Midi Health vs Evernow
Midi Health bills most PPO plans for menopause visits, so it usually wins if you are insured. Evernow costs less if you pay cash, and its membership adds messaging between visits.
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Head to head
Which one is right for you
Midi is in-network with most PPO plans, so a visit usually costs your specialist copay. Evernow's membership is never covered by insurance.
Four cash visits cost about $600 at Evernow and about $700 at Midi. With fewer visits, a year of membership plus one visit costs about $570, with messaging.
Neither one bills Medicare. Midi says Medicare members can pay cash, though they cannot claim its visits or medicines. Evernow says only that it does not support Medicare coverage.
Midi sells compounded GLP-1s at a set price, from about $165 every four weeks. Evernow prescribes brand-name ones, priced by your insurance.
Its membership includes 24/7 secure messaging with a menopause clinician. Midi prices care by the visit, with no membership.
Midi uses FDA-approved hormones by default. Evernow's patch and vaginal cream are FDA-approved, but some of its formulas are compounded.
Which costs less all-in, Midi or Evernow?
The answer turns on your insurance. A PPO is a plan that lets you see specialists without a referral. With one, Midi usually costs less.
Midi bills your insurer directly. Each visit then costs your specialist copay, the flat fee your plan sets. There is no membership on top.
Without insurance, Evernow usually costs less. Its 12-month membership costs about $420, paid upfront. That works out to about $35 a month.
The membership covers 24/7 messaging with a menopause clinician, prescriptions and automatic refills. Video visits are extra. Each one costs about $150 in cash, or your copay with a covered plan.
Shorter plans cost more per month. Month to month, the membership is about $50. The 3-month plan is about $130, or about $45 a month.
Midi has no membership. Without insurance, its first visit costs about $250. Each follow-up costs about $150.
So compare a first year of hormone care, with medicine left out. At Midi, a first visit and three follow-ups come to about $700 in cash.
At Evernow, the same four visits cost about $600 with no membership. Each visit gives you 90 days of access to your care plan.
If you need fewer visits, a year of Evernow membership plus one cash visit comes to about $570. Paying month to month, that year comes to about $740.
Medicine is extra at both. At Midi, your drug plan or pharmacy sets the price. Evernow's partner pharmacies sell some medicines cheaply in cash, such as an estradiol pill for about $20 a month.
Every Midi price, with and without insurance, is in our Midi Health cost breakdown. To see more providers side by side, read what HRT costs online and the cheapest ways to get HRT.
Does insurance cover Midi Health or Evernow?
Midi is in-network with most PPO plans. In-network means it has a contract with your insurer. It names Blue Cross Blue Shield, Health Net, UnitedHealthcare, Cigna and Aetna.
In-network, you pay your copay plus any deductible left on your plan. A deductible is what you owe each year before your plan starts paying.
An HMO plan usually pays only for its own network. Midi's Texas page lists Aetna HMO plans as well as PPO plans, so check your own state.
Medicare is out of network at Midi. Members can pay cash, but Midi says they "cannot submit any claims related to Midi visits, medications or associated services." Midi does not accept Medicaid or Medi-Cal patients.
Evernow bills insurance for video visits only. It names BlueCross BlueShield, Anthem, UnitedHealthcare and Aetna. You pay your copay and any deductible.
The Evernow membership itself is never covered. Most medicines can go through your drug plan if you fill them at a local pharmacy. A few ship only from its partner pharmacies, and those are cash only.
Evernow says it does not support Medicare or Medicaid coverage.
Both accept HSA and FSA cards. These are tax-free health accounts many employers offer. Our Midi Health insurance guide covers plan by plan, and is HRT covered by insurance explains what most plans pay.
Is Evernow legit, and is it still taking patients?
Yes on both counts. On October 8, 2026, Evernow was booking visits, listing insurers and posting its prices. Evernow, Inc. was founded in 2019 and is based in San Francisco.
It raised a $28.5 million first round in 2022, led by the investor NEA. Its clinicians work through affiliated medical groups and must be licensed in your state.
Its Trustpilot page shows 2.0 out of 5 on just 15 reviews. Evernow has not claimed the page or invited reviews. That is too few reviews to judge.
The few reviews there are mostly about billing. Some reviewers did not expect the 12-month plan to be charged as one payment of about $420. Others describe slow refunds.
Its BBB profile, number 1116-944979, rates it B+. It is not accredited. The BBB lists 10 complaints closed in three years.
A search of CourtListener, the public federal court database, found no case naming Evernow. We also found no letter to Evernow in the FDA warning-letter database.
Its terms send disputes to private arbitration in San Francisco rather than court. You also give up the right to join a class action.
Midi has a longer record. Its BBB profile, number 1216-1000012109, rates it B. It has been accredited since March 2024 and lists 176 complaints closed in three years.
Most of those complaints are about insurance bills. Midi scores 4.1 on Trustpilot across about 1,700 reviews.
Midi has been sued twice over website tracking code. The cases claimed that tracking code on its website shared health data with tech companies. The plaintiffs in N.C. v. Midi Health and Baker v. Midi Health both dropped their cases.
In February 2026, Midi also pulled an ad claim that 91% of patients find relief within two months. It did so after the National Advertising Division, an industry watchdog, questioned it. We found no FDA warning letter naming Midi.
The full record is in our Midi Health legitimacy check.
What each one can prescribe
Midi uses FDA-approved bioidentical hormones by default. Bioidentical means the hormone is built like the one your body makes. It turns to compounded versions only when your clinician thinks they fit better.
A compounded medicine is mixed by a pharmacy for one patient. It is legal, but the FDA does not approve the finished product.
Midi's menu covers patches, pills, rings and creams, plus vaginal estrogen. Its clinicians can also suggest non-hormonal options.
Midi now offers testosterone for women in some states. It is compounded, because no testosterone product is FDA-approved for women in the US.
Midi also runs a weight program. It sells compounded GLP-1s at set prices, and sends brand-name GLP-1s to your own pharmacy. GLP-1 medicines curb appetite and slow digestion.
Evernow names its medicines. For hormone therapy, it lists the estradiol patch, the estradiol pill, progesterone and norethindrone. Its pages say the patch is FDA-approved.
For vaginal dryness, it offers estradiol cream and estradiol tablets. The cream is FDA-approved. It is free on the 3-month or 12-month plan if you qualify medically.
For non-hormonal care, Evernow lists Veozah and paroxetine. Both treat hot flashes without hormones.
Evernow prescribes brand-name GLP-1s, including Wegovy, Ozempic, Mounjaro and Zepbound. Their cost depends on your insurance and is not part of the membership.
Some Evernow products are compounded. Its facial estriol cream is labelled not FDA-approved. Its site lists no testosterone.
Who you'll see and how fast
At Midi, you see a board-certified nurse practitioner or certified nurse midwife. Both can diagnose and prescribe. Midi's physicians write the care protocols they follow.
Midi's first video visit lasts 30 minutes. Follow-ups last 15 minutes. You can book online in minutes with no referral, though Midi does not publish a typical wait.
Evernow matches you with a menopause-trained clinician licensed in your state. Its FAQ says it can often fit in a video visit within 24 hours.
A single Evernow visit lasts about 20 minutes. Members can then message their clinician 24/7 between visits. Evernow says its care plans follow guidance from groups such as ACOG and The Menopause Society.
That is the real difference in style. Midi works visit by visit. Evernow leans on messaging, with video visits when you want them.
Where your prescription is filled and what the medicine costs
Midi usually sends hormone prescriptions to your own pharmacy, or to a mail-order one. Your drug plan or the pharmacy's cash price then sets the cost.
Midi's compounded GLP-1s come from licensed 503A pharmacies. These mix medicine for one patient's prescription at a time. Prices start at about $165 every four weeks, shipping included.
Evernow can send your prescription to a local pharmacy, where insurance often applies. It can also ship through GoGo Meds or Art of Medicine, its two partner pharmacies.
Some medicines come only from those partners, and only for cash. Evernow's cash price for an estradiol pill or progesterone is about $20 a month each.
Brand-name GLP-1s cost the same at either service, because your pharmacy and plan set that price.
Labs, states, cancellation and refunds
Neither one needs routine labs to start. Evernow requires bloodwork only for select medicines. Midi orders labs when needed and bills them separately, where insurance may help.
Midi treats patients in all 50 states. Evernow covers all 50 states plus DC.
Midi's terms say fees "are non-refundable once services are provided." Midi adds that it "may review billing concerns and refund requests on a case-by-case basis."
Midi subscriptions renew on their own unless you cancel at least two days before. Visits themselves carry no membership to cancel.
At Evernow, you cancel in your account online. Its help center says the account stays active until you get a confirmation email, so keep it.
Evernow's terms state: "We cannot accept returns of pharmaceutical medications." They set out no general refund policy. Paying for 12 months upfront is the bigger commitment.
Which fits your situation: perimenopause, Medicare, after a hysterectomy, already on HRT
In perimenopause
Perimenopause is the years of irregular cycles before your last period. Both services treat it. With a PPO plan, Midi lets you see a specialist for a copay while symptoms shift.
If you pay cash, Evernow's messaging helps when symptoms change between visits.
On Medicare
Neither bills Medicare. Midi says Medicare members can pay its cash prices. Evernow says only that it does not support Medicare coverage.
Midi says Medicare members cannot claim its visits or medicines. Ask either one how your prescription can be filled before you book.
After a hysterectomy
If your uterus was removed, estrogen alone is often an option. Progesterone mainly protects the uterine lining, so you may need one prescription instead of two.
That lowers the bill at either service. At Evernow, an estradiol pill costs about $20 a month in cash.
Already on HRT
Both will review your current treatment and write a new prescription if it still fits. Bring the name, strength and last fill date of each medicine.
Evernow's membership adds automatic refills. At Midi, follow-up visits handle changes, often for a copay.
Midi Health vs Alloy, Hers, Winona or Gennev
Alloy is cash only, with doctors certified by The Menopause Society. It charges a one-time consult of about $50, then about $100 a month for the estradiol patch. Read the Alloy review.
Hers added menopause care in 2025, with estradiol and progesterone. It takes no insurance, and its menopause care is not in every state. An FTC lawsuit over its billing is pending. See the Hers review.
Winona ships its own products for cash, from about $40 to $150 a month each. It serves 37 states plus Puerto Rico. Compare it in Winona vs Midi Health or the Winona review.
On October 8, 2026, Gennev's site was still booking video visits with menopause-trained doctors, covered by Aetna, Anthem or Cigna.
All of these are ranked in our menopause telehealth comparison and our list of the best online HRT providers.
Frequently asked questions
Is Midi or Evernow cheaper?+–
It depends on your insurance. With a PPO plan, Midi is usually cheaper, because each visit costs your specialist copay. Without insurance, Evernow is cheaper. Four cash visits cost about $600 there and about $700 at Midi. A year of Evernow membership plus one visit costs about $570. Medicine is extra at both.
Does Evernow take insurance and Medicare?+–
Evernow bills commercial plans for video visits. It names BlueCross BlueShield, Anthem, UnitedHealthcare and Aetna. Its membership is not covered, though an HSA or FSA card can pay it. Evernow says it does not support Medicare or Medicaid coverage. Medicines can often go through your drug plan at a local pharmacy.
Does Midi accept Medicare or Medicaid?+–
Not as insurance. Medicare is out of network at Midi. Medicare members can pay cash, but Midi says they cannot submit any claims for its visits, medicines or services. Midi does not accept Medicaid or Medi-Cal patients at all.
Is Evernow legit?+–
Yes. Evernow, Inc. is a San Francisco telehealth company founded in 2019. Its clinicians are licensed in the states where they treat you. It holds a B+ with the BBB, with 10 complaints in three years. We found no lawsuit or FDA warning letter naming it. Its Trustpilot page has too few reviews to judge.
Can I switch between Midi and Evernow without restarting HRT?+–
Usually, yes. The new clinician reviews your history and writes a fresh prescription if it still fits. Have your current medicine, strength and last fill date ready. Book the new visit before your last refill runs out, so you do not go without.
Does either one prescribe testosterone or a GLP-1?+–
Midi offers compounded testosterone for women in some states, with visits billed to insurance. Evernow's site lists no testosterone. Both prescribe GLP-1s. Midi sells compounded versions at a set price and sends brand-name ones to your pharmacy. Evernow prescribes brand-name GLP-1s such as Wegovy and Zepbound, priced by your insurance.
Do I need labs for HRT at Midi or Evernow?+–
Usually not to start. Evernow says it requires labs only for select medicines. Midi orders labs when your clinician needs them, and bills them separately from the visit. Your insurance may cover some or all of that cost.
Is Midi better than Alloy?+–
Midi is better if you have a PPO plan, since it bills insurance. Alloy is cash only. It charges a one-time consult of about $50, then about $100 a month for the estradiol patch. Its doctors are certified by The Menopause Society. With no insurance, Alloy is often simpler.
Hers vs Midi for menopause: which is better?+–
Midi is the menopause specialist, and it bills most PPO plans. Hers added menopause care in 2025, with estradiol as a pill, patch or vaginal cream, plus progesterone. Hers takes no insurance, and its menopause care is not offered in every state. Its real strength is brand-name GLP-1s.
Gennev vs Midi: is Gennev still open?+–
Yes. On October 8, 2026, Gennev's site was still booking video visits with menopause-trained doctors. It lists Aetna, Anthem and Cigna coverage. Unified Women's Healthcare has owned it since 2022.
Read the full review: Midi Health