#2 of 12 · Women's HRTBrand + compounded
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Midi Health HRT Review

By HRT Picks editorial · Verified July 27, 2026

Midi Health scores 7.7/10 in our women's menopause HRT telehealth comparison: cash entry from $150/mo, Transparency Grade B. Verified July 27, 2026.

Midi is the rare menopause telehealth that runs on insurance instead of a cash membership, and it publishes the fallback if your plan does not cover it: $250 for the first visit, $150 for each follow-up, no membership layered on top. That earns it real transparency credit. The gap is everything downstream of the consult, because labs and medication are priced by your pharmacy and lab, not by Midi, and the carrier list is never named.

How we verified Midi Health

Last pass July 27, 2026 · Method: Direct fetch of joinmidi.com/pricing-insurance, /menopause and /testosterone. Trustpilot read directly from its own data payload via patchright, because the profile 403s a plain fetch.

Confirmed on official sources

  • Self-pay pricing: $250 initial visit, $150 continued care, published pre-intake
  • No membership fee, stated explicitly
  • Bills commercial insurance; patient portal on athenahealth
  • Testosterone offered to women
  • Trustpilot 4.0 across 1,473 reviews, claimed, 777 in last 12 months, not incentivised, no consumer alert
  • No Medicare, Medicare Advantage, Medicaid or Medi-Cal participation, stated on joinmidi.com/pricing-insurance
  • HSA and FSA accepted for copays and services
  • Initial visits 30 minutes, follow-ups 15 minutes
  • Compounded testosterone only; pellets explicitly refused
  • BBB grade B with 156 complaints on file, accredited since March 2024

Still resting on third-party reports

  • Which insurance carriers are actually in-network
  • Lab and imaging costs
  • Medication cost, which depends on the patient's pharmacy benefit
  • Cancellation terms
  • The operative state count. The homepage says 50, the /locations directory lists 16, and neither is reconciled
  • Cost of the FDA-approved hormone prescription itself, published nowhere
  • Lab and imaging costs, billed separately by third parties

We verify against the provider's own public pages without signing up. When a provider blocks crawlers or hides pricing behind intake, we say so. Not disclosed is a finding, and it feeds the Transparency Grade. Full methodology: editorial policy.

Quick facts

Monthly cost

From $150/mo

Consult fee

Not disclosed

States

Not disclosed

Insurance

Accepted

Shipping

Not disclosed

Cancellation

Not published

Where it wins

  • Genuinely bills commercial insurance rather than charging cash and handing you a superbill [Verified July 2026, joinmidi.com/pricing-insurance]
  • Both self-pay tiers published before any intake, $250 initial and $150 continued care, with no quiz, email gate or account required [Verified July 2026]
  • No membership fee, disclaimed explicitly rather than left ambiguous [Verified July 2026, joinmidi.com/testosterone]
  • Testosterone for women offered, uncommon in menopause telehealth [Verified July 2026]
  • 4.0 on Trustpilot across 1,473 reviews, 777 of them in the last 12 months, on a claimed profile with no incentivised collection [Verified July 2026 via direct read]
  • Patient portal on athenahealth rather than a bespoke app [Verified July 2026]

Where it lags

  • No Medicare, no Medicare Advantage, no Medicaid and no Medi-Cal. Stated plainly on their own pricing page, and it excludes a large share of the over-50 women this category exists to serve [Verified July 2026, joinmidi.com/pricing-insurance]
  • Accepted carriers are never named. The site says only 'most PPO plans', so you cannot tell whether Midi is in-network for you without starting the booking flow [Verified July 2026]
  • The homepage claims availability in all 50 states while the /locations directory carries pages for only 16. The two do not reconcile and we could not establish which is the operative number [Verified July 2026, joinmidi.com and joinmidi.com/locations]
  • 156 BBB complaints filed against a company that only started operating in November 2021, and a B letter grade despite paid BBB accreditation since March 2024 [Verified July 2026, BBB profile]
  • Lab and imaging costs are not published anywhere reviewed; clinicians order blood work sent to local labs [Verified July 2026]
  • Medication cost is not published, it depends on your pharmacy benefit [Verified July 2026]
  • Priced per visit, not per month, so the headline figure is not comparable to a subscription price without doing the arithmetic yourself
  • BBB grade B, below the A-tier of the strongest operators in this set [Reported]

Formulary

Medications & formats

oralpatchcreaminjection

Safety & legitimacy

The trust signals on Midi Health

Six signals we check on every HRTreview. “Not disclosed” is itself a finding. It feeds the Transparency Grade.

Prescriber type

Not disclosed

Lab work

Not disclosed

HIPAA disclosure

Not independently assessed this pass. Check the privacy policy before intake

Support channels

Not catalogued this pass

Cancellation

Not published (a finding)

Medication status

Mix of FDA-approved and compounded options

Numbers current as of July 27, 2026

Prices change. Confirm on Midi Health's site before signing up.

Check Midi Health pricing

Real customer feedback

What reviewers say about Midi Health

Third-party signals only. We never write or source testimonials. “Not surfaced” means no public base was found in our verification pass.

Trustpilot

4/5

~1,473 reviews

View source →

BBB

B

Accredited

Accredited since March 2024, 156 complaints on file for a company operating since November 2021.

Reddit

Not surfaced

No substantive threads found

Provider claim

None disclosed

Our reading

4.0 on Trustpilot across 1,473 reviews, over half of them inside the last 12 months, on a claimed profile with no incentivised-review collection and no consumer alert. BBB grade B. A real, active review base rather than a handful of stray ratings.

This review is educational, not medical advice. Talk to a licensed clinician before starting, stopping, or changing hormone therapy.

FAQ

Common questions about Midi Health

Is Midi Health legit?

Midi Health scores 7.7/10 on our weighted methodology and carries a Transparency Grade of B (A-F scale for what it discloses before intake). Trustpilot shows 4/5 across ~1,473 reviews. BBB: B, accredited. Facts last verified July 27, 2026.

How much does Midi Health cost?

Entry pricing starts around $150/mo.

Does Midi Health take insurance?

Yes. Midi Health accepts insurance. Coverage depends on your specific plan, so confirm before booking.

How do I cancel Midi Health?

Midi Health does not publish a cancellation policy on the pages we reviewed. That gap is factored into its Transparency Grade (B). Confirm cancellation terms in writing before subscribing.

What is Midi Health's Transparency Grade?

Midi Health earns a B on our A-F transparency scale, which grades what a provider discloses BEFORE intake: pricing, named clinicians with credentials, a published cancellation policy, corporate disclosure, and third-party review accessibility. Key evidence: Consult fee ladder fully public before any intake, both tiers, with no 'starting from' hedge [Verified July 2026, joinmidi.com/pricing-insurance] Membership fee explicitly disclaimed rather than left ambiguous [Verified July 2026] Deduction: accepted insurance carriers never named, so in-network status is unknowable pre-booking [Verified July 2026] Deduction: no lab, imaging or medication pricing published anywhere reviewed [Verified July 2026] Deduction: the all-50-states claim on the homepage is contradicted by a /locations directory covering 16, and nothing on the site reconciles them [Verified July 2026] Not an A: the consult price is public but the total cost of care is not computable from the site

Compare before you choose

Compare Midi Health with another provider

Toggle providers to compare starting prices, consultation fees, formats, shipping, and Transparency Grades in one table.

Pick providers

2 of 4 selected

Women's HRTMenopause and perimenopause platforms

Men's TRTTestosterone clinics

ProviderWinona
8.4/10B
Midi Health
7.7/10B
Starting priceFrom $54/mo$150 per visit
Consultation fee$0, product-only pricing [Verified July 2026]Not published
InsuranceNo, cash payYes
Formatscream, oral, patch, vaginaloral, patch, cream, injection
ShippingFree, included [Reported]Not disclosed
States48 states [Reported]Not disclosed
Transparency gradeBB
Go to siteGet started with WinonaGet started with Midi Health

Prices and facts render from our provider data layer, verified July 2026 where sites allow crawling. Items shown as “Not disclosed” or “Not published” are honest empty states, not omissions. Affiliate partners are marked; partnership never moves a score or a rank.

Ready to look at Midi Health?

Women with a commercial PPO plan who want menopause care billed through insurance rather than paid as a cash membership.

Featured Partners

Providers we may earn a commission from. Scores never move for affiliate status.

Gala Health logoGala Health

7.2/10

From $79/moGrade C

Winona logoWinona

8.4/10

From $54/moGrade B

Sesame Care logoSesame Care

7.6/10

From $99/moGrade B

Wisp logoWisp

7.3/10

From $99/moGrade B

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