Heidi Biegel
Certified nurse midwife · Women's health
15+ years of experience
Menopause Society Certified Practitioner
About Second Spring Midlife Women's Health
Heidi Biegel is a nurse-midwife who runs a telehealth-only menopause practice for women in California and Maine. Care starts with a free 15-minute video call, then a first visit of up to 90 minutes after you fill out a detailed health questionnaire. A shorter follow-up goes over your lab results and sets a written treatment plan, which can include bioidentical hormone therapy alongside diet, exercise and supplement advice. She trained in integrative and functional medicine but calls herself a skeptic who wants to see the evidence and avoids piling on expensive tests and supplements. She works alongside your own doctors, so you still need a primary care provider or gynecologist for pap smears and exams. She also runs a separate weight loss program for midlife women that can include medication.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Weight medication
- Supplements & lifestyle
- Lab testing
Particular focus
- Bone health
- Bladder & UTIs
- Pelvic pain
- Weight & metabolism
- Hair & skin
Cost and insurance
Insurance
Doesn’t accept insurance
Provides itemized receipts you can submit for out-of-network reimbursement.
Self-pay
- Initial appointment (up to 90 min, video)
- $375
- Follow-up appointment (up to 45 min, video)
- $190 per visit
- Free consultation
- HSA and FSA accepted
Labs and imaging are billed separately by the facility, and conventional labs are often covered by insurance.
Verified September 2026.
Qualifications
CNM, MSCP
