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Depending on your needs, your provider may order:"}],"markDefs":[],"style":"normal"},{"_key":"f05ad5475578","_type":"block","children":[{"_key":"dc473040255b0","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bd63b19703e2","_type":"block","children":[{"_key":"fa1c72227d340","_type":"span","marks":[],"text":"•\tEstradiol (E2) — key estrogen marker, declines during perimenopause"}],"markDefs":[],"style":"normal"},{"_key":"5adf9f774a23","_type":"block","children":[{"_key":"c2db27fdd9840","_type":"span","marks":[],"text":"•\tFSH (Follicle-Stimulating Hormone) — rises as ovarian function changes"}],"markDefs":[],"style":"normal"},{"_key":"387e5e5abefa","_type":"block","children":[{"_key":"d8c5e7212d5d0","_type":"span","marks":[],"text":"•\tTestosterone (free & total) — impacts energy, libido, and mood"}],"markDefs":[],"style":"normal"},{"_key":"c6957ec6605f","_type":"block","children":[{"_key":"b04e5afc7df90","_type":"span","marks":[],"text":"•\tProgesterone — affects sleep, cycle regularity, and anxiety"}],"markDefs":[],"style":"normal"},{"_key":"98a503ec60c8","_type":"block","children":[{"_key":"04c43815a8980","_type":"span","marks":[],"text":"•\tThyroid hormones (TSH, T3, T4) — rule out thyroid as a root cause"}],"markDefs":[],"style":"normal"},{"_key":"97611f2b4dbc","_type":"block","children":[{"_key":"fa9f5482e3850","_type":"span","marks":[],"text":"•\tDHEA-S — adrenal health marker"}],"markDefs":[],"style":"normal"},{"_key":"78fbab6777ba","_type":"block","children":[{"_key":"3fc1b35d2b130","_type":"span","marks":[],"text":"•\tVitamin D, B12, iron panel — common drivers of fatigue and brain fog"}],"markDefs":[],"style":"normal"}],"question":"What Does a female hormone test include?","id":"a10468b0-ed80-5e6f-a5b3-dc1e3f15c53c","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"bbc8c821def3f3553a2b14bebfd2c98f","counter":1111,"owner":"gatsby-source-sanity"}},{"_id":"0fca6717-f9c7-436f-afc5-53938f2417ad","_type":"faq","_createdAt":"2026-04-15T16:59:49Z","_rev":"ZRshhsrjYkUQCOm6EfJ6wi","_updatedAt":"2026-04-15T16:59:58Z","answer":[{"_key":"88fd1de36bcf","_type":"block","children":[{"_key":"aaef952927480","_type":"span","marks":[],"text":"Some hormone tests require fasting; others don't. Your provider will give you specific prep instructions before your visit."}],"markDefs":[],"style":"normal"}],"question":"Do I need to fast before a hormone blood test?","id":"494d3930-73ba-517e-9854-50a79c24fc65","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"429def513001ede2ffd8780ef869794f","counter":387,"owner":"gatsby-source-sanity"}},{"_id":"40e87da6-6f6d-4315-abb1-9e7bb8d29550","_type":"faq","_createdAt":"2026-04-15T17:00:06Z","_rev":"ZRshhsrjYkUQCOm6EfJAyO","_updatedAt":"2026-04-15T17:00:16Z","answer":[{"_key":"b02eec8abe65","_type":"block","children":[{"_key":"6fcb0287ffa20","_type":"span","marks":[],"text":"At-home hormone tests offer a limited snapshot of your hormone levels at a single point in time — and are generally not sufficient for diagnosing medical conditions on their own. During perimenopause especially, estradiol and FSH can swing dramatically day to day, meaning today's result can look completely different from next week's."}],"markDefs":[],"style":"normal"},{"_key":"b34809b298a3","_type":"block","children":[{"_key":"3b5c5156c4a90","_type":"span","marks":[],"text":"It's also worth knowing that FDA \"clearance\" for these tests is not the same as FDA approval. Achieving FDA clearance does not require the same extensive data set as approval of a new drug (https://www.healio.com/news/endocrinology/20220907/dont-dismiss-the-patient-promises-pitfalls-of-athome-hormone-testing)— meaning the bar for bringing a hormone test kit to market is significantly lower than most people assume."}],"markDefs":[],"style":"normal"},{"_key":"1315328044fd","_type":"block","children":[{"_key":"8d4bf4c4945b0","_type":"span","marks":[],"text":"At Tia, we order clinical blood tests when indicated — timed correctly, interpreted alongside your symptoms, and explained by a provider who specializes in women's health. A number on a dashboard isn't a diagnosis. A care plan is."}],"markDefs":[],"style":"normal"}],"question":"Can I order an at-home hormone test or “menopause” test?","id":"b7ef9cdd-1d7e-51dc-832f-79d4cfed73c8","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"ccf7da5f51a521a8d1d772f562c2f95f","counter":389,"owner":"gatsby-source-sanity"}},{"_id":"69bc9d44-7fa1-4924-a171-31e749b6d6a0","_type":"faq","_createdAt":"2026-04-15T17:00:25Z","_rev":"ZRshhsrjYkUQCOm6EfJFYu","_updatedAt":"2026-04-15T17:00:37Z","answer":[{"_key":"e737da7623bb","_type":"block","children":[{"_key":"0afdef4ca0600","_type":"span","marks":[],"text":"Tia accepts most major insurance plans. Depending on your plan, you may be responsible for a co-pay or coinsurance."}],"markDefs":[],"style":"normal"}],"question":"Will insurance cover hormone testing?","id":"cda56f82-074c-5456-b0f3-25a4351198d6","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"645580b43c76fa049b34797847707243","counter":388,"owner":"gatsby-source-sanity"}},{"_id":"8e90397d-27c7-44d4-96e7-1ff8f8afadbe","_type":"faq","_createdAt":"2026-04-15T17:00:42Z","_rev":"ZRshhsrjYkUQCOm6EfJKkC","_updatedAt":"2026-04-15T17:00:50Z","answer":[{"_key":"bc7cb8869379","_type":"block","children":[{"_key":"796f1546ec620","_type":"span","marks":[],"text":"Hormonal imbalance in women can be caused by a wide range of factors. The most common include perimenopause and menopause, PCOS (polycystic ovary syndrome), thyroid disorders, chronic stress (which elevates cortisol and suppresses other hormones), poor sleep, significant weight changes, and certain medications including hormonal birth control. In some cases, there is no single cause — hormones shift as part of natural aging, and what feels like an \"imbalance\" is the body in transition."}],"markDefs":[],"style":"normal"}],"question":"What causes hormonal imbalance in women?","id":"77614525-8e9b-5bb5-a45d-e35f69264768","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"6893cf2254de50451c58a89bbabdf758","counter":390,"owner":"gatsby-source-sanity"}},{"_id":"5dc0080c-2b81-4657-9da8-8ecd0ea1a13f","_type":"faq","_createdAt":"2026-04-15T17:01:00Z","_rev":"ZRshhsrjYkUQCOm6EfJPYG","_updatedAt":"2026-04-15T17:01:10Z","answer":[{"_key":"d651148f1a97","_type":"block","children":[{"_key":"6128891342c20","_type":"span","marks":[],"text":"The most frequently reported symptoms include irregular or missed periods, fatigue, mood changes, brain fog, weight gain, low libido, sleep problems, and skin or hair changes. Because these symptoms overlap with many other conditions — thyroid disease, anemia, depression — it's important to get a proper clinical evaluation rather than self-diagnosing from a symptom list or an at-home test."}],"markDefs":[],"style":"normal"}],"question":"What are the most common hormonal imbalance symptoms in females?","id":"6e88ca8d-400e-54c4-985f-19ea4078b602","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"89c3c38bc0c4ec8c8d845ada9d77101b","counter":391,"owner":"gatsby-source-sanity"}},{"_id":"7e70a886-9877-4496-a871-95ceef055aa4","_type":"faq","_createdAt":"2026-04-15T17:01:21Z","_rev":"aIBvGYsT8PnIdPyRuODiyU","_updatedAt":"2026-04-15T17:01:55Z","answer":[{"_key":"12e6468bcb16","_type":"block","children":[{"_key":"c4e91059e3e70","_type":"span","marks":[],"text":"For some women, meaningful improvements come from addressing the fundamentals: sleep, chronic stress, blood sugar stability through diet, and regular movement — particularly strength training, which supports testosterone and insulin sensitivity. At Tia, we also offer "},{"_key":"ee2f1dc2a344","_type":"span","marks":["e7b195c587b9"],"text":"acupuncture"},{"_key":"55749229207c","_type":"span","marks":[],"text":" as part of our integrative approach to hormonal balance. Evidence supports acupuncture for reducing stress hormones, regulating menstrual cycles, and managing symptoms like hot flashes, mood changes, and sleep disruption — making it a genuine clinical tool, not just a wellness add-on."}],"markDefs":[{"_key":"e7b195c587b9","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/acupuncture/"}],"style":"normal"},{"_key":"c5d38f03f62a","_type":"block","children":[{"_key":"ab31cfefcb3f0","_type":"span","marks":[],"text":"That said, \"naturally\" is not always sufficient on its own, especially when symptoms are driven by perimenopause, thyroid disease, or PCOS. A Tia provider can help you identify which lifestyle and integrative options are actually relevant to your sp\n"}],"markDefs":[],"style":"normal"}],"question":"How can I balance my hormones naturally? ","id":"c19f107e-50d8-52b5-9aef-7524a51eb1e2","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"afc54a7afaa3561b9e73159e38ff86cc","counter":393,"owner":"gatsby-source-sanity"}},{"_id":"4901b8e0-6ee5-44d2-881b-85f73f622ceb","_type":"faq","_createdAt":"2026-04-15T17:02:06Z","_rev":"n5S1lKKhUWKKhcMIYpmEJG","_system":{"base":{"id":"4901b8e0-6ee5-44d2-881b-85f73f622ceb","rev":"aIBvGYsT8PnIdPyRuODs9W"}},"_updatedAt":"2026-05-04T19:25:59Z","answer":[{"_key":"426b458f3ab0","_type":"block","children":[{"_key":"4539329a89000","_type":"span","marks":[],"text":"A hormonal imbalance evaluation typically starts with a clinical blood test covering estradiol, progesterone, FSH, testosterone, LH, thyroid hormones (TSH, T3, T4), and sometimes DHEA-S, prolactin, or Sex Hormone Binding Globulin (SHBG).. Crucially, results need to be interpreted in the context of your symptoms, cycle timing, and health history — a number in isolation rarely tells the full story. At Tia, your provider reviews everything together and walks you through what your results actually mean."}],"markDefs":[],"style":"normal"}],"question":"How do you test for hormonal imbalance in women?","id":"9225495d-2145-58db-8835-5cba99dcd5fe","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"f54c4ee319527089d41fa6e3e3fa3c65","counter":392,"owner":"gatsby-source-sanity"}}]},{"_key":"cc02ae2ca433","_type":"spacer","backgroundColor":"bccream","spacing":"pym"},{"_key":"fa7157b85ebe","_type":"editorialText","backgroundColor":"bcoat","editorialText":[{"_key":"40ecc78e5f50","_type":"cta","backgroundColor":"bccream","text":[{"_key":"339411d3db61","_type":"block","children":[{"_key":"6f8ce8f89f310","_type":"span","marks":["fontSerif"],"text":"Feeling dismissed, unheard, or confused?"}],"markDefs":[],"style":"h2"},{"_key":"ab3157e41ffe","_type":"block","children":[{"_key":"8708b51c51340","_type":"span","marks":[],"text":"You're not alone. We know how frustrating it is to have your symptoms overlooked by a healthcare system that wasn't designed for you. This assessment is your first step to a long-term partnership with a care team that listens, connects the dots, and helps you build a future of vitality."}],"markDefs":[],"style":"normal"},{"_key":"cfc623aa7853","_type":"buttonBlock","items":[{"_key":"324b326220a5","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Book an appointment","linkType":"join-scroll-shape"},{"_key":"42797bbd6e2a","_type":"singleButton","backgroundColor":"bcoat","linkCta":"Learn more about care","linkType":"button","reference":{"_ref":"68757344-78f0-4ba6-b1a7-9f62f7aca2eb","_type":"reference"}}],"onlyStackButtons":false}]},{"_key":"1fc6efafc8b4","_type":"block","children":[{"_key":"5b35184490e8","_type":"span","text":""}],"style":"normal"}],"spacing":"pys"},{"_key":"2d3bae6e66b3","_type":"spacer","backgroundColor":"bccream","spacing":"pym"},{"_key":"bd2fb58c5552","_type":"layoutSection","addOverlay":false,"alignItems":"stretch","backgroundColor":"bccream","columns":2,"contentTone":"dark","direction":"column","gap":"md","items":[{"_key":"247084872a16","_type":"layoutBox","addOverlay":false,"alignItems":"stretch","border":"none","borderRadius":"none","columns":2,"contentTone":"dark","direction":"column","gap":"md","items":[{"_key":"1b432c2219d9","_type":"layoutText","text":[{"_key":"b2c99d391fc6","_type":"block","children":[{"_key":"9dda1d68f018","_type":"span","marks":["fontSerif","alignCenter"],"text":"What our patients say about Tia"}],"style":"h2"}]}],"justifyContent":"flex-start","layoutMode":"flex","mobileColumns":1,"mobileContentTone":"same","mobileDirection":"column","paddingBottom":"none","paddingLeft":"none","paddingRight":"none","paddingTop":"none","title":"title"}],"justifyContent":"flex-start","layoutMode":"flex","mobileColumns":1,"mobileContentTone":"same","paddingX":"md","paddingY":"none","showDividers":false,"title":"testimonial title"},{"_key":"8e576f7e18c0","_type":"testimonials","backgroundColor":"secondary-1","testimonials":[{"Content":"I cannot tell you how much I truly valued my experience here at this clinic. 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As a woman who doesn’t like going to the doctor (white coat syndrome) and has been discounted and not listened to by doctors in the past, this experience is everything a doctors appt should be. I am so happy I am now a Tia patient and would highly recommend Tia to any female friend or family member that could benefit from the amazing staff and care here 💕","Title":"Katherine E. Tia Patient","_key":"52eb6850b018","_type":"inline"},{"Content":"I’ve never experienced such personalized, sensitive, thorough, and holistic women’s healthcare in my life. So grateful for this clinic!","Title":"Whitney K., Tia Patient","_key":"89ea38840f2e","_type":"inline"}]}],"redirectLanding":true,"shortDescription":"Feeling off? Whether you're not feeling like yourself or are simply curious about perimenopause, this assessment for women late 30s to early 50s will help you navigate hormonal chaos to clarity. 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see?","id":"2cac1bf2-b73b-5a3b-b9a8-dd7b39f0692b","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"5ff01753672a7ec08d94776afd2c6a1f","counter":10081,"owner":"gatsby-source-sanity"}},{"_id":"054cb798-109c-4fb0-aa93-0fbea712d9ff","_type":"faq","_createdAt":"2025-08-13T18:47:02Z","_rev":"AVzMClh0XJ4o7Cb4mmRWeB","_updatedAt":"2025-08-13T18:47:10Z","answer":[{"_key":"1623255ed294","_type":"block","children":[{"_key":"6d810b16a6300","_type":"span","marks":[],"text":"Options may include evidence-based hormone therapy, non-hormonal medications, acupuncture, nutrition, and mental health support."}],"markDefs":[],"style":"normal"}],"question":"What treatments do you offer?","id":"6998677d-092b-5093-b301-4836fa2e911e","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"d1ab83ac003d4ec9d8e603eccf62a750","counter":10082,"owner":"gatsby-source-sanity"}}],"title":"Perimenopause & menopause appointment 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healthcare industry has long approached perimenopause (the transitional period before menopause) and menopause (the point in which menses has stopped for 1 year or more) with a narrow focus on hormone replacement therapy (HRT). While HRT can effectively address certain symptoms, this reductionist approach fails to account for the complex physiological and psychological changes women experience during this critical life phase. Recent research indicates that we need a more comprehensive, preventive approach to support women's health during perimenopause and beyond."}],"markDefs":[],"style":"normal"},{"_key":"a8f4abd5260f","_type":"block","children":[{"_key":"922924182f240","_type":"span","marks":[],"text":"Understanding the Gaps in Current Care"}],"markDefs":[],"style":"h3"},{"_key":"d9024212dfec","_type":"block","children":[{"_key":"146f4e11a2820","_type":"span","marks":[],"text":"A 2023 study in the Journal of Women's Health found that nearly 75% of perimenopausal women report receiving insufficient guidance from their healthcare providers about managing this transition. This gap in care is particularly concerning given that perimenopause typically begins in a woman's 40s — a crucial period for preventing various age-related health conditions."}],"markDefs":[],"style":"normal"},{"_key":"d3e5b34253b9","_type":"block","children":[{"_key":"c6fdfa7518150","_type":"span","marks":[],"text":"The current trend of virtual-only healthcare solutions that focus solely on prescribing HRT, while convenient, may inadvertently create a false sense of comprehensive care. Research published in Menopause: The Journal of The North American Menopause Society demonstrates that women who receive only HRT without additional preventive care show higher rates of undiagnosed cardiovascular issues and bone density problems compared to those receiving comprehensive care."}],"markDefs":[],"style":"normal"},{"_key":"912b0ef98f8b","_type":"block","children":[{"_key":"cdb1eb4a9d1d0","_type":"span","marks":[],"text":"Essential Preventive Screening and Monitoring: A Data-Driven Approach"}],"markDefs":[],"style":"h3"},{"_key":"afbba75a023e","_type":"block","children":[{"_key":"cbaac97f05d80","_type":"span","marks":[],"text":"Recent longitudinal studies have demonstrated that comprehensive screening during perimenopause can significantly alter health trajectories. 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But fear not. While menopause can challenge your sexual health, there are more ways than ever to manage these changes and reignite your sex drive, before, during, and after menopause."}],"markDefs":[{"_key":"cb270f0dde95","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/menopause-perimenopause-assessment/"}],"style":"normal"},{"_key":"6c1299311cb1","_type":"sectionHeader","headerLevel":"h2","title":"The menopause and sex drive connection"},{"_key":"cef79a1e47e4","_type":"block","children":[{"_key":"74660f254cbf0","_type":"span","marks":[],"text":"The numbers tell a clear story. "},{"_key":"22880bac30c1","_type":"span","marks":["6631c5a6927f"],"text":"Research"},{"_key":"c75c5e932a76","_type":"span","marks":[],"text":" shows that up to "},{"_key":"74660f254cbf1","_type":"span","marks":["strong"],"text":"75% of women"},{"_key":"74660f254cbf2","_type":"span","marks":[],"text":" experience changes in their sexual function during the menopause transition, including declines in desire, arousal, lubrication, and satisfaction. Among the most commonly "},{"_key":"b993c34128a6","_type":"span","marks":["7bb58ab1cc02"],"text":"reported symptoms"},{"_key":"45e9d0dfd4cd","_type":"span","marks":[],"text":": low sexual desire (affecting 40 - 55% of women), poor lubrication (25 - 30%), and "},{"_key":"08e396983b6b","_type":"span","marks":["8d87b2acd4f4"],"text":"painful sex"},{"_key":"6f38cd8cb628","_type":"span","marks":[],"text":", known medically as dyspareunia (12 - 45%)."}],"markDefs":[{"_key":"6631c5a6927f","_type":"externalLink","linkType":"text","url":"https://pubmed.ncbi.nlm.nih.gov/27801705/"},{"_key":"7bb58ab1cc02","_type":"externalLink","linkType":"text","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6780739/"},{"_key":"8d87b2acd4f4","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/pain-with-sex/"}],"style":"normal"},{"_key":"dfec59909b89","_type":"block","children":[{"_key":"2f78ebc7ade30","_type":"span","marks":[],"text":"The culprit? Declining reproductive hormones, estrogen, progesterone, and testosterone, all of which play a significant role in sexual health. But the experience isn't the same for everyone. Some women notice little change in their libido, while others experience a dramatic decrease. In some cases, lower estrogen and progesterone levels actually make the effects of testosterone more apparent, which can increase libido for a subset of women."}],"markDefs":[],"style":"normal"},{"_key":"9f37b9d30ac5","_type":"sectionHeader","headerLevel":"h2","title":"The impact of menopause on sex drive and libido"},{"_key":"91eb1d66330b","_type":"block","children":[{"_key":"02099da8ed840","_type":"span","marks":[],"text":"Perimenopause (before menopause)"}],"markDefs":[],"style":"h3"},{"_key":"7bcc1e11380d","_type":"block","children":[{"_key":"da75a4f210fe0","_type":"span","marks":[],"text":"Perimenopause typically begins in the mid-40s and can last anywhere from four to ten years. During this stage, hormones don't just decline - they fluctuate wildly, triggering hot flashes, mood swings, irregular periods, sleep disruption, and changes in sexual desire."}],"markDefs":[],"style":"normal"},{"_key":"5b989774ec6a","_type":"block","children":[{"_key":"98549a67445a0","_type":"span","marks":[],"text":"As estrogen levels decrease, vaginal dryness, discomfort during sex, and reduced sexual interest become increasingly common. Hot flashes and night sweats cause physical exhaustion that further dampens libido. Many women also experience emotional shifts - irritability, anxiety, or depression - that make intimacy feel less appealing."}],"markDefs":[],"style":"normal"},{"_key":"af9c7002bf65","_type":"block","children":[{"_key":"eac88d05c3a40","_type":"span","marks":["strong"],"text":"Perimenopause solution:"}],"markDefs":[],"style":"normal"},{"_key":"2d67a7407d63","_type":"block","children":[{"_key":"cdc32c7b480a0","_type":"span","marks":["em"],"text":"First things first — it's essential to determine if perimenopause or menopause is the most likely culprit of your concerns, as symptoms can overlap with other conditions. "},{"_key":"45744dd007fc","_type":"span","marks":["em","6c78e95a3894"],"text":"Tia's Perimenopause/Menopause Assessment"},{"_key":"ee0e5d8dab0e","_type":"span","marks":["em"],"text":" is the best place to start. Once you have clarity on where you are in your transition, managing perimenopause and sex drive requires addressing both the physical and emotional layers. Maintaining open communication with your partner, engaging in pelvic floor exercises, and using lubricants or vaginal moisturizers can meaningfully improve comfort and desire. Hormone replacement therapy (HRT) may also be an option for some women."}],"markDefs":[{"_key":"6c78e95a3894","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/menopause-perimenopause-assessment/"}],"style":"normal"},{"_key":"35c360ca30e4","_type":"block","children":[{"_key":"4eb042c0ab650","_type":"span","marks":[],"text":"Menopause (the transition)"}],"markDefs":[],"style":"h3"},{"_key":"7094855faf82","_type":"block","children":[{"_key":"cecb887eeea50","_type":"span","marks":[],"text":"Once you've gone 12 months without a period, you've officially reached menopause — which in the United States typically occurs around age 51. At this stage, estrogen levels are significantly lower, leading to further sexual health changes, including vaginal atrophy (thinning and dryness of the vaginal tissues), which can make "},{"_key":"30d64b691f69","_type":"span","marks":["2e1934d38ea5"],"text":"sex painful"},{"_key":"af4e642d92cf","_type":"span","marks":[],"text":". Testosterone, which also plays a role in sexual desire, also tends to decline during menopause."}],"markDefs":[{"_key":"2e1934d38ea5","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/pain-with-sex/"}],"style":"normal"},{"_key":"3579b8909cb6","_type":"block","children":[{"_key":"d2fa30709d780","_type":"span","marks":[],"text":"Here's something worth holding onto: regardless of age or menopausal status, sexual interest continues for many women. The Study of "},{"_key":"293e0d5b2fee","_type":"span","marks":["fd13af54d899"],"text":"Women's Health Across the Nation (SWAN)"},{"_key":"ccd664182354","_type":"span","marks":[],"text":" — one of the largest studies of midlife women's health - found that 76% of middle-aged women reported sex was moderately or extremely important to them. Women often stop initiating sex during this phase not always because they've lost interest, but because they anticipate pain or frustration. These issues are historically underreported and undertreated, often dismissed as an inevitable part of aging. They are not."}],"markDefs":[{"_key":"fd13af54d899","_type":"externalLink","linkType":"text","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC5994393/"}],"style":"normal"},{"_key":"42f2b1ff62d6","_type":"block","children":[{"_key":"c34f9a57635b0","_type":"span","marks":["strong"],"text":"Menopause solution:"}],"markDefs":[],"style":"normal"},{"_key":"75edd4a197ce","_type":"block","children":[{"_key":"3e55e91aa0870","_type":"span","marks":["em"],"text":"Once there is clarity that menopause is confirmed by your primary care physician, (schedule Tia's "},{"_key":"ebf083ca12f8","_type":"span","marks":["em","c02477ca6b9b"],"text":"Hormone and Vitality Assessment"},{"_key":"bdd83f7f906c","_type":"span","marks":["em"],"text":") a clearer treatment path opens up. Hormone replacement therapy (HRT) is a key treatment for many women at this stage. Estrogen therapy can help reduce vaginal dryness and improve sexual comfort. Local treatments, such as vaginal estrogen creams or rings, can target vaginal symptoms directly without affecting the rest of your body."}],"markDefs":[{"_key":"c02477ca6b9b","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/hormone-testing/"}],"style":"normal"},{"_key":"523a70d5f91a","_type":"block","children":[{"_key":"09180387f7590","_type":"span","marks":[],"text":"Postmenopause (after menopause)"}],"markDefs":[],"style":"h3"},{"_key":"623cfeb0f26f","_type":"block","children":[{"_key":"407359c854a60","_type":"span","marks":[],"text":"Postmenopause marks the years following your final period, and while many menopause symptoms may ease, some sexual health issues persist. Vaginal dryness can remain, and lower libido can still be a challenge. The emotional impact of aging and shifting body image can also affect your confidence and sexual desire."}],"markDefs":[],"style":"normal"},{"_key":"da386c7bf9ff","_type":"block","children":[{"_key":"757c8149ff0b0","_type":"span","marks":[],"text":"Women spend, on average, one-third of their lives in the postmenopausal stage. Sexuality continues to be moderately or extremely important to many women in this phase — yet very few discuss sexual health concerns with their healthcare providers."}],"markDefs":[],"style":"normal"},{"_key":"bc1f89c9803a","_type":"block","children":[{"_key":"8c811e1584a20","_type":"span","marks":["strong"],"text":"Postmenopause solution:"}],"markDefs":[],"style":"normal"},{"_key":"0899b7947dcf","_type":"block","children":[{"_key":"75cbc8faeafd","_type":"span","marks":["em"],"text":"Focusing on overall well-being, such as maintaining a healthy diet, managing stress, and staying active, can help boost your energy and sex drive. Some women find that exploring non-hormonal treatments, such as lubricants, can help make sex more comfortable. For postmenopausal women experiencing persistent low libido, FDA-approved medications like Addyi (flibanserin) "},{"_key":"8ac3a104e8c7","_type":"span","marks":["em","5db74c3bebfa"],"text":"are now available"},{"_key":"1d5bb13524d5","_type":"span","marks":["em"],"text":", the first non-hormonal pill specifically approved for low sexual desire in postmenopausal women under 65. Mental health support, like therapy, can also help with emotional barriers to intimacy."}],"markDefs":[{"_key":"5db74c3bebfa","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/addyi-flibanserin-for-low-libido/"}],"style":"normal"},{"_key":"c51e728f56be","_type":"sectionHeader","headerLevel":"h2","title":"How to increase your sex drive before, during, and after menopause"},{"_key":"39be409f71b8","_type":"block","children":[{"_key":"677f5f68e3e10","_type":"span","marks":[],"text":"Here are practical strategies to enhance your libido and sexual satisfaction at every stage of menopause:"}],"markDefs":[],"style":"normal"},{"_key":"072b8e524295","_type":"block","children":[{"_key":"69d76ad07c9e0","_type":"span","marks":[],"text":"Hormone replacement therapy (HRT)"}],"markDefs":[],"style":"h3"},{"_key":"c706a2bfef7e","_type":"block","children":[{"_key":"ef64eabade940","_type":"span","marks":[],"text":"HRT can be a game-changer for women experiencing significant changes in sex drive due to hormonal fluctuations. Estrogen therapy can relieve vaginal dryness and discomfort, while testosterone therapy may help boost libido. For women who are not candidates for systemic HRT, local treatments (such as vaginal estrogen creams or rings) can target symptoms like vaginal atrophy without affecting the entire body."}],"markDefs":[],"style":"normal"},{"_key":"a519373cdaa0","_type":"block","children":[{"_key":"3c7bbda3a0410","_type":"span","marks":[],"text":"Addyi (Flibanserin): A historic new option for low libido"}],"markDefs":[],"style":"h3"},{"_key":"fa39e4cda33d","_type":"block","children":[{"_key":"8d49f30ad3cd0","_type":"span","marks":[],"text":"In a landmark development for women's sexual health, the FDA approved an expanded indication for "},{"_key":"8d49f30ad3cd1","_type":"span","marks":["strong","c4f5345a658b"],"text":"Addyi (flibanserin)"},{"_key":"8d49f30ad3cd2","_type":"span","marks":[],"text":" in December 2025, making it the first and only FDA-approved oral treatment for low sexual desire in postmenopausal women under the age of 65."}],"markDefs":[{"_key":"c4f5345a658b","_type":"externalLink","linkType":"text","url":"https://asktia.com/article/addyi-flibanserin-for-low-libido/"}],"style":"normal"},{"_key":"569967f97601","_type":"block","children":[{"_key":"fdf1f951777a0","_type":"span","marks":[],"text":"Addyi is designed for women under 65 with acquired, generalized HSDD meaning low sexual desire that developed after a period of normal desire and occurs in any sexual situation."}],"markDefs":[],"style":"normal"},{"_key":"328bed07b4e2","_type":"block","children":[{"_key":"89d0381e51cf0","_type":"span","marks":[],"text":"Pelvic floor exercises (Kegels)"}],"markDefs":[],"style":"h3"},{"_key":"7a508da38796","_type":"block","children":[{"_key":"379c9e46611a0","_type":"span","marks":[],"text":"Strengthening your pelvic floor muscles with Kegel exercises can improve sexual function and sensation, particularly after menopause. These exercises help improve blood flow to the genital area, which can enhance arousal and make orgasm easier to achieve. Regular pelvic floor exercises can also help reduce urinary incontinence, another common issue after menopause. If you’re having persistent pain with sex, you may be referred to a pelvic floor physical therapist for additional evaluation and tailored treatment."}],"markDefs":[],"style":"normal"},{"_key":"a5d790b2df07","_type":"block","children":[{"_key":"3f450704c3790","_type":"span","marks":[],"text":"Lubricants and vaginal moisturizers"}],"markDefs":[],"style":"h3"},{"_key":"49a0bef5274a","_type":"block","children":[{"_key":"5b336acd9d590","_type":"span","marks":[],"text":"Vaginal dryness can be a major turn-off during menopause. To make sex more comfortable, use a water-based lubricant or vaginal moisturizer before and during intercourse. A 2025 study published in "},{"_key":"5b336acd9d591","_type":"span","marks":["em"],"text":"Menopause"},{"_key":"5b336acd9d592","_type":"span","marks":[],"text":", the journal of The Menopause Society, found that women who maintained regular sexual activity showed a significantly lower prevalence of vulvar pain, irritation, and dryness — and that orgasm and satisfaction scores did not decline with age."}],"markDefs":[],"style":"normal"},{"_key":"7eb1cc613668","_type":"block","children":[{"_key":"076c7c3bc6ed0","_type":"span","marks":[],"text":"Open communication with your partner"}],"markDefs":[],"style":"h3"},{"_key":"79fd5cc792c3","_type":"block","children":[{"_key":"50ffc8e2c8980","_type":"span","marks":[],"text":"Communication is key to a healthy sexual relationship during menopause. Be open with your partner about any changes you're experiencing. Discussing your desires, boundaries, and concerns in a nonjudgmental way can foster intimacy and help you both find new ways to connect. Couples therapy and/or sexual therapy can help facilitate."}],"markDefs":[],"style":"normal"},{"_key":"e983618604d3","_type":"block","children":[{"_key":"94f263d134c50","_type":"span","marks":[],"text":"Prioritize mental health"}],"markDefs":[],"style":"h3"},{"_key":"c9665ee7e181","_type":"block","children":[{"_key":"23ef6f2494960","_type":"span","marks":[],"text":"Emotional well-being plays a huge role in sexual health. Managing stress, addressing feelings of anxiety or depression, and working on body image can all have positive effects on libido. Research from the "},{"_key":"3b688acadc7a","_type":"span","marks":["56c7b46d702c"],"text":"Seattle Midlife Women's Health Study"},{"_key":"8bd5bb406232","_type":"span","marks":[],"text":" confirms that higher perceived stress is significantly associated with lower sexual desire across the menopausal transition. Seeking therapy or counseling to address these emotional shifts can help improve your relationship with your body and your sexual identity."}],"markDefs":[{"_key":"56c7b46d702c","_type":"externalLink","linkType":"text","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC2834444/"}],"style":"normal"},{"_key":"0cc054428d75","_type":"block","children":[{"_key":"29072b3163320","_type":"span","marks":[],"text":"Non-hormonal options"}],"markDefs":[],"style":"h3"},{"_key":"d34d9a3298df","_type":"block","children":[{"_key":"04b094cf5cfe0","_type":"span","marks":[],"text":"If you're not interested in hormone therapy, there are still options. Over-the-counter vaginal moisturizers can help maintain moisture in the vaginal area, and lubricants can reduce discomfort during intercourse. For women who experience anxiety or low mood, mindfulness, relaxation techniques, or cognitive-behavioral therapy (CBT) can help improve mental and emotional barriers to sex. As of December 2025, Addyi also provides a non-hormonal prescription option for women who meet the criteria for HSDD."}],"markDefs":[],"style":"normal"},{"_key":"d149c7587a76","_type":"block","children":[{"_key":"15e4684590280","_type":"span","marks":[],"text":"Explore new forms of intimacy"}],"markDefs":[],"style":"h3"},{"_key":"9fc1ea7560c6","_type":"block","children":[{"_key":"d919279f12d20","_type":"span","marks":[],"text":"Sex isn't the only way to connect with your partner. Many women find that exploring other forms of intimacy, such as massage, cuddling, or focusing on foreplay, can strengthen emotional bonds and reignite desire. Engaging in new forms of erotic play, like using erotic audio or fantasizing together, can also add excitement back into your sexual life."}],"markDefs":[],"style":"normal"},{"_key":"1b80e581e8f1","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"425f26f154d5","_type":"block","children":[{"_key":"27d92116883b0","_type":"span","marks":[],"text":"Ready to feel more like yourself again?"}],"markDefs":[],"style":"h3"},{"_key":"102e111799ee","_type":"block","children":[{"_key":"13b6a786c6730","_type":"span","marks":[],"text":"Changes in libido during perimenopause and menopause are common, but that does not mean you have to just live with them. Tia’s providers take a whole-person approach to menopause care, helping you navigate hormonal changes, vaginal health, emotional well-being, and intimacy concerns with personalized support and evidence-based treatment options."}],"markDefs":[],"style":"normal"},{"_key":"6a45d14b865e","_type":"block","children":[{"_key":"863222435c8e0","_type":"span","marks":[],"text":"Whether you're exploring HRT, looking for non-hormonal solutions, or simply trying to better understand what’s happening in your body, your care team is here to help you feel supported at every stage of the transition."}],"markDefs":[],"style":"normal"},{"_key":"69aabe323bfd","_type":"buttonBlock","items":[{"_key":"4b8c761f68e0","_type":"singleButton","addWidgetCopy":false,"backgroundColor":"bcorange","linkCta":"Book an 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impact of menopause on sex","subTitle":"For health education and tips, new services, clinics, offerings, and more.","title":"Sign up for our 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Asked Questions"}],"publishedAt":"2025-01-31T18:49:00.000Z","slug":{"_type":"slug","current":"menopause-perimenopause-postmenopause-sex-drive"},"status":"production","title":"How Menopause Can Impact Sexual Health: Sex Drive Before, During, and After Menopause","topics":[{"_key":"3a8abbe56061","_ref":"1a5231d2-13dc-41ea-ac2d-ad5fd81a36e7","_type":"reference"}],"updatedAt":"2026-05-21T14:02:31.682Z"},"metaInformation":{"_type":"metaCard","metaDescription":"Struggling with low sex drive during menopause? 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The most telling symptom of menopause and the most common reason people seek treatment for this condition, hot flashes (aka vasomotor symptoms) are sudden feelings of warmth in the upper body, which usually feel most intense over the chest, neck, and face."}],"markDefs":[],"style":"normal"},{"_key":"7fe19318a527","_type":"block","children":[{"_key":"094b250f9aca0","_type":"span","marks":[],"text":"But there is no shortage of better (and probably more useful) descriptions offered up by women who’ve felt the heat of hot flashes first-hand:"}],"markDefs":[],"style":"normal"},{"_key":"4530e58cfb61","_type":"block","children":[{"_key":"ed7d4e60c156","_type":"span","marks":["em"],"text":"'It’s like my own personal summer.”"}],"markDefs":[],"style":"normal"},{"_key":"856dc4cbba30","_type":"block","children":[{"_key":"8c0a6e97de71","_type":"span","marks":["em"],"text":"“It feels like being consumed by fire from the inside out.”"}],"markDefs":[],"style":"normal"},{"_key":"5d6c4189ef1f","_type":"block","children":[{"_key":"1e50bc85a804","_type":"span","marks":["em"],"text":"“It’s like having a furnace explode in my body.”"}],"markDefs":[],"style":"normal"},{"_key":"0dbddc005537","_type":"block","children":[{"_key":"254990b85223","_type":"span","marks":[],"text":"The medical term is so infamous, it has spawned an entire industry of self-help products and merch. There are hot flash t-shirts (“Still hot – it just comes in flashes now!”). Hot flash pajamas. Hot flash spray. Hot flash sheets. Hot flash patches. Hot flash tea. Hot flash fans."}],"markDefs":[],"style":"normal"},{"_key":"ee8837238591","_type":"block","children":[{"_key":"672f79604ae10","_type":"span","marks":[],"text":"Of course, hot flashes are just the beginning of things. There are several other symptoms menopausal people often feel on the regular. Night sweats. Mood swings. Painful intercourse. Low libido. Vaginal dryness. Irregular periods. Heavy bleeding. Sleep disturbances. And the list, literally, goes on."}],"markDefs":[],"style":"normal"},{"_key":"d0ccb8edb63b","_type":"block","children":[{"_key":"15923643307b0","_type":"span","marks":[],"text":"It goes without saying that perimenopause (the time period that precedes menopause when symptoms first appear) and menopause are naturally-occurring conditions that can be unnaturally disruptive, debilitating, and difficult to navigate."}],"markDefs":[],"style":"normal"},{"_key":"f5e43db329ab","_type":"block","children":[{"_key":"536a7a0f65380","_type":"span","marks":[],"text":"Thankfully, "},{"_key":"d8efb70f5d8f","_type":"span","marks":["9da0a079d2ff"],"text":"menopause is having a moment"},{"_key":"6356cb7447e5","_type":"span","marks":[],"text":" and, hopefully, a moment that will last. Media outlets, social media influencers, and medical practitioners are paying more attention. And many forward-thinking health and wellness companies are developing new products to help educate and ease the minds and bodies of the 2+ million people who reach menopause each year in the US."}],"markDefs":[{"_key":"9da0a079d2ff","_type":"externalLink","linkType":"text","url":"https://www.nytimes.com/2023/07/28/podcasts/the-daily/menopause-symptoms-treatment.html"}],"style":"normal"},{"_key":"3d8d3b010e07","_type":"block","children":[{"_key":"3c6aa453df530","_type":"span","marks":[],"text":"Hopefully, this overview will also educate and ease a few minds, and help demystify and destigmatize a natural and unavoidable bodily process that should be respected as a rite of passage worth honoring and understanding."}],"markDefs":[],"style":"normal"},{"_key":"c1ced7e34b12","_type":"sectionHeader","headerLevel":"h2","title":"What is menopause?"},{"_key":"90e08928968e","_type":"block","children":[{"_key":"f7697d3cc7220","_type":"span","marks":["d12d9d683bb1"],"text":"Menopause"},{"_key":"79130f6e0cf9","_type":"span","marks":[],"text":" is a natural biological process that marks the end of a person’s menstrual cycles and fertility, and its diagnosis is confirmed after an individual has gone 12 consecutive months without a menstrual cycle. At this stage, ovaries stop producing estrogen and stop releasing eggs. The time period leading up to menopause, when people start experiencing changes in their menstrual cycles, hot flashes, and other symptoms is called "},{"_key":"f7697d3cc7222","_type":"span","marks":["strong"],"text":"perimenopause."},{"_key":"f7697d3cc7223","_type":"span","marks":[],"text":" As perimenopause marches toward menopause, many people start experiencing more and more menopause symptoms (including irregular periods), but ovulation still occurs and a perimenopausal person can still get pregnant."}],"markDefs":[{"_key":"d12d9d683bb1","_type":"internalLink","linkType":"text","reference":{"_ref":"04cda285-9d18-465d-8ff2-9329d8f3eed6","_type":"reference"}}],"style":"normal"},{"_key":"14e21f59e1b9","_type":"cta","backgroundColor":"bccream","ctaImage":{"_type":"image","asset":{"_ref":"image-19d1947899730f4c922afaaf4bb0172f61920694-1912x1116-png","_type":"reference"}},"text":[{"_key":"ecff53171ee0","_type":"block","children":[{"_key":"cd3a8f95d123","_type":"span","marks":[],"text":"Are you experiencing symptoms of menopause and need medical support? Join Tia and schedule an appointment at the clinic nearest you. "}],"markDefs":[],"style":"large"},{"_key":"2140d8470f02","_type":"block","children":[{"_key":"97c29cdcfa1e","_type":"span","marks":["em"],"text":"Located in New York, Phoenix, San Francisco, and Los Angeles."}],"markDefs":[],"style":"normal"},{"_key":"a7cbcbf254b9","_type":"buttonBlock","items":[{"_key":"eb262e8d9692","_type":"singleButton","backgroundColor":"bcorange","linkCta":"Book an appointment","linkType":"join-scroll-shape"}]}]},{"_key":"d45bb1ee0343","_type":"sectionHeader","headerLevel":"h2","title":"How long does perimenopause last? When does menopause begin?"},{"_key":"6c24f9a2925c","_type":"block","children":[{"_key":"91e92d080dd20","_type":"span","marks":[],"text":"The average duration of perimenopause is around four years, although it can last just a few months or extend as long as a decade. Characterized by irregular menstrual cycles and other symptoms related to hormonal fluctuations, perimenopause usually starts in your 40s. Some people experience symptoms for a few months. Some people have symptoms for several years. Typically, menopause begins in a person’s late 40s or early 50s, but the exact age varies widely. "},{"_key":"b79c00b4498b","_type":"span","marks":["93a9b908032e"],"text":"The average age of onset of menopause is 51."},{"_key":"11a6aa8f5825","_type":"span","marks":[],"text":" Menopause (and menopausal symptoms) can also be prematurely triggered by having a hysterectomy or having the ovaries surgically removed."},{"_key":"91e92d080dd25","_type":"span","marks":["strong"],"text":" "},{"_key":"91e92d080dd26","_type":"span","marks":[],"text":"Many factors, which are notoriously difficult to identify and predict, can influence the timing of menopause, including genetics, reproductive history, certain health conditions and treatments (cancer therapy), and some lifestyle habits (smoking)."}],"markDefs":[{"_key":"93a9b908032e","_type":"annotation","text":[{"_key":"7237b9e759f0","_type":"block","children":[{"_key":"be285cfc96730","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"f68735f29882","_type":"block","children":[{"_key":"896f937b20020","_type":"span","marks":[],"text":"The average age of menopause onset is typically between 40 to 58 years old with an average age of onset being 51 years old, although this can vary significantly from person to person."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"e7fda33ae3ac","_type":"sectionHeader","headerLevel":"h3","title":"  What are the symptoms of menopause and perimenopause?"},{"_key":"60076b2c6789","_type":"block","children":[{"_key":"ed2ec74860650","_type":"span","marks":[],"text":"Menopause is associated with a variety of symptoms, but the duration and severity of these symptoms vary among people. Additionally, some symptoms will be temporary and resolve on their own while others may persist and require medical attention. Every situation is specific and anyone experiencing bothersome menopausal symptoms should "},{"_key":"031d4e337038","_type":"span","marks":["0b7cad051c32"],"text":"consult her healthcare provider"},{"_key":"08777dd5f26b","_type":"span","marks":[],"text":" to discuss management options."}],"markDefs":[{"_key":"0b7cad051c32","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"},{"_key":"3715a8f741af","_type":"block","children":[{"_key":"ee698a806c840","_type":"span","marks":[],"text":"In some cases, your provider might recommend a blood test to check your follicle-stimulating hormone (FSH) and estradiol (E2) levels. Although a high FSH can be a sign of perimenopause, a single FSH reading isn’t a reliable indicator since day-to-day hormone levels fluctuate dramatically. Truthfully, it can be difficult to distinguish the hormonally-based symptoms of perimenopause from more general changes due to life transitions – aging, midlife events, children leaving home, career and relationship changes – so it’s unlikely all perimenopausal symptoms are due to hormonal fluctuations alone. "}],"markDefs":[],"style":"normal"},{"_key":"d98e6aaa03b9","_type":"block","children":[{"_key":"a5849c13626a0","_type":"span","marks":[],"text":"Common symptoms of menopause include:"}],"markDefs":[],"style":"h3"},{"_key":"ade222b02d3a","_type":"block","children":[{"_key":"8b18ae0174f70","_type":"span","marks":["strong"],"text":"Irregular Menstrual Cycles:"},{"_key":"770b1a0084cd","_type":"span","marks":[],"text":" Declining estrogen levels can make periods more unpredictable, and with less progesterone to regulate growth of the endometrium, the uterine lining may become thicker before it sheds. This can result in heavier periods. "},{"_key":"58cfe246d9c3","_type":"span","marks":["55e48e88ad57"],"text":"Fibroids"},{"_key":"28d1ebae9bca","_type":"span","marks":[],"text":" and endometriosis, both of which are fueled by estrogen, might become more troublesome too."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"55e48e88ad57","_type":"internalLink","linkType":"text","reference":{"_ref":"f158fe1b-1e16-4ebf-b284-ccbb466ed379","_type":"reference"}}],"style":"normal"},{"_key":"7fbf20a9be29","_type":"block","children":[{"_key":"c368f5ef1a1c0","_type":"span","marks":["strong"],"text":"Hot Flashes and Night Sweats:"},{"_key":"e8e4010af1d3","_type":"span","marks":[],"text":" An estimated 30-35% of perimenopausal and menopausal people suffer sudden waves of body heat with flushing and sweating that can last 5-10 minutes. These episodes can occur at night while sleeping too."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9aaadbfd6e3c","_type":"block","children":[{"_key":"c8e6b49ba5990","_type":"span","marks":["strong"],"text":"Sleep Disturbances:"},{"_key":"a7b2d7013c7c","_type":"span","marks":[],"text":" About 40% of perimenopausal people have sleep problems – trouble falling and staying asleep. This can lead to insomnia and fractured sleep problems and, of course, contribute to fatigue and fogginess."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aaa4a26267ea","_type":"block","children":[{"_key":"102af7898b230","_type":"span","marks":["strong"],"text":"Vaginal Changes:"},{"_key":"0c0234f5cdb2","_type":"span","marks":[],"text":" During late perimenopause, falling estrogen levels can cause vaginal tissue to become thinner, drier, and less elastic, which can lead to itching, irritation, painful sexual intercourse, and an increase in "},{"_key":"2a2426de24b6","_type":"span","marks":["50c1f9d7954d"],"text":"urinary tract infections (UTIs)."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"50c1f9d7954d","_type":"internalLink","linkType":"text","reference":{"_ref":"5dc6f871-a243-459e-8f06-43f0af3d8915","_type":"reference"}}],"style":"normal"},{"_key":"2f67c515436b","_type":"block","children":[{"_key":"da99edf08b4a0","_type":"span","marks":["strong"],"text":"Mood Symptoms:"},{"_key":"9cb5cfbcce8c","_type":"span","marks":[],"text":" Hormonal fluctuations during perimenopause might contribute to mood changes, including irritability, anxiety, and depression. That said, studies haven’t proven a definitive correlation between hormone levels and new mood symptoms. Of course, the unpredictability of perimenopause can be stressful and provoke irritability on its own. The best predictors of mood symptoms, in general, are life stress, poor overall health, and personal and family history."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"12b54f7845c0","_type":"block","children":[{"_key":"d9a21046b3eb0","_type":"span","marks":["strong"],"text":"Fatigue:"},{"_key":"1191da13a004","_type":"span","marks":[],"text":" Some people experience increased fatigue and lack of energy during perimenopause."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a709b47abf4e","_type":"block","children":[{"_key":"32d9fe4f81b60","_type":"span","marks":["strong"],"text":"Changes in Libido:"},{"_key":"97aa786cf023","_type":"span","marks":[],"text":" Some people report lower desire and more difficulty being aroused."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"627789f6856e","_type":"block","children":[{"_key":"e174048c04d10","_type":"span","marks":["strong"],"text":"Memory and Concentration Issues:"},{"_key":"0ec4569fce33","_type":"span","marks":[],"text":" Perimenopause can affect memory, concentration, and cognitive function."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0a8eb57ea9ae","_type":"block","children":[{"_key":"41ae5bfac29c0","_type":"span","marks":["strong"],"text":"Joint and Muscle Pain:"},{"_key":"e5b0ae7ec30d","_type":"span","marks":[],"text":" Perimenopause can be associated with joint and muscle pain."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"656f597c778c","_type":"cta","backgroundColor":"bccream","text":[{"_key":"c230ca1aa93b","_type":"block","children":[{"_key":"7ba7eaedf5e8","_type":"span","marks":[],"text":"Seeking medical treatment for your menopause symptoms? Join Tia and schedule an appointment at the clinic nearest you. "}],"markDefs":[],"style":"large"},{"_key":"558a632bc9cd","_type":"block","children":[{"_key":"0ab606ba06a1","_type":"span","marks":["em"],"text":"Online and in-person care in  "},{"_key":"0b8b87106331","_type":"span","marks":["em","f36c40ce94f5"],"text":"Los Angeles"},{"_key":"ae3229c7ab72","_type":"span","marks":["em"],"text":", "},{"_key":"2c07c2dc3df2","_type":"span","marks":["em","a7306f3d0823"],"text":"San Francisco"},{"_key":"2a9114898a0f","_type":"span","marks":["em"],"text":", "},{"_key":"4bc7fefada85","_type":"span","marks":["em","bd0e04d442f6"],"text":"New York"},{"_key":"51d7f74ca2cb","_type":"span","marks":["em"],"text":", and "},{"_key":"e452e2b3e660","_type":"span","marks":["em","825f68de9c12"],"text":"Scottsdale"}],"markDefs":[{"_key":"bd0e04d442f6","_type":"internalLink","linkType":"text","reference":{"_ref":"96ced8ef-d692-4f97-8032-88f1a8828219","_type":"reference"}},{"_key":"a7306f3d0823","_type":"internalLink","linkType":"text","reference":{"_ref":"ae75d891-a665-438a-9fed-e2ea4eecf06e","_type":"reference"}},{"_key":"f36c40ce94f5","_type":"internalLink","linkType":"text","reference":{"_ref":"e377a479-e152-4105-bfd8-cd8af403f8d8","_type":"reference"}},{"_key":"825f68de9c12","_type":"internalLink","linkType":"text","reference":{"_ref":"85cda481-9e09-4c4a-aaf6-c5662d8b2613","_type":"reference"}}],"style":"normal"},{"_key":"898c2ec08249","_type":"buttonBlock","items":[{"_key":"eb262e8d9692","_type":"singleButton","backgroundColor":"bcorange","linkCta":"Book an appointment","linkType":"join-scroll-shape"}]}]},{"_key":"882e91133bb5","_type":"sectionHeader","headerLevel":"h2","title":"Are there ways to treat these symptoms?"},{"_key":"5c2fac9148df","_type":"block","children":[{"_key":"82d35adf7d870","_type":"span","marks":[],"text":"The short answer: Yes. There are several useful treatment strategies for managing perimenopause and menopause symptoms, including non-prescription remedies, medical interventions, and lifestyle changes. As always, it’s essential to discuss new, bothersome, or worsening symptoms with a healthcare provider to determine the best approach."}],"markDefs":[],"style":"normal"},{"_key":"b69ac3514d9b","_type":"block","children":[{"_key":"5a14aa889c8c0","_type":"span","marks":["strong"],"text":"Hot Flashes:"},{"_key":"5bea122f88a3","_type":"span","marks":[],"text":" The first rule of thumb is to avoid possible triggers (you’ll know them), like warm air temperatures, hot beverages, and spicy foods. For example, dressing in layers so you can quickly remove layers is always a good idea. Some people find relief with certain medications, like SSRI antidepressants, gabapentin, and clonidine, but there are side effects that need to be considered. For severe hot flashes, estrogen replacement is the only true fix."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ef42059b45fa","_type":"block","children":[{"_key":"4088cba37d890","_type":"span","marks":["strong"],"text":"Irregular Periods:"},{"_key":"9c4c84ba2db7","_type":"span","marks":[],"text":" Low-dose "},{"_key":"76ac60f57833","_type":"span","marks":["c7e786d5337a"],"text":"birth control"},{"_key":"e3a623c4fce5","_type":"span","marks":[],"text":" can be a good choice here. By suppressing ovulation, these meds modulate menstrual flow, regulate periods, and stabilize endometriosis. They also protect against endometrial and ovarian cancer, stave off hot flashes, reduce vaginal dryness, and prevent bone loss."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"c7e786d5337a","_type":"internalLink","linkType":"text","reference":{"_ref":"ca742657-6062-42c7-8a48-c476af18b8fc","_type":"reference"}}],"style":"normal"},{"_key":"31eb498bb545","_type":"block","children":[{"_key":"951bb5742c030","_type":"span","marks":["strong"],"text":"Vaginal Dryness:"},{"_key":"dc26cd0f7d61","_type":"span","marks":[],"text":" Low-dose contraceptives or vaginal estrogen therapy can help relieve this symptom. But there are other approaches. Vaginal moisturizers can improve moisture and elasticity and lubricants (find a good water-based lube) can make intercourse less painful. Additionally, sexual activity seems to improve vaginal tone and help maintain a healthy acidic environment that can be protective against infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"eb42eaab4002","_type":"block","children":[{"_key":"f5fd4244528c0","_type":"span","marks":["strong"],"text":"Non-prescription Remedies:"},{"_key":"993ea1fc1391","_type":"span","marks":[],"text":" Some people find relief using products like soy-based supplements, black cohosh, and herbal remedies, but efficacy varies. Definitely discuss their usage with a care provider."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fd28d3289274","_type":"block","children":[{"_key":"f4bdf49169f30","_type":"span","marks":["strong"],"text":"Bone Health:"},{"_key":"3d2a8014b530","_type":"span","marks":[],"text":" Maintaining bone health is a crucial consideration during menopause and calcium and Vitamin D are two supplements often recommended to reduce the risk of osteoporosis."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bf3473d9cf6c","_type":"sectionHeader","headerLevel":"h2","title":"What lifestyle changes help with symptoms?"},{"_key":"d9fe7d087a15","_type":"block","children":[{"_key":"f3f9ed35960b0","_type":"span","marks":[],"text":"Adopting certain lifestyle changes can help manage symptoms of perimenopause and menopause and contribute to overall health and wellbeing. Here are some lifestyle habits that might beneficial:"}],"markDefs":[],"style":"normal"},{"_key":"20c63ef6cfc2","_type":"block","children":[{"_key":"9f1c21090a2e0","_type":"span","marks":["strong"],"text":"Regular exercise:"},{"_key":"0ecc137527be","_type":"span","marks":[],"text":" Both aerobic exercises and strength training helps manage weight, boost mood, and improve sleep."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3bbf05974e50","_type":"block","children":[{"_key":"e38020f728230","_type":"span","marks":["strong"],"text":"Healthy Diet:"},{"_key":"3484656c645c","_type":"span","marks":[],"text":" Consuming a well-balanced diet rich in fresh fruits and vegetables, whole grains, healthy oils, and lean proteins is never a bad move."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"291f0c4d3e00","_type":"block","children":[{"_key":"6eff8886f79a0","_type":"span","marks":["strong"],"text":"Stress Management:"},{"_key":"6aa586e71727","_type":"span","marks":[],"text":" Practicing stress-reducing techniques, like meditation, yoga, deep breathing, and mindfulness can have positive impacts on mood and wellbeing."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a6205c5533b4","_type":"block","children":[{"_key":"639af82f71b70","_type":"span","marks":["strong"],"text":"Adequate Sleep:"},{"_key":"de8584740427","_type":"span","marks":[],"text":" Thoughtful sleep hygiene – consistent sleep schedule, comfortable sleep environment (dark and cool), relaxing before bedtime – might help alleviate symptoms."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d602eb80deaa","_type":"block","children":[{"_key":"88ed4533e8e20","_type":"span","marks":["strong"],"text":"Reduce Caffeine and Alcohol:"},{"_key":"bf0febc28041","_type":"span","marks":[],"text":" They can contribute to poor sleep and exacerbate hot flashes."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0e4e5061c170","_type":"block","children":[{"_key":"9f35a5dc83380","_type":"span","marks":["strong"],"text":"Stay Hydrated:"},{"_key":"a027a0cca821","_type":"span","marks":[],"text":" A good habit for overall health."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2b05d190282c","_type":"block","children":[{"_key":"0d83a9cfd73e0","_type":"span","marks":["strong"],"text":"Maintain a Healthy Weight:"},{"_key":"b4378d4e5a5e","_type":"span","marks":[],"text":" Good eating habits + regular exercise. A healthy weight can alleviate symptoms and reduce the risk of health conditions."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"af0af70861bd","_type":"block","children":[{"_key":"ebd2780861940","_type":"span","marks":[],"text":"A reminder: Treatment decisions should be personalized based on your own health history, personal preferences, and subjective symptomology. Regular check-up and check-ins with a provider are essential for monitoring progress and adjusting the plan."}],"markDefs":[],"style":"normal"},{"_key":"9bc5b0c54591","_type":"sectionHeader","headerLevel":"h2","title":"Take control of your own menopausal journey"},{"_key":"cb1f41ec9822","_type":"block","children":[{"_key":"779cb5a7eb6f0","_type":"span","marks":[],"text":"Perimenopause and menopause are natural biological processes that all women face, usually beginning in their forties, that cause numerous symptoms related to declining supplies of estrogen and progesterone. Hot flashes tend to get the most buzz, but other symptoms (vaginal dryness, mood changes, sleep disturbances) can be just as disruptive and discomforting. Thankfully, there are many ways to manage these symptoms and many more lifestyle adjustments that can lighten the emotional and physical load of perimenopause and menopause as well. And while several important studies have demonstrated an association between menopausal symptoms and lower quality of life, many menopausal women report positive aspects associated with this life stage as well. So, we leave you with a few good reasons to have hope:"}],"markDefs":[],"style":"normal"},{"_key":"f93f75a2528a","_type":"block","children":[{"_key":"b18afccd7dae0","_type":"span","marks":[],"text":"No more periods or menstrual symptoms. Sex without worrying about pregnancy. Disappearing body hair. Shrinking uterine fibroids. A renewed zest for life. More confidence. Increased bonding with other women."}],"markDefs":[],"style":"normal"},{"_key":"db400d5c57a8","_type":"block","children":[{"_key":"1ad3e73a828a0","_type":"span","marks":[],"text":"If you are experiencing symptoms of perimenopause or menopause, "},{"_key":"32702f1a263d","_type":"span","marks":["e0939ceffeec"],"text":"sign up for a Tia membership"},{"_key":"2cc35918e9a7","_type":"span","marks":[],"text":" and schedule an appointment with the "},{"_key":"c8facb103468","_type":"span","marks":["c22b429e3c04"],"text":"clinic nearest you"},{"_key":"ca44e39c3822","_type":"span","marks":[],"text":". Tia's clinics are located in New York, Arizona, Los Angeles, and San Francisco. 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Many women come to better understand their body, support metabolic health, or address conditions like diabetes or high cholesterol—whether their goal is weight loss, gain, or simply feeling better."}],"markDefs":[],"style":"normal"}],"question":"Is this visit only for weight loss?","id":"3ef4e589-5943-5cca-b76c-5bb20211b33d","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"ad1078acd5d68603c4a72e81550a9dd0","counter":395,"owner":"gatsby-source-sanity"}},{"_id":"141d92ed-afb5-41ba-9ab1-b315616cbd20","_type":"faq","_createdAt":"2025-09-11T13:57:58Z","_rev":"K1UD2HYgjqILUJ1etwW0JE","_updatedAt":"2025-09-11T13:58:09Z","answer":[{"_key":"7bc4f1bebf32","_type":"block","children":[{"_key":"d52d62a9b9c50","_type":"span","marks":[],"text":"Our care is rooted in whole-person health, focusing on how you feel, your metabolic markers, and your long-term well-being – not numbers on a scale."}],"markDefs":[],"style":"normal"}],"question":"How does Tia’s approach align with HAES (Health at Every Size)?","id":"d58b2d0c-1167-545c-91b2-9968aa0d4a39","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"1382465bbcdc37e463131d569c3bb07c","counter":394,"owner":"gatsby-source-sanity"}},{"_id":"87825766-3ca2-45e6-a65b-8d96e10172d2","_type":"faq","_createdAt":"2025-09-11T13:58:24Z","_rev":"qYYGLTh5s9q6PKEQd0vLxX","_updatedAt":"2025-09-11T13:58:32Z","answer":[{"_key":"1f34ba27c536","_type":"block","children":[{"_key":"64c073f2889c0","_type":"span","marks":[],"text":"Yes, when appropriate. Your provider will review your health history, labs, and goals to help you decide if medication is right for you, always paired with lifestyle support."}],"markDefs":[],"style":"normal"}],"question":"Do you prescribe medications like GLP-1s?","id":"f49b561b-cc37-569d-b9dd-13deaac07a19","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"26f6cc6b8afe633dec41459cbc480e3f","counter":397,"owner":"gatsby-source-sanity"}},{"_id":"7bd87673-432f-4b94-b16e-a14aaca63eb8","_type":"faq","_createdAt":"2025-09-11T13:58:44Z","_rev":"K1UD2HYgjqILUJ1etwW2Wy","_updatedAt":"2025-09-11T13:58:52Z","answer":[{"_key":"b636412c9f5d","_type":"block","children":[{"_key":"311ffe3027360","_type":"span","marks":[],"text":"We are with you on every step of the way. Your provider will recommend a follow-up appointment so we can track progress, adjust your plan, and provide ongoing support."}],"markDefs":[],"style":"normal"}],"question":"What happens after the assessment?","id":"6cc3d408-4139-5bcb-8bb6-4845e9a9bc84","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"5ea7c0b0a1cc1625904e42f821664dbd","counter":398,"owner":"gatsby-source-sanity"}},{"_id":"776947f9-b7bf-4327-b592-4ad72983d17c","_type":"faq","_createdAt":"2025-09-11T13:59:04Z","_rev":"qYYGLTh5s9q6PKEQd0vOF4","_updatedAt":"2025-09-11T13:59:13Z","answer":[{"_key":"024c17061084","_type":"block","children":[{"_key":"88a45f941abd0","_type":"span","marks":[],"text":"No, you do not need a referral to see a specialist for metabolic health at Tia. Our comprehensive care model means that many metabolic health concerns can be treated in-house by our experienced providers. 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"}],"markDefs":[],"style":"normal"},{"_key":"ce301cab12a7","_type":"block","children":[{"_key":"bcee799aed24","_type":"span","marks":[],"text":"At Tia, we approach them the same way we do all care: with compassionate, individualized support that takes into account your whole health. "}],"markDefs":[],"style":"normal"},{"_key":"6cf48cff3de0","_type":"block","children":[{"_key":"aa6e23ccc457","_type":"span","marks":[],"text":"Because metabolic health doesn’t happen in a vacuum, our members meet with primary care providers who look at the bigger picture—from family history to hormones—and put it in context to create a holistic path forward. Let’s dig into why metabolic issues might arise, how we see them as part of a bigger picture, and what sets our approach apart."}],"markDefs":[],"style":"normal"},{"_key":"61c18d035679","_type":"block","children":[{"_key":"27b6a9b985280","_type":"span","marks":[],"text":"Human metabolism wasn’t made for the world today. We were made to hold on to fat. When we’re stressed, we crave sugar because it gave our ancestors the energy to run from predators—but this biology is maladaptive for the chronic stresses of modern life. "}],"markDefs":[],"style":"normal"},{"_key":"c40ef1e986ca","_type":"block","children":[{"_key":"1351184b06bc","_type":"span","marks":[],"text":"While metabolic challenges are present throughout life, we develop more visceral fat during "},{"_key":"7f310959a2a4","_type":"span","marks":["7e83884cb0fe"],"text":"menopause"},{"_key":"8ed9ab3186b8","_type":"span","marks":[],"text":"; this is the fat that defines metabolic syndrome, leading to increased insulin resistance and cardiovascular risks. On top of it all, the United States’ food system pushes a diet high in processed foods and other products that undermine health."}],"markDefs":[{"_key":"7e83884cb0fe","_type":"internalLink","linkType":"text","reference":{"_ref":"8818f6de-4726-4839-bc40-ae91bacd8163","_type":"reference"}}],"style":"normal"},{"_key":"86d3adf16fde","_type":"block","children":[{"_key":"63143e41af850","_type":"span","marks":["c83e91701b6f"],"text":"When women come to Tia"},{"_key":"a72c8de1e31a","_type":"span","marks":[],"text":" seeking weight management solutions, we know it’s not because they did anything “wrong,” but because of what’s happened in their lives (and in our world). It’s natural to need more support when your metabolism changes during menopause and other life transitions. "}],"markDefs":[{"_key":"c83e91701b6f","_type":"internalLink","linkType":"text","reference":{"_ref":"8a7e7b1e-7485-4a22-be24-9a2005998452","_type":"reference"}}],"style":"normal"},{"_key":"b842d7c09a81","_type":"block","children":[{"_key":"e48aeb41ee1a","_type":"span","marks":["em"],"text":"It’s normal for chronic stress and a history of trauma to increase insulin resistance and weight gain."},{"_key":"4a7b12216b68","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"b19b78394951","_type":"block","children":[{"_key":"95d3337af8f6","_type":"span","marks":[],"text":"This has been Tia’s mission since the beginning: "},{"_key":"9499bba35906","_type":"span","marks":["strong"],"text":"to fill in the care gaps women experience in a system that wasn’t made for them"},{"_key":"ae055c21bad5","_type":"span","marks":[],"text":". And our approach to weight management has this care philosophy at its core—providing you with a personalized, shame-free, collaborative, and supportive solution that is made for you."}],"markDefs":[],"style":"normal"},{"_key":"1145deb5081a","_type":"block","children":[{"_key":"6c20dec94b230","_type":"span","marks":[],"text":"Tia also exists to manage chronic disease if it arises. It’s crucial that we support patients who have metabolic syndrome, polycystic ovarian syndrome ("},{"_key":"ae4efafc0a33","_type":"span","marks":["8ba6c95da644"],"text":"PCOS"},{"_key":"47ee44eb86b0","_type":"span","marks":[],"text":"), diabetes, insulin resistance, hyperlipidemia, hypertension, and other related chronic cardiometabolic conditions regardless of their BMI. "}],"markDefs":[{"_key":"8ba6c95da644","_type":"internalLink","linkType":"text","reference":{"_ref":"208f4e01-a92e-4bb2-ae88-84672bdb6462","_type":"reference"}}],"style":"normal"},{"_key":"5f832f6a4ee3","_type":"block","children":[{"_key":"70fe32db68c5","_type":"span","marks":[],"text":"These conditions interact with and impact each other, and shouldn’t be separated into the silos of endocrine, cardiac and/or gynecologic care. Helping patients heal requires caring for those interactions within the context of the whole person and their life."}],"markDefs":[],"style":"normal"},{"_key":"5577672a77dc","_type":"block","children":[{"_key":"0e13f45cd1b30","_type":"span","marks":[],"text":"We recognize that weight management is incredibly complex. Regardless of whether our members are navigating it as part of a disease state, they deserve holistic, non-judgmental care. "}],"markDefs":[],"style":"normal"},{"_key":"e90154688786","_type":"block","children":[{"_key":"753eb78bcf4a","_type":"span","marks":["strong"],"text":"At Tia, we reject the idea that obesity is caused by poor self-image or self-control, and acknowledge that people’s relationships with their weight and food are emotionally charged and complicated."}],"markDefs":[],"style":"normal"},{"_key":"35c9e3abbb22","_type":"block","children":[{"_key":"34411a447b3d0","_type":"span","marks":[],"text":"Like all our journeys to whole health, Tia’s approach to weight management is comprehensive, and takes into account each individual’s perspective on what a healthier life means to them. Because there’s no one-size-fits-all solution, we utilize a range of tools, from lifestyle adjustments to prescriptions, supplements, and beyond. "}],"markDefs":[],"style":"normal"},{"_key":"5b0ee19f0fb8","_type":"block","children":[{"_key":"88259cc5ce13","_type":"span","marks":[],"text":"It’s important to note that while weight management medications can be beneficial for certain patients, long-term data on them is still lacking. At Tia, they’re just one part of a multifaceted Care Plan that includes other components like nutrition, mental health support, acupuncture, and close support and follow-up from your Tia Care Team."}],"markDefs":[],"style":"normal"},{"_key":"cff4edd001b7","_type":"block","children":[{"_key":"ae377988307d0","_type":"span","marks":[],"text":"If you’d like Tia’s expertise on your weight management journey, the best way to get started is to "},{"_key":"d173b071696a","_type":"span","marks":["ec4b882f59f4"],"text":"schedule an intake appointment"},{"_key":"a682af3f0598","_type":"span","marks":[],"text":". This is a judgment-free virtual visit where a Tia clinician will listen and learn about your weight management journey. "}],"markDefs":[{"_key":"ec4b882f59f4","_type":"externalLink","linkType":"text","url":"https://member.asktia.com/widget/"}],"style":"normal"},{"_key":"7de94cf293e1","_type":"block","children":[{"_key":"e0fba68d8b70","_type":"span","marks":[],"text":"We’ll work with you to understand your goals and unique situation, then develop, refine and support you in a Care Plan that works best for you. Metabolic health is complicated, but with Tia, finding the support you need doesn’t have to be."}],"markDefs":[],"style":"normal"},{"_key":"58662b9277d6","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"f5bcb7ad78ea","_type":"block","children":[{"_key":"dc6852bba772","_type":"span","marks":[],"text":"Ready to get support around your metabolic health journey? 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This all makes sense when you consider the following: Both pain and pleasure activate the same areas of the brain."}],"markDefs":[],"style":"normal"},{"_key":"243ad5813d17","_type":"block","children":[{"_key":"80ebc15500180","_type":"span","marks":[],"text":"Orgasm has the potential to alleviate various types of pain, including headaches, "},{"_key":"a560df8384d0","_type":"span","marks":["ec70bb2dc8ca"],"text":"menstrual cramps"},{"_key":"98a0c3ca99f8","_type":"span","marks":[],"text":", and arthritis. In one study, 60% of people with migraines reported moderate to complete pain relief following an orgasm. So, the next time you have a headache, skip the Advil and try a dose of sex instead."}],"markDefs":[{"_key":"ec70bb2dc8ca","_type":"externalLink","linkType":"text","url":"https://asktia.com/help-with-cramps-pelvic-pain/"}],"style":"normal"},{"_key":"87b83f538311","_type":"block","children":[{"_key":"91aa7cabc7e20","_type":"span","marks":[],"text":"2. Better Sleep"}],"markDefs":[],"style":"h3"},{"_key":"01de037e32cc","_type":"block","children":[{"_key":"ab14484df7d00","_type":"span","marks":[],"text":"The same hormones that relieve pain after orgasm "},{"_key":"d53b92d47681","_type":"span","marks":["74acbc7ba7a4"],"text":"can promote better sleep too"},{"_key":"f11e746d79f1","_type":"span","marks":[],"text":". Oxytocin aka the “love hormone” induces relaxation, which helps achieve orgasm, while prolactin contributes to feelings of satisfaction and sleepiness."}],"markDefs":[{"_key":"74acbc7ba7a4","_type":"externalLink","linkType":"text","url":"https://asktia.com/help-with-sleep-disturbances/"}],"style":"normal"},{"_key":"236bf2168344","_type":"block","children":[{"_key":"53f066ca6bd10","_type":"span","marks":[],"text":"Taken together, this orgasm-induced combination helps many women fall asleep faster and enjoy a deeper, more restorative kind of sleep."}],"markDefs":[],"style":"normal"},{"_key":"dea145affa8f","_type":"block","children":[{"_key":"654f70aeb8f30","_type":"span","marks":[],"text":"3. 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If you and your partner are happy with your desire, arousal, and orgasms, then keep doing what you’re doing."}],"markDefs":[],"style":"normal"},{"_key":"494e9173e116","_type":"block","children":[{"_key":"cffeb15313930","_type":"span","marks":[],"text":"The one exception is painful sex (dyspareunia). 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But they can also be complicated. They can be Zen-like and connecting. But they can also be painful and uncomfortable. Simple and complex. Easy and hard. Funny and serious. Sometimes, they make total sense. Sometimes, they seem totally confusing."}],"markDefs":[],"style":"normal"},{"_key":"52d34bde1e53","_type":"block","children":[{"_key":"10b19809399f0","_type":"span","marks":[],"text":"Female orgasms tend to confuse the medical community too. After decades of research, scientists still don’t understand why they ‘survived’ the process of natural selection. (You know, the theory that traits only get passed on to future generations if they provide an advantage to survival.)"}],"markDefs":[],"style":"normal"},{"_key":"391ce183d4c8","_type":"block","children":[{"_key":"ca62ae7c45260","_type":"span","marks":[],"text":"Their stance? Females don’t need an orgasm to ovulate or get pregnant. Orgasms don’t have any obvious, measurable health benefits. They aren’t necessary to survive, thrive, and advance."}],"markDefs":[],"style":"normal"},{"_key":"a41ea92e7dd1","_type":"block","children":[{"_key":"4a58577199a90","_type":"span","marks":[],"text":"But even if (mostly male) scientists don’t place a big value on the sanctity of sexual connection or the bonding power of a shared orgasm or the experience of knowing ourselves and our bodies better or the pleasure of experiencing pure joy, we beg to differ."}],"markDefs":[],"style":"normal"},{"_key":"443449873303","_type":"block","children":[{"_key":"2286e5aa48ee0","_type":"span","marks":[],"text":"Online dictionaries have a hard time explaining the concept too. Try as they might, none of them get very close to describing the full spectrum of the experience:"}],"markDefs":[],"style":"normal"},{"_key":"ee678d537138","_type":"block","children":[{"_key":"0ccad52cbe160","_type":"span","marks":[],"text":"Intense or paroxysmal excitement. 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If you need clitoral stimulation to orgasm, you’re not alone."}],"markDefs":[],"style":"normal"},{"_key":"e7252d66ca10","_type":"block","children":[{"_key":"17a2e18b349e0","_type":"span","marks":[],"text":"There’s safety and reassurance in numbers, so here are some figures that might make you feel better if you fit into one of these camps."}],"markDefs":[],"style":"normal"},{"_key":"fb4958f1f2ed","_type":"block","children":[{"_key":"bb425a6f9b3d0","_type":"span","marks":[],"text":"25% of women have problems experiencing orgasm."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"71f0afc8983f","_type":"block","children":[{"_key":"7ba67820f5e10","_type":"span","marks":[],"text":"10-15% of women have never achieved an orgasm."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5b456b443af3","_type":"block","children":[{"_key":"1f2368f32b110","_type":"span","marks":[],"text":"94% (not a typo) of women can’t orgasm from vaginal penetration alone."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"93ebcc0eb9ad","_type":"block","children":[{"_key":"528b99a234290","_type":"span","marks":[],"text":"37% of women (but it’s likely more) need clitoral stimulation to experience an orgasm."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"62a3f7ca1a47","_type":"block","children":[{"_key":"95c8295e4d750","_type":"span","marks":[],"text":"Orgasms are complicated and many factors can conspire against us in our sexual journey, including psychological, physical, and relationship issues. Genetics likely play a role too."}],"markDefs":[],"style":"normal"},{"_key":"b46c37ac565b","_type":"block","children":[{"_key":"43a1b9b476e70","_type":"span","marks":[],"text":"Talk to your provider. Talk to a therapist. Talk to your partner. Lighten up on the negative self-talk and keep the faith – unless you’re hellbent on experiencing an orgasm from penetrative sex."}],"markDefs":[],"style":"normal"},{"_key":"1994f33379a3","_type":"block","children":[{"_key":"1662b992338f0","_type":"span","marks":[],"text":"(A recent study thinks a person’s ability to have and orgasm from penetrative sex alone is directly related to the distance between the clitoris and vagina, with 2.5 centimeters or less being the magic number.)"}],"markDefs":[],"style":"normal"},{"_key":"a25ce2c0603b","_type":"sectionHeader","headerLevel":"h2","title":"More Pleasing Information"},{"_key":"934160c37f39","_type":"block","children":[{"_key":"d6d408b1f850","_type":"span","marks":[],"text":"While men only experience one kind of orgasm, women can have many different types, including clitoral, vaginal, cervical, anal, and blended (a mix of orgasms). 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The average female orgasm lasts anywhere from 15 seconds to 1 minute while a male orgasm only lasts about 5 seconds."}],"markDefs":[],"style":"normal"},{"_key":"7ae2bc319587","_type":"block","children":[{"_key":"dce2ac83670c0","_type":"span","marks":[],"text":"Almost all women are capable of experiencing multiple orgasms too. Not true for their male counterparts. People with penises have a refractory period, a stretch of time during which they are physically incapable of having another orgasm for several minutes or even days."}],"markDefs":[],"style":"normal"},{"_key":"0cdbc2deeb06","_type":"sectionHeader","headerLevel":"h2","title":"Fake It While You Make It | Death, Taxes, and Faking Orgasms"},{"_key":"636ad1ab1b17","_type":"block","children":[{"_key":"4ff3c95db0ac","_type":"span","marks":[],"text":"They are all certainties of life. Probably not a big surprise, but most women (60% or more) have faked at least one orgasm in her life. Also, contrary to popular belief, there really isn’t a tried-and-true way to know if you’re female partner had an orgasm or not. Some people make noise. Some people flush. Some people get hard nipples. But just as many people don’t."}],"markDefs":[],"style":"normal"},{"_key":"c9000e110529","_type":"sectionHeader","headerLevel":"h2","title":"Squirting with Disaster "},{"_key":"28639601e387","_type":"block","children":[{"_key":"afcc67c7ab500","_type":"span","marks":[],"text":"Yes, it happens. Yes, we need a new name for it. Yes, it’s completely normal and some people think it’s pretty cool. No, it’s not the same thing as female ejaculation."}],"markDefs":[],"style":"normal"},{"_key":"dd7c654d2d59","_type":"block","children":[{"_key":"8463250304a10","_type":"span","marks":[],"text":"So, what’s the difference? Squirting occurs when fluid similar to urine is expelled from the bladder through the urethra during orgasm. Female ejaculation, which is usually thick and milky, is secreted from one of the Skene’s glands, two small ducts on both sides of the urethra that lubricates and protects the vagina during sex."}],"markDefs":[],"style":"normal"},{"_key":"e9aaa34585b8","_type":"block","children":[{"_key":"902c851e31fd0","_type":"span","marks":[],"text":"For some people, both phenomena are common. For others, they remain a mythical proposition."}],"markDefs":[],"style":"normal"},{"_key":"a390c7a6ad9b","_type":"sectionHeader","headerLevel":"h2","title":"Orgasms Can Obliterate Pain"},{"_key":"badbfb900788","_type":"block","children":[{"_key":"dd01f020cd5f0","_type":"span","marks":[],"text":"Due to oxytocin and other mood-enhancing hormones released during sex, female orgasms may increase a person’s pain threshold. 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According to research published in the Journal of Sexual Research, a woman’s ability to orgasm increased by 30% after taking part in a mindfulness program., like mindfulness-based cognitive behavioral therapy. Meditation has also been shown to help women orgasm."}],"markDefs":[],"style":"normal"},{"_key":"cd4e48643d6e","_type":"block","children":[{"_key":"09e60ab8b148","_type":"span","marks":[],"text":"Lube is another cheap and easy way to increase the odds experiencing an orgasm."},{"_key":"e12b9751b287","_type":"span","marks":["strong"],"text":" "},{"_key":"46c0f2c76679","_type":"span","marks":[],"text":"According to a study from Indiana University’s Center for Sexual Health Promotion, nearly 50% of people who use lube say it makes it easier to have an orgasm."}],"markDefs":[],"style":"normal"},{"_key":"521b7eec0973","_type":"sectionHeader","headerLevel":"h2","title":"Get Turned On to Get Turned Off | This is Your Brain. 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Because insurance plans require these visits to be strictly preventive, any specific concern (a UTI, new pain, or fatigue) is best handled at a separate Sick Visit. 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This is called "},{"_key":"78cb3e53cfa6","_type":"span","marks":["strong"],"text":"cost-sharing"},{"_key":"c5e9b2ca608d","_type":"span","text":"."}],"style":"normal"}]},{"_key":"439ede3168fd","_type":"tableModule","backgroundColor":"bccream","spacing":"pys","subTable":{"_type":"table","rows":[{"_key":"b134b05bb6c2","_type":"tableRow","cells":[" Term","What It Is","How it Works"]}]},"table":{"_type":"table","rows":[{"_key":"572e93d9f7ac","_type":"tableRow","cells":["<b>Deductible</b>","The <b>total amount you must pay</b> for covered services <b>before</b> your insurance company starts to pay for anything other than preventive care.","Example: If your deductible is <b>$2,500</b>, you pay the first $2,500 in medical bills for the year. Once you hit that number, the insurance \"kicks in\" and starts paying a share. Your deductible resets every year."]},{"_key":"0be67eab42b0","_type":"tableRow","cells":["<b>Copayment (Copay)</b>","A <b>fixed, flat fee</b> you pay for certain services. 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new capped invoicing system that ensures that no matter the total amount you owe, you will only ever be billed $250 per month until your balance is paid off. Depending on the care you receive, this could look like: the total amount owed for care might be $500, but the total due this month is $250. This method offers a clear, manageable way to handle medical expenses, allowing you to focus on what truly matters—your health."}],"markDefs":[],"style":"normal"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"1eaa1d5efd4f","_type":"standardText","backgroundColor":"bccream","spacing":"pys","text":[{"_key":"1177301216b6","_type":"block","children":[{"_key":"560e7e8612fd","_type":"span","text":"Benefits of Predictable Payments:"}],"style":"h3"},{"_key":"4405ed31e402","_type":"columnText","items":[{"_key":"6bc3e3e01263","_type":"plainText","text":[{"_key":"2648b9147137","_type":"block","children":[{"_key":"734ea0029e80","_type":"span","marks":[],"text":"1. $250 Capped Invoices"}],"markDefs":[],"style":"h4"},{"_key":"da8fee1a7b4f","_type":"block","children":[{"_key":"a9b4bb678414","_type":"span","marks":[],"text":"One of the biggest benefits of this payment method is predictability. With a consistent $250 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"markDefs":[],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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We’re here with the essential steps and insights you need to make the best decision for the year ahead."}],"markDefs":[],"style":"normal"},{"_key":"020f183409bb","_type":"block","children":[{"_key":"1de8a6186eb10","_type":"span","marks":[],"text":"Healthcare is confusing. Between the need-to-Google terminology and the ever-changing rules, it can be a headache to understand—but it’s also crucial to know how your plan works. Knowing your coverage makes it easier to choose the right plan "},{"_key":"1de8a6186eb11","_type":"span","marks":["em"],"text":"and"},{"_key":"1de8a6186eb12","_type":"span","marks":[],"text":" take full advantage of your current benefits. (You’re paying for them, after all.)"}],"markDefs":[],"style":"normal"},{"_key":"19932b31458f","_type":"block","children":[{"_key":"bd6d0ddc49b90","_type":"span","marks":[],"text":"To ensure you get the healthcare you need without surprises, we recommend carving out time during the Open Enrollment window to call your insurance provider, ask some important questions, and truly get to know your plan options."}],"markDefs":[],"style":"normal"},{"_key":"704cbde1f918","_type":"sectionHeader","headerLevel":"h2","title":"Step 1: Get Prepared to Research Your Options"},{"_key":"9fe04bd86b02","_type":"block","children":[{"_key":"d5a5bf2426f80","_type":"span","marks":[],"text":"Before getting on the phone with your insurance provider or logging into your benefits portal, take a few minutes to get ready."}],"markDefs":[],"style":"normal"},{"_key":"425536d66bfd","_type":"block","children":[{"_key":"d96072412853","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3d6dad85682a","_type":"block","children":[{"_key":"8735d7e7e651","_type":"span","marks":["strong"],"text":"Gather Your Plan Documents"}],"markDefs":[],"style":"normal"},{"_key":"f42ce66d14ee","_type":"block","children":[{"_key":"71ae0696c6dc0","_type":"span","marks":[],"text":"Have the following documents from your current or potential plans handy:"}],"markDefs":[],"style":"normal"},{"_key":"2883f5fbd2ee","_type":"block","children":[{"_key":"71a2ad85c8020","_type":"span","marks":[],"text":"Your current insurance card."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"707f7a34c6bf","_type":"block","children":[{"_key":"487221ec374f0","_type":"span","marks":[],"text":"A copy of the plan’s "},{"_key":"487221ec374f1","_type":"span","marks":["strong"],"text":"Summary of Benefits and Coverage (SBC)"},{"_key":"487221ec374f2","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8bc5996ade97","_type":"block","children":[{"_key":"c291fb0f1b140","_type":"span","marks":[],"text":"Recent "},{"_key":"c291fb0f1b141","_type":"span","marks":["strong"],"text":"Explanation of Benefits (EOB)"},{"_key":"c291fb0f1b142","_type":"span","marks":[],"text":" statements, if applicable."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c595998f1ddc","_type":"block","children":[{"_key":"97a12ca8ec6b0","_type":"span","marks":[],"text":"A list of past and upcoming medical appointments or treatments, including any ongoing prescriptions."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f2d832669a8d","_type":"block","children":[{"_key":"782b3c8a7944","_type":"span","marks":["strong"],"text":""}],"markDefs":[],"style":"normal"},{"_key":"ff74e7276320","_type":"block","children":[{"_key":"d089cfcf2d910","_type":"span","marks":["strong"],"text":"Review Your Medical History and Think About the Year Ahead"}],"markDefs":[],"style":"normal"},{"_key":"661e2ee51c41","_type":"block","children":[{"_key":"b837818b814a0","_type":"span","marks":[],"text":"Make a list of any ongoing health conditions (e.g., fertility treatments, chronic illness management) and medical needs for the upcoming year (e.g., planned surgeries, mental health support, family planning). Determine how your coverage needs might change based on lifestyle shifts, like starting a family or taking a new medication."}],"markDefs":[],"style":"normal"},{"_key":"77170071513a","_type":"sectionHeader","headerLevel":"h2","title":"Step 2: Key Questions to Ask When Comparing Plans"},{"_key":"89a062dc79ae","_type":"block","children":[{"_key":"174fabad576e0","_type":"span","marks":[],"text":"Getting a thorough understanding of your coverage involves asking some nitty-gritty questions. Use this list as a guide when speaking with an insurance representative or reviewing the "},{"_key":"174fabad576e1","_type":"span","marks":["strong"],"text":"Summary of Benefits and Coverage (SBC)"},{"_key":"174fabad576e2","_type":"span","marks":[],"text":" for a potential plan."}],"markDefs":[],"style":"normal"},{"_key":"a6c7e5b1b7d4","_type":"sectionHeader","headerLevel":"h3","title":"Coverage & Network Questions"},{"_key":"54c25e68f126","_type":"block","children":[{"_key":"2b83a9d1500c0","_type":"span","marks":[],"text":"Getting these answers will help you learn how your benefits work and how to make the most of them."}],"markDefs":[],"style":"normal"},{"_key":"cca49e88d4da","_type":"tableModule","subTable":{"rows":[{"_key":"8974759c-bd5f-4cdb-91fa-69e83157b11c","_type":"tableRow","cells":["Category","Key Questions to Ask"]}]},"table":{"rows":[{"_key":"fb8a0faf-e838-451f-9ca7-6ba5a496d023","_type":"tableRow","cells":["<b>General Coverage</b>","What is my <b>deductible</b>? How much do I pay before my plan starts covering care? What are my <b>out-of-pocket maximums</b>? Does my maximum include copays? Is there a <b>co-insurance</b> rate after my deductible is met? Do I have to select a <b>primary care provider (PCP)</b>?"]},{"_key":"0e841ae7-66e0-4a97-bcc4-2a7f27252f15","_type":"tableRow","cells":["<b>Network & Providers</b>","Is my current doctor or specialist <b>in-network</b>? Do I need a <b>referral</b> to see specialists (e.g., dermatologists, mental health professionals)? What are the rules for <b>out-of-network</b> providers?"]},{"_key":"bc5bc4d4-fb20-4ab5-8680-5247f966b8c4","_type":"tableRow","cells":["<b>Prescription Coverage</b>","Are my <b>prescription medications</b> covered? Is there a <b>formulary</b> I should review? What are the <b>co-pay amounts</b> for different types of prescriptions (generics vs. brand-name)?"]}]}},{"_key":"fa89de229fb2","_type":"sectionHeader","headerLevel":"h3","title":"Services & Treatments Questions"},{"_key":"c8f2f3313e4b","_type":"block","children":[{"_key":"3c398564997f0","_type":"span","marks":[],"text":"These questions help you dive deeper into what types of services are covered by your plan."}],"markDefs":[],"style":"normal"},{"_key":"10a821ede3cd","_type":"tableModule","subTable":{"rows":[{"_key":"bfc91828-2ef1-48db-ae07-c28de2f93885","_type":"tableRow","cells":["Category","Key Questions to Ask"]}]},"table":{"rows":[{"_key":"eb435882-6852-414f-8275-c180b8b0ae25","_type":"tableRow","cells":["<b>Preventive Care</b>","What preventive services are fully covered (annual physicals, vaccines, screenings)? Are annual preventive visits and counseling covered at 100% by insurance or will I have a cost share?"]},{"_key":"9d5d1431-d326-46de-a088-20377ad06ba2","_type":"tableRow","cells":["<b>Specialty Services</b>","Are mental health services covered, and if so, what types of care (e.g., therapy, psychiatry)? What alternative treatments are covered (e.g., acupuncture, chiropractic care)? Are there limitations on when these services will be covered?"]},{"_key":"805076de-f38a-4726-83fc-141c530ebbff","_type":"tableRow","cells":["<b>Chronic Conditions & Needs</b>","Does the plan cover care for chronic conditions (e.g., diabetes, asthma)? What fertility treatments are covered (e.g., IVF, egg freezing)? Are maternity services fully covered?"]}]}},{"_key":"5f3b6b44681d","_type":"sectionHeader","headerLevel":"h2","title":"Step 3: Finding Your Perfect Fit: Case Studies in Plan Selection"},{"_key":"3fdba81a79f5","_type":"block","children":[{"_key":"dd69b75bcaeb0","_type":"span","marks":[],"text":"The answers to the questions above will help you weigh the costs and benefits of each plan option. \n\nTo illustrate the choices, meet "},{"_key":"1e1656ed3ec1","_type":"span","marks":["strong"],"text":"Carly, Bea, and Alice"},{"_key":"8d0300c470c2","_type":"span","marks":[],"text":". Their scenarios will reference three different types of Insurance plans: the Gold PPO 2000, the Gold PPO 1000, and the HDHP 5000."}],"markDefs":[],"style":"normal"},{"_key":"e7c194e890c8","_type":"tableModule","subTable":{"rows":[{"_key":"89aef08e-1ab0-486c-898d-710ff82e2a88","_type":"tableRow","cells":["Plan","Premium / Deductible","Best For"]}]},"table":{"rows":[{"_key":"a9047c96-988f-47b6-8b0c-cfecf59444e3","_type":"tableRow","cells":["<b>HDHP 5000</b>","$50/month (Lowest) <b>/</b> $5,000 (Highest)","Healthy individuals who only anticipate needing routine preventive services and want a low-cost plan."]},{"_key":"4c8e3cf8-639d-4097-9cf0-e364013807e0","_type":"tableRow","cells":["<b>Gold PPO 2000</b>","$100/month (Low) <b>/</b> $2,000 (Mid)","Those who need specific covered services (like acupuncture) but don't expect frequent visits."]},{"_key":"18160790-6ce3-46a9-a366-a858b0344c17","_type":"tableRow","cells":["<b>Gold PPO 1000</b>","$200/month (Highest) <b>/</b> $1,000 (Lowest)","Those expecting frequent doctor’s appointments who need predictable costs (copays)."]}]}},{"_key":"681ea84f74d8","_type":"cta","backgroundColor":"bcb","text":[{"_key":"735495fa5daa","_type":"block","children":[{"_key":"e974c6801c320","_type":"span","marks":["strong"],"text":"Open Enrollment Alert: Government Uncertainty and Your Premiums"}],"markDefs":[],"style":"h3"},{"_key":"f74fd11119a4","_type":"block","children":[{"_key":"7b2e38e780320","_type":"span","marks":[],"text":"As you approach your Open Enrollment decision, be aware that the current government funding debate may have a significant and immediate impact on your costs."}],"markDefs":[],"style":"normal"},{"_key":"932f70b20278","_type":"block","children":[{"_key":"cfaf2acf9b860","_type":"span","marks":[],"text":"A key point of dispute causing the current federal government shutdown is the potential expiration of the "},{"_key":"cfaf2acf9b861","_type":"span","marks":["strong"],"text":"Affordable Care Act (ACA) enhanced premium tax credits (subsidies)"},{"_key":"cfaf2acf9b862","_type":"span","marks":[],"text":" at the end of the year."}],"markDefs":[],"style":"normal"},{"_key":"78819ea20967","_type":"block","children":[{"_key":"1df3dccc523d0","_type":"span","marks":["strong"],"text":"What This Means for You:"}],"markDefs":[],"style":"normal"},{"_key":"34c894a9b4dd","_type":"block","children":[{"_key":"8d72b6ee200e0","_type":"span","marks":[],"text":"If these enhanced subsidies are "},{"_key":"8d72b6ee200e1","_type":"span","marks":["strong"],"text":"not extended"},{"_key":"8d72b6ee200e2","_type":"span","marks":[],"text":" by Congress, millions of Americans who purchase their coverage on the ACA Marketplace could face a dramatic increase in their monthly premium payments—in some cases, seeing costs more than double."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ac14b4874d79","_type":"block","children":[{"_key":"ee157d77c15e0","_type":"span","marks":["strong"],"text":"Actionable Step:"},{"_key":"ee157d77c15e1","_type":"span","marks":[],"text":" The rates you see quoted during Open Enrollment may reflect the loss of these subsidies. It is vital to ask your Marketplace or insurer how the ongoing debate will affect your final, out-of-pocket premium. Check for communications from your state or the federal marketplace regarding rate changes and the subsidy status."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"}]},{"_key":"1540bcefad74","_type":"sectionHeader","headerLevel":"h2","title":"Case Study 1: Carly's Open Enrollment Choice - Prioritizing Low Premiums"},{"_key":"d22643ea975e","_type":"block","children":[{"_key":"60db67098b930","_type":"span","marks":["strong"],"text":"Healthcare needs:"},{"_key":"60db67098b931","_type":"span","marks":[],"text":" Carly is rarely sick and doesn’t expect to need frequent medical care, but wants to stay prepared in case of emergencies. She’s also focused on maintaining her health through preventive care."}],"markDefs":[],"style":"normal"},{"_key":"9ae989fccd04","_type":"block","children":[{"_key":"de856952decf0","_type":"span","marks":["strong"],"text":"Plan chosen: HDHP 5000"}],"markDefs":[],"style":"normal"},{"_key":"5d3af1ba0eb4","_type":"block","children":[{"_key":"b1fc8ae120dc0","_type":"span","marks":["strong"],"text":"Carly’s reasoning:"}],"markDefs":[],"style":"normal"},{"_key":"fc5161a18576","_type":"block","children":[{"_key":"d16ff68525870","_type":"span","marks":[],"text":"Carly isn’t expecting many doctor visits but wants to make sure her "},{"_key":"d16ff68525871","_type":"span","marks":["strong"],"text":"preventive care is covered"},{"_key":"d16ff68525872","_type":"span","marks":[],"text":", which the HDHP 5000 plan offers."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"391815456397","_type":"block","children":[{"_key":"7901db7b5d2c0","_type":"span","marks":[],"text":"The "},{"_key":"7901db7b5d2c1","_type":"span","marks":["strong"],"text":"lower premium of $50/month"},{"_key":"7901db7b5d2c2","_type":"span","marks":[],"text":" works well with Carly’s budget, and she’s comfortable with the higher $5,000 deductible since she rarely needs medical attention."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9f4b6e55267c","_type":"block","children":[{"_key":"a429f408bf5a0","_type":"span","marks":[],"text":"Carly’s focus for the Open Enrollment decision is on saving money while still ensuring she’s protected in case of emergencies."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"caae50dd8494","_type":"block","children":[{"_key":"ce482af51d820","_type":"span","marks":["strong"],"text":"Plan benefits for Carly:"}],"markDefs":[],"style":"normal"},{"_key":"8fd070c475a9","_type":"block","children":[{"_key":"ba66164643950","_type":"span","marks":[],"text":"Full coverage for preventive services without needing to meet the deductible."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2dd981077207","_type":"block","children":[{"_key":"7b24ea5ee9380","_type":"span","marks":[],"text":"Lower monthly premiums that allow her to save more."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b6a611e078dd","_type":"block","children":[{"_key":"5f7d304060890","_type":"span","marks":[],"text":"Out-of-pocket costs are manageable because Carly doesn’t foresee major medical expenses in the coming year."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1b371ab44b73","_type":"sectionHeader","headerLevel":"h2","title":"Case Study 2: Bea's Open Enrollment Choice - Managing Ongoing Care"},{"_key":"5dd2dab3091a","_type":"block","children":[{"_key":"ab5c06eb37cf0","_type":"span","marks":["strong"],"text":"Healthcare needs:"},{"_key":"ab5c06eb37cf1","_type":"span","marks":[],"text":" Bea was recently diagnosed with PCOS and needs regular doctor visits, lab work, and fertility consultations. She expects to have more frequent healthcare needs throughout the year."}],"markDefs":[],"style":"normal"},{"_key":"f7a57c819598","_type":"block","children":[{"_key":"75f1ca97fdf20","_type":"span","marks":["strong"],"text":"Plan Chosen: Gold PPO 1000."}],"markDefs":[],"style":"normal"},{"_key":"e79671c970c1","_type":"block","children":[{"_key":"004a58dfc6110","_type":"span","marks":["strong"],"text":"Bea’s reasoning:"}],"markDefs":[],"style":"normal"},{"_key":"35143371dc32","_type":"block","children":[{"_key":"2570aaaba50f0","_type":"span","marks":[],"text":"The "},{"_key":"2570aaaba50f1","_type":"span","marks":["strong"],"text":"$1,000 deductible is manageable"},{"_key":"2570aaaba50f2","_type":"span","marks":[],"text":", and she likes having fixed "},{"_key":"2570aaaba50f3","_type":"span","marks":["strong"],"text":"copays for office visits"},{"_key":"2570aaaba50f4","_type":"span","marks":[],"text":" ($50 for primary care, $75 for specialists), which helps her budget for more frequent appointments."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b5f2fb17e344","_type":"block","children":[{"_key":"d356481e1bcb0","_type":"span","marks":[],"text":"She anticipates needing frequent lab work, office visits, and fertility consultations, and the Gold PPO 1000 plan covers more of these costs than the other options."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ec172fe32af7","_type":"block","children":[{"_key":"253f33ebbc1f0","_type":"span","marks":[],"text":"Although the monthly premium is higher ($200/month), Bea values knowing her office visits will be affordable when she needs them, providing financial predictability for the year ahead."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"143be1f9d615","_type":"block","children":[{"_key":"c7be35afcf050","_type":"span","marks":["strong"],"text":"Plan benefits for Bea:"}],"markDefs":[],"style":"normal"},{"_key":"a9a65c738c97","_type":"block","children":[{"_key":"cbf8110a30eb0","_type":"span","marks":[],"text":"Lower out-of-pocket costs for office visits and specialist appointments."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"61700b63841b","_type":"block","children":[{"_key":"2d6e8b03707f0","_type":"span","marks":[],"text":"Greater financial predictability for ongoing healthcare and lab work."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2d62f53410c6","_type":"block","children":[{"_key":"18602947a8850","_type":"span","marks":[],"text":"Peace of mind knowing her PCOS treatments will be more easily covered."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cbd36fcd58f5","_type":"sectionHeader","headerLevel":"h2","title":"Case Study 3: Alice's Open Enrollment Choice - Needing Alternative Therapies"},{"_key":"0908b8fafa28","_type":"block","children":[{"_key":"250610b6ae570","_type":"span","marks":["strong"],"text":"Healthcare needs:"},{"_key":"250610b6ae571","_type":"span","marks":[],"text":" Alice has lingering back pain from a car accident and is exploring alternative treatments like acupuncture. She’s not often sick, but she wants coverage for complementary therapies."}],"markDefs":[],"style":"normal"},{"_key":"306cd4a20a11","_type":"block","children":[{"_key":"afb59ea1de0b0","_type":"span","marks":["strong"],"text":"Plan Chosen: Gold PPO 2000."}],"markDefs":[],"style":"normal"},{"_key":"638019a3c167","_type":"block","children":[{"_key":"23c79c567acb0","_type":"span","marks":["strong"],"text":"Alice’s reasoning:"}],"markDefs":[],"style":"normal"},{"_key":"fe5eb6ba150d","_type":"block","children":[{"_key":"b2113ed676050","_type":"span","marks":[],"text":"The "},{"_key":"b2113ed676051","_type":"span","marks":["strong"],"text":"$100/month premium is a middle ground"},{"_key":"b2113ed676052","_type":"span","marks":[],"text":" for her budget, and while she’s okay with a higher "},{"_key":"b2113ed676053","_type":"span","marks":["strong"],"text":"deductible of $2,000"},{"_key":"b2113ed676054","_type":"span","marks":[],"text":", she prioritizes coverage for acupuncture, which isn’t offered under the HDHP 5000."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a9f8df721597","_type":"block","children":[{"_key":"3f6e0b4bc2960","_type":"span","marks":[],"text":"She doesn’t need frequent medical visits, but when she does, she wants the flexibility to access specialists like acupuncturists without breaking the bank."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bc78fe5867dc","_type":"block","children":[{"_key":"96692cc468260","_type":"span","marks":[],"text":"The plan strikes a balance between affordability and access to the specific treatments she needs most, like acupuncture."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8182eb12b84b","_type":"block","children":[{"_key":"3b9317c78b590","_type":"span","marks":["strong"],"text":"Plan benefits for Alice:"}],"markDefs":[],"style":"normal"},{"_key":"a29e9cd3d528","_type":"block","children":[{"_key":"a9ebe96af9ab0","_type":"span","marks":[],"text":"Lower monthly premiums while still offering access to acupuncture services."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8493a45819a9","_type":"block","children":[{"_key":"32336a9c21f10","_type":"span","marks":[],"text":"Flexibility to meet her back pain management needs without frequent doctor visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fc2bc5b78579","_type":"block","children":[{"_key":"31fde5adc2700","_type":"span","marks":[],"text":"The higher deductible works for Alice since she doesn’t expect to meet it often, but she’s comfortable with paying out of pocket for more expensive visits when needed."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"489b13bb21a5","_type":"cta","backgroundColor":"bccream","text":[{"_key":"32742315f962","_type":"block","children":[{"_key":"dcfa106ebeae0","_type":"span","marks":["strong"],"text":"Not sure which insurance plan is right for you?"}],"markDefs":[],"style":"h3"},{"_key":"2a0a325dba4a","_type":"block","children":[{"_key":"99899ebee549","_type":"span","marks":[],"text":"Answer some simple questions about your priorities and walk away with answers and actionable next steps so you can take care of your whole health—in open enrollment season and beyond."}],"markDefs":[],"style":"normal"},{"_key":"20ca78e14507","_type":"buttonBlock","items":[{"_key":"a172445c86b9","_type":"singleButton","addWidgetCopy":false,"backgroundColor":"bctran","linkCta":"Take quiz now!","linkType":"button","url":"https://learn.asktia.com/insurancequiz/?utm_medium=organic-search&utm_source=blog"}],"onlyStackButtons":false}]},{"_key":"55b9d677f767","_type":"sectionHeader","headerLevel":"h2","title":"Step 4: Making the Final Decision and Next Steps"},{"_key":"5a06628ca910","_type":"block","children":[{"_key":"ce1e4c8d32a40","_type":"span","marks":[],"text":"As Carly, Alice, and Bea showed, there’s no one-size-fits-all solution: you need insurance that works for your specific financial and healthcare needs."}],"markDefs":[],"style":"normal"},{"_key":"56136f7e88fb","_type":"block","children":[{"_key":"02dcc6289934","_type":"span","marks":["strong"],"text":""}],"markDefs":[],"style":"normal"},{"_key":"b3b6c57bf226","_type":"block","children":[{"_key":"8243b1fcaef90","_type":"span","marks":["strong"],"text":"Document Your Conversation"}],"markDefs":[],"style":"normal"},{"_key":"b1aa3cb48e39","_type":"block","children":[{"_key":"c7fc923b324c0","_type":"span","marks":[],"text":"Once you’ve finished speaking with your insurance representative:"}],"markDefs":[],"style":"normal"},{"_key":"cb6589855ac3","_type":"block","children":[{"_key":"6c48892e95490","_type":"span","marks":[],"text":"Ask for a confirmation number or a reference to your call."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"d919cc4eba8f","_type":"block","children":[{"_key":"4e6c38d12bde0","_type":"span","marks":[],"text":"Request an email follow-up that outlines any agreements or complex coverage details."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"810853ffbee8","_type":"block","children":[{"_key":"bb8a3d8789e90","_type":"span","marks":[],"text":"Keep detailed notes, including the name of the representative you spoke 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These changes have led to confusion and concern, particularly among women and marginalized groups."}],"markDefs":[],"style":"normal"},{"_key":"40127e758853","_type":"block","children":[{"_key":"d95f012a7e180","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"afc8a53f6d0d","_type":"block","children":[{"_key":"352b80ef0d0a0","_type":"span","marks":[],"text":"At Tia, our mission is to be a trusted healthcare advisor for women, providing clear, factual information to help you make informed decisions. Below, we outline the key policy changes and their potential impacts, along with practical steps you can take to protect your health and coverage."}],"markDefs":[],"style":"normal"},{"_key":"05e16b4053f1","_type":"sectionHeader","headerLevel":"h2","title":"Care Access"},{"_key":"6dd11a4a1f92","_type":"block","children":[{"_key":"475a460b3f29","_type":"span","marks":[],"text":"Access to abortion care:"}],"markDefs":[],"style":"h3"},{"_key":"87da617d11b4","_type":"block","children":[{"_key":"1c47379b41230","_type":"span","marks":[],"text":"In 2022, the United States Supreme Court decided a landmark case, Dobbs v. Jackson Women's Health Organization. While this case effectively removed the "},{"_key":"1aede4d15cc8","_type":"span","marks":["em"],"text":"federal constitutional right"},{"_key":"d93c09b3bc27","_type":"span","marks":[],"text":" to bodily autonomy for pregnant women, it did not ban abortions nationwide. Rather, the court’s decision gave individual states (not the federal government) increased rights to determine abortion laws in their respective states. Certain states used this decision as a basis to limit or even outlaw abortions, but other states have remained steadfast in their protection of abortion rights. California, New York, or Arizona (states in which Tia currently provides service) continue to protect abortion rights through state constitutions and statutes. Thus far, the Trump administration has not indicated plans to alter this state-level authority."}],"markDefs":[],"style":"normal"},{"_key":"9ae8c09301bd","_type":"block","children":[{"_key":"9550297a9cd90","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"bcf41f81c502","_type":"block","children":[{"_key":"473e3173d5320","_type":"span","marks":[],"text":"In California, Governor Gavin Newsom signed legislation in September 2025 to enhance access to contraception, including over-the-counter options, and to strengthen patient confidentiality protections. In March 2025, a Superior Court judge in Arizona permanently blocked the state's 15-week abortion ban, ruling it unconstitutional in light of the new constitutional amendment."}],"markDefs":[],"style":"normal"},{"_key":"ab5f19d7a5bb","_type":"cta","backgroundColor":"bccream","text":[{"_key":"1f2183fcae1d","_type":"block","children":[{"_key":"bc62bdc7cd11","_type":"span","marks":["strong","em"],"text":"Simplified: Reproductive rights are controlled by the states, not the federal government, since the overturning of Dobbs in 2022. The Trump administration has not indicated a plan to change this. Abortions are legal in CA, NY, and AZ."}],"markDefs":[],"style":"normal"}]},{"_key":"3df7fb2a7a0c","_type":"sectionHeader","headerLevel":"h2","title":"Care for LGBTQIA and individuals subjected to gender-based violence"},{"_key":"ceadae6041c4","_type":"block","children":[{"_key":"e1f0673b9bea0","_type":"span","marks":[],"text":"The new administration has scrubbed government and federal agency websites of content that protects the LGBTQIA community. These actions follow executive orders ending federal funding for gender-affirming care, which would include terminating government-sponsored healthcare for gender affirming programs under Medicaid and Medicare. On June 25, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a final rule prohibiting health insurers from providing coverage for \"sex-trait modification procedures\" as an essential health benefit under the Affordable Care Act's health insurance exchanges. While private/commercial payors have not yet announced similar policies, historically, we have seen commercial payors (eg Aetna, Cigna, United Healthcare, Blue Cross, Anthem etc) follow the same coverage guidelines used by Medicare & Medicaid Services."}],"markDefs":[],"style":"normal"},{"_key":"2d771981e64d","_type":"block","children":[{"_key":"82a600ebfa28","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"6168b74865cf","_type":"cta","backgroundColor":"bccream","text":[{"_key":"3d1d2a8ddba6","_type":"block","children":[{"_key":"9c260f69410d0","_type":"span","marks":["strong","em"],"text":"Simplified: the rights for LGBTQIA people to access gender affirming care no longer broadly exists in this country, and we are watching changes to private/commercial coverage decisions closely."}],"markDefs":[],"style":"normal"}]},{"_key":"2034add44f75","_type":"block","children":[{"_key":"b75739cb68e70","_type":"span","marks":[],"text":"Numerous lawsuits have been filed challenging these federal and state-level restrictions. Some federal judges have issued injunctions blocking the enforcement of certain provisions, such as withholding federal funds from hospitals providing gender-affirming care to minors. However, the legal landscape remains fluid, with ongoing litigation that may impact the implementation of these policies."}],"markDefs":[],"style":"normal"},{"_key":"bc5127ec4dfc","_type":"sectionHeader","headerLevel":"h2","title":"Coverage under the Affordable Care Act (ACA)"},{"_key":"87abe920d7a5","_type":"block","children":[{"_key":"ca77dda8fb7c0","_type":"span","marks":[],"text":"The Affordable Care Act (ACA)(5) is an Obama-era policy that instituted enhanced access and coverage for key healthcare services. The ACA is known most significantly for federally mandating that individuals obtain healthcare coverage, and instituting the exchange (marketplace) for individuals to buy insurance policies."}],"markDefs":[],"style":"normal"},{"_key":"d4ccd2f2b59c","_type":"block","children":[{"_key":"cf3cd6f986640","_type":"span","marks":[],"text":"Healthcare exchange or marketplace plans (terms used interchangeably) are services available in every state that help individuals, families, and small businesses shop for, and enroll in, affordable medical insurance that meet ACA guidelines."}],"markDefs":[],"style":"normal"},{"_key":"e68a2ad5f3d6","_type":"block","children":[{"_key":"e688cb9636690","_type":"span","marks":[],"text":"In most states, the federal government runs the Marketplace or exchange plans available at HealthCare.gov, although some states run their own Marketplaces at different websites. These plans are also accessible through call centers and in-person assistance. If you have an individual plan *not* purchased for you by your employer, you likely have a marketplace plan."}],"markDefs":[],"style":"normal"},{"_key":"c2b4cf3b8676","_type":"block","children":[{"_key":"00a8302fbd8c0","_type":"span","marks":[],"text":"The prior Trump administration rolled back the federal mandate (requiring all in the US to obtain healthcare coverage) in 2017, as part of Tax Cuts and Jobs Act (6). Now, only certain states (Massachusetts, New Jersey, Rhode Island, Vermont, and Washington, D.C) have individual coverage mandates."}],"markDefs":[],"style":"normal"},{"_key":"e9b9c7b9f72c","_type":"sectionHeader","headerLevel":"h2","title":"Policies that impact ACA access"},{"_key":"774cd73cf836","_type":"block","children":[{"_key":"201b62ed99b90","_type":"span","marks":[],"text":"In addition to Trump administration policies that may shift coverage options in the coming years, the administration reduced funding for ACA “navigator” programs — which help people understand their ACA options and enroll — by about 90%. This reduction means many areas will have fewer or no navigators to help low-income or first-time enrollees. Specifically, the new administration has taken measures to:"}],"markDefs":[],"style":"normal"},{"_key":"05db2a07b18e","_type":"block","children":[{"_key":"4ea5754ffc710","_type":"span","marks":[],"text":"Compress the open enrollment window (Nov. 1 - Dec. 15) for federal exchanges"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"35b0ef6b4339","_type":"block","children":[{"_key":"90e634294fab0","_type":"span","marks":[],"text":"Institute stricter measures for pre-enrollment verification and documentation;"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"365b52cfb936","_type":"block","children":[{"_key":"7821c6cb6a360","_type":"span","marks":[],"text":"Rescind Biden-era policies aimed at increasing coverage and access for individuals. The policies facing roll-back include mid-year enrollment and affordability of coverage or financial assistance for coverage."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1c14d0acdaa4","_type":"block","children":[{"_key":"c98fd44f8e470","_type":"span","marks":[],"text":"Healthcare policy analysts have pointed out that as individual access to ACA marketplace options decreases, demand for employer sponsored plans will increase – resulting in higher costs to employers and employees in these plans who have commercial insurance."}],"markDefs":[],"style":"normal"},{"_key":"81395b532380","_type":"block","children":[{"_key":"f9d559befd33","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"5252cbee1205","_type":"cta","backgroundColor":"bccream","text":[{"_key":"1da8de3bfc1d","_type":"block","children":[{"_key":"00915ba7c2860","_type":"span","marks":["strong","em"],"text":"Simplified: for those who access plans through the exchange, it is likely that the administrative burden to get individual coverage will increase and it is likely that most of us on commercial insurance will see plan premiums rise."}],"markDefs":[],"style":"normal"}]},{"_key":"0d0e0a9f3066","_type":"block","children":[{"_key":"a1894a75d317","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"372d32a08aaa","_type":"sectionHeader","headerLevel":"h2","title":"What should I do?"},{"_key":"f9899555ceac","_type":"block","children":[{"_key":"324329eea90d0","_type":"span","marks":[],"text":"Understandably, if you are covered under an ACA marketplace plan or through employer-sponsored coverage, you may be wondering how these upcoming changes could affect you."}],"markDefs":[],"style":"normal"},{"_key":"ac89f49bb805","_type":"block","children":[{"_key":"82303d56c6990","_type":"span","marks":[],"text":"First – note these changes have not yet happened. So, it is critical to continue to watch. We don’t know if / when these proposals will be finalized; however, it is likely that the Administration will strive to put them into effect by Nov 2025, when enrollment for 2026 starts."}],"markDefs":[],"style":"normal"},{"_key":"a09be8c4fc86","_type":"block","children":[{"_key":"f70daf875ea60","_type":"span","marks":[],"text":"Second – even though we don’t have full information, you can start planning now. Here are a few ways for you to stay proactive to protect your coverage and care options through Tia:"}],"markDefs":[],"style":"normal"},{"_key":"d2dcbd32f5ce","_type":"block","children":[{"_key":"13bbcbbc5d480","_type":"span","marks":[],"text":"Budget for higher premiums"}],"markDefs":[],"style":"h4"},{"_key":"66c358469ccf","_type":"block","children":[{"_key":"3438fc980c410","_type":"span","marks":[],"text":"Although the solution of “spend more money” is not ideal, the reality is that premiums under marketplace and employer-sponsored plans will likely increase. As you are choosing a (new) plan, it is important to carefully consider what features of a particular plan are most important to you and where you may be able to decrease coverage in certain areas to increase affordability. While exchange-based plans are most at risk for rising costs, as noted above, employer-based plan premiums could also rise. Again – not that it is not likely these changes will “hit” ahead of the next open enrollment cycle (especially if you are already enrolled in an annual plan), which starts in November 2025."}],"markDefs":[],"style":"normal"},{"_key":"72803d69e047","_type":"block","children":[{"_key":"b2766b39afb20","_type":"span","marks":[],"text":"Research employer-sponsored options"}],"markDefs":[],"style":"h4"},{"_key":"6c746e131df8","_type":"block","children":[{"_key":"57ae361b50470","_type":"span","marks":[],"text":"If you are not currently covered under your employer or eligible partner’s employer-sponsored plan, we recommend that you research coverage options available through those plans. If you get coverage through your employer, your Human Resources team may start to learn about adjusted costs as soon as Q2 – so you could reach out to them to start to understand coverage shifts and changes. Oftentimes, employers are able to negotiate more favorable rates and premiums due to a volume based model. Many employers offer a multitude of plans and we suggest that you carefully consider the components of each plan to ensure that you are optimizing the coverage options vs. the premiums and out of pocket costs based on your individual circumstances."}],"markDefs":[],"style":"normal"},{"_key":"d68367bc0cf0","_type":"block","children":[{"_key":"87c10ed73a910","_type":"span","marks":[],"text":"Tia’s commitment"}],"markDefs":[],"style":"h4"},{"_key":"479e25accbfc","_type":"block","children":[{"_key":"ca48151dbfbd0","_type":"span","marks":[],"text":"Tia has an unwavering commitment to providing women with the high-quality care they deserve. Full stop. We remain steadfast in our efforts to provide safe, compassionate, and comprehensive care, no matter what, including creating a safe space that enables you to show up exactly as you are. Whether in our clinics, through virtual care, or in our community, Tia is here to ensure you are seen, heard, and supported."}],"markDefs":[],"style":"normal"},{"_key":"e1ae021f9dda","_type":"block","children":[{"_key":"242ef44e01780","_type":"span","marks":[],"text":"Despite this commitment, there are realities we must accept and that we strive to build around, including:"}],"markDefs":[],"style":"normal"},{"_key":"2bd73fdda5ea","_type":"block","children":[{"_key":"953aed2c60720","_type":"span","marks":[],"text":"The noise is real and can be overwhelming, especially during uncertain and volatile times. We are committed to being a source of clarity and truth during these times and always. We hope you feel you can turn to us as you need."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7f33b468905e","_type":"block","children":[{"_key":"88d3c375a92b0","_type":"span","marks":[],"text":"Care is not always covered, or fully covered, and the insurance landscape is confusing and hard to navigate (one may think this is on purpose). We strive to provide support navigating insurance coverage with our care team, and when certain visits or procedures are not covered, cost transparency."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"245226bbda0a","_type":"block","children":[{"_key":"55ce29fd02190","_type":"span","marks":[],"text":"Cost is a limiting agent to many seeking healthcare, and the lack of clarity about how much something will cost or when it will “hit” is nerve wracking. We have launched a "},{"_key":"9fbd697788aa","_type":"span","marks":["202034c79d6d"],"text":"predictable payments"},{"_key":"ceaf111407f7","_type":"span","marks":[],"text":" product to assuage these concerns."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"202034c79d6d","_type":"internalLink","linkType":"text","reference":{"_ref":"b242f2b8-a163-4b20-b47a-df2db3f5bdfa","_type":"reference"}}],"style":"normal"},{"_key":"5438101f4f6a","_type":"block","children":[{"_key":"e7bea813e7d90","_type":"span","marks":[],"text":"Thank you for your trust in Tia. We are committed to doing all we can to support our patients and our larger community through times of uncertainty - now more than ever. Please find us in clinic, virtually or through chat - if we can help you navigate any specific concerns."}],"markDefs":[],"style":"normal"},{"_key":"41a24ef406dd","_type":"cta","backgroundColor":"bccream","text":[{"_key":"c17fcaf8345d","_type":"block","children":[{"_key":"14aa515a3e7e0","_type":"span","marks":[],"text":"There is so much change for women and healthcare right now. We see this, and invite you to come as you are to receive our care. "}],"markDefs":[],"style":"large"},{"_key":"4884857c3e64","_type":"block","children":[{"_key":"f686dbc3e28d","_type":"span","marks":["em","d4a2595fa037"],"text":"Located in New York, Phoenix, San Francisco, and Los Angeles."},{"_key":"7a67758c2875","_type":"span","marks":["d4a2595fa037"],"text":" "}],"markDefs":[{"_key":"d4a2595fa037","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"ce85f0c00405","_type":"buttonBlock","items":[{"_key":"57030f15d667","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Get Care","linkType":"join-scroll-shape"},{"_key":"149c2ce28b5e","_type":"singleButton","backgroundColor":"bctran","linkCta":"Member Portal","linkType":"button","url":"https://member.asktia.com"}],"onlyStackButtons":false}]},{"_key":"2aea48424bb9","_type":"block","children":[{"_key":"524f99c76984","_type":"span","marks":[],"text":"\n————"}],"markDefs":[],"style":"normal"},{"_key":"79fb70e85796","_type":"block","children":[{"_key":"ae93d7e6ceef","_type":"span","marks":[],"text":"1 - Dobbs v. Jackson Women's Health Organization, 597 U.S. 215 (2022)\n2- CAL. HEALTH & SAFETY CODE § 123468, CAL. HEALTH & SAFETY CODE § 123462, CAL. HEALTH & SAFETY CODE § 123466, CAL. HEALTH & SAFETY CODE § 123462;"}],"markDefs":[],"style":"normal"},{"_key":"1f7339a1d0eb","_type":"block","children":[{"_key":"aa81264b71c40","_type":"span","marks":[],"text":"CAL. CONST. Art. I, § 1 (Added 1974); Comm. to Defend Reprod. Rights v. Myers, 625 P.2d 779 (Cal. 1981) (striking down limits on Medicaid coverage for abortions, finding that all women possess a fundamental constitutional right to choose abortion under the California constitutional privacy provision); Am. Acad. of Pediatrics v. Lungren, 940 P.2d 797 (Cal. 1997) (invalidating parental-consent requirement)."}],"markDefs":[],"style":"normal"},{"_key":"d1c5b5bd94cd","_type":"block","children":[{"_key":"e3d94781f7160","_type":"span","marks":[],"text":"A res. to propose to the people of the State of Cal. an amend. to the Const. of the State, by adding Section 1.1 to Article I thereof, relating to fundamental rights, Sen. Const. Amend. No. 10, 2022, https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SCA10. NYTimes, California Proposition 1 Election Results: Constitutional Right to Reproductive Freedom, https://www.nytimes.com/interactive/2022/11/08/us/elections/results-california-proposition-1-constitutional-right-to-reproductive-freedom.html (Last accessed Nov. 9, 2022)."}],"markDefs":[],"style":"normal"},{"_key":"bf0846f84105","_type":"block","children":[{"_key":"77f75e4cea550","_type":"span","marks":[],"text":"3- NY Pub Health L § 2599-BB (2023)"}],"markDefs":[],"style":"normal"},{"_key":"044f9497b277","_type":"block","children":[{"_key":"039f4e31f8be","_type":"span","marks":[],"text":"4- On November 5, 2024, Arizona voters approved Proposition 139, the “Arizona Abortion Access Act.”"}],"markDefs":[],"style":"normal"},{"_key":"b2b034ccc602","_type":"block","children":[{"_key":"988b6b2e701f","_type":"span","marks":[],"text":"5- Public Law 111–148, 124 Stat. 119 (2010)."}],"markDefs":[],"style":"normal"},{"_key":"6dbcff0d98f9","_type":"block","children":[{"_key":"ffb940770d6a","_type":"span","marks":[],"text":"6- Public Law 115-97 (2017)"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-b0f58597b49d7573dd469bee3ae9ae12b7e9bd32-2800x800-png","_type":"reference"}},"publishedAt":"2025-02-18T23:24:00.000Z","slug":{"_type":"slug","current":"understanding-healthcare-policy-changes-how-to-stay-informed-and-protected"},"status":"production","title":"Healthcare Policy Changes: A Guide to Staying Informed & Protecting Your Coverage","topics":[{"_key":"1fb1602a686e","_ref":"e73216c3-62ac-4d28-a1a2-78bb60a208be","_type":"reference"}],"updatedAt":"2025-10-14T02:19:00.000Z"},"metaInformation":{"_type":"metaCard","metaDescription":"Don't get caught off guard by new laws. 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Preventive care is designed to catch problems early—before they grow into something more serious or costly. Services like wellness visits, vaccinations, and screenings are vital for long-term health, and in many cases, insurance plans cover them completely."}],"markDefs":[],"style":"normal"},{"_key":"9421e6a4fa93","_type":"block","children":[{"_key":"fc925e710a640","_type":"span","marks":[],"text":"Sometimes, though, insurance rules can make things tricky. Preventive visits—like your annual wellness exam—are generally covered at no cost to you. But there are certain factors, such as the time since your last visit, your specific insurance benefits, or your healthcare provider network status that can impact this coverage."},{"_key":"369050dd894e","_type":"span","marks":["strong"],"text":" This isn’t unique to Tia; it’s how insurance companies define and process care."}],"markDefs":[],"style":"normal"},{"_key":"6a9cbf97e8b6","_type":"block","children":[{"_key":"37c16672b36f0","_type":"span","marks":[],"text":"At Tia, we’re here to bridge the gap between preventive care and the complex world of insurance, making it easier for you to access the care you need while keeping costs transparent and manageable. In this guide, we’ll explore what preventive care entails and how it’s covered by insurance. By the end, you’ll feel confident in planning your next visit, asking the right questions, and making informed decisions about your health."}],"markDefs":[],"style":"normal"},{"_key":"42827489e417","_type":"block","children":[{"_key":"e4caba382f500","_type":"span","marks":[],"text":"What Is Preventive Care?"}],"markDefs":[],"style":"h2"},{"_key":"6d58ae359d64","_type":"block","children":[{"_key":"cf4766b935f00","_type":"span","marks":[],"text":"Preventive care is the foundation of a healthy lifestyle. It focuses on catching potential health issues early through proactive measures, helping you avoid serious conditions and costly treatments. Key components of preventive care include:"}],"markDefs":[],"style":"normal"},{"_key":"d1b404756ad1","_type":"block","children":[{"_key":"2c5e6b906e4c0","_type":"span","marks":["strong"],"text":"Screenings:"},{"_key":"eac4c6437748","_type":"span","marks":[],"text":" Tests for conditions like high blood pressure, cholesterol, diabetes, and certain cancers."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e8ba8d841910","_type":"block","children":[{"_key":"153c857a49fd0","_type":"span","marks":["strong"],"text":"Vaccinations: "},{"_key":"387dbc3949f5","_type":"span","marks":[],"text":"Immunizations to protect against infectious diseases, such as flu shots and childhood vaccines."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c6060c8bd48b","_type":"block","children":[{"_key":"77479df26bd80","_type":"span","marks":["strong"],"text":"Wellness Visits:"},{"_key":"0f7069fa1aed","_type":"span","marks":[],"text":" Routine check-ups where your provider assesses your overall health, offers counseling, and discusses lifestyle factors."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"53a7b649780f","_type":"block","children":[{"_key":"e2a90206b2440","_type":"span","marks":[],"text":"The benefits of preventive care are clear—it improves outcomes, reduces the risk of chronic illnesses, and saves money by addressing issues early."}],"markDefs":[],"style":"normal"},{"_key":"3e1d75706e82","_type":"block","children":[{"_key":"aefebec9fc780","_type":"span","marks":[],"text":"What’s Covered by Insurance? "}],"markDefs":[],"style":"h3"},{"_key":"442e62276a45","_type":"block","children":[{"_key":"aefebec9fc781","_type":"span","marks":[],"text":"Most in-network insurance plans cover many preventive services at 100%, including:"}],"markDefs":[],"style":"normal"},{"_key":"36c63c1fe66c","_type":"block","children":[{"_key":"b6566482fb7d0","_type":"span","marks":[],"text":"Annual well-woman exams"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3c437a75b62a","_type":"block","children":[{"_key":"0a3a65d884270","_type":"span","marks":[],"text":"Cervical cancer screenings (pap smears)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ffe47ecccf38","_type":"block","children":[{"_key":"0d65ca4beb3b0","_type":"span","marks":[],"text":"Blood pressure, diabetes, and cholesterol tests"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"51d2f4be85a6","_type":"block","children":[{"_key":"3a68197deb7e0","_type":"span","marks":[],"text":"STI screenings"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"fd4b53afec4f","_type":"block","children":[{"_key":"d99d94ceb0ff0","_type":"span","marks":[],"text":"Immunizations"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d7095e4c996","_type":"block","children":[{"_key":"b544eb84beed0","_type":"span","marks":[],"text":"However, not all plans are created equal. For example, some may cover Vitamin D testing or nutritional counseling as preventive, while others do not. To avoid surprises, it’s important to confirm your coverage directly with your insurance provider."}],"markDefs":[],"style":"normal"},{"_key":"c54572480f28","_type":"block","children":[{"_key":"c4f2fae4696a0","_type":"span","marks":[],"text":"Where Things Can Get Complicated…"}],"markDefs":[],"style":"h2"},{"_key":"aeba902323fe","_type":"block","children":[{"_key":"e723f37d5d0d0","_type":"span","marks":[],"text":"The line between preventive and diagnostic care can be blurry. Preventive visits are routine check-ups aimed at maintaining health, while diagnostic visits focus on addressing specific symptoms or concerns. Just because you are receiving care for preventive purposes unfortunately doesn’t mean your insurance will consider the visit to be preventive. Understanding this distinction is crucial to avoid unexpected bills."}],"markDefs":[],"style":"normal"},{"_key":"5bb00bf5be4c","_type":"block","children":[{"_key":"1defced9d7ec0","_type":"span","marks":[],"text":"Diagnostic Scenario:"}],"markDefs":[],"style":"h3"},{"_key":"7c5618d86cbb","_type":"block","children":[{"_key":"f7a16ef0e82e0","_type":"span","marks":[],"text":"You schedule a preventive wellness visit, which is fully covered by your insurance."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b5872aaf750d","_type":"block","children":[{"_key":"36af64e53dd40","_type":"span","marks":[],"text":"During the visit, you mention experiencing frequent migraines."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4ff732ef7a4e","_type":"block","children":[{"_key":"0c6da19aafe90","_type":"span","marks":[],"text":"Your provider evaluates the migraines, possibly prescribes medication, and orders tests."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"59e471d63afe","_type":"block","children":[{"_key":"cc0a064d1b9f0","_type":"span","marks":[],"text":"In this case, the visit shifts from preventive to diagnostic, meaning you could be responsible for a copay or coinsurance, depending on your plan."}],"markDefs":[],"style":"normal"},{"_key":"01cddea41e0d","_type":"block","children":[{"_key":"140ab4ebbff60","_type":"span","marks":[],"text":"“Not Preventive” Scenario:"}],"markDefs":[],"style":"h3"},{"_key":"7974e3a6682d","_type":"block","children":[{"_key":"908c60616d870","_type":"span","marks":[],"text":"You schedule a preventive wellness visit, which is fully covered by your insurance."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68491a0a69e7","_type":"block","children":[{"_key":"342646a7334a0","_type":"span","marks":[],"text":"During the visit, your provider states they want to order an ultrasound for your PCOS to confirm your current health status."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f0fc0ef02fb7","_type":"block","children":[{"_key":"d1f2caaa609f0","_type":"span","marks":[],"text":"In this case, while the ultrasound was done for preventive reasons, insurance does not consider this service to be preventive based on criteria from the Affordable Care Act."}],"markDefs":[],"style":"normal"},{"_key":"59291f8c8966","_type":"block","children":[{"_key":"1ffa7f9aec220","_type":"span","marks":[],"text":"Timing Issue Scenario:"}],"markDefs":[],"style":"h3"},{"_key":"e9690be2c8ff","_type":"block","children":[{"_key":"00718c3d9a9b0","_type":"span","marks":[],"text":"You schedule a preventive wellness visit for January 15, 2025, but your last preventive exam was February 28, 2024"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9da0f3032b3f","_type":"block","children":[{"_key":"2ba270a8ae4e0","_type":"span","marks":[],"text":"Your visit is fully preventive with your regular annual physical checkup and screenings."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a398f42bafa5","_type":"block","children":[{"_key":"dc7ba7584fcb0","_type":"span","marks":[],"text":"In this case, while your visit was truly preventive with no diagnostic issues and you only had “preventive” services completed, your insurance denied your appointment because it hadn’t been 365 days since your last annual preventive exam, resulting in a bill."}],"markDefs":[],"style":"normal"},{"_key":"986ba5e631f4","_type":"block","children":[{"_key":"b5fc383bba8f0","_type":"span","marks":[],"text":"Actionable Tips for Maximizing Your Benefits"}],"markDefs":[],"style":"h2"},{"_key":"6a6efcea64f7","_type":"block","children":[{"_key":"e5a27aab50830","_type":"span","marks":[],"text":"Before your next visit, take these steps to ensure a smooth experience:"}],"markDefs":[],"style":"normal"},{"_key":"15adee66eab4","_type":"block","children":[{"_key":"c0774f8142420","_type":"span","marks":["strong"],"text":"Call Your Insurance Provider"},{"_key":"c0774f8142421","_type":"span","marks":[],"text":": Ask what preventive services are covered, how often, and if there are any restrictions."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"68d1f024f2f2","_type":"block","children":[{"_key":"abe0820dc9630","_type":"span","marks":["strong"],"text":"Prepare for Your Appointment"},{"_key":"abe0820dc9631","_type":"span","marks":[],"text":": Use Tia’s "},{"_key":"abe0820dc9632","_type":"span","marks":["strong"],"text":"Preventive Insurance Checklist"},{"_key":"abe0820dc9633","_type":"span","marks":[],"text":" to guide your conversation with your insurer."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"5f5f041ead06","_type":"block","children":[{"_key":"cc6f617ba1cd0","_type":"span","marks":["strong"],"text":"Understand Billing Scenarios"},{"_key":"cc6f617ba1cd1","_type":"span","marks":[],"text":": Know what might trigger a shift from preventive to diagnostic care."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"46579155e1a8","_type":"block","children":[{"_key":"845ac7ec9b530","_type":"span","marks":[],"text":"Preventive Insurance Checklist:"}],"markDefs":[],"style":"h3"},{"_key":"23ceea76df29","_type":"block","children":[{"_key":"b8d75439b9ea0","_type":"span","marks":[],"text":"Does my insurance plan cover preventive care at 100%?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5b3677187647","_type":"block","children":[{"_key":"521e61c4c97d0","_type":"span","marks":[],"text":"What preventive services are covered under my 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Care"}],"markDefs":[],"style":"h2"},{"_key":"788744b69045","_type":"block","children":[{"_key":"5ce59bb7ae8d0","_type":"span","marks":[],"text":"Preventive care is about more than avoiding illness—it’s an investment in your overall well-being. At Tia, we’re here to support you with personalized care, transparent costs, and guidance to help you navigate the complexities of insurance."}],"markDefs":[],"style":"normal"},{"_key":"860e6b9a0094","_type":"block","children":[{"_key":"f5acae0e05ee0","_type":"span","marks":[],"text":"Take charge of your health today by scheduling your next preventive visit. If you have questions about your benefits or costs, reach out to Tia’s care team—we’re here to help every step of the way."}],"markDefs":[],"style":"normal"},{"_key":"aced0b748c89","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"c85e3504a604","_type":"block","children":[{"_key":"d9c764ed3de7","_type":"span","marks":[],"text":"Ready to engage in preventive care? Join Tia and schedule an appointment to get started at the clinic nearest you!"}],"markDefs":[],"style":"large"},{"_key":"b45fc719a66a","_type":"block","children":[{"_key":"07df7136844b","_type":"span","marks":["em","2d17c67529f2"],"text":"Located in New York, Phoenix, San Francisco, and Los Angeles."},{"_key":"b7024b12af6d","_type":"span","marks":["2d17c67529f2"],"text":" "}],"markDefs":[{"_key":"2d17c67529f2","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"6b40478a96f9","_type":"buttonBlock","items":[{"_key":"b71e5a190a2f","_type":"singleButton","linkCta":"Book appointment","linkType":"button","reference":{"_ref":"05c3c462-1aee-4ec5-b586-eb1c603f1444","_type":"reference"}}],"onlyStackButtons":false}]}],"image":{"_type":"image","asset":{"_ref":"image-d7960e8f9cae23512333b5aaa63b589052c52e28-4200x2400-png","_type":"reference"}},"publishedAt":"2025-02-20T20:41:00.000Z","slug":{"_type":"slug","current":"your-guide-to-preventive-care-and-insurance-costs"},"status":"production","title":"Your Guide to Preventive Care and Insurance Costs at Tia: How to Stay Healthy Without Breaking the Bank","topics":[{"_key":"82b5f5cf7967","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","noIndex":false,"openImage":{"_type":"image","asset":{"_ref":"image-d7960e8f9cae23512333b5aaa63b589052c52e28-4200x2400-png","_type":"reference"}},"title":"Your Guide to Preventive Care and Insurance Costs at Tia: How to Stay Healthy Without Breaking the Bank","twitterImage":{"_type":"image","asset":{"_ref":"image-d7960e8f9cae23512333b5aaa63b589052c52e28-4200x2400-png","_type":"reference"}},"twitterTitle":"Your Guide to Preventive Care and Insurance Costs at Tia: How to Stay Healthy Without Breaking the Bank"}},"id":"68286162-cbb1-55e5-8794-9648d73e3d16","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"a8bca28ac527c420332e9ec8d397ca30","counter":10003,"owner":"gatsby-source-sanity"}}],"backgroundColor":"bcb","spacing":"pys","title":"Helpful Resources Related to Insurance"},{"_key":"5d355767e258","_type":"shape","backgroundColor":"secondary-1","shapeColor":"tertiary-3","shapeType":"shape-1"},{"_key":"a18627e098ce","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"122fc5fb9661","_type":"faqModule","faqs":[{"_id":"0d664388-a42d-4f20-8e60-3911c6a8c79b","_type":"faq","_createdAt":"2020-08-30T03:43:46Z","_rev":"MirE1BP5LZnAEHAHShJ0Ds","_system":{"base":{"id":"0d664388-a42d-4f20-8e60-3911c6a8c79b","rev":"RdixGn6lpDGH89K9LFGi20"}},"_updatedAt":"2025-09-04T00:38:39Z","answer":[{"_key":"5b220ee24edc","_type":"block","children":[{"_key":"5b220ee24edc0","_type":"span","marks":[],"text":"To check if your plan works with Tia, go to our "},{"_key":"e561747950dc","_type":"span","marks":["c6d34487e212"],"text":"Join Page"},{"_key":"296d10295564","_type":"span","marks":[],"text":". Once you enter your information on in Step 1, you’ll be able to check if Tia takes your plan in Step 2. Don’t worry, this will not commit you to a membership (that happens in the later steps). "}],"markDefs":[{"_key":"c6d34487e212","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"}],"question":"How do I know if you take my insurance plan?","id":"1894de72-42a3-5558-a08e-fe67b0b9304a","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"0fb781771083bbb9442b7e819900b4e0","counter":2486,"owner":"gatsby-source-sanity"}},{"_id":"98fab06a-1a72-409e-8b4d-4e2aef838df1","_type":"faq","_createdAt":"2020-08-20T17:29:09Z","_rev":"S1ICLYYXLL04VHpWAZR7gv","_system":{"base":{"id":"98fab06a-1a72-409e-8b4d-4e2aef838df1","rev":"uBZyzL1oEJWqYeY7paHABE"}},"_updatedAt":"2025-09-24T17:01:39Z","answer":[{"_key":"162907c09157","_type":"block","children":[{"_key":"162907c091570","_type":"span","marks":[],"text":"Yes! You can join Tia with or without insurance. If you do not have insurance, you can pay cash for services. However, we cannot accept members with Medicaid or Medicaid managed plans as we are not in-network with Medicaid. 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Because insurance plans require these visits to be strictly preventive, any specific concern (a UTI, new pain, or fatigue) is best handled at a separate Sick Visit. 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Depending on the care you receive, this could look like: the total amount owed for care might be $500, but the total due this month is $250. This method offers a clear, manageable way to handle medical expenses, allowing you to focus on what truly matters—your health."}],"markDefs":[],"style":"normal"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"1eaa1d5efd4f","_type":"standardText","backgroundColor":"bccream","spacing":"pys","text":[{"_key":"1177301216b6","_type":"block","children":[{"_key":"560e7e8612fd","_type":"span","text":"Benefits of Predictable Payments:"}],"style":"h3"},{"_key":"4405ed31e402","_type":"columnText","items":[{"_key":"6bc3e3e01263","_type":"plainText","text":[{"_key":"2648b9147137","_type":"block","children":[{"_key":"734ea0029e80","_type":"span","marks":[],"text":"1. $250 Capped Invoices"}],"markDefs":[],"style":"h4"},{"_key":"da8fee1a7b4f","_type":"block","children":[{"_key":"a9b4bb678414","_type":"span","marks":[],"text":"One of the biggest benefits of this payment method is predictability. With a consistent $250 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"markDefs":[],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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At Tia, our providers are trained to connect the dots across your physical, mental, and emotional health. We believe in taking the time to listen your unique story because we know your health isn't a series of disconnected issues—it's a whole picture. 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All of the questions and information gathered when I first signed up helped to create both a comprehensive medical history as well as a snapshot of my current conditions. But the best part? Whether my visit is virtual or in-person, I never, ever feel rushed. My physician and nurse practitioners are empathetic and understanding. If you want holistic healthcare, try Tia. You won’t be disappointed.","Title":"Natalie D., Tia Patient","_key":"995b939291ee","_type":"inline"}]},{"_key":"b3b130bcb8f3","_type":"editorialText","editorialText":[{"_key":"88a360f65dc9","_type":"cta","text":[{"_key":"089cc2bcc445","_type":"block","children":[{"_key":"d3ada71a90d4","_type":"span","marks":[],"text":"Book a Weight & Metabolic Health visit"}],"markDefs":[],"style":"h2"},{"_key":"08dc1094385d","_type":"block","children":[{"_key":"474383e77aec","_type":"span","marks":[],"text":"Weight and metabolic health can shape everything from your energy and mood to hormones and long-term wellness. 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Because insurance plans require these visits to be strictly preventive, any specific concern (a UTI, new pain, or fatigue) is best handled at a separate Sick Visit. 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Depending on the care you receive, this could look like: the total amount owed for care might be $500, but the total due this month is $250. 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With a consistent $250 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"markDefs":[],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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Because insurance plans require these visits to be strictly preventive, any specific concern (a UTI, new pain, or fatigue) is best handled at a separate Sick Visit. 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With a consistent $250 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"markDefs":[],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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Because insurance plans require these visits to be strictly preventive, any specific concern (a UTI, new pain, or fatigue) is best handled at a separate Sick Visit. 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Depending on the care you receive, this could look like: the total amount owed for care might be $500, but the total due this month is $250. 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With a consistent $250 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"markDefs":[],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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