Dr. Anna runs a small cash-pay practice for women in midlife up to age 64, and she still works nights as a hospital physician. Care starts with a long first visit in person in Asheville or by video, after she has reviewed detailed intake forms and a broad blood panel covering hormones, thyroid, heart and metabolic health. After that you can pay for follow-ups one at a time or join a yearly package that adds messaging and a full year of hormone prescription management. She prescribes FDA-approved hormone therapy that you pick up at your usual pharmacy, and she writes openly about being on hormone therapy herself. New patients currently join a waitlist and are brought on each month as space opens. The practice cannot take anyone who is eligible for Medicare.
Aimee Feste is a nurse midwife at MAHEC Ob/Gyn Specialists, an academic teaching practice in Asheville where Ob/Gyn residents train alongside the faculty. Her provider bio says she cares for women from their first period until after menopause, plus the health events in between. She also works in the practice's Center for Pelvic and Vulvar Health, which she joined in 2020 when a longtime colleague retired, and there she sees patients with vulvar skin conditions and genital pain. Vulvar clinic patients get a call from clinical staff in the month before a first visit to go over health history and what they want from the appointment. New gynecology patients fill out an intake packet for their office, and visits are booked by phone because MAHEC's online self-scheduling only covers its family medicine patients. MAHEC discounts care by family size and income for patients who cannot pay in full.
