Insurance-billed video visits with menopause-trained clinicians, with prescriptions sent to your own pharmacy
Last updated: Nov 8, 2026
Reviewed for medical accuracy by Francheska Capistrano, RMT, MPH · · How we review
Reviewed for medical accuracy by Francheska Capistrano, RMT, MPH · Medical Content Reviewer
Reviewed · Written by HRT Women Editorial Team · How we review
We may earn a commission from links on this page - it never affects our rankings (how we stay objective).
The bottom line
Midi Health is our top pick, and the best option on our list for women who want to use their insurance and prefer a real-time conversation with a menopause-trained clinician. It behaves like a specialist practice: longer visits, a full Care Plan that can include non-hormonal options, and prescriptions at your own pharmacy.
It is our top pick because it treats menopause as a specialty: menopause-trained clinicians, real-time visits and insurance billing put expert care within reach of most women with commercial coverage. The trade-offs are that it is less convenient than an appointment-free subscription and costs are harder to predict until you check your plan.
HRT carries real risks - including blood clots, stroke and breast-cancer considerations - and is not suitable for everyone, which a live visit is well placed to work through. Confirm your coverage before booking.
This review is general information, not medical advice.
Midi Health reviews are mostly positive. It held 4.1 stars from 1,795 Trustpilot reviews when we checked on November 3, 2026, and all 46 of the newest reviews gave 5 stars - most often because a clinician listened and explained the options, often after other doctors had dismissed the patient's symptoms. The complaints are mainly about insurance billing: Midi's BBB profile lists about 175 complaints closed in three years, mostly over visits patients expected to be covered, copays and deductibles. Midi is BBB-accredited with a B rating.
Midi Health's products with published prices and what each price includes. Prescription treatments need a clinician's review first.
by Midi Health
A dietary supplement from Midi's midlife line - Midi markets it for midlife focus and memory. Not hormone therapy, and not FDA-approved to treat menopause symptoms.
Sale price on Midi's shop, no prescription needed
by Midi Health
A dietary supplement from Midi's midlife line - Midi markets it for stress, calm focus and sleep. Not hormone therapy, and not FDA-approved to treat menopause symptoms.
Sale price on Midi's shop, no prescription needed
by Midi Health
A dietary supplement from Midi's midlife line - Midi markets it for sleep. Not hormone therapy, and not FDA-approved to treat menopause symptoms.
Sale price on Midi's shop, no prescription needed
by Midi Health
A dietary supplement from Midi's midlife line - Midi markets it for whole-body support. Not hormone therapy, and not FDA-approved to treat menopause symptoms.
Sale price on Midi's shop, no prescription needed
by Midi Health
A dietary supplement from Midi's midlife line - Midi markets it for midlife strength. Not hormone therapy, and not FDA-approved to treat menopause symptoms.
Sale price on Midi's shop, no prescription needed
by Midi Health
A dietary supplement from Midi's midlife line - Midi markets it for fiber and digestion. Not hormone therapy, and not FDA-approved to treat menopause symptoms.
Sale price on Midi's shop, no prescription needed
by Midi Health
A dietary supplement from Midi's midlife line - Midi markets it for metabolic support. Not hormone therapy, and not FDA-approved to treat menopause symptoms.
Sale price on Midi's shop, no prescription needed
Prices as published by each provider, checked October 2026; confirm at checkout. "FDA-approved" and "Compounded" labels appear only where we have verified them. Dietary supplements are sold without a prescription, are not hormone therapy, and are not FDA-approved to treat menopause symptoms.
Midi Health is a virtual women's-health clinic dedicated to perimenopause and menopause. Unlike subscription services, Midi works much like a specialist practice: you book a video visit (about 30 minutes) with a women's-health nurse practitioner or certified nurse midwife trained in menopause care, leave with a personalized Care Plan, and prescriptions are sent to your pharmacy of choice.
Its standout feature is insurance - Midi is in-network with most major commercial plans. This review covers how it works, what it costs and who it fits.
Yes - Midi Health is a legitimate virtual menopause clinic. Care is delivered over video by women's-health nurse practitioners and certified nurse midwives, it is in-network with most major commercial insurance plans, and prescriptions go to the pharmacy you choose.
“Legitimate” here means a real, licensed telehealth operation - not a guarantee of results. Compounded medications are not FDA-approved brand drugs. Always confirm current details and eligibility with the provider.
Approximate only - confirm with your plan and at booking. With in-network insurance, you typically pay your usual specialist copay, coinsurance or deductible for visits, and your medication cost depends on your pharmacy benefit.
Self-pay visits have been listed at roughly $250 for an initial visit and $150 for follow-ups. Midi does not bill Medicare, and some services (such as testosterone) are out of pocket.
Check your coverage when you register.
Register and check coverage
Create an account and upload your insurance card to see whether you are in-network, or choose self-pay.
Video visit
Meet a menopause-trained nurse practitioner or nurse midwife by video to go over your symptoms, full health history and goals.
Care Plan and prescriptions
Receive a personalized Care Plan; any prescriptions are sent to your pharmacy of choice, with follow-ups available whenever you need them.
Interested in Midi Health?
Visit their site to check eligibility and current pricing.
Visit Midi HealthAll 46 of the newest reviews were 5 stars, overwhelmingly for being heard by knowledgeable clinicians - often after being dismissed elsewhere. The lower 4.1 overall reflects older reviews and BBB complaints that are mostly about insurance billing. Midi Health is rated 4.1 out of 5 on Trustpilot across 1,795 reviews. Below, the themes in the 46 most recent reviews we read in full (as of Nov 3, 2026), with how many mention each.
Trustpilot figures as shown on Nov 3, 2026; BBB figures as shown on Oct 19, 2026. Ratings change - check Trustpilot and bbb.org for the latest. We don't edit or select reviews to change the picture: the sample is the most recent menopause-related reviews at the time, including low-star ones.
I have been dismissed for years
“I have been dismissed for years by my women's health care providers that I was either "too young" to be going through perimenopause beginning at age 39 or my hormone levels were "normal" at 43. I finally had enough of being dismissed and decided to try Midi. My Midi clinician listened to all of my concerns, my symptoms, as well as my past gynecological and family history. With compassion and understanding, she and I formulated a plan to treat my perimenopause symptoms within that one half hour and I was able to pick up my HRT the very next day from my pharmacy. The best part is that Midi takes my insurance and I can be seen in the comfort of my own home.”
Arri
US
Finally feeling heard and hopeful
“My experience with my clinician has been wonderful so far. I felt listened to, my symptoms and previous medications were discussed, and I appreciated the collaborative approach. Since starting treatment, I've noticed meaningful improvements in my sleep, along with some increased energy and motivation. I still have symptoms we're working on, particularly brain fog and fatigue, but I appreciate that my concerns were taken seriously and that my treatment plan was adjusted based on how I've been responding.”
Tonia Reid
US
Please, get the services you deserve
“I was struggling with lack of sleep, very painful joints, ridiculous hot flashes, painful sex, and trust issues with the healthcare industry, that caused me to not seek care for more than 15 years. I now feel seen, supported, and more like myself.”
MoMzoMbie
US
Empathetic care and quick next steps!
“I had a really great experience with my Midi provider and left the visit with clear next steps. My provider listened to my concerns and provided helpful recommendations. My prescription was sent to my pharmacy after the appointment and I was able to start the recommended treatment that same day!”
Sarah
US
Midi Health is our top pick, and the best option on our list for women who want to use their insurance and prefer a real-time conversation with a menopause-trained clinician. It behaves like a specialist practice: longer visits, a full Care Plan that can include non-hormonal options, and prescriptions at your own pharmacy.
It is our top pick because it treats menopause as a specialty: menopause-trained clinicians, real-time visits and insurance billing put expert care within reach of most women with commercial coverage. The trade-offs are that it is less convenient than an appointment-free subscription and costs are harder to predict until you check your plan.
HRT carries real risks - including blood clots, stroke and breast-cancer considerations - and is not suitable for everyone, which a live visit is well placed to work through. Confirm your coverage before booking.
This review is general information, not medical advice.
Yes - Midi Health is a legitimate virtual menopause clinic. Care is delivered over video by women's-health nurse practitioners and certified nurse midwives, it is in-network with most major commercial insurance plans, and prescriptions go to the pharmacy you choose.
Approximate only - confirm with your plan and at booking. With in-network insurance, you typically pay your usual specialist copay, coinsurance or deductible for visits, and your medication cost depends on your pharmacy benefit. Self-pay visits have been listed at roughly $250 for an initial visit and $150 for follow-ups. Midi does not bill Medicare, and some services (such as testosterone) are out of pocket. Check your coverage when you register.
Midi Health offers Systemic hormone therapy (estrogen with progesterone as appropriate), Vaginal estrogen for localized symptoms, Non-hormonal prescription options, Testosterone in selected cases (out of pocket), Weight-management, sexual-wellness and hair and skin care.
Midi Health is best for Women with commercial (e.g. PPO) insurance who want it to cover care; Anyone who prefers a live video conversation with a clinician; Women with more complex histories who want a longer consultation.
Midi Health is our top pick, and the best option on our list for women who want to use their insurance and prefer a real-time conversation with a menopause-trained clinician. It behaves like a specialist practice: longer visits, a full Care Plan that can include non-hormonal options, and prescriptions at your own pharmacy. It is our top pick because it treats menopause as a specialty: menopause-trained clinicians, real-time visits and insurance billing put expert care within reach of most women with commercial coverage. The trade-offs are that it is less convenient than an appointment-free subscription and costs are harder to predict until you check your plan. HRT carries real risks - including blood clots, stroke and breast-cancer considerations - and is not suitable for everyone, which a live visit is well placed to work through. Confirm your coverage before booking. This review is general information, not medical advice.
Yes. Midi is in-network with most major commercial and PPO insurance plans, so visits usually cost your normal specialist copay, coinsurance or deductible. Midi does not bill Medicare, and some services (such as testosterone) are out of pocket. Check your coverage when you register.
Self-pay visits have been listed at roughly $250 for the first visit and $150 for follow-ups. Medication is billed separately through your pharmacy. Confirm current prices when you book.
No. Midi Health serves patients in the United States; it is not a telehealth option for people living in Canada.
Midi Health is a US virtual clinic for perimenopause and menopause. Care happens over video with nurse practitioners and certified nurse midwives trained in midlife women's health, it bills most commercial PPO insurance plans, and prescriptions - hormone therapy, non-hormonal options and, in some states, testosterone - go to the pharmacy you choose.
Midi has no monthly membership fee - you pay per visit plus your medication. With in-network PPO insurance, Midi says patients pay about $50 per visit on average; self-pay is about $250 for the first visit and $150 for follow-ups. Medication is priced by your pharmacy and drug plan, so generic estradiol and progesterone are often inexpensive with coverage.
Midi held a 4.1 rating from 1,795 Trustpilot reviews when we checked on November 3, 2026. All 46 of the newest reviews gave 5 stars, most often because clinicians listened and explained options - many after being dismissed by other doctors. The lower overall score reflects older reviews, mostly about insurance billing. It is accredited by the Better Business Bureau.
Most Midi Health complaints are about insurance billing rather than care. Its BBB profile listed about 175 complaints closed in three years when we checked on October 19, 2026, mainly over visits patients expected to be covered becoming bills, copay changes and deductibles. Midi also doesn't bill Medicare, HMO or Medicaid plans. Check your coverage when you register, and ask what a visit will cost if your deductible isn't met.
If you don't have PPO insurance or don't want video visits, the main alternatives are Winona (physician-led, no appointment, self-pay per product with medication included), LifeMD (video or message-based care, plans from about $67/month on six-month billing), Gala (one flat monthly price, advertised from $79, with medication included) and Wisp (a low-cost consult with prescriptions sent to your pharmacy). Midi is usually the better fit if you have commercial PPO coverage or want a face-to-face conversation.
The questions people ask before signing up - answered in depth.
We built this review of Midi Health from the provider's own published pricing, plans and policies, cross-checked against regulatory and peer-reviewed medical references, and read alongside real customer feedback. Prices and plan details were verified against the provider's published information; we do not take providers' word for their own claims without checking.
Provider information
Pricing, plans, shipping and policies, checked against each provider's own site.
Provider data checked September 2026
Customer & community feedback
Third-party signals shown on this page and in our full reviews: verified Trustpilot ratings, public Reddit discussions, and independent YouTube reviews. We report what these sources say - we never fold their ratings into our own scores.
Medical & regulatory references
Last reviewed September 2026. We revisit comparisons when providers change their pricing or policies. This page is information only and is not medical advice - always consult a licensed clinician before starting treatment.