Services

Focused and in-depth visits

Virtual and in-person care

Shared decision making

Curated resources

WHAT TO EXPECT DURING the initial VISIT

Imagine a medical appointment in an inviting setting where you can tell your story and have a doctor synthesize an assessment and plan that integrates relevant medical information such as:


  • Family History
  • Social History
  • Mental Health
  • Movement and exercise 
  • Nutrition
  • Supplements
  • Sleep
  • Sexual Health
  • Preventive Health


We will have time to answer your questions, address your concerns, engage in shared decision-making and co-develop a plan that works for you. 


The plan may include:

  • Blood work 
  • Imaging
  • Referrals to other specialists
  • Hormonal and Non-hormonal prescriptions
  • Goals for movement, nutrition, sleep, and/or intimacy


The goal is for you to feel more informed and empowered to achieve your wellness goals by the end of your visit.

WHAT TO EXPECT for ongoing care

At the end of your first visit, we will schedule a brief phone check-in for 6-10 weeks after starting any new medications. 


Your treatment plan will depend on how you are feeling and your health goals.   On average, hormone balance is achieved in 2-4 hours of face-to-face time over the course of the first year.


We will schedule your follow-up visits for the right amount of time to meet your needs, whether that be a phone, virtual, or in-person visit.


You will have access to self-schedule or message us through the Patient Portal (ChARM PHR) throughout the year.


Every 12-months, we will meet for an Hormone Strategy Review ($300), at which time Dr. Duncan will coordinate the appropriate number of refills for any prescriptions she provides. You will be billed $30 monthly for 10 months which covers an additional 45 minutes of synchronous care (phone, video, in-person) and unlimited asynchronous messaging.


Welcome Aboard!           

New Patients will receive 3 months of care which includes:


80 minutes of synchronous care

- Initial In-Person or Video Visit (60 minutes)

- Follow-up Phone Visit (20 minutes)


Unlimited asynchronous support

- Online Patient Portal for messaging Dr. Duncan

- Lab, imaging, referral and prescription coordination


Fee schedule - First 3 months - Due at the time of each visit


  • Initial In-person Visit - $400 
  • First Follow-up Phone Visit - $100


After the first 3 months, if you wish to continue care, you will become a member


- Billed $87.50/month for the remaining 8 months of your first year


First year total $1200/year

Subsequent years total $600/year


  • Schedule a New Patient Initial Visit



Welcome Back!

  • Phone call (15 minutes)

    Intended for brief check-ins and further questions outside of refills


    Fee schedule for phone visits

    • Non-member phone visit- $100
    • Member - $60 (when more time is needed beyond what membership covers*)



    SCHEDULE A FOLLOW-UP APPOINTMENT

  • In-Person or Video (30 minutes)

    When more time is needed to address new symptoms or concerns 


    Fee schedule for 30-minute visits

    • Non-member - $200
    • Member - $125 (when more time is needed beyond what membership covers*)


    SCHEDULE A FOLLOW-UP APPOINTMENT

  • In-Person or Video (60 minutes)

    For more complicated health risks or more in-depth recommendations  


    Fee schedule for 60-minute visits

    • Non-member - $400
    • Member - $250 (when more time is needed beyond what membership covers*)

Reclaim Menopause 

turns 1!

This has been a year of learning, growing, and building relationships. 

Thanks to all of you who shared this journey with me and continue to guide me in improving access to

trusted, compassionate,  and, informed perimenopause & menopause care throughout NH & VT. 



 Reclaim Menopause will now offer a membership that provides

transparent budgeting, reliable access & individualized care.   

Membership allows you the comfort of timely support and predictable costs and

offers me the opportunity to deliver the right amount of care  at the right time.

  • All New Patients (Months 0-3)

    All new patients start with the same three-month onboarding process:


    Initial Consultation ($400)

    60-minute face-to-face visit to review your history, symptoms, and goals. Includes chart review and individualized plan development.


    Asynchronous care  (First 3 months)

    • Want more clarification?  Have more questions? Need to report side effects or unanticipated changes?
    •  Direct access to Dr. Duncan through portal messaging 
    • Behind the scenes, Dr. Duncan is working on your behalf to  ensure you have access to affordable medications, labs, imaging, and other studies, or reaching out to  other providers or specialists, as appropriate.

    Follow-Up Visit  ($100)

    20-minute phone or video visit within 3 months to review your response to the initial plan and make initial adjustments, as appropriate.


    Care Tailored to Your Needs

    After your first follow-up, you and Dr. Duncan will decide together whether ongoing support through membership care or occasional pay-per-visit care is the best fit for you.



  • Membership Care (Months 4-11)

    Why Membership Works for Most Patients


    • Predictable costs — one flat fee covers most ongoing care
    • Proactive support — The right care at the right time, so you and Dr. Duncan can focus on your health
    • Priority access — members have direct access to Dr. Duncan through messaging.

    Your investment:  $700 total (billed as $87.50/month for 8 months)


    Includes:

    • 2 hours of additional visit time (in-person or telehealth, used as needed)
    • Ongoing portal messaging for brief updates and questions.  If warranted, clinical care decisions without a "formal" visit, as appropriate.
    • Lab review and prescription coordination

    Additional time beyond 2 hours, if needed, is billed at $125/visit**

    (Non-Member rate $250/visit)


    This model offers predictable costs, continuity, and flexibility — you can reach out when you need support without worrying about per-visit charges.


    **A standard follow-up visit is scheduled as 30 minutes, but may be more or less  time depending on need.


  • Non-Member (Pay-Per-Visit) Care

    At your first follow-up appointment, you and Dr. Duncan will discuss if membership or pay-per-visit is right for your needs. 


    Pay-per-visit may be right for you, if

    • You are young and healthy
    • You find a regimen early on that achieves your goal(s) of feeling your best self.
    • You have reliable access to primary care to provide additional support, such as ordering sex-specific, age-appropriate studies based on the most up-do-date menopause-informed recommendations.

    If you decide to schedule visits as needed, you will be billed $250/visit**


    This option works best for one-time or occasional consultations

    •  If you anticipate < 3 visits/year  ($750 total cost)
    • Limited portal messaging for non-clinical issues (ie - prescription refills without adjustments)
    • All clinical decisions will require a visit.  Members have the benefit of asynchronous care through portal messages, as appropriate.

    **A standard follow-up visit is scheduled as 30 minutes, but may be more or less depending on need.


Let's chat first!

If,  after reading the website, you are still not sure if a Menopause Specialist is right for you,  schedule a brief discovery call.

I am happy to guide you in the right direction based on your individual circumstances

  • Brief Discovery Call

Where & When to Find Me