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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



This model allows us to practice medicine the way we believe it should be practiced—especially in the most intimate areas of women’s health.





An Invitation



If you are seeking routine gynecologic care, we are proud to continue offering that work within the FQHC system.


If you are seeking deeper conversations, restorative procedures, or regenerative therapies that require time and discretion, Renewal Gynecology exists for you.


 
 
 

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