There’s no question that Midi Health is good at what it does. It’s one of the few menopause companies that allows you to use insurance, and the clinicians they work with are trained in menopause care. But providing a good service isn’t always enough; if the price doesn’t work, your insurance isn’t accepted, or the service doesn’t offer everything you need, you may need to look elsewhere. 

The best Midi Health alternative depends on what you’re looking for. If you’re looking at other options because of insurance or price, there are flat-fee menopause services that keep costs predictable. If you’re interested in more than just a prescription and are looking into nutrition support, coaching, and a whole-person approach, there are a few platforms that lean in that direction. 

What Midi Health Does and Where Its Scope Ends 

Midi Health is a telehealth clinic that focuses on perimenopause, menopause, and women’s health in midlife. All meetings are virtual, and you will meet with a clinician who is specifically trained to care for these concerns. You can talk through your symptoms and hopefully leave with a treatment plan that addresses the reasons for your visit, whether it’s hormone replacement therapy or non-hormonal options. Prescriptions are sent to your pharmacy, and the company operates in all 50 states. 

One of the primary reasons Midi Health comes up in this conversation so frequently is that they accept insurance. Most menopause telehealth companies are cash only, so having an option that takes insurance can bring costs down considerably. Without insurance, Midi works on a per-visit model: $250 for the initial 30-minute consultation and $150 for 15-minute follow-up visits, with no membership fee. Medications and labs are billed separately on top of the visit cost.

Midi Health is specific to menopause-related concerns, which is great if that’s the primary or only issue you’re concerned about. If you have other concerns, this smaller scope may not be your best option. 

Below is a list of alternatives that address some of these gaps. 

Midi Health Alternatives at a Glance

Provider	Best For	Care Model	Lab Testing	Insurance	Pricing
Midi Health	Insurance-covered menopause care	Virtual visits with menopause-trained clinicians	Not the focus	Yes — many plans accepted	No membership fee; copay with in-network insurance; self-pay $250 initial / $150 follow-up
Gennev	Menopause care with nutrition and lifestyle support	Video visits with OB/GYNs + registered dietitians	Not the focus	Yes — Aetna, Anthem, Cigna	Self-pay: $250 initial / $199 follow-up; dietitian $199 initial / $119 follow-up
Alloy	Predictable cash-price menopause treatment	Online questionnaire + unlimited doctor messaging	No — symptom-based	No (PPO reimbursement sometimes possible)	Consult fee + meds ~$40–$150/mo, billed quarterly
Evernow	Affordable, messaging-based menopause care	Membership with provider messaging; video visits optional	No — symptom-based	Membership is cash; meds and some video visits may go through insurance	$49/mo or $420/yr; meds additional; $150 pay-per-visit
Lifeforce	Hormones as part of a bigger health picture, with testing and coaching	Membership: quarterly labs, clinician consults, health coach	Yes — 50+ biomarkers, retested up to quarterly	Membership-based (not insurance-billed)	$199 first month, then $149/mo; $599/yr Core Annual; $599 one-time Diagnostic
Hone Health	Lab-based hormone care at a low entry price, no coaching	$65 lab test, physician consult, then membership	Yes – 50-biomarker panel; retesting every 6 months on Basic & every 3 months on Premium	Membership-based (not insurance-billed)	$25/mo Basic or $155/mo Premium; meds separate (~$28–$80/mo)

1. Gennev 

Gennev is probably the closest thing on this list to Midi. It’s a virtual menopause clinic that works with insurance, and they offer virtual visits instead of having patients fill out questionnaires. A very helpful aspect of Gennev is that their care coordinators help you with the insurance piece. They’ll contact your insurer, establish an estimate of your co-pay or deductible, and tell you what you’ll owe ahead of the visit so you’re not likely to have any surprises when it comes to billing. 

Gennev’s medical team is made up of board-certified OB/GYNs with menopause training, and they can also offer support from menopause-trained registered dietitians, health coaches, and mental health professionals. This makes Gennev much more of a whole-person approach than just prescription-only menopause care. 

Treatment often includes FDA-approved hormonal medications like HRT as well as non-hormonal prescriptions. Prescriptions can be called into your pharmacy on the same day when needed. The dietitian can help with nutrition and metabolic health, fitness recommendations, sleep and mindfulness support, and do a review of any supplements you’re taking or considering taking. 

Gennev is in-network with major insurers including Aetna, Anthem, and Cigna. For self-pay patients, doctor visits run $250 for the initial 30-minute appointment and $199 for follow-ups, with dietitian visits at $199 initially and $119 for follow-ups. Appointments are typically available within a week or two, initial dietitian visits last 50 to 55 minutes, and video visits are available in all 50 states.

Best For:

Women who want specific menopause care with nutrition and lifestyle support built in, especially if their insurance is in-network.

2. Alloy Women’s Health 

Alloy is a direct-to-consumer menopause telehealth company with a model that is deliberately simple. You complete an online questionnaire about your symptoms and relevant history, a physician who is specifically trained in menopause care reviews it, and if it’s appropriate, they will ship treatment to your door. No routine lab work is done; treatment is based on symptoms. 

The types of treatment offered may include FDA-approved HRT (patches, pills, gels, sprays, and creams), non-hormonal options for hot flashes, vaginal estrogen, prescription skincare, low-dose minoxidil for hair, sexual health treatments, and GLP-1 prescriptions for weight care.

Alloy Women’s Health doesn’t take insurance. Instead, you pay a consultation fee and then a flat subscription fee for your medications. HRT starts at around $40 per month, with most treatment plans landing somewhere between $40 and $150 depending on what’s prescribed. Most prescriptions are billed quarterly, with 3 months of treatment being shipped at one time.

Some patients can submit an itemized receipt to their PPO for reimbursement, and HSA/FSA cards can sometimes be used. 

The trade-off is that you’re filling out a questionnaire instead of meeting with a doctor virtually, though every treatment plan includes unlimited messaging with your doctor so you can ask questions and adjust your plan over time.

Best For:

Women who want FDA-approved menopause treatment from certified specialists at a predictable cash price, and those who don’t need extremely personalized care. 

3. Evernow

Evernow is a membership-based menopause platform based around having ongoing access instead of setting up appointments. The first thing you do is complete an online health assessment so you can get matched up with a menopause-trained clinician; the team includes MDs, OB-GYNs, and nurse practitioners certified by The Menopause Society. 

After that, your care happens mostly through messaging. Like you would do with Alloy, you send your provider a question whenever you have one, and they typically respond within a business day. 

The membership is around $49/month if you go month-to-month, and drops to about $35/month if you commit to a year ($420 total). Treatment plans can include hormone therapy in patch, pill, and gel form, non-hormonal options like low-dose SSRIs, and newer additions like GLP-1s, skincare, and hair loss solutions. Medications are always separate from the membership fee, but most prescriptions can be sent to your local pharmacy and run through your insurance, or delivered to your home if you’d rather pay out of pocket.

If you’d rather talk to someone face-to-face, video visits with a clinician are available at $150 per session, whether you’re a member or not, and some insurance plans may cover them even though the membership itself is not covered.

When you sign up with Evernow, no lab work is routinely ordered. The company points to guidelines from ACOG and The Menopause Society, which recommend treating menopause based on symptoms rather than blood hormone levels.  

Best For:

Women who want affordable, available menopause care through messaging, and who are comfortable with symptom-based treatment rather than lab-driven care.

4. Lifeforce 

When you first look at Lifeforce, it might seem like it’s in a different category altogether, but the overlap with Midi is larger than it appears. Midi starts with your symptoms and treats them. Lifeforce starts with your data from a blood draw and builds a plan from there, so if menopause symptoms are just one part of what’s going on with your health, it could be a good fit.

Lifeforce is a membership, not a per-visit clinic. A licensed phlebotomist draws your blood at home, and depending on your membership, your markers are retested up to quarterly so you can see how your numbers are actually trending. Each member also gets a longevity clinician who interprets results and builds a plan for you, as well as a certified health coach who helps you follow through with your plan.

The program is ultimately built around improving markers tied to energy, strength, focus, and long-term health, not resolving symptoms and stopping there. 

The monthly membership is $199 for your first month, then $149/month after that, and you can cancel anytime. This covers quarterly at-home blood draws, quarterly clinical consults, and unlimited coaching.  

If you’re not interested in a full membership, the $599 Core Annual gets you two annual blood draws, a clinical consult, and a personalized program, while the one-time $599 Diagnostic covers the full biomarker panel, a deep-dive consult, and an improvement plan.

Best For:

Someone who sees hormones as one piece of a larger picture and wants real support as they learn about themselves and implement healthy habits.

5. Hone Health

Hone Health is another option for someone whose concerns extend beyond menopause symptoms alone. It’s a testing-based longevity platform that serves both men and women, and its women’s program combines hormone care with broader support for metabolic health, thyroid function, sexual health, weight management, and healthy aging. 

The first thing that gets done is labs. For $65, you get a 50-biomarker blood panel, which can be done at a partner lab. About 5 days later, a licensed physician reviews your results and health history in a telehealth consult and builds your treatment plan. After that, the membership you choose will determine your level of care. 

The Basic tier is $25/month and includes lab testing every six months, the option to pay for physician consults, and member pricing on certain medications. The Premium tier is $155/month and includes regular lab testing, physician consults, and full access to Hone’s medications. You can cancel anytime. 

You do have to pay for medications in addition to the membership price. Hone is transparent about this and publishes the prices. Estradiol patches and gels are $58/month, progesterone is $49/month, and vaginal estrogen options start around $40/month. Hone also prescribes testosterone for women for symptoms like low libido and fatigue, which is something many menopause-focused platforms don’t offer. The injections start at $28/month, and cream starts at $60/month.

Hone has more in common with Lifeforce than with Midi, since both build treatment around lab results, but unlike Lifeforce, it does not appear to include a dedicated health coach.

Best For:

Women who want hormone treatment based on lab testing at a low entry price, and who don’t need coaching support built in.

How Do You Choose the Right Midi Health Alternative?

Once you have a better idea of what’s out there and what your priorities are, the decision becomes a little bit easier.

• If insurance matters most: Start with Midi or Gennev and check whether your specific plan is accepted before anything else because that answer may make the decision for you. 
• If you want simple menopause treatment at a predictable cash price: Alloy may make the most sense. You know what your medications cost each month, the doctors are all Menopause Society certified, and the cash-pricing structure is relatively predictable. 
• If you prefer ongoing messaging over appointments: Evernow uses this model. A membership that gets you a menopause-trained provider you can message anytime, with video visits as an option as well. 
• If you want testing, treatment, and coaching in one program: Lifeforce is the strongest fit. It’s one of the options that really focuses on lab tests, and the membership also includes clinician support and access to a dedicated health coach.
• If you want lab-based care but don’t need the coaching: Hone may be worth considering, especially with its low-cost entry point. 

Before you make a commitment, consider the total cost and not just the subscription price. A low membership fee can quickly become unaffordable if you also have to add medications, labs, consultations, and follow-up visits. Try to get an idea of what you’ll really spend so you can compare these companies appropriately. Finally, remember that these are not a replacement for your primary care doctor. 

The right choice will depend on what your goals are and will allow you to make informed decisions about your health.