Monarch Med NP

No. I’m a cash-pay, membership-based practice—because insurance-driven care often means rushed visits, rigid checkboxes, and treatment decisions limited by what gets “approved,” not what’s best for you. This model gives us the time and flexibility to look deeper, individualize your plan, and think outside the box when appropriate. If we decide to work together you’ll enroll as a member with a low monthly fee that includes all appointments and secure portal messaging. Labs and medications may be covered by your insurance depending on your plan, but coverage varies—patients are responsible for confirming benefits and any out-of-pocket costs.

Not at this time. For telehealth visits, you must be physically located in Nevada at the time of your appointment. All other appointments will be at my office.

I’m not currently accepting Medicare patients.

Yes. All patients complete baseline labs so we can treat safely and personalize your plan. Baseline labs (required for all patients): • Foundational Labs: $207 Because medications work best (and most safely) when we understand your metabolic and thyroid baseline and can monitor response over time. Patients on the HRT track Hormone labs are additional and required for HRT patients to guide safe dosing and monitoring. • Women’s total (baseline + hormones): $339.71 • Men’s total (baseline + hormones): $321.32 *Lab pricing may vary slightly by lab/vendor and location. You’ll receive the exact cost at the time of ordering

If you have high-quality labs from the last 3 months, we can often use them and only fill in gaps.

Maybe. Depending on your plan, insurance may cover some basic labs, but it may not cover all tests—especially specialty markers. If you choose to run labs through insurance, you are responsible for verifying coverage and out-of-pocket costs with your insurance plan. Coverage decisions are made by your insurer and are outside of our control. We also offer cash-pay lab pricing, which is often highly discounted compared with typical billed charges.