Alexa Fiffick
Physician · Family medicine
6–10 years of experience
Menopause Society Certified Practitioner
About Concierge Medicine of Westlake
Concierge Medicine of Westlake is Dr. Fiffick's own practice. She keeps the patient panel small and runs it on annual memberships rather than billing insurance. The women's health membership covers non-obstetric care through midlife, with perimenopause and menopause symptom management alongside bone health, cardiovascular risk and urogenital health, and it includes hormone prescription management when she judges it appropriate. Members get 30 or 60 minute visits, same or next day openings, and her direct phone, text and email, and virtual visits are offered as a supplement with prior approval when an exam is not needed. She came to women's health through family medicine after being told early on that the only route was OB-GYN, then spent two years in the Cleveland Clinic's Specialized Women's Health fellowship. As an osteopathic physician she also does hands-on manipulative treatment, which patients can buy as its own membership or one visit at a time.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Lab testing
Particular focus
- Bone health
- Heart health
- Bladder & UTIs
Cost and insurance
Care is by membership, and visits aren’t billed to insurance.
Insurance
Doesn’t accept insurance
Provides itemized receipts you can submit for out-of-network reimbursement.
Self-pay
- Concierge Primary Care Membership, adult 26 and over
- $3,000 per year
- Concierge Primary Care Membership, young adult 18 to 25
- $2,500 per year
- Concierge Primary Care Membership, young adult 18 to 25 with a parent enrolled
- $2,000 per year
- Concierge Women's Health Membership
- $1,750 per year
- Osteopathic Manipulative Treatment Membership
- $1,500 per year
- Specialty Care Consult
- $450
- OMT evaluation and treatment
- $350 per visit
- OMT 60-minute follow-up
- $200 per visit
- OMT 30-minute follow-up
- $100 per visit
- HSA and FSA accepted
The practice does not file insurance claims, but labs, imaging and specialist care are billed through a patient's own insurance.
Verified October 2026.
Qualifications
DO, MBS, MSCP
