Last checked November 2026 against 28 sources · Editorial policy
Midi Health review: cost, insurance and what it prescribes
Midi Health is an insurance-based telehealth clinic for perimenopause and menopause, available in all 50 states. It's in-network with most PPO plans. Without coverage, a 30-minute first visit costs $250 and a 15-minute follow-up $150, and prescriptions and labs are billed separately. It doesn't take Medicare or Medicaid. On Trustpilot it scores 4.1 from 1,795 reviews as of November 2026.
Midi Health costs $250 for a first visit without insurance and takes most PPO plans, but not Medicare or Medicaid. What it prescribes, Trustpilot score and who it suits.
Midi Health and insurance: expectation vs reality
What people often expect
“Midi takes insurance, so menopause care there costs next to nothing”
What the evidence shows
Visits are covered only if Midi is in-network with your specific plan, and deductibles, coinsurance and copays still apply: most patients pay a specialist copay for each visit. Prescriptions, labs, imaging and supplements are billed separately. Medicare members can only pay out of pocket and can't claim anything, and Medicaid and Medi-Cal patients can't be seen at all, even as self-pay.
Midi Health review: cost, insurance and what it prescribes
Midi Health cost without insurance
Midi's self-pay price is $250 for a 30-minute first visit and $150 for a 15-minute returning visit, and HSA or FSA cards can pay for both. Medicines are extra. Midi's own compounded vaginal estradiol cream is $89 for a 30-day supply, while a generic prescription can be cheap: 30 estradiol 1 mg tablets cost $6.76 and 30 progesterone 100 mg capsules $9.45 at one low-cost online pharmacy.
Learn more →Does Midi Health take insurance, Medicare or Medicaid?
Midi is in-network with most PPO plans; you enter your state and carrier on its site, or upload your insurance card when you register, to see whether you're covered. If you are, you get a bill for whatever your plan doesn't pay. Medicare is out of network: beneficiaries can book as self-pay but can't submit claims for visits, medicines or services. Medicaid and Medi-Cal aren't accepted, even as self-pay.
What Midi prescribes: FDA-approved HRT first
For hormone therapy, Midi says it prescribes FDA-approved bioidentical hormones as a pill, patch, vaginal ring, cream or gel, with progesterone or a progestin added if you have a uterus. That matters for cost: Midi itself notes insurance is more likely to cover FDA-approved hormones than compounded ones. Care plans also cover non-hormonal options and lifestyle advice for over 30 menopause-related symptoms.
Learn more →Midi's compounded testosterone: what the evidence says
Midi offers compounded testosterone in 25 states, from $100 for a 90-day supply, after labs and usually two visits; it doesn't use pellets. No testosterone product is FDA-approved for women. The 2019 global consensus says the only evidence-based use is low sexual desire (HSDD) after menopause and advises against compounded testosterone. In October 2026, a study presented by The Menopause Society linked testosterone in postmenopausal women to higher cardiovascular risk.
Learn more →Midi's compounded GLP-1s and own-brand products
Midi sells compounded GLP-1 injections at $165.90 to $355 for 4 weeks and compounded GLP-1/GIP injections at $210 to $434, shipping included, with no membership fee. It also sends brand-name GLP-1 prescriptions to your pharmacy. Compounded versions aren't FDA-approved, and the FDA says they should only be used when an approved drug can't meet your needs. Midi also sells supplements and a face cream, which HRT doesn't require.
Learn more →Midi Health reviews on Trustpilot
As of November 1, 2026, Midi Health scored 4.1 on Trustpilot from 1,795 reviews: 75% five-star and 16% one-star. Trustpilot notes that Midi hasn't invited customers to review recently, so reviews may not be representative, and that Midi replied to 92% of negative reviews. Midi's own figures, 500k+ patients and 95% reporting improvement after 2 months, come from the company and haven't been independently checked.
Is Midi Health worth it?
Midi makes most sense if it's in-network with your PPO plan and you want a clinician focused on menopause without a long wait for a gynecologist: you pay your usual specialist copay and can usually fill generic HRT through insurance. It makes less sense on Medicare or Medicaid, or if you pay cash, when a $250 first visit costs more than a cash-pay service like Alloy, with a $49 one-time consult fee.
Learn more →Midi Health by the numbers
$250 / $150
4.1
25 states
$89
Prices were checked on Midi's website on November 1, 2026 and can change. What you pay with insurance depends on your plan.
Midi Health vs other online menopause clinics
Evernow
Learn more →Good for
Also bills insurance for video visits (UnitedHealthcare, Aetna, Anthem, Blue Cross Blue Shield) and prescribes Veozah. Membership from $35 a month on a 12-month plan; self-pay visit $150.Watch
No Medicare or Medicaid. Membership fees aren't covered by insurance. Only 15 Trustpilot reviews, scoring 2.0.Alloy
Learn more →Good for
Cash prices: $49 one-time consult fee, estradiol pill from $39.99 a month, patch $100 a month. All 50 states and D.C.Watch
No insurance, though receipts can be submitted to a PPO plan, HSA or FSA.Winona
Learn more →Good for
No visit fee; estrogen tablets from $54 a month and progesterone capsules from $39. Trustpilot 4.6 from 8,986 reviews.Watch
No insurance; body creams are compounded in its own pharmacies and not FDA-approved. Not available in every state.Your own doctor or a certified menopause practitioner
Learn more →Good for
Usually covered by insurance, including Medicare; can examine you and send generic prescriptions anywhere.Watch
Some doctors have little menopause training; ask directly whether they prescribe HRT.
Before you book Midi
- Check Midi's in-network status for your state and carrier before booking, and ask your insurer what specialist copay applies.
- Budget for medicines and labs separately: they aren't part of the visit price.
- Ask whether a hormone is FDA-approved or compounded; insurance is more likely to cover FDA-approved HRT.
- If testosterone is suggested, ask what it's for: the evidence supports it only for low sexual desire after menopause.
- Skip supplements sold alongside care unless you have a specific reason to take them.
When Midi 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 →You're on Medicare or Medicaid
Midi can't bill either, so ask your own doctor or a certified menopause practitioner who accepts your plan.
Urgent: Leg pain or swelling, or chest pain with breathlessness, on HRT
Leg symptoms: call a doctor now. Chest pain or breathlessness: call 911.
Midi Health reviews: questions women ask
Is Midi Health legit?
Yes. Midi is a telehealth clinic with licensed clinicians, in-network with most PPO insurance plans and available in all 50 states. It prescribes FDA-approved HRT and also some compounded medicines. On Trustpilot it scored 4.1 from 1,795 reviews in November 2026, though Trustpilot notes Midi hasn't invited reviews recently.
How much does Midi Health cost without insurance?
The self-pay price is $250 for a 30-minute first visit and $150 for each 15-minute follow-up. Medicines, labs and imaging are billed separately: for example, Midi's compounded vaginal estradiol cream is $89 a month and its compounded GLP-1 injection starts at $165.90 for 4 weeks.
Related →Does Midi Health accept Medicare?
No. Medicare is out of network with Midi. Medicare members can book as self-pay patients but can't submit claims for visits, medicines or related services. Midi also can't treat Medicaid or Medi-Cal patients, even if they offer to pay themselves.
Does Midi prescribe testosterone?
Yes, compounded testosterone in 25 states, from $100 for a 90-day supply, after labs and usually two visits. No testosterone is FDA-approved for women, and the global consensus supports it only for low sexual desire after menopause. Midi doesn't use testosterone pellets.
Related →Does Midi Health prescribe GLP-1s like Ozempic or Zepbound?
Midi prescribes brand-name GLP-1s, sent to your pharmacy, and sells compounded GLP-1 and GLP-1/GIP injections and drops from $164 to $460 for 4 weeks. Compounded versions aren't FDA-approved and aren't reviewed by the FDA for safety, effectiveness or quality.
Related →Are prescriptions included in the Midi visit price?
No. Prescriptions, labs, imaging and supplements are billed separately from the visit. If you have insurance, your plan may cover some or all of them, and Midi notes that insurance is more likely to cover FDA-approved hormones than compounded ones.
Midi Health vs Winona: which is better?
Midi suits women with in-network PPO insurance; Winona suits women paying cash who want hormones shipped with no visit fee. Winona doesn't take insurance and isn't available in every state, while Midi doesn't take Medicare. Winona scored 4.6 on Trustpilot, Midi 4.1.
Related →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.
- Trustpilot. Midi Health reviews (joinmidi.com): TrustScore and review count. Accessed November 1, 2026.
- Midi Health. Insurance-covered hormone replacement therapy. Accessed November 1, 2026.
- Midi Health. Compounded vaginal estradiol cream (product page). Accessed November 1, 2026.
- Mark Cuban Cost Plus Drug Company. Hormone therapy medication prices (checked September 2026).
- Midi Health. Testosterone for women, by Midi (states, price, process). Accessed November 1, 2026.
- 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.
- The Menopause Society. Testosterone therapy may increase risk of cardiovascular disease in postmenopausal women. Press release, October 20, 2026 (study by Jiang XD et al., presented at the 2026 Annual Meeting).
- Midi Health. GLP-1 pricing: compounded GLP-1 and GLP-1/GIP. Accessed November 1, 2026.
- FDA. FDA’s Concerns with Unapproved GLP-1 Drugs Used for Weight Loss.
- Alloy. Estradiol patch (price, consult fee, timing). Accessed November 1, 2026.
- 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).
- The Menopause Society. How to find a certified menopause practitioner.
- NHS. Oestrogen tablets, patches, gel and spray: side effects.
- National 911 Program. 911.gov.
- Evernow. FAQ: membership prices, insurance, states, medications. Accessed November 1, 2026.
- Evernow. Non-hormonal menopause treatment. Accessed November 1, 2026.
- Trustpilot. evernow.com reviews: TrustScore and review count. Accessed November 1, 2026.
- Alloy. Menopause solutions and prices. Accessed November 1, 2026.
- Alloy. FAQ: insurance, availability, doctors. Accessed November 1, 2026.
- Winona. All products and prices. 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.
- US Food and Drug Administration. NASEM study on the clinical utility of treating patients with compounded "bioidentical" hormone therapy.
- US Food and Drug Administration. Dietary supplements.
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