Accepting New Patients Call 302-644-9080 17274 Coastal Highway, Lewes, DE 19958




What do I need prior to my appointment?

Having the specific information required for your insurance plan will facilitate your appointment and allow for a stress free visit upon arrival in our office. When a referral from your primary care physician is needed, contact your plan and have the following information before your appointment:

  1. Please provide us the number of visits or time frame we are allowed to see you
  2. Please provide us the billing referral number from your insurance company for our paperwork to file your claim

Do I need a pre-authorization?

Some insurance programs require a pre-authorization before services and procedures. Check your benefits book or website to find out what is needed for your appointment. This is very important because if your visit is not authorized, you will need to pay for all the services you receive from us. Our new patient advocate and our billing office is always available to speak to you over the phone and walk you through the process of how to find this information in your benefits book. Do not hesitate to call us if you need assistance with this

When is Co-Pay due?

Your co-payment is due at the time of service. Deductibles and co-insurance will be billed to the patient after the insurance company pays their portion. Please be prepared to pay your co-pay when you check in for your visit.

Are lab test fess covered?

Depending upon your insurance, lab test fees may or may not be covered. Be sure to get the facts about lab test fees from your insurance and pass those along to the team at DelMed Health so that we can serve you appropriately. The patient is responsible to inform us of the insurance preferred lab. DelMed Health is not responsible for any lab fees.

If someone else is paying my bill, how does that work?

If you are the patient but someone else is responsible for the payment of your bill through their insurance policy, you will need to provide the subscriber’s name, date of birth, social security number and address.

What forms of payment does DelMed Health accept?

We accept cash, check, money-order, Visa and MasterCard


How will my body change as menopause approaches?

Each woman’s menopause experience is different. The greatest differences observed are between women who have natural menopause and those whose menopause is early or induced, which typically requires specialized care. Many women who have natural menopause report no physical changes at all during the perimenopausal years except irregular menstrual periods that eventually stop when menopause is reached. In addition to irregular menstrual periods, some women experience symptoms of hot flashes, difficulty sleeping, and/or vaginal dryness. The severity of these changes varies from woman to woman, but for the most part, they are perfectly natural and normal. In fact, some experts and women prefer not to call perimenopausal changes “symptoms,” a term usually reserved to describe diseases.

What are hot flashes?

The most common menopause-related discomfort is the hot flash (sometimes called a hot flush). Although their exact cause is still a matter of speculation, hot flashes are thought to be the result of changes in the hypothalamus, the part of the brain that regulates the body’s temperature. If the hypothalamus mistakenly senses that a woman is too warm, it starts a chain of events to cool her down. Blood vessels near the surface of the skin begin to dilate (enlarge), increasing blood flow to the surface in an attempt to dissipate body heat. This produces a red, flushed look to the face and neck in light-skinned women. It may also make a woman perspire to cool the body down. An increased pulse rate and a sensation of rapid heart beating may also occur. Hot flashes are often followed by a cold chill. A few women experience only the chill.

How long will I have hot flashes?

Good news! Hot flashes typically stop on their own over time, and may not require any treatment. If treatment is needed, hot flashes can usually be reduced or eliminated completely.

What are the treatments for hot flashes?

The best treatment depends on how severe the hot flashes are, how much they interfere with a woman’s quality of life, her personal philosophy and preferences, and her health profile. If treatment is needed, hot flashes can usually be reduced or eliminated completely with lifestyle changes, nonprescription remedies, and prescription therapies. Systemic estrogen therapy is the only therapy approved by the U.S. Food and Drug Administration (FDA)—and Health Canada—for treating hot flashes.

Is it safe to take dietary supplements to help my menopause symptoms?

Supplements and prescription drugs have a lot in common. Both are used in an attempt to improve health. But “natural” remedies marketed as “dietary” supplements (including even topical progesterone cream and other nonprescription hormone treatments) are missing something their prescription counterparts come with—a Patient Package Insert. This document, required by the U.S. Food and Drug Administration (FDA) for all marketed prescription medications, provides vital information on how to take a drug safely, identify its negative side effects, and avoid potentially dangerous interactions with other drugs.

In Canada, all natural health products require an eight-digit product license number before they can be sold. Homeopathic medicine that is approved will have a license number beginning with NPN-HM, indicating to consumers that the product has been reviewed and approved by Health Canada for safety and efficacy.

When purchasing supplements, it is preferable to choose specific brands that have been tested in clinical trials. Last but not least, proceed with caution. Consulting a healthcare provider is advisable prior to using any supplement.

I’ve been having headaches lately. Can this be due to menopause?

Studies suggest that hormones may play a role in headaches. Women at increased risk for hormonal headaches during perimenopause are those who have already had headaches influenced by hormones, such as those with a history of headaches around menstrual periods or when taking oral contraceptives. Hormonal headaches typically stop when menopause is reached and hormone levels are consistently low. Most headaches do not require treatment or can be treated with nonprescription pain medications. Some headaches, however, can be serious. More serious headaches, including migraines, may require prescription drugs.

My eyes itch and sometimes tear. How can this be treated?

After menopause, some women report chronically dry and scratchy eyes, often along with light sensitivity, blurred vision, increased tearing, or swollen or reddened eyelids—a condition called chronic dry eye. This condition can occur in climates with dry air, as well as from certain diseases (such as Sjögren’s syndrome) and with the use of some drugs (such as allergy medications and antidepressants). Consult your healthcare provider about the therapies available to help provide relief.

LimeLight Facial

What is Limelight Facial?

The LimeLight Facial is a new, non-invasive approah to skin rejuvenation using Cutera's LimeLight. The procedure offers the advantage of improving skin tone and surface imperfections associated with aging and photodamage.

What areas can be treated?

The LimeLight Facial is idea for any part of your face, neck and décolleté with skin redness telangiectasia (tiny veins) or brown spots. Light (low contrast) brown spots, which were previously difficult to resolve, respond very well to treatment.

What do treatments feel like?

When the pulse of light is delivered, patients will experience a mild pinching or stinging sensation. Gel is recommended to cool the skin before vascular treatments. Anesthesia or pain medicine is typically not required.

How long will the treatments take?

Treatment time depends on the area of the body being treated. However, most treatments should take less than one hour.

How many treatments will I need?

One to three treatments are usually sufficient to see results. Additional treatments may be recommended, especially for exessively sundamaged skin.

What happens after the treatment?

Immediately following treatment, brown spots will start to darken and your skin may appear slightly red. The treated area may be swollen. This typically lasts a few hours and possibly a day or longer. Make-up can be applied to cover redness.

Will the spots and redness reappear over time?

New brown spots, telanglectasia and diffuse redness may appear with new sun damage; however they too can be treated. Remember to always apply broad-spectrum sunscreen when outdoors to minimize sun damage and the appearance of new spots and diffuse redness. Rosacea is chronic and cannot be"cured" with any laser or light source, however its appearance can be improved.