Midi Health Alternatives: 5 Online HRT Services Compared

Last updated November 13, 2026 · Reviewed by the Gala Health team

Who wrote this, and how

Gala publishes this page and is one of the five alternatives, so read it with that in mind. We do not rank the services. The first table matches each reason for leaving Midi to the services built differently; the second lists the five in alphabetical order. Every price and policy comes from the company's own website on November 13, 2026, and is linked under Sources.

Midi Health, Alloy, Evernow, Hers and Winona are trademarks of their respective owners. Gala is not affiliated with or endorsed by any of them.

How Midi works, and what it costs

Midi is built around insurance. It says it is in-network with most major plans, including most PPO plans, and that patients with insurance pay around $50 out of pocket per visit on average. Its model has a few parts worth knowing before you compare:

	Midi Health
Visits	A 30-minute first virtual visit and 15-minute returning visits, booked in advance, with messaging between visits
Price without insurance	$250 for the first visit and $150 for each returning visit
Price with insurance	Depends on your plan; Midi says a deductible can reach $250 for a first visit and $150 for a follow-up
Not included in the visit	Prescriptions, labs, imaging and supplements, billed separately; a mental health assessment may cost extra
Medicaid and Medicare	Medicaid and Medi-Cal patients are not accepted, even paying cash; Medicare is out of network, so beneficiaries pay everything themselves
Membership	None
Availability	All 50 states, according to its home page

Why women look for a Midi alternative

Midi works well when your plan covers it in-network and you like scheduled visits. The friction shows up in the other cases, and all of it follows from the model above:

Your total is hard to predict. The visit, each prescription and any labs are separate charges, and with a deductible the visit alone can cost as much as the self-pay price.
You have Medicaid or Medicare. Midi turns away Medicaid and Medi-Cal patients outright, and Medicare patients cannot submit claims for anything related to Midi.
You would rather not book appointments. Care at Midi is organized around scheduled virtual visits, and returning visits are 15 minutes.
You want one monthly price. Paying $250 and then $150 per visit before medication adds up quickly if your plan does not cover it.

Midi alternatives by reason for leaving

If you want	Look at	Why, according to their websites
To keep using insurance for visits	Evernow	Covers video visits with major commercial plans (UnitedHealthcare, Aetna, Anthem, Blue Cross Blue Shield); its membership is not insurance-covered
The lowest advertised estradiol pill price	Alloy	Estradiol pill from $39.99 a month, plus a one-time $49 consultation; progesterone price not shown
Estrogen and progesterone at one price, medication included	Gala	Pill plan with oral estradiol and progesterone at $69 a month, provider care included
Hormone creams	Winona	Body creams from $89 a month, compounded in its own pharmacies and not FDA-approved; FDA-approved tablets and patches too
No insurance questions at all	Hers, Alloy, Winona, Gala	None of them bill insurance; Hers says insurance is not required
Medicaid or Medicare coverage	None of the five	Evernow excludes Medicare and Medicaid, and the self-pay services do not bill any insurer; ask your plan for an in-network gynecologist

The five alternatives side by side

Service	What you pay	Insurance	How care works	Watch out for
Alloy	Estradiol pill from $39.99/mo, gel or Evamist spray $69.99/mo, patch $100/mo; one-time $49 consultation	Not billed; FSA/HSA accepted	Online assessment reviewed by a doctor, unlimited messaging; all 50 states and D.C.	Sells 3-month supplies, so the monthly price is charged about every 3 months
Evernow	Membership $49/mo, $129 for 3 months or $420 for 12 months; self-pay video visit $150	Video visits covered by major commercial plans; not Medicare or Medicaid	Video visits plus 24/7 messaging for members; all 50 states and D.C.	Some medications are cash-only through its partner pharmacies
Gala	Pill plan $69/mo ($207 every 12 weeks); patch, gel or vaginal estradiol $99/mo; medication and provider care included	Not billed; FSA/HSA accepted	Online intake reviewed by a licensed provider, then messaging; video visit when a state or your history requires it	Self-pay only; systemic HRT for ages 40 to 65
Hers	Not shown on its menopause page	Not required	Online intake, then unlimited provider messaging	Not available in all 50 states
Winona	Estrogen tablets from $54/mo, patch from $149/mo, body cream from $89/mo, progesterone capsules from $39/mo; free first visit	Not billed; FSA/HSA accepted	Messages through a patient portal only, no phone or video	37 states plus Puerto Rico; HRT for ages 35 to 59 only

Checked 2026-11-13 on each company's website (see Sources). Medication prices are per month unless stated.

A note on what the numbers include. Alloy and Winona list medication prices, and you add progesterone if you have a uterus: at Winona, estrogen tablets plus progesterone capsules start at $93 a month. Evernow's membership covers care, not medication. Gala's price is the whole bill for the plan, with the medication inside it. For a wider comparison that also includes Midi, see our online menopause providers compared table.

How to switch from Midi without a gap

Do not stop your current prescription while you wait. The Menopause Society says hot flashes return in about half of women who stop hormone therapy.
Have your current prescription label at hand: drug, strength and how you take it. The new provider continues or adjusts from there.
Know your last mammogram date and your usual blood pressure. Gala's intake asks both, and other services may too.
If you have a uterus and take estrogen, confirm the new plan includes progesterone. That protects the uterine lining.
Check state availability first, especially for Hers and Winona.

Several of these services, including Midi, Alloy and Evernow, also prescribe GLP-1 medications for weight. If that is part of why you are comparing, read HRT and GLP-1 together.

Where Gala fits

Gala is the alternative for women who want to stop doing math. One price covers the medication, the licensed provider's review and every follow-up message: $207 every 12 weeks for oral estradiol and progesterone, or $297 every 12 weeks for a patch, gel, vaginal estradiol or the non-hormonal option. There is no visit fee, no membership on top and no separate pharmacy bill. Midi's self-pay first visit alone, at $250, costs more than 12 weeks of Gala's pill plan, medication included.

Every hormone Gala prescribes is an FDA-approved product: estradiol as a pill or patch and micronized progesterone. Gala does not compound hormone creams or pellets.

The trade-offs are real. Gala does not bill insurance, so if Midi is in-network for you at a low copay, staying may cost less. Systemic HRT is for women 40 to 65; outside that range, Gala can offer vaginal estradiol. And care is by written intake and messaging, with a video visit only where a state or your health history requires one. If those fit, compare the numbers in HRT cost without insurance, see what an online menopause doctor visit covers, or start your assessment.

This article is for information only and is not medical advice. Prices and policies change; confirm them on each company's website before you sign up.

Frequently asked questions

Does Midi Health take insurance?

Yes. Midi says it is in-network with most major insurance plans, including most PPO plans, and that insured patients pay about $50 per visit on average. Prescriptions, labs and imaging are billed separately and may be partly covered.

How much does Midi Health cost without insurance?

Midi lists a self-pay price of $250 for the first 30-minute visit and $150 for each 15-minute returning visit. Medication, labs, imaging and supplements are billed separately on top of the visit price.

Does Midi Health take Medicaid or Medicare?

Midi says it cannot treat Medicaid or Medi-Cal patients, even as self-pay. Medicare is out of network: beneficiaries can pay cash for visits but cannot submit claims for visits, medication or related services.

Does Midi Health prescribe GLP-1 medications?

Yes. Midi's website lists compounded GLP-1 and GLP-1/GIP medications from partner compounding pharmacies with no membership fee, and says it also prescribes brand-name GLP-1s sent to your pharmacy.

What is the difference between Midi Health and Alloy?

Midi bills insurance for scheduled virtual visits, and medication is billed separately. Alloy does not bill insurance; it charges a one-time $49 consultation and lists medication prices, such as an estradiol pill from $39.99 a month, with care by messaging.

Is Midi Health expensive?

It depends on your coverage. With an in-network plan and a met deductible, visits can be inexpensive. Without coverage, visits cost $250 and $150 before medication, which is more than self-pay services that include medication in one monthly price.

Ready to talk to a provider?

Your answers go to a licensed provider, who decides whether treatment is right for you. Learn more about Hormone Health.

Treatments: Estradiol pill or patch online · Progesterone for menopause · Vaginal estrogen online · Non-hormonal menopause treatment

Start your menopause assessment

More Hormone Health guides

Sources

This article is for general information and is not medical advice. Talk to a licensed provider about your own health.

Midi Health Alternatives: Online Menopause Care Compared (2026)