✓ Medically reviewed✓ Written for women 40+, not at them✓ Prices verified when you choose
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Best menopause telehealth, ranked

We compared the main providers on the things that actually decide your bill and your care — not their marketing.

We may earn a commission if you sign up through our links. It never affects our ratings — see how we review.
Our pick in 10 seconds

For most women, Midi Health is the best all-round choice: it takes insurance and prescribes both HRT and non-hormonal options. Pick Winona if you want bioidentical HRT without insurance, and Alloy if you want the simplest, fastest start.

The ranking

1. Midi Health
$0–$75 visit
Best for: Insurance + full treatment range
  • Takes major insurance
  • Prescribes HRT and non-hormonal options
  • Care team model
2. Winona
$99–$139/mo
Best for: Bioidentical HRT, no insurance
  • Own compounding pharmacy
  • Licensed MDs in all 50 states
  • Cancel anytime
3. Alloy
$49–$69/mo
Best for: Simple HRT, fast start
  • Menopause-only focus
  • Quick intake
  • Flat pricing

Rankings come from our scoring grid — see how we review.

How to choose

Start with one question: do you want to use insurance? If yes, the list shortens fast. If you are paying cash, the decision shifts to pharmacy quality and how much hand-holding you want during the first few months.

Frequently asked questions

Does any menopause telehealth take insurance?+

Midi Health bills insurance for visits. Most others are cash-pay. Coverage varies by plan, so confirm before you start.

Is online HRT safe?+

Reputable providers use licensed physicians and registered pharmacies. The provider matters more than the channel — that is what our scoring grid checks.

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