Provider Comparison 2026
Every major menopause
provider. Ranked honestly.
No sponsored placements. No provider pays for placement. Based on public provider information, May 2026. Verify directly with providers. We compared Midi Health, Alloy, Winona, and Evernow across cost, treatment type, insurance, states, and real patient experience.
Quick verdict:
Insurance? Midi Health
Cash-pay? Alloy
Compounded? Winona
Lowest entry? Evernow
Detailed Reviews
The full picture on each provider, no filter.
Midi Health
Best for insured patients seeking specialist-level care
Best if you...
Have PPO insurance and want a menopause-certified clinician rather than a questionnaire-based service. Midi operates as a clinical practice, not a subscription platform.
$0 to $30 copay
With PPO insurance. Self-pay: $150 to $250 per visit. No flat monthly rate.
InsuranceMost PPO plans, some Medicare Advantage
Treatment typeFDA-approved and compounded HRT
Bloodwork requiredSometimes, depends on clinician
Appointment typeVideo only, scheduled
States availableSelect states (check joinmidi.com)
Annual cost (insured)$0 to $360 in copays
Annual cost (self-pay)$600 to $1,000+ per year
Labs includedYes, in monthly fee (via insurance)
Alloy
Best flat-rate, FDA-approved, all 50 states
Best if you...
Want the lowest predictable monthly cost, FDA-approved HRT only, prefer an async questionnaire over scheduling video calls, and are in any US state.
$75/month flat
Billed quarterly at $225 ($120 for estradiol pills, billed as $39.99/month in quarterly increments per Innerbody verified review, Dec 2025).
InsuranceNot accepted. FSA/HSA eligible.
Treatment typeFDA-approved only. No compounded.
Bloodwork requiredNo
Appointment typeAsync questionnaire intake. Video optional.
States availableAll 50 states and Washington D.C. (verify current availability)
Annual cost (est.)Approx. $949/year ($49.95 consult + $75/mo x 12)
Labs includedN/A, not required
Winona
Best for compounded bioidentical HRT
Best if you...
Want compounded bioidentical HRT with customizable dosing, prefer async appointments, and can manage a mid-range monthly cost. Strong option if Alloy doesn't carry your preferred protocol.
$54 to $199/month
Estradiol pills from $54/mo. Patches from $149/mo. Labs charged separately: add $150 to $300/year. Source: Innerbody verified review, Dec 2025.
InsuranceNot accepted.
Treatment typeCompounded bioidentical HRT (cBHT)
Bloodwork requiredNo (but charges separately if ordered)
Appointment typeAsync questionnaire. Video available.
States availableAll 50 states
Annual cost (est.)$876 to $2,388/year (plus $150-300 labs)
Labs includedNo. Charged separately.
Evernow
Best async model with lowest entry cost
Best if you...
Want the most affordable entry point with async care, can commit to a 12-month plan for best pricing, and want FDA-approved HRT with optional video visits covered by insurance.
From $35/month
12-month plan: $35/mo membership. Month-to-month: $49/mo. Medication separate: pills/creams $75/mo, patches $129/mo. Source: TheFlowSpace.com, verified 2026.
InsuranceVideo visits and most meds billed to insurance
Treatment typeFDA-approved only
Bloodwork requiredNo
Appointment typeAsync primary. Optional video visits.
States availableApprox. 35 states (verify at evernow.com)
Annual cost (pills, 12-mo plan)$420 membership + $900 meds = $1,320/year
Annual cost (patches, 12-mo plan)$420 membership + $1,548 meds = $1,968/year
Full Comparison
Every metric. One table.
All pricing based on public information, May 2026. Annual cost estimates assume consistent medication use. Sources: Innerbody (Dec 2025), TelehealthAlly (Mar 2026), TheFlowSpace (2026).
| Midi Health | Alloy | Winona | Evernow | |
|---|---|---|---|---|
| Monthly cost (est.) | $0-$30 copay (insured) / $150-250 self-pay | $75/mo flat | $54 to $199/mo | $35-$49/mo + meds |
| Annual cost (est.) | $0-$360 insured / $600-$1,000+ self-pay | ~$949/year | $876-$2,388 + labs | $1,320-$1,968/year |
| Insurance accepted | Yes, many PPO | No | No | Meds + video only |
| Treatment type | FDA-approved and compounded | FDA-approved only | Compounded cBHT | FDA-approved only |
| Bloodwork required | Sometimes | No | No | No |
| Appointment model | Video, scheduled | Async + optional video | Async + optional video | Async primary + optional video |
| States covered | Select states | All 50 states (verify current availability) | All 50 states | Approx. 35 states |
| Labs included in price | Yes (insured) | N/A (not required) | No, charged separately | N/A (not required) |
| Clinician type | MDs and NPs with menopause focus (per Midi Health) | Licensed providers | Licensed providers | Licensed providers |
| Our rating | Editorial pick | Strong option | Strong option | Good option |
| Best if you... | Have PPO insurance, want specialist depth | Want lowest flat rate, FDA-approved only | Want compounded, custom dosing | Want async and lowest entry cost |
Our Verdict
The right provider depends on your situation.
Best for insurance users
Midi Health
If you have PPO insurance and want a genuine menopause specialist rather than a questionnaire platform, Midi is the clear choice. The insurance advantage is substantial: visits that cost $150-250 self-pay drop to $0-30 copays.
$0-$30 with insurance
Best flat rate, cash-pay
Alloy
Clearest pricing of any provider. $75/month covers everything, billed quarterly. FDA-approved HRT only, all 50 states, no bloodwork required, async intake. The lowest true annual cost for most cash-pay patients at approximately $949/year.
~$949/year
Best for compounded HRT
Winona
If you specifically want compounded bioidentical HRT with custom dosing, Winona is purpose-built for this. Note: labs are charged separately ($150-300/year extra), which should be factored into your true annual cost comparison against Alloy.
$876-$2,388 plus labs
Best async entry point
Evernow
Best if you want to start with a low membership fee and can use insurance for medication costs. The 12-month plan at $35/month is the cheapest membership, but medication costs add significantly. Good option if your insurance covers prescriptions.
From $35/month membership
Our Methodology
How we compare. No provider pays for placement. Ever.
01
Verified pricing, monthly
We verify all pricing directly from provider websites and cross-reference with independent review sources (Innerbody, TelehealthAlly, TheFlowSpace) monthly. Prices last verified May 2026.
02
No sponsored placements
Our rankings are determined by a published rubric: cost, treatment type, state availability, appointment model, bloodwork requirements, and patient experience. Affiliate relationships do not influence placement.
03
Sourced patient experience
We synthesize Trustpilot reviews, Reddit threads from r/Menopause and r/Perimenopause, and BBB data. We flag common complaints honestly. Positive reviews from brand-controlled platforms are weighted lower.
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