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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. The timely payment discount of %25 will be extended to all who use Medicare. I am sorry about this limitation.  
Medicaid appointments are limited to 2 per year, then billing will be cash pay/counseling.

 

This visit includes a comprehensive health history review, full physical with breast and pelvic exam as indicated, review and collection of labs including blood draw or pap smear if needed as well as health counseling based on current health needs. If you are new to the practice and have a health concern to discuss, we can complete that with this appointment as long as you have not had an annual in the last 12 months elsewhere. 
If you are up to date on your gyn care, but have health care needs, please book the "Establish Care" appointment. 

Topics may include 
Well Women's: contraception and family planning, health screenings, health goals, medical care for gyn health care needs.
Peri/menopause: discomforts of perimenopause such as hot flashes, insomnia, mood changes, vaginal dryness, pain with sex, hormone replacement therapies, health screenings health goals.
This service is routine care that most insurances cover. 
This appointment typically requires in person care. 
This visit includes a comprehensive health history review, full physical with breast and pelvic exam as indicated, review and collection of labs including pap smear if needed as well as health counseling based on current health needs. If you need support with new symptoms, and are established in care, but have not been seen for a year, you will chose this appointment for full review of care needs.

Topics may include 
Well Women's: contraception and family planning, health screenings, health goals, medical care for gyn health care needs.
Peri/menopause: discomforts of perimenopause such as hot flashes, insomnia, mood changes, vaginal dryness, pain with sex, hormone replacement therapies, health screenings health goals.
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.
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.
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.
Virtual appointments available on request. 
This appointment is for women who need to establish care, but are not due for an annual gyn exam. If you are due for an annual exam, please select that option instead. 
Examples include new patients with plans for care related to hormone replacement, contraception care, postpartum depression/anxiety. Essentially for all women's health care for women who are up-to-date on their annual physical exam or for women who want to set up care for a second opinion, or to just become established with Hearts and Hand's with plans for future care needs. 
Virtual care can be arranged with approval, a referral is recommended with your PCP, but not required to set up the care.