Yes—when appropriate, I prescribe hormone therapy as part of an individualized care plan.

Hormones are not the starting point for everyone. We first look at your symptoms, health history, lifestyle, and other relevant clinical information to determine whether hormone therapy may be a helpful and appropriate part of your care.

If I prescribe hormone therapy, ongoing follow-up is required for appropriate monitoring, dosing, and adjustments over time.

This practice is best suited for adult women looking for thoughtful, personalized care through the changes of midlife.

Common areas of focus include perimenopause and menopause, hormone changes, metabolic health and weight, body composition and strength, sleep, energy, nutrition, and everyday habits that support long-term health.

Care begins with the foundations and may include hormone therapy, weight-management medications, targeted testing, or supplements when appropriate.

This is a good fit if you want practical, evidence-based care that helps you understand what matters most and decide where to begin.

Ami Swanson Wellness PLLC is a cash-pay practice and does not bill insurance directly.

By partnering directly with you rather than your insurance company, I’m able to offer more personalized, transparent care without many of the limitations that often come with insurance-based medicine.

Payment is due at the time of service. HSA and FSA cards are accepted.

A superbill can be provided after eligible fee-for-service visits for possible out-of-network reimbursement. Reimbursement is not guaranteed and depends on your individual insurance plan. Please note that membership fees are not eligible for superbills or insurance reimbursement.

Meaningful change often takes more than a single visit. The membership model allows for the time, consistency, and follow-up needed to make thoughtful adjustments and support real progress over time.

Rather than offering quick, one-time recommendations, this model creates space for a more personalized and ongoing relationship. It allows us to track patterns, review your response to treatment, adjust your plan as needed, and move forward in a more steady and supported way.

At the end of the 6-month membership, many patients transition into the Ongoing Membership for continued monitoring, support, and thoughtful plan adjustments.

For patients receiving prescription therapy through my practice, including hormone therapy, ongoing follow-up is required to support continuity of care, safe dosing, and appropriate monitoring.

If you are not on prescription therapy and do not need membership-level support, additional follow-up visits may be scheduled individually when appropriate.

No. Ami Swanson Wellness is not a primary care practice.

My role is to provide focused care for women’s health, including midlife hormone and metabolic concerns, alongside—not in place of—your primary care provider. I encourage patients to maintain an established PCP for routine and preventive care, urgent concerns, and care outside the scope of my practice.

If something falls outside my scope, I’ll let you know and help guide you toward the appropriate care when possible.

Lab testing costs are separate from visit fees unless otherwise clearly stated.

If you have had recent lab work, I’m happy to review it and determine whether anything additional is needed. In some cases, your previous labs may be sufficient. In other cases, more targeted testing may be recommended depending on your symptoms and goals.

When labs are recommended, I aim to be thoughtful and selective so testing is clinically useful and aligned with your care plan.

Care is offered through scheduled visits, with follow-up support depending on the level of care you are enrolled in.

Most communication happens during visits and through the secure patient portal, which allows for clear, organized communication and protects your privacy.

Telehealth visits are available for patients located in Iowa.