Midi Health is a US telehealth clinic that treats perimenopause and menopause symptoms over video, billing most PPO insurance plans or charging per visit.
Our verdict
CleanPer-visit pricing with no membership fee and in-network billing for most PPO plans. No adverse findings in the sources we checked.
- FDA record
- FDA warning letter search not completed (fda.gov limited our requests on Oct 17 2026). Midi is not among the telehealth warning letters we track.
- BBB
- Not checked. bbb.org blocks automated access.
- Best for
- Women with a PPO plan who want menopause care billed to insurance
- Watch out
- This verdict is provisional because the BBB rating was not checked and the FDA letter search was not completed. Medicare is out of network (self-pay only) and Medicaid is not accepted. Visit fees do not include the medication.
- Price from
- $150 return visit, $250 first visit, self-pay (Oct 17 2026) [1]
- What it offers
- Care plans that may include an HRT patch, estradiol cream, vaginal estrogen, progesterone, GLP-1s and labs [2]
- Insurance
- Most PPO plans; HSA and FSA accepted; Medicare self-pay only; no Medicaid [1]
- Pharmacy
- Not named in the pages we reviewed
- FDA letter
- None in our tracker; database search not completed
- BBB
- Not checked
What Midi Health costs
| Item | Price | What is included | Checked | Source |
|---|---|---|---|---|
| First visit, 30 minutes | $250 | Video visit with a Midi clinician | Oct 17 2026 | Midi [1] |
| Return visit, 15 minutes | $150 | Follow-up video visit | Oct 17 2026 | Midi [1] |
| Membership | $0 | Midi states it has no membership fees | Oct 17 2026 | Midi [1] |
| Generic estradiol 1 mg, 90 tablets (retail pharmacy) | $22.71 with coupon | Medication only | Oct 16 2026 | GoodRx [3] |
| Generic estradiol patch 0.05 mg/day, 4 patches (retail pharmacy) | $29.83 with coupon | Medication only | Oct 16 2026 | GoodRx [3] |
The visit fee is only part of the bill. Medication is a separate cost, and labs may be ordered as part of a care plan [2]. Generic estradiol is cheap at retail with a coupon, so the visits will usually cost more than the hormones. Our HRT cost guide lists cash prices for pills, patches, gels and vaginal estrogen.
What a Midi care plan includes
Midi lists care plans that may include an HRT patch, estradiol cream, vaginal estrogen, progesterone, GLP-1 medications and lab work [2]. What you get depends on the clinician's assessment. Midi also sells supplements and an estriol face cream [2]. Those are retail add-ons, so ask why one is being suggested before you buy it.
Label changes that came up in 2025 and 2026
On Nov 10 2025, HHS said FDA would start removing boxed warning language about cardiovascular disease, breast cancer and probable dementia from menopausal hormone therapy labels [4]. The endometrial cancer boxed warning stays on systemic estrogen-alone products [4]. FDA approved the first revised labels, for 6 products, on Feb 12 2026 [5]. The new labeling recommends starting systemic therapy within 10 years of menopause onset or before age 60 [4].
FDA and complaint record
Midi does not appear in the telehealth warning letters listed in our FDA warning letter tracker. We tried to search FDA's full warning letter database for Midi on Oct 17 2026, but fda.gov limited our requests, so that search is still open [6]. We could not read a BBB profile because bbb.org blocks automated access. The clean rating stays provisional until both checks are done.
Who Midi fits, and who should look elsewhere
- Fits: you have a PPO plan. Midi says it is in network with most of them [1].
- Fits: you want to pay per visit instead of a monthly membership, and you use HSA or FSA money [1].
- Look elsewhere: you have Medicaid, which Midi does not accept [1].
- Look elsewhere: you have Medicare. Midi is out of network, so visits are self-pay [1]. Medicare Part D can cover the hormones themselves, depending on the plan [7].
- Look elsewhere: you want an in-person clinician. Our menopause specialist finder explains how to find one.
Before you start hormone therapy
The endometrial cancer boxed warning remains on systemic estrogen-alone products [4]. Read the boxed warning and Medication Guide that come with your prescription and ask your prescriber which symptoms to report. For an emergency, call 911.
Alternatives to Midi
How we get paid
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Other menopause telehealth options (clean, provisional)
- Clean
- Clean
- Clean
Read the full reviews of Evernow and Alloy, or compare every option on our online HRT page. We rate Hers menopause avoid. For the basics of treatment, start at the hormone therapy guide.
Questions people ask
How much does Midi Health cost without insurance?
Midi charges $250 for a 30-minute first visit and $150 for a 15-minute return visit, with no membership fee, per its pricing page checked Oct 17 2026 [1]. Medication is billed separately.
Does Midi Health take insurance?
Yes. Midi says it is in network with most PPO plans and accepts HSA and FSA payments. It does not accept Medicaid [1].
Does Midi Health take Medicare?
Medicare is out of network at Midi, so Medicare patients pay the self-pay rates of $250 for a first visit and $150 for a return visit (checked Oct 17 2026) [1].
Is Midi Health legit?
We found no adverse findings in the sources we checked on Oct 17 2026 and rate Midi clean on a provisional basis. Its BBB rating was not checked and the FDA database search was not completed, and Midi is not among the telehealth warning letters we track.
What does Midi Health prescribe for menopause?
Midi lists care plans that may include an HRT patch, estradiol cream, vaginal estrogen, progesterone, GLP-1 medications and labs [2]. The clinician decides what fits each patient.
Did FDA remove the boxed warning on hormone therapy?
Partly. On Nov 10 2025, HHS said FDA would start removing boxed warning language on cardiovascular disease, breast cancer and probable dementia, while keeping the endometrial cancer boxed warning on systemic estrogen-alone products [4].
Sources
11 cited
- Pricing and insurance. Midi Health, Oct 17, 2026.
- Midi Health home page. Midi Health, Oct 17, 2026.
- Estradiol prices and coupons. GoodRx, Oct 16, 2026.
- Fact sheet: FDA initiates removal of black box warnings from menopausal hormone replacement therapy products. U.S. Department of Health and Human Services, Nov 10, 2025.
- FDA approves labeling changes for menopausal hormone therapy products. U.S. Food and Drug Administration, Feb 12, 2026.
- Warning letters database. U.S. Food and Drug Administration, Oct 17, 2026.
- Is HRT covered by insurance?. Healthline, Aug 1, 2025.
- How it works. Evernow, Oct 17, 2026.
- Evernow home page. Evernow, Oct 17, 2026.
- Alloy home page. Alloy Women's Health, Oct 17, 2026.
- Gennev home page. Gennev, Oct 17, 2026.
This page is general information, not medical advice. Talk with a licensed clinician about your own care.