Last checked November 2026 against 16 sources · Editorial policy
Midi vs Hers: insurance-based visits or a cash subscription
Midi Health bills video visits to insurance and is in-network with most PPO plans; without coverage the first visit is $250. Hers is an app-based cash service with no consultation fee, listed by Healthline from $79 a month, and doesn't use insurance for the program. Midi covers all 50 states; Hers doesn't. Choose Midi with PPO coverage, Hers for a simple cash subscription.
Midi Health vs Hers side by side: first-visit cost vs subscription, insurance and Medicare, what each prescribes, states and Trustpilot, checked November 2026.
Midi vs Hers side by side
| Midi Health | Hers | |
|---|---|---|
| How it works | Video visits with a clinician, billed to insurance. | Online intake reviewed by a licensed provider; medicine delivered. |
| To start | $250 self-pay first visit, or your copay. | No consultation fee. |
| Ongoing cost | $150 per self-pay follow-up; medicine billed separately. | Subscription from $79 a month (Healthline, July 2026). |
| Prices published before sign-up | Yes, visit prices on its pricing page. | No; shown during the intake. |
| Insurance | In-network with most PPO plans. | Not required; the program isn't covered. |
| Medicare and Medicaid | Medicare self-pay only, no claims; no Medicaid. | Not billed: the program isn't covered by insurance. |
| Estrogen | FDA-approved estradiol; billed separately, may be covered. | Estradiol pill or patch. |
| Progesterone | Prescribed with estrogen if you have a uterus. | Progesterone pill for women with a uterus. |
| Vaginal estrogen | Compounded vaginal estradiol cream. | Estradiol vaginal cream. |
| Testosterone | Compounded, in 25 states, from $100 for 90 days. | Not listed. |
| GLP-1s | Brand-name, or compounded from $165.90 for 4 weeks. | Separate weight loss membership: $39 first month, then $149 a month, plus medicine. |
| Where available | All 50 states. | Not available in all 50 states. |
| Trustpilot | 4.1 from 1,795 reviews (November 1, 2026). | 3.3 from 10,843 reviews, all Hers products (November 2, 2026). |
How it works
- Midi Health
- Video visits with a clinician, billed to insurance.
- Hers
- Online intake reviewed by a licensed provider; medicine delivered.
To start
- Midi Health
- $250 self-pay first visit, or your copay.
- Hers
- No consultation fee.
Ongoing cost
- Midi Health
- $150 per self-pay follow-up; medicine billed separately.
- Hers
- Subscription from $79 a month (Healthline, July 2026).
Prices published before sign-up
- Midi Health
- Yes, visit prices on its pricing page.
- Hers
- No; shown during the intake.
Insurance
- Midi Health
- In-network with most PPO plans.
- Hers
- Not required; the program isn't covered.
Medicare and Medicaid
- Midi Health
- Medicare self-pay only, no claims; no Medicaid.
- Hers
- Not billed: the program isn't covered by insurance.
Estrogen
- Midi Health
- FDA-approved estradiol; billed separately, may be covered.
- Hers
- Estradiol pill or patch.
Progesterone
- Midi Health
- Prescribed with estrogen if you have a uterus.
- Hers
- Progesterone pill for women with a uterus.
Vaginal estrogen
- Midi Health
- Compounded vaginal estradiol cream.
- Hers
- Estradiol vaginal cream.
Testosterone
- Midi Health
- Compounded, in 25 states, from $100 for 90 days.
- Hers
- Not listed.
GLP-1s
- Midi Health
- Brand-name, or compounded from $165.90 for 4 weeks.
- Hers
- Separate weight loss membership: $39 first month, then $149 a month, plus medicine.
Where available
- Midi Health
- All 50 states.
- Hers
- Not available in all 50 states.
Trustpilot
- Midi Health
- 4.1 from 1,795 reviews (November 1, 2026).
- Hers
- 3.3 from 10,843 reviews, all Hers products (November 2, 2026).
Midi vs Hers: expectation vs reality
What people often expect
“Hers and Midi are the same kind of online menopause clinic”
What the evidence shows
They work differently. Midi is a telehealth practice: you see a clinician on video, the visit is billed to insurance, and prescriptions go to a pharmacy. Hers is a subscription: you fill in an intake, a provider reviews it, and medicine arrives by mail for a monthly price, listed by Healthline from $79, with no insurance involved.
Midi vs Hers: the differences that matter
Midi vs Hers cost without insurance
Paying cash, Midi charges $250 for the first visit and $150 for each follow-up, and medicine is billed separately at your pharmacy. Hers charges no consultation fee, and Healthline lists its menopause subscription from $79 a month, though Hers shows the exact price only in its intake. For most cash payers Hers is cheaper in the first months; ask for the full quote before you start.
Learn more →Midi vs Hers with insurance
Midi is in-network with most PPO plans, so with coverage you pay your copay for visits and your plan's price for generic HRT. Hers doesn't use insurance: it says insurance isn't required, and Healthline notes the program itself isn't covered. Midi doesn't submit Medicare claims or take Medicaid, so neither is a Medicare route; a Menopause Society practitioner who bills Medicare is.
Learn more →Midi vs Hers: what each prescribes
Both prescribe estradiol and progesterone, and both offer a vaginal estradiol cream; Midi's is compounded. Midi goes further: compounded testosterone in 25 states from $100 for 90 days, and GLP-1s, brand-name or compounded from $165.90 for 4 weeks. Hers runs GLP-1s as a separate weight loss membership, $39 for the first month and $149 a month after, plus medicine.
Learn more →Midi vs Hers: seeing a clinician
At Midi you meet a clinician on a video visit, which helps if your history is complicated or you want to talk options through. At Hers the intake itself is the consultation: a licensed provider reviews it, then you message providers as often as you need, with regular check-ins and dose adjustments. Hers says its care is led by an OB/GYN.
Learn more →Midi vs Hers reviews
On Trustpilot, Midi had 4.1 stars from 1,795 reviews on November 1, 2026, and Hers 3.3 from 10,843 on November 2. Hers's profile covers all its products, from hair to weight loss, so it isn't a rating of menopause care alone.
Learn more →Midi vs Hers by the numbers
$250 vs $0
$79
50
4.1 vs 3.3
Hers prices come from Healthline's review updated July 29, 2026; Hers shows its own only in the intake.
Midi, Hers or something else: who each one suits
Midi if your PPO plan covers it
Strong evidenceVisits billed to insurance, a clinician on video, FDA-approved HRT at your own pharmacy and extras from testosterone to GLP-1s, in all 50 states. It suits women with coverage and anyone with a complicated history who wants to talk it through.
Related guide →Hers if you want a simple cash subscription
Some evidenceNo consultation fee, an app-only process, unlimited messaging and estradiol, progesterone and vaginal cream from one place. It suits women paying cash in a state Hers serves who don't need non-hormonal drugs.
Related guide →Alloy if you want cash prices you can see up front
Strong evidenceA $49 one-time fee and estradiol pills from $39.99 a month, all published, plus paroxetine for women who can't take estrogen.
Related guide →
When neither Midi nor Hers is the right route
You're on Medicare or Medicaid
Neither service bills them; a Menopause Society practitioner or your own doctor is the covered route.
More →Bleeding after menopause or a new breast lump
Book an in-person exam before starting HRT online.
Midi vs Hers: questions women ask
Is Hers or Midi cheaper?
Paying cash, usually Hers: no consultation fee and a subscription Healthline lists from $79 a month, against $250 for Midi's first visit and $150 per follow-up before medicine. With PPO coverage, Midi can be cheaper because you pay only your copay.
Related →Does Hers take insurance like Midi?
No. Hers says insurance isn't required and Healthline notes its program isn't covered. Midi is in-network with most PPO plans for its video visits.
Do Midi and Hers prescribe the same HRT?
The core is the same: estradiol, progesterone and a vaginal estradiol cream. Midi also offers compounded testosterone in 25 states and GLP-1s within its care; Hers sells GLP-1s through a separate weight loss membership.
Which has better reviews, Midi or Hers?
Midi had 4.1 stars from 1,795 Trustpilot reviews and Hers 3.3 from 10,843 in early November 2026. Hers's rating covers all its products, not menopause care alone.
Are Midi and Hers available in every state?
Midi is in all 50 states. Hers says its menopause care isn't available in all 50 and checks your state in the intake.
What about Winona or Alloy instead of Midi and Hers?
Alloy publishes cash prices: $49 once and estradiol pills from $39.99 a month. Winona charges no visit fee and sells FDA-approved tablets from $54 a month, for ages 35 to 59. Our ranking compares them all.
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.
- Lamoreux K, Sherrell Z; medically reviewed by Perez A. Hers review: menopause, weight loss, hair, skin and more. Healthline, updated July 29, 2026.
- Hers. Perimenopause and menopause care: treatments, how it works, FAQ. Accessed November 2, 2026.
- Midi Health. Insurance-covered hormone replacement therapy. Accessed November 1, 2026.
- The Menopause Society. How to find a certified menopause practitioner.
- Midi Health. Compounded vaginal estradiol cream (product page). 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.
- Trustpilot. Midi Health reviews (joinmidi.com): TrustScore and review count. Accessed November 1, 2026.
- Trustpilot. Hers (forhers.com) reviews. Accessed November 2, 2026.
- Alloy. Estradiol patch (price, consult fee, timing). Accessed November 1, 2026.
- Alloy. Menopause solutions and prices. Accessed November 1, 2026.
- Prescribing information: Vivelle-Dot (estradiol transdermal system). Sandoz, 2023. DailyMed, US National Library of Medicine.
- Winona. All products and prices. Accessed November 1, 2026.
- Winona. Frequently asked questions: states, treatments, compounding, insurance, billing and refunds. Accessed November 1, 2026.
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