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Something has changed.
You're not imagining it.

Comprehensive women's healthcare for Pacific Blue Cross members.

Maybe it's the sleep. Or the weight that won't shift no matter what you do. Or the fog that makes you feel like a stranger in your own mind. Whatever it is — it's real, it matters, and it deserves more than being told its just stress.

Your Pacific Blue Cross plan includes support that actually takes you seriously. Begin with a free assessment.

Begin Your Free Assessment
Pacific Blue Cross

Something has changed.
You're not imagining it.

Comprehensive women's healthcare for Pacific Blue Cross members.
Pacific Blue Cross

Maybe it's the sleep. Or the weight that won't shift no matter what you do. Or the fog that makes you feel like a stranger in your own mind. Whatever it is — it's real, it matters, and it deserves more than being told its just stress.

Your Pacific Blue Cross plan includes support that actually takes you seriously. Begin with a free assessment.

Begin Your Free Assessment

Start free. Go deeper if you need to.

Your Pacific Blue Cross plan includes a complete set of free tools. When you're ready for one-on-one clinic care, that's available too.

Included in Pacific Blue Cross plans
Free tools

Midlife Health Tools

Everything you need to understand your symptoms and start feeling better — at no cost, today.

  • Midlife Health Assessment (10-20 min)
  • Symptom Relief Guide
  • Health library, digital resources and live webinars
  • Peer support and community
  • Sano AI virtual health assistant
Begin Your Free Assessment
Most complete
Add-on - benefits coverage may apply

Comprehensive Clinical Care

One-on-one healthcare with a dedicated NP or ND and Health Coach, lab work, and a tailored treatment plan — built around you

  • 1-on-1 Health Coach appointments
  • Personalized lab work & assessment
  • NP or ND clinic care (your choice)
  • Tailored treatment plan, including prescriptions as appropriate
  • Group coaching program
  • Ongoing follow-up & care coordination
Begin Your Free Assessment

You've been trying to figure this out on your own for a while, haven't you.

Maybe you've Googled your symptoms at midnight. Maybe you've mentioned it to your doctor and been told your bloodwork is normal. Maybe you've wondered if you're just getting older, or if something is actually wrong.

If any of that sounds familiar, you're in the right place. The assessment takes about 15 minutes, is free through your Pacific Blue Cross plan, and gives you a clearer picture of what's happening — and what to do about it.

Begin Your Free Assessment

If you need more, we're here

The free tools are a real starting point — many women find them genuinely helpful on their own. But if you want to go deeper with a clinician who specializes in midlife health, here's what that looks like.

NP Care Pathway

Most popular
Nurse Practitioner · HSA eligible
$299
  • 45-min clinician consultation
  • Health coaching session
  • Lab review & treatment plan
  • 3 months group coaching

$199
  • Follow-up consultation
  • Health coaching session

ND Care Pathway

Holistic care
Naturopathic Doctor · Paramedical eligible · HSA eligible
$370
  • 45-min clinician consultation
  • Health coaching session
  • Lab review & treatment plan
  • 3 months group coaching

$280
  • Follow-up consultation
  • Health coaching session
Your Health Coach will help you figure out which pathway makes sense for you — and whether your paramedical benefits apply.
No pressure. No obligation. Just a conversation

How It Works

Getting started is simple. From your first conversation to your personalized care plan, every step is designed to be clear, supportive, and at your own pace.

Step 1: Complete Your Assessment

Complete your midlife health assessment to understand what you're experiencing and whether your symptoms are related to menopause.

Step 2: Initial Call

Connect with a Health Coach to review your symptoms, goals, and Pacific Blue Cross coverage. Based on your needs and available benefits, we'll recommend the healthcare provider best suited for you.

Step 3: Meet Your Healthcare Provider

If you move forward, meet with a Naturopathic Doctor or Nurse Practitioner for a comprehensive assessment.

Step 4: Personalized Plan

Based on your assessment and lab work, your healthcare provider creates a tailored treatment plan just for you that includes medications, supplements, nutrition and lifestyle recommendations.

Step 5: Ongoing Care

Continue working with your care team through follow-ups and adjustments over time.

In their own words.

8 in 10 women in sanoMidLife report a meaningful improvement within the first two months. These women had already tried other things. They weren't starting from zero. They were starting from frustrated.

80%
Improved Quality of Life

The results matter. So does feeling understood along the way.

★★★★★

"It's the first time on my menopause journey that I felt heard by a medical professional. My experience exceeded my expectations and was everything I had hoped for and more."

- Josée
★★★★★

"I am so grateful for finding this program because everything is so much better. My mood and energy levels have improved, and my brain fog is gone.".

- Amanda
★★★★★

"My Health Coach and Nurse Practitioner are wonderful. Being heard and receiving compassionate care is a beautiful thing."

- Melanie

You've been managing this long enough.

Complete our Midlife Health Assessment to help you get clarity on your symptoms.

Begin Your Free Assessment

Common Questions:

Here's what you can expect from your sanoMidLife comprehensive care program:

  • Health Coach appointment 1: Review your history, symptoms, and goals, and coordinate bloodwork so your ND visit can focus on decisions, not logistics.
  • Bloodwork completed before your first clinician visit: Labs give the full picture and help rule out underlying issues, so your plan treats the whole person, not just symptoms.
  • Clinician appointment 1: Comprehensive assessment and your personalized care plan, which may include lifestyle changes, supplements and prescriptions when clinically appropriate.
  • Health Coach appointment 2: Walk through your plan together, answer practical questions (including how to follow treatments as directed), and turn recommendations into doable steps around food, movement, and sleep.
  • Prescriptions filled: If medications are prescribed, you'll have clear instructions before starting.
  • Short online check-in: Gives your clinician an update on what's changed so your next visit stays focused and efficient.
  • Clinician appointment 2: Review how you're feeling and adjust your plan as needed.
  • Optional Thrive in 12: A guided 12-week group coaching program designed to help you implement your plan with structure and accountability.

Care remains connected across appointments. Decisions are based on both your lab results and how you're actually feeling.

Additional appointments may be included if sanoMidLife is available to you through your employer or through an individual purchase.

This care model is designed as a complete care journey, not just a single visit. It includes an initial assessment, a personalized care plan, and a follow-up appointment to review your progress and make any needed adjustments.

Most participants complete their initial program over 10–12 months, depending on how appointments are scheduled. If prescriptions are part of your care plan, they are typically provided for up to 12 months.

If your symptoms change or new concerns arise, additional appointments can be booked at any time. You will always see the fee before scheduling.

After completing the initial program, we recommend reconnecting once a year for a full reassessment, which often aligns with annual benefit resets.

Our team includes:

  • Nurse Practitioners (NPs) — Medical providers who can assess, diagnose, order tests, and prescribe medications, including hormone therapy when appropriate.
  • Naturopathic Doctors (NDs) — Clinicians trained in whole-person care, using nutrition, supplements, and prescribing authority (where applicable) as part of a comprehensive approach.
  • Coaches - Are registered nurses (RNs), registered practical nurses (RPNs) or other registered health practitioners, who provide care coordination, education, and continuity throughout your care.

Our clinicians and coaches focus specifically on women's midlife health, including perimenopause and menopause.

sanoMidLife is designed to complement the care you may receive from your GP, or to fill a gap if you do not currently have one.

Our clinicians focus specifically on midlife health and menopause-related concerns. Appointments are longer and more specialized than typical primary care visits, allowing for deeper discussion and individualized planning.

We work alongside the broader healthcare system and can help guide next steps if in-person evaluation or additional services are needed.

Yes. While sanoMidLife focuses on midlife-related concerns, you do not need a GP to access care with us.

If your symptoms require in-person assessment or services outside our scope, we will guide you toward appropriate next steps.

The best option for you will depend on your health needs and your benefit coverage. Your Coach will help guide you toward the option that is the best fit for you.

Most extended health benefits plans include some coverage for Naturopathic Doctor (ND) services. Your reimbursement depends on your specific plan and how much of your annual coverage you've already used.

If you have a Health Spending Account (HSA), Nurse Practitioner (NP) fees are often eligible for reimbursement. HSAs vary by plan, we recommend confirming what's included.

How reimbursement works:

  • We provide benefits ready receipts for eligible services
  • You submit receipts to your insurer for reimbursement

Direct billing varies by insurer and plan. We're working to expand direct billing options where requirements allow.

sanoMidLife focuses on perimenopause, menopause, and midlife health concerns.

If you have a pre-existing condition that's unrelated to menopause, you should continue care with your GP or specialist. We can still work alongside that care and consider how menopause-related changes may be affecting how you feel.

If your medical history is complex or your needs fall outside our scope, we'll let you know early and help guide you toward the right next step.

Yes, when medically appropriate.

Depending on your needs, your care plan may include prescriptions, supplements when appropriate, and lifestyle strategies.

Yes, when clinically appropriate.

Your clinician will review your symptoms, health history, and any relevant lab results, then discuss options, benefits, and safety considerations with you.

If hormone therapy isn't the right fit, we'll guide you toward other evidence-informed options.