Hearts and Hands Women's Care, LLC

9 Vose Farm Road, Suite 100 Peterborough NH 03458
603-801-9485

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Note: All New Patient Appointments are in-person only.
Virtual appointments by request for follow up or return problem visits. Just email me after setting up the appoint so I can update the appointment on my calendar. 
For full price list, please email [email protected], most care will be based on insurance allowance.
Cash pay at the time of services is reduced by 25%.

I curranty accept NH Medicaid and am in network with Anthem Blue Cross Blue Shield, Tufts, United, Aetna, Tricare/VA plans, Harvard Pilgrim, and CIGNA. I try to keep up with most NH Market Place plans as well (they are tricky as the change ALL the time).
As of 2025, I no longer accept Medicare. I am sorry about this limitation.  I can offer none covered Medicare services at a cash pay rate only. 
Medicaid appointments are limited to 2 per year, then billing will be cash pay/counseling.
 

Establish Care Appointment: Annual Gynecological Care 60 Min
This is for new patients or for women who have not been seen in >3 years. During this appointment there will be a comprehensive review of your family, medical and surgical history with exploration of current symptoms of concern. During this appointment, labs can be ordered/collected, medications and supplements ordered and referrals can be sent for supportive services. If you are due for a physical exam, that can be completed per guidelines. Teaching will be completed to align with your goals for care, based on your current phase of life. Utilization of risk reduction and health promotion will be based on teaching related to the 5 pillars of health (food, movement, sleep, stress/social and supplements) curated to your health needs and goals. Appointment must be in person.
  • If you have had a gyn exam in the last 12 months with another provider, but want to transfer care to H&H, you can select this appointment, but it will be billed as specialist appt, not preventative.  
  • This service is routine care that most insurances cover. 
  • This appointment requires in person care. 
Annual exam: Return patient 60 Min
This is for women who have been seen at H&H before, and are due for annual gyn exam, updated referrals, labs and prescriptions. Women who are due for their annual perimenopause/menopause care appt can also use this appointment type. Family, medical and surgical history will be reviewed. During this appointment, labs can be ordered/collected, medications and supplements ordered and referrals can be sent for supportive services. If you are due for a physical exam, that can be completed per guidelines. Teaching will be completed to align with your goals for care, based on your current phase of life. Utilization of risk reduction and health promotion will be based on teaching related to the 5 pillars of health (food, movement, sleep, stress/social and supplements) curated to your health needs and goals. Appointment is in person only.
  • Make sure it has been at least 1 year since your prior appt for billing purposes.
  • This is typically covered fully with most insurances. 
Peri or Postmenopausal Health: Coaching- Virtual 60 Min
During these appointments your care is addressed with the lens of mind, body and soul. When we have big life transitions, one can't shift without others shifting around you, either expectations of your own, parts of your own life, or boundaries and structures for those around you to meet you where you are in your journey. I will be your mirror and sounding board, this will be a space for ideas, inspiration and accountability. 
These visits are reserved for times where you want further support with care that may be outside of the a non-insurance billable service (cause you know, insurance does not cover these types of holistic life care needs). Your initial appointment needs pre-approval with Sarah prior to booking. Email here: [email protected]. 
These visits may include follow up care for symptoms of concern, work on learning about mood changes, new body symptoms, settling into this new life phase and work on boundaries, self care, nutrition and supplement support or other non medical counseling services. 
Appointments can be stand alone, or you can commit to 3 or more sessions for a discounted price. https://www.heartsandhandsnh.com/healthcare-coaching/
Virtual or in person 
The initial appointment is $125, and follow up appointments are $110, or 3/$300 or 4/$400 when a multi-appointment commitment is made and pre-paid.
Peri or Postmenopausal Health: Coaching 60 Min
During these appointments your care is addressed with the lens of mind, body and soul. When we have big life transitions, one can't shift without others shifting around you, either expectations of your own, parts of your own life, or boundaries and structures for those around you to meet you where you are in your journey. I will be your mirror and sounding board, this will be a space for ideas, inspiration and accountability. 
These visits are reserved for times where you want further support with care that may be outside of the a non-insurance billable service (cause you know, insurance does not cover these types of holistic life care needs). Your initial appointment needs pre-approval with Sarah prior to booking. Email here: [email protected]. 
These visits may include follow up care for symptoms of concern, work on learning about mood changes, new body symptoms, settling into this new life phase and work on boundaries, self care, nutrition and supplement support or other non medical counseling services. 
Appointments can be stand alone, or you can commit to 3 or more sessions for a discounted price. https://www.heartsandhandsnh.com/healthcare-coaching/
Virtual or in person 
The initial appointment is $125, and follow up appointments are $110, or 3/$300 or 4/$400 when a multi-appointment commitment is made and pre-paid.
Follow up Care: hormone support for peri/menopause ? in person 30 Min
Follow up is expected every 4-12 weeks for all HRT care until the care plan is stable with no further prescriptions or medication updates. During these appointments your medical and surgical history along with the symptom score quiz will be completed and reviewed. Medication and care plan adjustments will be made based on your individual response to prior treatment and current goals. Assessment and labs can be collected based on guidelines.
  • These appointments are reserved for women who have been seen by H&H in the last 12 months, but have additional care needs or follow up questions. 
  • Topics may include: medication adjustments or follow-up, urinary tract infection, medication adjustments or follow up, STD testing, vaginal odor or itching or dryness/pain, breast changes, other gyn problem topics that require follow up. 
  • Referral may be needed, if in doubt, ask your PCP for a referral.

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