The first telemedicine service focused on women's health in perimenopause and beyond, including managing symptoms like hot flashes

Doctors Online

Talk to your doctor via 30-45 minute video chats. We cut out the waiting rooms and waiting lists, and connect you directly to qualified specialists.

Mobile App

Between visits, you can manage your care via our convenient mobile app. Message your doctor and care team at anytime for quick responses.

Personalized Treatment

Based on your needs and preferences, we make recommendations around natural supplements and lifestyle changes, or prescribe medications or hormone therapy (HRT).


Meet Our Doctors

Menopause experts are hard to come by, but we’ve gathered the best of the best.

Dr. Tamara Neuhaus MD
OB-GYN, Menopause Specialist
University of California, San Diego MD
Kaiser Permanente Residency

As both a North American Menopause Society (NAMS) Certified Provider and BRCA2 previvor, I bring expertise and empathy to women's midlife care.

Dr. Tamara Neuhaus MD
OB-GYN, Menopause Specialist
University of California, San Diego MD
Kaiser Permanente Residency

As both a North American Menopause Society (NAMS) Certified Provider and BRCA2 previvor, I bring expertise and empathy to women's midlife care.

Dr. Mindy Goldman MD
OB-GYN, Menopause and Cancer
University of Vermont MD
University of California, San Francisco

I have used my expertise to help establish national guidelines for managing menopause symptoms and sexual functioning in cancer survivors.

Dr. Tamara Neuhaus MD
OB-GYN, Menopause Specialist
University of California, San Diego MD
Kaiser Permanente Residency

As both a North American Menopause Society (NAMS) Certified Provider and BRCA2 previvor, I bring expertise and empathy to women's midlife care.

Dr. Mindy Goldman MD
OB-GYN, Menopause and Cancer
University of Vermont MD
University of California, San Francisco

I have used my expertise to help establish national guidelines for managing menopause symptoms and sexual functioning in cancer survivors.

Dr. Brad Jacobs MD
Menopause and Integrative Medicine
Stanford University MD
University of California, San Francisco

I am a North American Menopause Society (NAMS) Certified Provider and a board-certified Integrative Medicine physician.

Certified by industry leaders
NAMS - The North American Menopause SocietyACOG - The American College of Obstetricians and GynecologistsHIPAA Compliance

What we treat

Learn more about the signs and symptoms of menopause. Our knowledge base is 100% vetted by medical professionals.

  • Hot Flash
  • Insomnia
  • Fatigue
  • Weight Gain
  • Mood
  • Vaginal Dryness
  • Brain Fog
  • Anxiety
  • Irregular Bleeding
  • Low Libido
  • Incontinence
  • Painful Sex
What our members are saying

This was the first stage of life where none of the doctors I went to knew much about it...Dr. Tammy was the first to finally connect all of the dots... She walked me through the research and evidence so that I could make informed choices –– no patriarchal nonsense, no judgment. I always feel heard and seen and treated like an adult!

- Megan


Frequently Asked Questions
Will The Cusp replace my gynecologist?

Not all gynecologists are necessarily experts in menopause. The Cusp physicians have unique expertise in the treatment of perimenopause and menopause symptoms and are certified by the North American Menopause Society (NAMS). Through modern technology, The Cusp is expanding access to these rare experts.

The Cusp does not replace your gynecologist. You’ll still keep your annual appointments, do regular Pap screenings and breast exams, and consult with your gyno on women’s health concerns. Especially if they’re also your primary care physician. You’ll also want to keep your gynecologist in the loop on the treatments The Cusp prescribes for you and how they’re working. Since you’ll share your medical history with your The Cusp doctor, we will be aware of any possible drug interactions and prescribe accordingly. You’ll want your gyno to be able to do the same. Plus, the more health professionals who learn about all the options available for peri/menopause care, the better!

What are the telehealth visits like?

After you book your package, you’ll be prompted to download our app. In the app, you can schedule your first telehealth visit with one of our doctors. The Cusp app is at the center of your care experience with us. Through the app, you can:

  1. Schedule your first visit and subsequent visits

  2. Complete Pre-Consult Questionnaires, which your doctor will review before your first visit. This is highly encouraged, as it enables your doctor to spend more time during visits focusing on treatments, vs. gathering information.

  3. Track your menopause symptoms daily. This is also shared with your doctor so that they are better informed about the frequency and severity of your symptoms.

On your first visit, you’ll meet with your doctor via a HIPAA-compliant (secure and encrypted for your privacy) video conference, during which your doctor will recommend medications, treatments, lifestyle changes, dietary supplements, natural supplements, etc. depending on your symptoms and your preferred course of treatment.  There is no physical examination involved. If an examination is necessary, your doctor will make an appropriate referral. Your doctor may also order labs, imaging (like a mammogram or ultrasound), and/or prescriptions during your visit.

How often do I visit with my doctor?

The number of visits you’ll need depends on your response to treatment. Most of our members check in with their doctors at least once a month to discuss how they’re feeling, make tweaks to treatment, and track their progress. In between visits, you can also text with your care team via our secure mobile app.

What if I need labs or tests?

If your doctor at The Cusp needs more information to prescribe the best treatment for you, they may order lab work or tests. We work with a number of labs and imaging facilities, so all you have to do is make an appointment at your preferred location, and the results will be sent directly to us. If you’re a member of an HMO, you may need to work with a specific medical facility.

Does The Cusp take insurance?

It depends on the type of service you’re talking about. It’s a different process than you’ll use when going to a typical doctor’s office, and we created a chart to help you understand what’s covered and how.

If you have an FSA or HSA, you may use it to pay for your care with us.

ExpenseFSA member costHSA member costInsurance Coverage
Video doctor visitsYesYesMay qualify for reimbursement as out of network. Requires documentation, which we can provide.
Labs and other diagnostic testsYesYesYes, according to your insurance plan test coverage.
Prescription medicationsYesYesYes, according to your insurance plan prescription coverage.
Herbs, supplements, and non-prescription treatmentsYes, with documentationYes, with documentationNo
How is my data stored?

The Cusp complies with the security regulations set forth by HIPAA (Health Insurance Portability and Accountability Act), which is the standard for the healthcare industry. Protected health information is properly encrypted and stored to ensure your privacy. All video conferencing is done through a HIPAA-compliant platform, which you can learn more about here.

Have other questions?
Contact us at support@thecusp.com

Start managing your hot flashes and related symptoms today

Schedule an appointment with a specialist today and discuss your hot flashes and related symptoms to explore treatment options , including prescription meds, hormone theraphy, and natural suppliments.