Photo of Sandia Yu Brekke

Sandia Yu Brekke

Physician · OB-GYN

15+ years of experience

About Gennev

Gennev is a virtual menopause clinic and Brekke is one of the doctors on its prescriber roster. She is a board certified OB-GYN with more than 25 years in practice, and her own page names perimenopause, menopause, premature ovarian insufficiency and weight management medication. Her stated approach is for women who are good at supporting everyone around them and who struggle to put themselves first. She says she does not do meal plans or macros, and works instead through small habits that build on what a patient already does well. Visits are by video and run 30 minutes, and a referral to one of the clinic's dietitians can be made at the first appointment. The clinic prescribes GLP-1 medication on its weight track and says plainly that it will not use compounded versions.

Care

Treats

  • Perimenopause
  • Menopause
  • Hot flashes
  • Sleep problems
  • Mood & anxiety
  • Brain fog
  • Vaginal dryness
  • Low libido
  • Irregular periods

Prescribes

  • Hormone therapy
  • Non-hormonal medication
  • Weight medication
  • Supplements & lifestyle

Particular focus

  • Early menopause
  • Weight & metabolism

Cost and insurance

Insurance

Aetna

Anthem

Cigna

Meritain Health (Aetna)

WEB-TPA - Aetna Signature Administrators (PPO)

WEB-TPA - Aetna (PPO)

Sharp Rees-Stealy - Aetna (HMO)

S&S HealthCare Strategies (PPO)

Anthem HealthKeepers Plus - VA

UnitedHealthcare (named as covered on the weight management page, not in Gennev's plan lookup)

GHI (out-of-network benefits only)

EmblemHealth (out-of-network benefits only)

Self-pay

Initial doctor visit (self-pay)
$250
Follow-up doctor visit (self-pay)
$199 per visit
  • Itemized receipts for out-of-network claims

Gennev's published in-network list names specific plans rather than whole carriers, and it offers a superbill to claim out-of-network benefits.

Verified October 2026. Coverage depends on your plan — confirm with your insurer before your visit.

Qualifications

MD, MPH, FACOG