Menopause & HRT Telehealth
Compare online clinics for menopause and hormone replacement therapy (HRT) — Midi Health, Evernow, Alloy, and Hers — with clinician evaluation and prescriptions by mail.
Online menopause/HRT care typically costs about $20–$70 per month in membership or visit fees, plus the medication (FDA-approved estradiol and progesterone are often inexpensive generics). Midi Health is clinician-led and accepts many insurance plans; Evernow and Alloy are menopause-focused direct-to-consumer services; and Hers offers menopause care within a broader women’s-health platform. A licensed clinician evaluates you before prescribing. Prices are estimates — confirm with the provider.
Perimenopause and menopause are finally getting dedicated telehealth care. A new wave of clinics connects women with menopause-trained clinicians who can prescribe FDA-approved hormone therapy (estradiol, progesterone) and non-hormonal options, plus treat related symptoms — all online, with medications shipped or sent to a local pharmacy. This page compares the leading services on price, insurance, and scope.
Quick Comparison
| Product | Price | Rx required | Best for |
|---|---|---|---|
Midi Health Midi Health | Insurance or ~$0–$75/visit | Yes | Comprehensive, insurance-friendly menopause care |
Alloy Alloy | ~$25–$50/mo + meds | Yes | Streamlined, mailed HRT |
Evernow Evernow | ~$30–$70/mo | Yes | Guided menopause treatment matching |
Prices are estimates that change frequently — confirm current pricing on each brand's site.
The Options, Compared
Midi Health
Editor's PickRx · FDA-approved hormonesClinician-led midlife care that takes insurance
Midi Health offers virtual care with menopause-trained clinicians for perimenopause and menopause — including FDA-approved hormone therapy and non-hormonal options — and accepts many insurance plans.
Best for: Comprehensive, insurance-friendly menopause care
Pros
- + Broad, individualized care
- + Insurance accepted
- + Clinician continuity
Cons
- − Insurance handling adds steps
- − Availability varies by state/plan
- − Not a quick one-click model
Updated Jun 2026
Often billed to insurance; cash rates vary. Estimate — verify on site.
Prescription required
Visit Site →Alloy
Rx · FDA-approved hormonesDirect-to-consumer menopause HRT, mailed
Alloy is a menopause-focused DTC service that prescribes FDA-approved hormone therapy after an online evaluation and ships medications to your door, with menopause-specialist clinicians.
Best for: Streamlined, mailed HRT
Pros
- + Fast, convenient HRT access
- + Menopause focus
- + Direct shipping
Cons
- − Cash-pay (no insurance)
- − Med cost on top
- − Narrower than full primary care
Updated Jun 2026
Membership/visit plus medication. Estimate — verify on site.
Prescription required
Visit Site →Evernow
Rx · FDA-approved optionsMenopause telehealth with treatment matching
Evernow provides menopause-focused telehealth, evaluating symptoms online and prescribing hormonal and non-hormonal treatments matched to your needs, with mailed medications and clinician messaging.
Best for: Guided menopause treatment matching
Pros
- + Tailored treatment matching
- + Menopause specialization
- + Convenient delivery
Cons
- − Cash-pay subscription
- − Med cost may be separate
- − State availability varies
Updated Jun 2026
Subscription; medication may be extra. Estimate — verify on site.
Prescription required
Visit Site →Frequently Asked Questions
How much does online HRT for menopause cost?▼
Membership or visit fees typically run about $20–$70 per month, plus the cost of the hormones themselves — generic estradiol and progesterone are often inexpensive. Some services (like Midi) bill insurance, which can lower out-of-pocket costs. Prices are estimates; confirm with the provider.
Is hormone replacement therapy safe?▼
For many healthy women under 60 or within 10 years of menopause, FDA-approved hormone therapy is considered a safe and effective option for symptoms like hot flashes — but the risk/benefit depends on your personal and family history, and it isn’t right for everyone. A menopause-trained clinician should individualize the decision. This page is informational, not medical advice.
Midi vs Evernow vs Alloy?▼
Midi Health is clinician-led, treats a broad range of midlife symptoms, and accepts many insurance plans. Evernow and Alloy are menopause-focused direct-to-consumer services with streamlined HRT prescribing and mailed medications. The best fit depends on whether you want to use insurance and how comprehensive you need the care to be.
Can I get HRT online without an in-person exam?▼
Often yes — menopause hormone therapy can typically be started after a thorough online evaluation of your symptoms and history with a licensed clinician, though some situations call for labs or in-person follow-up. Reputable services screen for contraindications before prescribing.
Medical disclaimer: This page is general information, not medical advice. Listings are aggregated from public sources and prices are estimates that may be out of date — confirm current pricing, services, and provider credentials directly with each clinic. Talk to a licensed clinician before starting any medication or treatment.
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