Brooke Bina
Certified nurse midwife · Women's health
11–15 years of experience
Menopause Society Certified Practitioner
About Bina Midlife and Menopause
Brooke Bina is a nurse-midwife who runs a small practice focused only on perimenopause and menopause, with evidence-based hormone therapy at its center. She sees patients by video anywhere in Oregon or North Dakota, and in person at Alma Midwifery's clinic in Portland. The first visit is a long one that covers your full history, a plan, prescriptions and any labs or imaging. After that you can book a regular follow-up or a short visit for a single question like a refill. Her symptom list goes well past hot flashes and includes frozen shoulder, tinnitus, burning mouth and recurrent urinary infections. She does not see anyone enrolled in Medicare, including Medicare Advantage.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
Particular focus
- Bone health
- Bladder & UTIs
Cost and insurance
Insurance
Blue Cross Blue Shield
UnitedHealthcare
Doesn’t accept Medicare
Can’t see patients on Medicare, even paying out of pocket.
Self-pay
- Initial Visit (Telehealth)
- $450
- Repeat Visit (Telehealth)
- $250 per visit
- Express Visit (Telehealth)
- $125 per visit
Insurance is billed only for Oregon patients who book through Alma Midwifery, while North Dakota patients pay cash, and cash-pay patients can still use insurance for labs and prescriptions.
Verified September 2026. Coverage depends on your plan — confirm with your insurer before your visit.
Qualifications
APRN-CNM, MSCP
