up
  15 minutes | $150
  For established patients only, when a focused medication review or brief clinical check-in is clinically appropriate. Best suited for one narrowly defined issue that does not require a full follow-up visit.

  Standard Follow-Up
  30 minutes | $200
  For established patients receiving ongoing psychiatric care, including medication review, symptom monitoring, treatment planning, and focused therapeutic support.

  Integrative Follow-Up
  45 minutes | $250
  For established patients who benefit from additional time for medication management, psychotherapy-informed support, menopause-informed and integrative considerations, and broader clinical care planning.

  Extended Integrative Follow-Up
  50 minutes | $300
  For established patients who require additional time for broader clinical reassessment, more extensive medication review, therapeutic support, integrative treatment planning, or coordination of care.

  Women’s Mental Health Care is a self-pay psychiatric service for women located in Massachusetts. Appointment length is determined by clinical need. Evaluation does not guarantee ongoing treatment, prescribing, or continuation of an existing medication regimen. Please review the Financial & Practice Policies for complete payment, cancellation, insurance, superbill, and practice information.

Superbills

• Upon request, MoonPhase may provide a superbill for eligible clinical services to clients who wish to pursue out-of-network reimbursement independently.

• A superbill does not guarantee reimbursement. Coverage and reimbursement depend on the terms of the client’s individual insurance plan.

Good Faith Estimates

• MoonPhase provides Good Faith Estimates in accordance with the No Surprises Act and applicable federal requirements for individuals who are uninsured or who do not intend to use their health insurance to pay for the scheduled services.

• A Good Faith Estimate describes the expected charges for scheduled services and is not a guarantee that treatment needs, frequency, duration, or total future costs will remain unchanged.

Services and Fees

• MoonPhase operates in Massachusetts as a self-pay practice. Fees are shared clearly in advance so you can make informed decisions about fit, pacing, and investment in care.

• What Visit Fees May Reflect
  Fees may reflect not only appointment time, but also the clinical assessment, formulation, documentation, treatment planning, and, when applicable, thoughtful, medication management and prescribe that support psychiatric care.

• Separate Costs May Include
  Labs, supplements, genetic testing, specialty testing, pharmacy-related expenses, and non-routine administrative or clinical requests.

Initial Discovery:

Complimentary (Consult Request) Discovery Call is 30 minutes -(no cost )This complimentary call is not a clinical evaluation or treatment visit. It helps us briefly understand what you are seeking, clarify the scope of MoonPhase services, and decide together what next step and visit length may be most appropriate.

*Initial Evaluation:

*Comprehensive Women’s Mental Health Psychiatric Evaluation - 90 minutes
$450 -A specialty integrative psychiatric evaluation through a menopause-informed lens. all consents and initial paperwork is required and. reviewed prior to appointment

*One-Time* Comprehensive (Initial) Evaluation-90 minutes 450$-A specialty integrative psychiatric evaluation through a menopause-informed lens without ongoing care

*Extended Initial Psychiatric Evaluation - 120 minutes
$550. extended as above based on preliminary discovery call and or intake clinical decision making model.

Menopause -Informed Integrative Psychiatric Follow-Up Visits:

-specialty psychiatric follow up visits through a menopause-informed lens & clinical decision making model.

Brief Follow-Up — 15 minutes
$150
Focused medication review or brief clinical check-in when clinically appropriate.

Follow-Up — 30 minutes
$250
Medication review, symptom monitoring, treatment planning, and focused therapeutic support & clinical decision making model.

Follow-Up — 45 minutes
$325
Medication management, psychotherapy-informed support, integrative recommendations, and clinical care planning, & clinical decision making model.

Extended Follow-Up — 50 minutes
$400
Allows additional time for medication review, psychotherapy-informed support, integrative treatment planning, and continuity of care when a broader clinical focus is needed & clinical decision making model.

Between-Visit Clinical Communication Fees

• Brief administrative messages, scheduling questions, billing questions, routine clarification, and simple follow-up communication are not billed.

• Substantive clinical communication outside of a scheduled appointment may be billed when it requires clinical review, assessment, medical decision-making, medication guidance, care coordination, documentation, or follow-up over time.

• Online digital clinical check-in, established client, 5–10 minutes cumulative over 7 days: $100
  Online digital clinical check-in, established client, 11–20 minutes cumulative over 7 days: $150
  Online digital clinical check-in, established client, 21+ minutes cumulative over 7 days: $250

• When a concern requires fuller assessment, MoonPhase may recommend a scheduled appointment rather than managing the concern through portal messaging.

*Women may schedule a one-time menopause-informed psychiatric evaluation to better understand the relationship between hormonal transition, sleep, mood, anxiety, cognition, libido, medication response, and overall functioning.

• This evaluation may include psychiatric assessment, medication review, review of relevant medical history and labs, diagnostic formulation, and recommendations for next steps.

• Some women continue care with MoonPhase, while others return to their existing therapist, psychiatric prescriber, primary care clinician, or gynecologist with additional insight and recommendations.

-this offering is 90-minute Comprehensive Women’s Mental Health Initial Psychiatric Evaluation -$450
One-Time Menopause-Informed Psychiatric Evaluation-450$

Fees are based on scheduled visit length and service type. Superbill codes are assigned based on the clinical services provided and documentation requirements for each visit.

Please Note

• Payment is due at the time of service.

• A card on file is required for booking.

• Superbills are available upon request for clients seeking possible out-of-network reimbursement.

• Labs, supplements, genetic testing, specialty testing, and pharmacy-related costs are separate from visit fees unless otherwise noted.

Brief check-ins are reserved for focused follow-up and may not be appropriate for new concerns, complex medication changes, therapy-oriented discussion, or multiple active issues.

all initial and or ongoing follow up appointments require that all consents and initial /follow up treatment paperwork are up to date which is reviewed by clinician and or admin prior to appointment and are required for scheduling and appointment confirmation.

Menopause Education & Consultation

MoonPhase Wellness offers focused menopause-informed education and consultation services. These services are self-pay and are not billed to insurance.

• 30-minute Focused Menopause Education Consultation: $125

• 60-minute Extended Menopause Education Consultation: $225

• Menopause Pattern Mapping Package, including a 75-minute consultation and one 30-minute follow-up: $350

• Additional 30-minute Educational Follow-Up: $125

Optional record review, written summaries, or other clearly defined educational services may involve an additional fee. Any additional fee will be disclosed and agreed upon before the service is provided.

Menopause education services do not include psychiatric diagnosis, prescribing, laboratory ordering, emergency care, or ongoing psychiatric treatment.

Massachusetts residents interested in psychiatric services must complete a separate clinical intake and psychiatric evaluation.

Women’s Wellness Education & Consultation

MoonPhase offers nurse-led educational consultation for women who want time to look more closely at their health, functioning, habits, symptoms, and questions outside the limits of a brief medical appointment.MoonPhase Wellness offers self-pay, nurse-led women’s wellness education and consultation independent of psychiatric treatment and menopause-specific consultation.

• 30-minute Focused Women’s Wellness Consultation: $125

• 60-minute Comprehensive Women’s Wellness Consultation: $225

• Women’s Wellness Mapping Package, including one 75-minute consultation and one 30-minute follow-up: $350

• Additional 30-minute Wellness Follow-Up: $125

These services provide wellness education, pattern review, appointment preparation, and care-navigation support. They do not include primary care, psychiatric treatment, diagnosis, prescribing, laboratory ordering, emergency services, or management of acute or chronic medical conditions.

These consultations may support women who are seeking greater clarity about general wellness, preventive health, sleep, stress load, nutrition, movement, sexual wellbeing, reproductive health questions, healthy aging, or preparation for conversations with their healthcare professionals.

The consultation may help you:

• Organize your health history, symptoms, and questions

• Notice patterns affecting energy, sleep, functioning, and wellbeing

• Review general wellness practices and available educational resources

• Prepare for an appointment with primary care or another specialist

• Consider what additional evaluation or professional support may be helpful

• Identify questions to bring to your existing healthcare team

These services are educational and supportive. They do not include primary care, diagnosis, prescribing, treatment of medical conditions, laboratory ordering, or replacement of your treating healthcare professionals.

• Because MoonPhase is a self-pay practice, clients who are uninsured or who do not intend to use their health insurance to pay for MoonPhase services are entitled to receive a Good Faith Estimate of expected charges in accordance with the No Surprises Act and applicable federal requirements.

• A Good Faith Estimate describes the expected charges for scheduled or reasonably anticipated services based on the information available at the time the estimate is prepared.

• Good Faith Estimates are provided within applicable federal timeframes when services are scheduled in advance and may also be requested before scheduling or treatment.

• Because care is individualized, a Good Faith Estimate is not a guarantee of the exact number, frequency, or type of future services.

• Actual charges may differ if clinical needs or the scope of services change.

• If the final billed charges from MoonPhase are at least $400 more than the expected charges listed on the Good Faith Estimate, the client may be eligible to use the federal patient-provider dispute resolution process.

Fees are subject to change.

Any changes to MoonPhase fees will be communicated in advance and will apply prospectively.

When appropriate, an updated Good Faith Estimate may be provided to reflect changes in anticipated services or fees