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 |
Hers Hers | Birth control from $12/mo | Yes | One brand for multiple women's-health needs, Low-cost birth control |
Alloy Alloy | Estradiol patch $74.99/mo | Yes | FDA-approved HRT (no compounds), Certified menopause practitioners |
Wisp Wisp | Wisp Care $10/mo | Yes | Recurring UTI/BV/yeast needs, Fast same-day sexual health care |
Nurx Nurx | Birth control from $15/mo | Yes | Want insurance accepted, Broad sexual/reproductive needs |
Winona Winona | From $89/mo | Yes | All-in HRT pricing, Bioidentical hormone preference |
Gennev Gennev | $250 self-pay initial visit | Yes | Doctor-plus-dietitian menopause care, Insurance-covered video visits |
Pandia Health Pandia Health | $35 consult (with delivery) | Yes | Insurance-covered birth control, Free delivery |
Twentyeight Health Twentyeight Health | Birth control from $16/mo | Yes | Medicaid and underserved patients, Insurance-covered reproductive care |
Allara Health Allara Health | $149 diagnostic plan | No | PCOS and complex hormonal conditions, Provider plus dietitian care team |
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 →Hers
One brand for multiple women's-health needs
Hers is the women's telehealth brand of NYSE-listed Hims & Hers, offering birth control, sexual health, and a 2025-launched perimenopause and menopause specialty entirely online. Licensed providers review an async intake and prescribe FDA-approved and compounded options shipped to your door.
Best for: One brand for multiple women's-health needs, Low-cost birth control
Pros
- + Birth control from $12/month
- + Async intake, no appointment scheduling
- + Free shipping to all 50 states
- + Backed by public-company scale (Hims & Hers)
Cons
- − Does not accept insurance
- − HSA/FSA reportedly not accepted
- − Menopause specialty not in all states
- − Async model means limited live provider time
Updated Jun 2026
Birth control starts at $12/month. Menopause oral medications start at $79/month and patches from $134/month on a 12-month plan. Consultations run $28-$80 depending on service. Does not accept insurance; all out-of-pocket.
Prescription required
Visit Site →Alloy
FDA-approved HRT (no compounds)
Alloy is a cash-pay menopause telehealth platform whose clinicians hold Menopause Society Certified Practitioner credentials and prescribe FDA-approved finished HRT rather than compounds. Treatments span estradiol pills, patches, gel, and vaginal cream plus progesterone and testosterone.
Best for: FDA-approved HRT (no compounds), Certified menopause practitioners
Pros
- + Menopause Society Certified Practitioners
- + FDA-approved finished HRT
- + Estradiol patch from $74.99/month
- + Free 3-month supply shipping
Cons
- − Does not accept insurance
- − Consultation fee to start (~$50)
- − Menopause-focused (narrower than full women's health)
- − Med cost on top of consult
Updated Jun 2026
Cash-pay, no insurance. Consultation around $49.95 to start. Estradiol patch $74.99/month; combined patch plus progesterone runs about $75/month. Some HRT options start near $39.99/month. 3-month supplies ship free. HSA/FSA eligible.
Prescription required
Visit Site →Wisp
Recurring UTI/BV/yeast needs
Wisp is a sexual and reproductive women's-health telehealth service treating UTIs, BV, yeast infections, birth control, STIs, herpes, and emergency contraception, with care available in all 50 states. Its Wisp Care membership offers unlimited sexual and reproductive consults for a flat monthly fee.
Best for: Recurring UTI/BV/yeast needs, Fast same-day sexual health care
Pros
- + Wisp Care unlimited consults at $10/month
- + Most prescriptions sent within hours
- + All 50 states
- + Free medication delivery
Cons
- − Cash-pay model (no insurance billing)
- − Some states require a video consult
- − One-time consults add up without membership
- − Async-first for routine needs
Updated Jun 2026
Wisp Care membership $10/month for unlimited sexual and reproductive consultations. Sexual health one-time consult from $69; STI/STD one-time consult $39. Medications delivered free; first month of medication free for new users.
Prescription required
Visit Site →Nurx
Want insurance accepted
Nurx is a women's-health telehealth platform (part of Thirty Madison) covering birth control, emergency contraception, UTI, BV, yeast, menopause, and at-home STI testing, and it accepts most private insurance. Birth control includes 50+ options with out-of-pocket pills starting at $15/month.
Best for: Want insurance accepted, Broad sexual/reproductive needs
Pros
- + Accepts most private insurance
- + Birth control from $15/month out-of-pocket
- + 50+ contraception options
- + At-home STI testing
Cons
- − Per-service consult fees (UTI $65)
- − Services not offered in every state
- − STI kits expensive without insurance
- − Monthly $3 support fee on orders
Updated Jun 2026
Birth control consultation $28 (includes a year of messaging) plus a $3/month support fee; out-of-pocket pills from $15/month. UTI consultation $65. At-home STI kits $150-$220 without insurance plus a $14.50 service fee. Accepts most private insurance.
Prescription required
Visit Site →Winona
All-in HRT pricing
Winona is a telehealth platform for perimenopause and menopause offering bioidentical HRT in body cream, vaginal, oral, and patch formats with unlimited follow-ups and 24/7 doctor messaging included. Pricing is medication-only with no separate membership or consultation fee.
Best for: All-in HRT pricing, Bioidentical hormone preference
Pros
- + No separate consult or membership fee
- + Unlimited follow-ups and 24/7 messaging included
- + Multiple formats (cream, vaginal, oral, patch)
- + Free shipping
Cons
- − Does not accept insurance directly
- − Higher-end formulations reach $238/month
- − Menopause-focused only
- − Some treatments compounded
Updated Jun 2026
Medication-only pricing with no separate consult or membership fee; estrogen body cream with progesterone is the popular option at $89/month. Most women pay roughly $89-$238/month depending on formulation. Does not accept insurance but is HSA/FSA eligible.
Prescription required
Visit Site →Gennev
Doctor-plus-dietitian menopause care
Gennev is a virtual menopause clinic offering video visits with menopause-specialist doctors and registered dietitians in all 50 states, and it accepts insurance through carriers like Aetna, Anthem, Cigna, and UnitedHealthcare. It prescribes FDA-approved hormonal and non-hormonal medications alongside nutrition coaching.
Best for: Doctor-plus-dietitian menopause care, Insurance-covered video visits
Pros
- + Accepts multiple major insurers
- + All 50 states and all zip codes
- + Menopause-specialist physicians
- + Registered dietitian visits available
Cons
- − Self-pay initial visit is $250
- − Medication priced separately
- − Follow-ups also carry a fee
- − Insurance cost depends on plan
Updated Jun 2026
Self-pay: $250 initial doctor visit, $199 follow-up; RDN/dietitian $199 initial, $119 follow-up. Accepts insurance through Aetna, Anthem, Cigna, UnitedHealthcare and others, in which case cost depends on deductible and copay.
Prescription required
Visit Site →Pandia Health
Insurance-covered birth control
Pandia Health is a doctor-founded, women-led telehealth service for birth control and menopause hormone therapy with free delivery and a flat consultation fee. It accepts most insurance for medication (including some Medicaid plans) but bills the telehealth consult as cash-pay.
Best for: Insurance-covered birth control, Free delivery
Pros
- + Flat $35 consult with delivery
- + Accepts most insurance (incl. some Medicaid)
- + Free USPS shipping
- + 12-month prescriptions
Cons
- − Only 14 states
- − Consultation is cash-pay only
- − Parental consent required for minors in some states
- − Pickup option costs more ($70)
Updated Jun 2026
Online consultation $35 if Pandia delivers your medication, or $70 if you pick up at a pharmacy. Birth control prescription valid 12 months. Out-of-pocket pills from $15/month; $0 copay common with insurance. Free USPS shipping. Consultation is cash/credit only.
Prescription required
Visit Site →Twentyeight Health
Medicaid and underserved patients
Twentyeight Health is a sexual and reproductive women's-health platform (which acquired SimpleHealth) focused on accessible, inclusive care for underserved patients, accepting almost every commercial insurance and Medicaid plan. Services span birth control, emergency contraception, UTI, BV, yeast, and prenatal vitamins.
Best for: Medicaid and underserved patients, Insurance-covered reproductive care
Pros
- + Accepts Medicaid and nearly all commercial insurance
- + Birth control from $16/month out-of-pocket
- + Broad reproductive services
- + Acquired SimpleHealth (larger base)
Cons
- − Coverage and services vary by state
- − Membership extra for unlimited messaging
- − Not a menopause/HRT specialist
- − State-by-state availability limits
Updated Jun 2026
Out-of-pocket birth control from $16/month; $0 with most insurance. Optional Complete Care membership $19.99/month adds unlimited messaging, free shipping, and annual renewal. Accepts almost every commercial insurance and Medicaid plan.
Prescription required
Visit Site →Allara Health
PCOS and complex hormonal conditions
Allara Health is a virtual women's-health clinic for complex hormonal and metabolic conditions such as PCOS, endometriosis, thyroid disorders, PMDD, and menopause, pairing each patient with a medical provider and a registered dietitian. It accepts insurance and offers a cash-pay option, operating in 45+ states plus D.C.
Best for: PCOS and complex hormonal conditions, Provider plus dietitian care team
Pros
- + Treats complex conditions (PCOS, endometriosis, thyroid, PMDD)
- + Dedicated provider plus registered dietitian
- + Accepts insurance with self-pay option
- + 45+ states plus D.C.
Cons
- − Not in all 50 states
- − Best value requires in-network insurance
- − Not for simple one-off prescriptions
- − Membership cost beyond diagnostic plan not published
Updated Jun 2026
One-time Diagnostic Plan $149 to assess hormonal/metabolic imbalance. Accepts insurance (in-network can be lower or no cost) and offers an affordable self-pay membership when out of network. Each patient gets one medical provider and one registered dietitian.
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.
Affiliate disclosure: VitalityScout may earn a commission from some links, at no additional cost to you. This never affects which providers we list or how we describe them.