Midi Health Alternatives: Online Menopause Clinics Compared

Why people look for a Midi Health alternative

Midi Health bills like a specialist office: video visits through insurance, or $250 for a self-pay first visit and $150 for a returning visit, with prescriptions and labs billed separately, as listed on its pricing page. Midi lists Medicare as out of network and does not accept Medicaid. People usually look elsewhere because Midi isn’t in-network for them, because they are on Medicare, or because they want a single predictable price with medication shipped to them.

Online menopause clinics compared

Every price below was read from the company’s own site on October 26, 2026. Prices change, so check the linked page before you sign up. Amie publishes this guide; Amie’s own prices appear on the card further down.

If you want insurance-billed care: Gennev or Evernow

Gennev is the most similar model to Midi. It bills insurance for visits with menopause-trained doctors and dietitians, lists self-pay prices of $250 for an initial doctor visit and $199 for a follow-up, and sends prescriptions to your pharmacy. It says video appointments are available in every state.

Evernow combines a membership, which isn’t covered by insurance, with insurance-covered video visits. It lists membership at $49 a month, $129 for three months or $420 a year, and says it does not support Medicare or Medicaid. You can fill prescriptions at a local pharmacy with insurance, or through its partner pharmacies.

If you want cash pay and delivery: Alloy, Winona or Henry

Alloy charges a one-time $49 doctor consultation, then a monthly price per medication: estradiol pills from $39.99, gel or Evamist spray at $69.99 and patches at $100. Its FAQ says it is available in all 50 states and D.C. and does not accept returns on medications.

Winona prices each product separately, from $54 a month for estrogen tablets to $89 a month for its compounded estrogen and progesterone body cream. Its FAQ says it is message-only, serves 37 states plus Puerto Rico, and refunds an order only within a 24-hour processing window.

Henry Meds charges a flat $149 a month for any of its HRT options, including provider visits, medication and shipping, and offers both compounded creams and FDA-approved patches and tablets. Its page notes that on a multi-month plan you may have to pay the remaining balance if you cancel, unless a provider decides you can’t continue for medical reasons.

Amie HRT+

Amie HRT+ is a compounded cream that combines estradiol and progesterone, with the strength chosen by a licensed clinician after an online review, usually within 4 hours. Amie prescribes in all 50 states and its clinician arranges a phone or video visit where a state’s rules require one. Like all compounded hormones it is not FDA-approved, which means, as the FDA explains, it hasn’t been reviewed for safety, effectiveness or quality before use. A clinician decides whether it is appropriate for you.

How to choose

• Check insurance first. If a copay-based clinic is in-network for you, it may cost the least, especially if your pharmacy benefit covers FDA-approved hormones.
• Add up a full year. Include visits, membership, medication and labs, not just the first month.
• Decide how you want to talk to a clinician. Video, messages or both.
• Ask whether the product is FDA-approved or compounded, and why that option fits you.
• Read the cancellation terms, especially for multi-month plans and auto-refills.