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SEEDS® ebook


Seven Essential Elements for Daily Success
Not feeling like yourself?

Download your free copy of Dr. Bitner’s ebook on SEEDS – the Seven Essential Elements for Daily Success!

Learn about the seven daily habits and behavious that can improve your quality of life through midlife, menopause, and beyond.

Feel like yourself again!
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Feel better using SEEDS®
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Check My Symptoms

MTS® Quiz

Track your symptoms with the Menopause Transition Scale® (MTS).

MTS Scale

3 – Only rate and predictable
2 – Moderate and mostly predictable
1 – Sever and not predictable

The symptoms of midlife and menopause will not be mysterious once you understand why they occur. If you are over 35 and your periods have changed by more than 7 days for even one cycle, you are in at least early perimenopause. Once you start understanding your triggers and track your symptoms, you will be able to have control over your future. You will be motivated to avoid triggers such as inadequate water or too much sugar to feel better and have healthy aging. If you choose to start a treatment such as hormone medication, like so many other women have, the MTS allows you to track your success. The MTS is a validated tool to quantify and track your midlife and menopause symptoms.

Answer just seven questions about your symptoms commonly associated with midlife and menopause.
It’s time to start!

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Tools for Your Midlife Journey

Buy Women’s Health products designed by Diana Bitner MD.
These helpful resources provide information to women about mid-life, aging, and menopause.


I Want to Age Like That! Healthy Aging through Midlife and Menopause


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True. Women's Health App

Feel like yourself again!

The true. Women® app is made specifically for you to have access and ownership of your healthcare!

  • Learn Your Phase of Ovarian Function
  • Track Your SEEDS – your daily habits that lead to healthy aging
  • Track Your Symptoms With The Menopause Transition Scale
  • Chat With A Menopause-Informated Coach 24/7 + more
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Let's Chat, articles, press and more!

View all of our current and past Let’s Chat articles as well as our Press.

Let's Chat with Dr. Bitner
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Questions About Your Care

What will my first appointment look like?

Your first appointment in the office will be all about getting to know you and making sure all is up to date. Our nurse will contact you before the visit to confirm we know your main concerns and to give you access to our symptom tracker on the W*A*I*Pointes® app. Your first visit will include a comprehensive annual exam, along with a review of your goals and concerns, evaluation of your health status past history, and assessment of your hormone stage. You will leave the visit with a personalized plan. Our goal is that you have the necessary tools to meet your goals as well as have a team to keep you on track.

How many visits with the true team can I expect over 12 months?

Depending on which of the two tracks you choose, the usual number is three or five. You are able to make additional appointments visits for any concerns or problems outside of the regular schedule.


Midlife and Menopause Wellness Program includes your comprehensive annual exam and two additional visits to assess progress towards your goals and to repeat wellness assessments. This Wellness Program focuses on three areas of wellness, including the management of your menopause symptoms, your ability to be active, and achieving or maintaining your goal weight using the W*A*I*Pointes® plan. You will set and track goals with your provider. Patients in this program can also schedule appointments for other issues throughout the year for a nominal fee. (click here for more information)


Concierge Program includes your comprehensive annual exam and four additional visits to evaluate your wellness and progress along your wellness journey. Our pilot study showed that women who had five visits over the course of the program were very likely to meet their goals and were very confident in their wellness. This program includes goal setting and tracking in all nine areas of W*A*I*Pointes® wellness, including risk assessment and strategies for prevention of cancer, diabetes, mood dysfunction and poor coping, heart disease, osteoporosis and stress over financial security. Patients in this program can schedule unlimited appointments for problems or concerns throughout the year. (click here for more information)

Does true Women’s Health replace my Primary Care Physician?

No, we recommend you still maintain your relationship with your Primary Care Provider. There could be some overlap but we intend to partner with any of your other healthcare team to best provide support in your health journey.

How do I stay on track between appointments?

All members of true Women’s Health will have access to the W*A*I*Pointes® digital app, app-based telehealth and texting with the true team, and access to an online community made of other members. The app will provide a way to track your symptoms and activity to compare to your goals. You will have access to a member of our healthcare team for a private chat or can ask a confidential question to other true members.

Do I have to get all of my past medical records and bring them in?

No, not if you have been seen by another provider who uses EPIC electronic records. We are connected to many providers and can see past records including from Spectrum Health via our fully integrated medical record system, EpicCare. This ensures that all of your medical information is securely stored and accessed only by the members of your health team. You will be able to access your full medical records through MyChart.

"I have had cancer. Do the true providers understand what that means and how it affects my life?"

Yes, Dr. Bitner and her team have training and experience taking care of women affected by many types of cancer and are comfortable working with a woman’s oncology team as questions arise about best treatment options and potential complications of cancer treatment. Cancer and cancer treatment can cause early menopause which can be very difficult and we offer many solutions to improve life after treatment.

Questions About Our Personalized Care Model

What is concierge medicine?

Concierge medicine is a type of medical practice where the Physician, Physician Assistant, or Nurse Practitioner is able to spend more time with each patient and provide in-depth care. It is designed to allow a slower-paced, more personalized environment and the highest quality care, including convenience and service, to support optimal health for each patient. By limiting the number of patients in the practice, our true. providers can address all of your midlife, menopause and sexual health questions as well as provide wellness evaluations and a personalized Life Action Plan. You can expect your provider’s undivided attention, superior preventive care and detailed midlife, menopause and sexual wellness education.

How is concierge medicine different from traditional medicine?

Concierge medicine puts more of an emphasis on each individual patient to provide them with the highest standard of care. In the traditional style of Western medicine, doctors may be responsible for 2,000 to 4,000 patients. In concierge medicine, the number of patients is limited. You benefit by having more face-to-face time with your provider and multiple visits scheduled over the year to assess your wellness and whether you are achieving your goals.

What if I need to contact the concierge doctor after regular office hours or on the weekend?

Our Concierge doctors are available on their cell phone 24/7 just in case any problems arise and can help you decide next steps to take.

What office hours are available?

true. Women’s Health will offer early morning and evening appointments for your convenience. You can also expect same-day or next-day appointments for urgent care.

Questions About My Payment

Is the annual fee covered by my insurance?

The annual fee allows you greater access to our nationally-recognized certified menopause practitioner in a calming office promising high-touch, relationship-based care. This fee is not covered by your health insurer, but your visits should be covered by insurance and may be reimbursable depending on your insurance. Our model is different in that you pay in advance for the ability to schedule visits with our providers, access to our specialized women’s health team, educational content, and the W*A*I*Pointes® app. After you are seen by a provider, the medical services provided at your visit will be coded and invoiced so that you may seek reimbursement from your insurance company, but you are not double-billed. Most insurances should cover the visit as they would cover an “out of network” provider. We will work with you to understand how this will work with your insurance, but suggest you also discuss this with your insurance and contact us with questions.

Is my membership tax deductible and can I use my HSA or FLEX?

While the annual fee is ineligible for Flex Spending or HSA, whatever is not covered from the medical services bill from your visit should be a qualified medical expense for purposes of an HSA or FSA. No part of the concierge fee paid by Medicare patients can be applied towards Medicare-covered service.

Will I still need to maintain my health insurance?

Yes, you will still need to maintain your normal health insurance, even after you pay the true. Membership annual fee. Although we will not directly bill your insurance company for the services we provide, we will give you documentation of the medical visits so you can submit to your insurance company for reimbursement as an ‘out of network’ provider. When we order blood work, diagnostic imaging (X-rays, bone density tests, MRI, etc.), specialists visits, or allied healthcare (physical therapy, occupational therapy, etc.), the provider of those services will bill your insurance directly. Also, you would use your insurance for emergency room and urgent care visits and hospitalizations. Please call our office if you would like to discuss this further.

How do I pay for my membership?

The Midlife and Menopause Wellness Program is $900 annually. You may pay one annual fee or three payments consisting of $450, $225 and $225 throughout the year. The Concierge Program is $2,400 for a twelve-month membership. This will be collected in one annual payment. We accept cash, check, Visa, MasterCard and American Express.