2nd Step:    PRIVATE FOLLOW UP INSTRUCTION SESSIONS

• Contact Therese ( metroDCfertilitycareRN@gmail.com ) to order materials and at same time,  schedule your first session for 2 weeks after the Intro whether you’ve charted “fully” or not. LIVE Online sessions by FaceTime 301-512-7451, FertilityCareRN on Skype,  Zoom, or  Google chat or in person in Gaithersburg or Germantown, OR at your location for a travel fee (option for fee waived; inquire within)  Please advise if you need more than a reminder the day before.  Please call in when you are ready for our appointment, unless otherwise arranged.   I’m committed to courtesy reminders, and prompts to call at appointment time if needed. Please advise if you expect this.
•    Then, expect 4-5 basic ( 45 min. to 1 hr. ) follow up sessions over 1st 2 months ( every other week) for about 2 cycles or 60 days charted.
• 3 more follow up sessions every few months, completes a year’s educational training. Contact Therese before you see the doctor each time & arrange to have Therese available by phone or text while you are in your appointment, or afterward, if desired.  Some doctors are open to this.
• Appointments often set one at a time.  Materials kept contingent on attending follow up sessions.
• $90/ hour session
• receipt for personal record or insurance submission for reimbursement to you.  Scholarships, sliding scale fees and generous help to confirm insurance coverage.
• Unlimited access by phone or text in between appts. to discuss or confirm instruction received.

3rd Step:  MAKE APPOINTMENT TO SEE A NaProTECHNOLOGY doctor ( see doctor tab at top of page)

NaPro doctors like to see a patient for evaluation after 2 cycles or 60 days charted.  You may of course see one of these doctors for a consult and health review and physical exam to become a patient to facilitate issues which may surface during those 2 cycles as you are charting and beginning observations.   Dr. Thomas Hilgers, MD the founder of this whole system ( in videos below) also receives consults  2 months is standard time to bring enough daily charting to a NaProTECHNOLOGY doctor for review of women’s health concerns. Discussion with FertilityCare™ Practitioner, Therese, can address a different personalized possible timeline, with help to empower your wishes to get started soon with medical evaluation, if possible.

 {materials are kept contingent on attending follow up sessions.}

$50 in person,  $60 if mailed

$90 per hour long session by PayPal MetroDCfertilityCareRN@gmail.com, Venmo @therese-rodriguez, CashApp  $fertilitycareRN or check/ cash

to Therese Rodriguez

Address given on request ( MetroDCfertilitycareRN@gmail.com)

Insurance reimbursement invoice provided each visit.

Alternatives to this fee discussed on request.

 Call your insurance ( man or woman’s) and ask if  “family planning or birth control” is covered under your plan  OUT OF NETWORK,  or if only covered IN NETWORK   Inquire about both please.

1. Ask if they cover OUT OF NETWORK , diagnosis code:   “instruction in NFP”  Z30.02 ( try Z30.09 if the Z30.02 isn’t accepted) and CPT codes 99404, 99403.  If not, ask if they would cover it IN network, and any requirements for that option. As well as how many sessions covered.
2. Call/ email me: 301-512-7451, metroDCfertilitycareRN@gmail.com  if they don’t cover OUT OF NETWORK.  There are other options.
3. Receipt provided for record keeping &/ or insurance reimbursement.

If  the woman is a patient with the Tepeyac Family Center OB/GYN, Fairfax, VA, you may be able to meet for the cost of a copay.  She would be a patient there, and we would  meet remotely or @ the Tepeyac Center, provided there are several other appointments scheduled the same day.

Process for billing to the Tepeyac Center:

1. Call the woman’s insurance and ask if you are covered OUT OF NETWORK FIRST, please. Then, ask if  the doctors @ the Tepeyac Center are covered under your insurance ( only 1 doctor is needed to confirm coverage.)  Here’s the founding doctor:  Dr. John Bruchalski, OB/GYN. Dr. Lorna Cvetkovich is the doctor you’ll most likely see.  These doctors do accept all insurances except Tri-Care and Kaiser, unless it’s under Kaiser Select or a select plan in Tri-Care.  Call to confirm. I can put you in touch w/ families who have been covered under Tri-Care.  And there’s special codes to use with Tri-Care, I can provide on request.
2. Ask if they cover well woman care AND instruction in NFP : diagnosis code ” instruction in NFP”  Z30.02 and CPT codes 99404, 99403
3. Print forms for New PatientPacket- non pregnant, at : www.tepeyacobgyn.com   Click on:  PATIENT RESOURCES, then FORMS and send to them or drop by their office.  AS WELL:  send copy of your insurance card front and back, and ID, or again, visit to have them scan your cards into their system.
4. contact Therese at… metrodcfertilitycarern@gmail.com to schedule a time for an intro appt. Once this is done, to have either an initial consult call to review any of this, or to just begin to introduce you to materials and how to start charting.  Now, see 1st & 2nd Step, above, for what’s next! Schedule your intro and 1st follow up! MetroDCfertilitycareRN@gmail.com

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