Frequently Asked Questions
I already have regular insurance, why should I join a membership-based health program?
Because you want Results.
When you join WEIGHT reMDy, we will create a plan that is personalized to your struggles and your lifestyle. Together we strategize an action plan that makes sense for your life and based on Real Science when it comes weight.
Do you take insurance?
We do not participate with any insurance. In order to provide this truly personalized, thorough and exceptional care as you need it, Dr. Troutman does not accept insurance.
Our practice model is called direct specialty care meaning our patients pay the doctor directly.
I have Medicaid and Medicare insurance, can I still see you?
Unfortunately, at this time, we cannot see patients with these insurance.
Why do you not participate/take insurance?
We are an insurance-free medical practice. This simply means we will not collect payment from insurances for your care. By having patients pay directly to your doctor for treatment- just like you would pay for any excellent service, this model gives patients access to an unmatched doctor-patient relationship.
Better Care. By having a smaller practice, we can devote more time and attention to each individual and schedule longer 30 or 60 minute appointments. The extra time allows us to do an in-depth look at your particular struggle including the details that are often overlooked.
Better Accountability. The direct care model allows us to see patients more consistently (every week or every 2 weeks visits) to maximize your results and minimize frustrating wait times for appointments. The ability to do weekly/bi-weekly visits creates serial accountability and support which is crucial in creating change in our habits, our weight and life transformation.
Whole-person Support. We have group support and self-led modules that can help you outside of the scheduled 1 on 1 visits.
Focused on You. Insurance-based practices need more staff to handle the complications of managing an insurance-based system. We have simplified our system so that office flow exist solely to serve you, our patient.
Everything you pay at WEIGHT reMDy is transparent (there are no hidden fees) so you can make an informed decision regarding your treatment.
Can I use my Health Savings Account (HSA) / Health Flexible Spending Arrangement (FSA) to pay for my medical care?
Individuals can generally use the funds in their FSA/HSA cards for qualified medical expenses. Medical expenses are the “costs of diagnosis, cure, mitigation, treatment, or prevention of disease” which include payments for medical services rendered by a physician. This will apply to the medical care you receive at WEIGHT reMDy.
Please confirm with your employer/HR regarding benefits prior to your appointment.
Can I be reimbursed for some of the costs?
Some insurance plans that include out of network benefits (PPOs) will offer a percentage reimbursement for services rendered outside of their typical network-covered services.
If this is true for you, we are happy to provide you with an invoice that you can submit to your insurance to see if you can get some reimbursement. Unfortunately, we cannot guarantee that you will receive reimbursement for our services from your insurance as that is completely based on your insurance. Please be aware that most insurances will only reimburse you once you have met your out of network deductible.
Dr. Troutman is considered an out-of-network provider.
Which plan should I choose among your options
I would recommend choosing a plan that fits your needs. If you are only looking for a physician-guided weight loss plan, choose from the Weight Wellness Start Plans.
If you are looking for help with perimenopause or menopause hormone therapy, choose from the Midlife MHT Plans.
See below for further details
What forms of payment do you accept?
We accept cash, check, ACH electronic transfer, debit card, and all major credit cards.
I want to learn more about the practice, how can I ask questions?
Awesome! Let us chat! I do a 15 minute video meet and greet. This is a no-charge chat to discuss my practice. No medical advice is given at this chat.
If you are interested in Weight Wellness, click here.
If you are interested in Midlife reMDy, click here.
When is payment due for service?
There are 2 options.
1 -One time payment of price listed for membership.
2- 3 month payment plan by splitting a total cost over 3 months. The overall total price will be slightly higher than 1 time payment.
I do not have a primary care doctor, can I still be seen?
While I am trained as a Family Medicine Physician, I will be acting as a consultant specialist and I advise that you have your own Primary Care Physician to manage your general health. We generally communicate with your personal doctor.
Are lab tests and medications included in the cost?
No. However, we can order evidence-based lab tests that are helpful in evaluating your specific health concern. You can get the labs done at any lab provider and these are typically billed through your insurance.
Medications are prescribed based on medical history. Medications are sent to your preferred pharmacy.
We do NOT prescribe compounded anti-obesity medications.
Medications are not included in your membership fee. Medication coverage is based on your elected insurance, and we have no ability to change what your insurance will cover as it based entirely on your plan. There are low-cost generic prescriptions that we can prescribe.
Health insurances have made it difficult for patients to have access to medically recommended brand name medications. We will be charging a $50 fee per episode of medication prior authorization for members of the program. This fee helps offset the cost and time spent completing the paperwork.
I do not live close to your office, can I still be seen?
Dr. Troutman sees patients in person at her Camp Hill office as well as virtually through a HIPAA secure platform suitable for telemedicine.
If you prefer to do your visits completely virtual, that is definitely possible! There are federal regulations with regards to certain medications we might prescribe that might require an in-person visit. This will be discussed at your Initial Consult.
Midlife reMDy
Frequently Asked Questions
I am not in menopause yet, will you see me and can you help?
Absolutely! Schedule your initial consultation and let us listen to your story. There will be no gaslighting, no disbelief, no dismissing of symptoms.
Perimenopause and menopause can present with different symptoms outside of the more commonly known hot flashes and irregular periods.
Do you perform well-woman exams and can you be my primary care physician?
Dr. Troutman will NOT be performing traditional well-woman exams, pelvic exams or pap smears. You would need to continue to see your primary care physician or ob-gyn for preventative screenings.
Do you always prescribe hormone therapy?
Menopause Hormone Therapy is not for everyone. A comprehensive medical evaluation of your history is very important as well as a discussion of your current symptoms, potential risks and benefits of treatment is part of the shared decision making process. Dr. Troutman shares with you the latest evidence and science regarding MHT and how it can apply to you.
What if my provider says I should not take hormones, are there other options?
Short answer ? Yes. There are non-hormone therapy options available and Dr. Troutman is familiar and can discuss with you as well. But let's talk about it. Set up a consult. There are so many myths, misconceptions and unwarranted fears about MHT.
The unfortunate truth is, most providers don't have the interest or time to evaluate the data available. Not everybody is familiar with the nuances of Menopause Hormone Therapy and Dr. Troutman can walk you through all available options.
What is MHT-Focus Start Plan?
If you are looking for help with treating the symptoms of perimenopause and menopause and you already live a healthy lifestyle, I would recommend the MHT Focus.
MHT Focus is a 6 month membership which includes the Initial Consult and up to 4 30 minute visits.
A recommended visit schedule is
Visit 2 - Month 1 -MHT
Visit 3 - Month 2 - MHT
Visit 4- Month 4 - MHT
Visit 5- Month 6 - MHT
During the 6 months you have
access to the monthly Educate + Empower Sessions
24/7 access to you Menopause Specialist via email/text for any simple Hormone-therapy related concerns.
access to the Midlife reMDy Courses which was specifically created by Dr. Troutman for her patients.
Virtual Group Office Hours (in addition to your visits)
What is the MHT + Weight Start Plan?
MHT + Weight Start is a 6 month membership where you get the benefit of the dual -expertise of Dr. Troutman on menopause and weight wellness.
During the 6 months you have
access to the monthly Educate + Empower Sessions + Weight Wellness
24/7 access to you Menopause Specialist via email/text for any simple Hormone-therapy related concerns.
access to the Midlife reMDy Courses which was specifically created by Dr. Troutman for her patients + Weight Wellness courses
Virtual Group Office Hours (in addition to your visits)
I want to learn more about the practice, how can I ask questions?
Awesome! Let us chat! I do a 15 minute video meet and greet. This is a no-charge chat to discuss my practice.
No medical advice is given at this chat.
What type of hormones do you prescribe?
Dr. Troutman prescribes FDA-approved hormone therapy options. She incorporates guidelines from ACOG (American College of OB-Gyn) and NAMS (North American Menopause Society now known as Menopause Society). The prescriptions for Menopause hormone therapy (MHT) are sent to your local pharmacy. Most insurances will cover prescribed MHT. There are both generic and brand name options available. These are all discussed with you at your appointments.
She can prescribe Estrogen, Progesterone and Testosterone if medically appropriate.
Why should I choose you for my Hormone Health?
As a practicing physician for 20+ years, I strive to listen to my patients. Every plan we create is a shared decision making process. After all, it is your health we are talking about!
I am a Board-certified Menopause Specialist through the Menopause Society (previously known as NAMS or North American Menopause Society).
I also pursued additional training in the Heather Hirsch Academy as a Woman's Hormone Therapy Specialist. Because of my additional training, I can guide you in making a decision for your health based on science and up to date evidence-based treatment. Together we will find the best possible solutions for you.
Moreover, I am a woman struggling through my own perimenopause journey! It totally changed my perspective. My own story is actually what made me pursue additional training to help me understand what is going on with my body! My goal is to help patients like you who are also struggling with your story.
Do you prescribe testosterone pellets?
No. Dr. Troutman follows guidelines from the Menopause Society which DOES NOT recommend pellets due to the spiking levels that occur which causes supraphysiologic (above the normal range) levels.
Who is this Weight Wellness Membership designed for?
This program is for the person who is tired of trying to lose weight by “eating less and moving more” and not succeeding.
This program is for the person who has been told “it is their fault” that they are not losing weight.
This program is for those that are looking for specific guidance and consistent accountability to help achieve weight loss and optimized health.
I specialize in helping those who have achieved success in their personal and professional life but struggle with their personal health and weight.
I have helped countless patients who have tried different several times to lose weight, develop actionable plans and finally find a sustainable lifestyle change that helps them lose weight and keep the weight off. For good.
What does an obesity medicine doctor do?
An obesity medicine physician is a physician who completed specialty training and has expertise in the sub-specialty of obesity medicine.
I have a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity.
I can assess and co-manage with your other doctors, obesity-related medical conditions like pre-diabetes, diabetes, hypertension, hyperlipidemia, metabolic syndrome, obstructive sleep apnea, fatty liver, insulin resistance, PCOS, heartburn, which require ongoing monitoring and medication adjustment.
How are you going to help me with my Nutrition Goals?
At WEIGHT reMDy, there is no One Way. That is the beauty of working with an obesity expert!
I customize your Nutrition Pillar Plan based on your history, what has worked or not worked for you, comfort level and goals. Nobody has the same current plan.
I review your medical history and based on medical guidelines from recognized experts like the American Heart Association and Obesity Medicine Association we set an ultimate goal and then co-create achievable goals and monitor progress. Food tracking is a common tool we use in helping our patients be more aware of what we fuel our bodies with. We use different types of tracking like macronutrient tracking and or portion sizes tracking. We utilize apps or written food diaries that suit your lifestyle!
The eventual goal is a SUSTAINABLE (something you can do long term) eating plan.
What medications do you prescribe to help with weight loss?
As a Board-Certified Obesity Medicine physician, I prescribe FDA approved medications that you can get at the regular pharmacy. This will allow you to use your insurance. There are several generic as well as brand name medications we now use to treat the medical condition of obesity.
The Obesity Medicine Association has information about the latest medications you can read HERE.
What qualifications do you have?
Dr. Caissa Troutman is a Diplomate of the American Board of Obesity Medicine (ABOM) and previously served as Medical Director of Wellspan Health Medical Weight Management Program.
Dr. Troutman is also a Certified Culinary Medicine Specialist (CCMS) . Culinary medicine is an evidence-based field in medicine that blends the art of food and cooking with the science of medicine. It is aimed at helping people reach good personal medical decisions about accessing and eating high-quality meals that helps prevent and treat disease and restore well-being.
As a Board-Certified Menopause Society physician, Dr. Troutman is very familiar with the hormonal changes that can affect weight in women going through perimenopause and menopause.
What is the 4 Pillar Framework ?
This is the core of how we approach treating a medical condition like obesity. We breakdown healthful Nutrition into a personalized plan that you can do long term. We talk about barriers and how we can strategize solutions to get you started or enhance your current Physical Activity regimen. We create Behavior Change by managing our Mindset (aka Thoughts) and creating repetitive behaviors (aka Habits) on sleep optimization and stress resilience. We facilitate the changes we want to create by utilizing Medications to treat the biological and hormonal dysregulation that makes it hard to lose weight long term.
What are the 4 Ms?
The 4 Ms stand for Meals, Movement, Mind and Medications which are the same 4 Pillars discussed but just easier to remember!
Do you prescribe compounded GLP1 injections?
NO. At WEIGHT reMDy we DO NOT recommend or prescribe compounded GLP1 medications.
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