Last checked November 2026 against 34 sources · Editorial policy
Best online menopause clinics, ranked
The best online menopause clinic depends on your insurance. With a PPO plan, Midi Health is first: it's in-network with most PPO plans in all 50 states. If you're paying cash, Alloy's the cheapest start: a $49 one-time fee and estradiol pills from $39.99 a month. Evernow suits its four listed insurers and women who want Veozah. Winona ranks last: compounded creams, no insurance, and not in every state.
Online menopause clinics ranked by price, insurance, Medicare, what they prescribe, states served and Trustpilot score, checked November 2026.
Best online menopause clinics side by side
| 1. Midi Health | 2. Alloy | 3. Evernow | 4. Winona | |
|---|---|---|---|---|
| How it works | Video visits with a clinician, billed to insurance. | Online intake; a doctor replies within 12 hours; medicines shipped. | Video visits plus an optional membership with messaging. | Online intake reviewed by a doctor; medicines shipped by subscription. |
| To start | $250 self-pay first visit, or your copay. | $49 one-time consult fee. | $150 self-pay visit, or your copay. | No visit fee. |
| Ongoing fees | $150 per self-pay follow-up. | None; unlimited doctor messaging. | Membership $35 to $49 a month, not covered by insurance. | None; free unlimited follow-ups. |
| Insurance | In-network with most PPO plans. | No; receipts can go to a PPO plan, HSA or FSA. | UnitedHealthcare, Aetna, Anthem, Blue Cross Blue Shield, for video visits. | No; HSA or FSA receipts only. |
| Medicare and Medicaid | Medicare self-pay only, no claims; no Medicaid. | Not billed: no insurance. | Not supported. | Not billed: no insurance. |
| Estradiol pill | FDA-approved; billed separately, may be covered. | From $39.99 a month. | FDA-approved generic; insurance at your pharmacy. | From $54 a month. |
| Estradiol patch | FDA-approved; billed separately, may be covered. | $100 a month. | FDA-approved generic; insurance at your pharmacy. | From $149 a month. |
| Progesterone | Prescribed with estrogen if you have a uterus. | From $23 a month. | Prescribed; FDA-approved. | Capsules from $39 a month. |
| Compounded products (not FDA-approved) | Testosterone, GLP-1s, a vaginal estradiol cream. | Semaglutide in its weight program. | Some bioidentical hormone formulations. | Estrogen and progesterone body creams, vaginal cream. |
| Non-hormonal hot flash drugs | Non-hormonal options; no drugs named. | Paroxetine, $34.99 a month. | Veozah and paroxetine. | None listed. |
| GLP-1s | Brand-name, or compounded from $165.90 for 4 weeks. | $99 a month program plus medicine from $70. | Yes, including Zepbound. | No. |
| Testosterone | Compounded, in 25 states, from $100 for 90 days. | Not listed. | Not listed. | No; DHEA instead. |
| Where available | All 50 states. | All 50 states and D.C. | All 50 states and D.C. | Some states plus Puerto Rico; not in AL, AK, AR, KS, LA, MS, NM, ND, RI, SD, UT, VT, WV or D.C. |
| Trustpilot, November 1, 2026 | 4.1 from 1,795 reviews. | 4.3 from 4,146 reviews. | 2.0 from 15 reviews. | 4.6 from 8,986 reviews. |
| 1. Midi Health | 2. Alloy | 3. Evernow | 4. Winona | |
|---|---|---|---|---|
| How it works | Video visits with a clinician, billed to insurance. | Online intake; a doctor replies within 12 hours; medicines shipped. | Video visits plus an optional membership with messaging. | Online intake reviewed by a doctor; medicines shipped by subscription. |
| To start | $250 self-pay first visit, or your copay. | $49 one-time consult fee. | $150 self-pay visit, or your copay. | No visit fee. |
| Ongoing fees | $150 per self-pay follow-up. | None; unlimited doctor messaging. | Membership $35 to $49 a month, not covered by insurance. | None; free unlimited follow-ups. |
| Insurance | In-network with most PPO plans. | No; receipts can go to a PPO plan, HSA or FSA. | UnitedHealthcare, Aetna, Anthem, Blue Cross Blue Shield, for video visits. | No; HSA or FSA receipts only. |
| Medicare and Medicaid | Medicare self-pay only, no claims; no Medicaid. | Not billed: no insurance. | Not supported. | Not billed: no insurance. |
| Estradiol pill | FDA-approved; billed separately, may be covered. | From $39.99 a month. | FDA-approved generic; insurance at your pharmacy. | From $54 a month. |
| Estradiol patch | FDA-approved; billed separately, may be covered. | $100 a month. | FDA-approved generic; insurance at your pharmacy. | From $149 a month. |
| Progesterone | Prescribed with estrogen if you have a uterus. | From $23 a month. | Prescribed; FDA-approved. | Capsules from $39 a month. |
| Compounded products (not FDA-approved) | Testosterone, GLP-1s, a vaginal estradiol cream. | Semaglutide in its weight program. | Some bioidentical hormone formulations. | Estrogen and progesterone body creams, vaginal cream. |
| Non-hormonal hot flash drugs | Non-hormonal options; no drugs named. | Paroxetine, $34.99 a month. | Veozah and paroxetine. | None listed. |
| GLP-1s | Brand-name, or compounded from $165.90 for 4 weeks. | $99 a month program plus medicine from $70. | Yes, including Zepbound. | No. |
| Testosterone | Compounded, in 25 states, from $100 for 90 days. | Not listed. | Not listed. | No; DHEA instead. |
| Where available | All 50 states. | All 50 states and D.C. | All 50 states and D.C. | Some states plus Puerto Rico; not in AL, AK, AR, KS, LA, MS, NM, ND, RI, SD, UT, VT, WV or D.C. |
| Trustpilot, November 1, 2026 | 4.1 from 1,795 reviews. | 4.3 from 4,146 reviews. | 2.0 from 15 reviews. | 4.6 from 8,986 reviews. |
Online menopause clinics: expectation vs reality
What people often expect
“The best online menopause clinic is the one with the highest star rating”
What the evidence shows
Star ratings say little here. Winona scores highest on Trustpilot, 4.6, but it invites customers to review, while Midi, at 4.1, hasn't invited reviews recently and Evernow's 2.0 rests on 15 reviews. What you'll actually pay, and what you'll get prescribed, depends on whether the clinic bills your insurance, whether its hormones are FDA-approved, and whether it serves your state and age.
How the online menopause clinics compare
How we ranked the online menopause clinics
We compared what each clinic publishes on its own website on November 1, 2026: who pays (insurance or cash), the price of standard HRT, whether its hormones are FDA-approved or compounded, which states and ages it serves, and what else it prescribes. We didn't use the services ourselves. Trustpilot scores are listed for reference but don't set the order, because the clinics collect reviews differently.
Best online menopause clinic with insurance: Midi Health
Midi is in-network with most PPO plans, works in all 50 states and prescribes FDA-approved HRT, which insurance is more likely to cover than compounded hormones. If you've got coverage, you'll usually pay a specialist copay per visit. If you haven't, the first visit is $250. Watch the extras: Midi also sells compounded testosterone, compounded GLP-1s and its own supplements, and it can't bill Medicare or Medicaid.
Learn more →Best cash-pay online HRT: Alloy
Alloy charges one $49 consult fee, then clear monthly prices for FDA-approved HRT: estradiol pills from $39.99, gel or spray $69.99, patches $100 and progesterone from $23. You'll hear from a doctor within 12 hours, wherever you are in the 50 states or D.C. It doesn't take insurance, and its patch costs more than generic patches bought with coverage.
Learn more →Best online menopause clinic for non-hormonal treatment: Evernow
Evernow lists Veozah and paroxetine for women who can't or won't take hormones, alongside FDA-approved generic HRT. Its video visits are billed to UnitedHealthcare, Aetna, Anthem and Blue Cross Blue Shield, or cost $150 self-pay, and it's in Progyny's employer network. The catch: you'll pay a membership of $35 to $49 a month that insurance won't cover, and its Trustpilot page has only 15 reviews.
Learn more →Why Winona ranks last among online HRT services
Winona has no visit fee and free follow-ups, but its standard HRT costs more than Alloy's (patch $149 vs $100 a month), it takes no insurance, it prescribes HRT only to women aged 35 to 59, and it isn't available in every state or in D.C. Its body creams are compounded in its own pharmacies and aren't FDA-approved. Its FDA-approved tablets, capsules and patch are a reasonable choice where it operates.
Learn more →Online menopause clinics on Medicare
None of the four bills Medicare. Midi lets Medicare members pay out of pocket but not claim, Evernow doesn't support Medicare or Medicaid, and Alloy and Winona take no insurance. On Medicare, a certified menopause practitioner or your own doctor who accepts Medicare is usually the better route, many by telehealth, and generic estradiol costs $6.76 for 30 tablets at one low-cost online pharmacy.
Learn more →Compounded hormones and red flags at online clinics
Every clinic here sells something compounded: testosterone and GLP-1s at Midi, semaglutide at Alloy, some hormone formulations at Evernow, creams at Winona. Compounded drugs aren't reviewed by the FDA for safety, effectiveness or quality. The FDA's red flags for telehealth include claiming a compounded drug is the same as an approved one and prices that seem too good to be true. Midi and Winona say they don't use hormone pellets, and Alloy and Evernow don't list them.
Learn more →Online menopause clinics by the numbers
$49
$250
$100 vs $149
0 of 4
Prices and terms were checked on each clinic's website on November 1, 2026 and change often. Insurance coverage depends on your specific plan.
Online menopause clinics ranked
1. Midi Health: best with PPO insurance
Learn more →Good for
In-network with most PPO plans; all 50 states; FDA-approved HRT; 30-minute first visit.Watch
$250 first visit without coverage; no Medicare or Medicaid; compounded testosterone and GLP-1s on offer.2. Alloy: best cash price
Learn more →Good for
$49 one-time fee; FDA-approved estradiol from $39.99 a month; all 50 states and D.C.Watch
No insurance; patch $100 a month; GLP-1 program $99 a month extra.3. Evernow: best for Veozah and ongoing messaging
Learn more →Good for
Veozah and paroxetine; video visits billed to four national insurers; all 50 states and D.C.Watch
Membership $35 to $49 a month isn't covered; only 15 Trustpilot reviews.4. Winona: no visit fee, narrower reach
Learn more →Good for
No visit fee; free follow-ups; FDA-approved tablets from $54 a month.Watch
Compounded creams; no insurance; ages 35 to 59 only; not in every state.Menopause Society certified practitioner
Learn more →Good for
Passed The Menopause Society's competency exam; many offer telehealth; best for complex histories and Medicare.Watch
Insurance and availability vary by clinician.Your own doctor or gynecologist
Learn more →Good for
Usually covered by insurance; can examine you and send generic prescriptions to any pharmacy.Watch
Some doctors have limited menopause training; it's worth asking up front whether they prescribe HRT.
How to choose an online menopause clinic
- Start with insurance: is the clinic in-network for visits, and can prescriptions go to your own pharmacy?
- Add up the year: visit or membership fees plus medicine, and compare with your copay for generic HRT.
- Ask for FDA-approved estradiol and progesterone; treat compounded products as the exception.
- Check your state and age are covered before paying anything.
- Be wary of testosterone without a diagnosis of low sexual desire, and of hormone pellets anywhere.
When an online menopause clinic isn't the right route
Urgent: Any bleeding after menopause
See a doctor in person. It needs an exam and usually an ultrasound.
More →A history of breast cancer, blood clots, stroke or liver disease
See a menopause specialist who can review your records before any HRT decision.
More →Menopause symptoms before 45
See a doctor. Early menopause needs diagnosis and may need blood tests.
More →Urgent: Leg pain or swelling, or chest pain with breathlessness, on HRT
Leg symptoms: call a doctor now. Chest pain or breathlessness: call 911.
Online menopause clinics: questions women ask
What is the best online menopause clinic?
With PPO insurance, Midi Health, because it's in-network with most PPO plans in all 50 states. Paying cash, Alloy, with a $49 one-time fee and FDA-approved estradiol from $39.99 a month. For Veozah or ongoing messaging, Evernow. On Medicare, none of them bills it, so a certified menopause practitioner is the better choice.
What is the cheapest online HRT?
Among these online menopause clinics, Alloy is cheapest to start: $49 once, then estradiol pills from $39.99 a month and progesterone from $23. With good insurance, an in-network clinic can cost less, and a generic prescription filled at a low-cost pharmacy is cheaper still: 30 estradiol tablets for $6.76.
Related →Which online menopause clinics take insurance?
Midi is in-network with most PPO plans. Evernow bills video visits to UnitedHealthcare, Aetna, Anthem and Blue Cross Blue Shield and lets you fill prescriptions through insurance at your own pharmacy. Alloy and Winona take no insurance, though HSA and FSA cards or receipts usually work.
Does any online menopause clinic take Medicare?
None of the four reviewed here bills Medicare. Midi accepts Medicare members only as self-pay patients who can't claim, and Evernow doesn't support Medicare or Medicaid. Alloy and Winona take no insurance at all. A Menopause Society certified practitioner who accepts Medicare, often by telehealth, is the usual alternative.
Related →Which online menopause clinic prescribes testosterone?
Midi prescribes compounded testosterone in 25 states, from $100 for 90 days. Winona prescribes DHEA instead, and Alloy and Evernow don't list it. No testosterone is FDA-approved for women; the evidence supports it only for diagnosed low sexual desire after menopause.
Related →Are online menopause clinics safe?
The established ones use licensed clinicians and prescribe FDA-approved HRT under the same guidelines as in-person care. What you'll want to watch is compounded add-ons the FDA hasn't reviewed, and skipping an in-person exam when you need one, say for bleeding after menopause.
Related →Is Gennev or Hers on this list?
Not yet. This ranking covers four online menopause clinics whose prices and terms we checked on their own websites on November 1, 2026: Midi Health, Alloy, Evernow and Winona. Other services will be added once their pricing, insurance and prescribing are checked the same way.
Sources
- Midi Health. Pricing & insurance (visit prices, insurance, Medicare and Medicaid, FAQ). Accessed November 1, 2026.
- Midi Health. Home page: care plans, availability, products and patient-reported results. Accessed November 1, 2026.
- Alloy. Estradiol patch (price, consult fee, timing). Accessed November 1, 2026.
- Alloy. Menopause solutions and prices. Accessed November 1, 2026.
- Evernow. FAQ: membership prices, insurance, states, medications. Accessed November 1, 2026.
- Evernow. Non-hormonal menopause treatment. Accessed November 1, 2026.
- Winona. Frequently asked questions: states, treatments, compounding, insurance, billing and refunds. Accessed November 1, 2026.
- Trustpilot. By Winona reviews (bywinona.com): TrustScore and review count. Accessed November 1, 2026.
- Trustpilot. Midi Health reviews (joinmidi.com): TrustScore and review count. Accessed November 1, 2026.
- Trustpilot. evernow.com reviews: TrustScore and review count. Accessed November 1, 2026.
- Midi Health. Insurance-covered hormone replacement therapy. Accessed November 1, 2026.
- Midi Health. Testosterone for women, by Midi (states, price, process). Accessed November 1, 2026.
- Midi Health. GLP-1 pricing: compounded GLP-1 and GLP-1/GIP. Accessed November 1, 2026.
- Alloy. FAQ: insurance, availability, doctors. Accessed November 1, 2026.
- Evernow. Evernow joins Progyny's national provider network. Accessed November 1, 2026.
- Winona. Home page: online HRT for perimenopause and menopause, FAQ. Accessed November 1, 2026.
- Winona. All products and prices. Accessed November 1, 2026.
- The Menopause Society. How to find a certified menopause practitioner.
- Mark Cuban Cost Plus Drug Company. Hormone therapy medication prices (checked September 2026).
- Alloy. Compounded semaglutide and Alloy Weight Care. Accessed November 1, 2026.
- Evernow. Hormone replacement therapy options. Accessed November 1, 2026.
- FDA. FDA’s Concerns with Unapproved GLP-1 Drugs Used for Weight Loss.
- NHS. Postmenopausal bleeding.
- American College of Obstetricians and Gynecologists. Committee Opinion No. 734: The role of transvaginal ultrasonography in evaluating the endometrium of women with postmenopausal bleeding. Obstet Gynecol. 2018;131(5):e124-e129.
- NHS. About hormone replacement therapy (HRT).
- NICE. Menopause: identification and management (NG23). Updated 2024.
- NHS. Oestrogen tablets, patches, gel and spray: side effects.
- National 911 Program. 911.gov.
- Evernow. Estradiol patch. Accessed November 1, 2026.
- Midi Health. Compounded vaginal estradiol cream (product page). Accessed November 1, 2026.
- Trustpilot. Alloy Health reviews (myalloy.com): TrustScore and review count. Accessed November 1, 2026.
- US Food and Drug Administration. NASEM study on the clinical utility of treating patients with compounded "bioidentical" hormone therapy.
- Davis SR, Baber R, Panay N, et al. Global Consensus Position Statement on the Use of Testosterone Therapy for Women. J Clin Endocrinol Metab. 2019;104(10):4660-4666.
- Jiang X, Bossert A, Parthasarathy KN, et al. Safety assessment of compounded non-FDA-approved hormonal therapy versus FDA-approved hormonal therapy in treating postmenopausal women. Menopause. 2021;28(8):867-874.
See our editorial policy.
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