Frequently Asked Questions

Only individuals who currently reside in the State of Texas can apply for telemedicine services with Dr. Hilgers, and telemedicine visits need to be conducted within the State of Texas.

Our practice and Dr. Hilgers are not acting as your primary care physician (including your primary obstetrician and gynecologist (OB/GYN)), and our services do not replace the care currently provided to you by other health care providers, such as an internist, gynecologist, obstetrician, cardiologist, gastroenterologist, oncologist or other specialty care provider.

Dr. Hilgers does not admit patients to the hospital, treat hospitalized patients, provide surgical services, provide primary care services, or provide obstetrical care.  Dr. Hilgers is a medical consultant providing specific telemedicine services rather than a primary care provider (including your primary obstetrician and gynecologist).

The most efficient way to reach us is by sending a secure message through the patient portal.

Our team will respond to messages in the order they are received during normal office hours, and messages submitted over the weekend, a holiday, or office closure will be addressed when the office reopens.  This ensures we can provide you with the best possible service, and timely follow-up in a secure manner.

Please keep in mind that a secure message through the patient portal is not an appropriate means of communication regarding a health emergency.

Portal messages are to be used for non-urgent messages only, and a response will generally be sent within two (2) business days.

We are not emergency care, or urgent care.  We are not a primary care practice, or primary obstetrics and gynecology practice.  If you are experiencing a medical emergency, please contact your primary care physician, or your primary obstetrician and gynecologist, as applicable, or go to the nearest emergency medical facility. 

No, our practice is an entirely telemedicine-based practice, and accordingly we do not offer in-office visits/consultations.  We only offer virtual telemedicine visits.  In addition, Dr. Hilgers may determine whether the nature of a consultation is appropriate for telemedicine and may recommend you consult face-to-face with a separate health care provider.

Only individuals who currently reside in the State of Texas can apply for telemedicine services with Dr. Hilgers, and telemedicine visits need to be conducted within the State of Texas.

You can cancel your membership or program at any time upon giving thirty (30) days written notice.  However, please note that most medical and administrative expenses are incurred at the beginning of your membership or program term.  Our team will carefully assess the value of the services provided against the payments you have made to determine if a refund is applicable.

We dedicate significant time and attention to each patient, which means our telemedicine appointment slots are limited.  To be respectful of our schedule and other patients, we ask for at least three (3) business days’ notice if you need to reschedule or cancel an appointment. 

Cancellations made within three (3) business days of the appointment, no-shows, or patients presenting more than 15 minutes late to a telemedicine visit will result in the telemedicine visit being forfeited.

This policy helps our office ensure that we can accommodate all patients who are waiting for a telemedicine appointment and allows us to provide the best possible care to everyone, and we appreciate your understanding.

Healing from complex health, cycle, or fertility issues is a gradual process.  Given the years of symptoms, and underlying dysfunction, it is important to understand that no treatment plan is a quick or guaranteed fix. 

We anticipate that recovery can take time with ongoing support, maintenance and optimization along the way.  Our goal is to work with you to address your issues and coordinate a comprehensive evaluation and treatment plan. 

Patience and commitment are key to achieving lasting improvement.

We will provide a plan tailored to your unique needs, which may include:

• Nutritional supplements to support your health, cycle, and fertility.
• Functional health education and health coaching to optimize your overall well-being.
• Dietary therapy including detoxification.
• Biomarker cycle charting for female-health and fertility evaluation and optimization.
• Prescription medication to assess underlying medical issues.
• Male fertility evaluation and assistance.
• Targeted, cycle-specific hormone testing and cooperative, bioidentical hormone support.
• Ovulation monitoring and ovarian support.

Please note that your success is closely tied to your consistency and commitment, which are essential to achieving the best possible outcome.

Specialized testing may be recommended to obtain a better understanding of your overall health, and to assist with comprehensive treatment planning.

Please be aware that these tests are not covered by insurance and are out-of-pocket expenses. 

Each True Health Matters telemedicine program typically includes a comprehensive female hormone panel that is performed at the beginning of the program, and the cost of this lab panel is included in the cost of the program.  The cost of additional lab tests is not included and the cost for additional lab work typically ranges between $50 to $350.  Keep in mind each case is unique, and this cost estimate can vary, and the total cost and the number of tests required depend on the severity and complexity of your health issues. 

Based on your individual needs, we will determine the appropriate tests and provide you with our best estimate of both the cost and tests recommended for your treatment plan.

For lab testing we partner with Evexia Labs, which provides access to specialized laboratory testing.  Evexia does not work with insurance (patients cannot use insurance to pay for services) but patients can use HSA or FSA cards to pay for lab orders.

Formal biomarker-cycle charting is highly recommended.  Dr. Hilgers specializes in Natural Procreative Technology (NaProTECHNOLOGY), a women’s health science that uses the Creighton Model FertilityCare System to monitor a woman’s cycle, diagnose underlying medical conditions, and provide treatments to help support reproductive health and function.

While not a requirement to start working with Dr. Hilgers, it is highly recommended to have at least 2 months, or 2 cycles of charting with the Creighton Model FertilityCare System completed prior to beginning any program with Dr. Hilgers.

More information pertaining to the Creighton Model FertilityCare System can be found at https://www.fertilitycare.org.

Dr. Hilgers works specifically with the Creighton Model FertilityCare System of cycle monitoring – a natural family planning method where a woman makes daily biomarker observation to chart her natural cycle and fertility.

More information pertaining to the Creighton Model FertilityCare System can be found at https://www.fertilitycare.org.

No.  Creighton Model FertilityCare System charting is taught by a FertilityCare Practitioner or Center that teaches the method through introductory and follow-up sessions, providing a standardized system for family planning (achieving or avoiding pregnancy), and for monitoring reproductive and gynecological health.

More information pertaining to the Creighton Model FertilityCare System can be found at https://www.fertilitycare.org.

Learning the Creighton Model FertilityCare System costs roughly $350–$650 for the first year, which typically includes an introductory session, materials, and eight follow-up sessions.  Costs vary by FertilityCare Practitioner or Center.

More information pertaining to the Creighton Model FertilityCare System can be found at https://www.fertilitycare.org.

NaProTECHNOLOGY takes a comprehensive, whole-person approach to health utilizing a cooperative evaluation and treatment framework, rather than treatment approaches that suppress or circumvent the natural female cycle or fertility.

Due to the extensive nature of our evaluations and the limitations of traditional medical insurance, we do not accept insurance.

Our priority is to provide comprehensive, patient-centered care, free from the constraints of insurance-driven healthcare models.

Once your individual True Health Matters telemedicine program is completed, you have the option to continue your care through one of our True Member plans.  We will recommend the most suitable membership based on your ongoing health needs, ensuring continued monitoring and optimization to support your health journey.

To receive prescription or supplement refills or renewals, a patient must be actively enrolled in one of our True Health Matters telemedicine programs or True Member plans.

Once your True Health Matters telemedicine program or True Member plan concludes, we will provide a 30-day prescription and/or supplement supply to ensure continuity of care.  After this period, a new True Health Matters telemedicine program or True Member plan will be required for ongoing prescription or supplement support.

If we determine that continuing our work together is no longer a good fit, we will have an open discussion with you to respectfully conclude the True Health Matters telemedicine program or True Member plan.

Our goal is to provide the best possible care for our patients.

Yes.  Dr. Stephen J. Hilgers is a medical doctor and licensed by the State of Texas and the Texas Medical Board.  Dr. Hilgers is also a fellowship-trained physician in medical and surgical Natural Procreative Technology (NaProTECHNOLOGY), a certified FertilityCare medical consultant, a member of the St. John Paul the Great Society of Procreative Surgeons, and a Diplomate of the American Board of Obstetrics & Gynecology.

Dr. Hilgers specializes in Natural Procreative Technology (NaProTECHNOLOGY), a women’s health science that uses the Creighton Model FertilityCare System to monitor a woman’s cycle, diagnose underlying medical conditions, and provide treatments to help restore female health and reproductive function.

NaProTECHNOLOGY is a distinct medical approach that aims to identify and treat the root cause of reproductive and female health issues rather than masking symptoms, and uses a comprehensive, natural and holistic approach to medical treatment and support.

Accordingly, Dr. Hilgers does not utilize artificial contraception or assisted reproductive technology in his treatment strategies.