Why We Chose a Cash-Pay Model at Renewal Gynecology
- Emma Hackett
- Dec 11, 2025
- 2 min read

Choosing a cash-pay model was not about exclusivity.
It was about integrity of care.
The Reality of Insurance-Based Gynecology
Insurance-driven medicine works reasonably well for:
screening
acute issues
brief visits
It works far less well for:
sexual health concerns
postpartum or menopausal tissue changes
cosmetic and functional gynecology
regenerative therapies
complex conversations that require time
Most insurance models reward speed—not depth.
Why We Separated Care
By continuing routine gynecologic care within an FQHC and offering specialized care through Renewal Gynecology, we are able to serve women more honestly in both settings.
At Renewal Gynecology, the cash-pay model allows us to:
spend real time with you
avoid rushed decision-making
offer procedures and therapies insurance does not cover
be transparent about costs
focus on outcomes rather than coding
This separation protects the quality of both types of care.
What Cash-Pay Actually Means for You
A cash-pay model allows:
longer consultations
fewer patients per day
private, unhurried procedures
clear pricing upfront
care driven by clinical judgment—not reimbursement rules
You know exactly what you are paying for, and why.
What It Does Not Mean
Cash-pay does not mean:
pressure to proceed
unnecessary procedures
luxury for its own sake
abandoning evidence-based medicine
It means autonomy—for you and for us.
Why This Matters for Women’s Health
Many of the concerns women bring to Renewal Gynecology live in a gray zone—real, impactful, but historically under-addressed.
By stepping outside the constraints of insurance billing, we are able to offer care that is:
patient-centered
trauma-informed
biologically grounded
respectful of personal choice










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