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HRT Women.com

Winona vs Midi Health

Appointment-free HRT delivered vs insurance-billed video visits

By HRT Women Editorial Team·

Last updated: Nov 6, 2026

Francheska Capistrano, Medical Content Reviewer

Reviewed for medical accuracy by Francheska Capistrano, RMT, MPH

Reviewed · How we review

We may earn a commission from links on this page - it never affects our rankings (how we stay objective).

The verdict

9.6/10 vs 9.5/10

Midi Health is the stronger pick for most people - In-network with most major commercial insurance. Full reasoning, pricing and the cases where Winona wins are below.

At a glanceWinonaMidi Health
MedicationsDelivered to your doorSent to your pharmacy
PrescriptionRequired - online provider reviewRequired - online provider review

Prices are the providers’ published rates at our last verification - confirm the final figure at checkout, as offers change. How we verify prices

Winona logo
9,008 reviews onTrustpilot
Licensed US telehealth

Physician-led online menopause care - estrogen, progesterone and vaginal estrogen prescribed without a video visit

  • Board-certified physicians
  • No video visit - online intake
  • Unlimited doctor messaging
Visit Winona
VS
Midi Health logo
1,795 reviews onTrustpilot
Licensed US telehealth

Insurance-billed video visits with menopause-trained clinicians, with prescriptions sent to your own pharmacy

  • In-network with most major insurance
  • Video visits with menopause specialists
  • Hormonal & non-hormonal care plans
Visit Midi Health

The full breakdown

Winona vs Midi Health: a closer look at each

Both are credible providers in this category, and the right pick comes down to fit. So instead of crowning a “winner,” here’s the real rundown on each - what you get, what it actually costs, and what real customers are saying - so you can pick the one that fits you.

Winona logo
9,008 reviews onTrustpilot
Licensed US telehealth
Visit Winona

What is Winona?

Winona is one of the best-known online menopause brands, built around a simple idea: many women want expert HRT care without booking appointments. Instead of a video call, you complete a detailed online health questionnaire, a board-certified physician licensed in your state reviews it, and - if hormone therapy is appropriate for you - a personalized plan ships to your door.

Read the full Winona breakdown▾

Ongoing care happens through secure messaging with your doctor. This review covers what Winona offers, what it costs and who it fits best.

Board-certified physiciansNo video visit neededFree delivery

What you get with Winona

  • Board-certified physicians review every intake
  • No video visit required - online questionnaire and secure messaging
  • Estradiol in several forms (pill, patch, cream) plus progesterone
  • Vaginal estrogen cream for dryness and urinary symptoms
  • Unlimited follow-ups and doctor messaging included
  • Free delivery to your door

Who Winona is best for

  • Women who want expert HRT care without scheduling appointments
  • Those comfortable communicating with a doctor by secure message
  • Anyone who wants a choice of estrogen forms delivered to the door

How much does Winona cost?

Approximate only - confirm at checkout. Winona bills treatment as a monthly subscription that bundles the physician review, messaging and shipping. Listed starting prices (October 2026) are about $39/month for progesterone capsules, $54/month for estradiol tablets, $89/month for the estrogen body cream (with or without progesterone) or vaginal estrogen cream, and $149/month for the estrogen patch; combining products costs more. Promotions and plans change, so verify the current price on Winona's own site before subscribing.

What we like about Winona

  • Genuinely appointment-free: no video visit, which many busy women prefer
  • Physician-led care with unlimited messaging and follow-ups
  • Several estrogen forms, so the route can be matched to your history and preference
  • Everything - review, messaging, shipping - bundled into one subscription

Worth keeping in mind

  • Self-pay only - it does not bill your health insurance
  • No face-to-face or video contact, which some women want for a first HRT conversation
  • Does not prescribe testosterone
  • State availability varies - check your location at sign-up

What real Winona customers are saying

Winona logo

Winona reviews on

Trustpilot
(9,008 reviews)
Nov 1, 2026

Everything is coming back!

“At 38 I had a complete hysterectomy, I am now 49. This is the 1st time I have had a Dr agree that I needed hormones and not some antidepressant or anxiety pill. I am very happy I didn't give up, and even more happy I found Winona. For me the 1st couple weeks were a little rough. My breasts hurt so much I called my mom crying - I wasn't sure this was going to help, it seemed to make everything worse. I had spent so many years with 0 hormones, an out of control internal thermostat, brain fog so bad I couldn't remember simple things, sleep was a thing of the past and ZERO libido. Well, I can say I am overjoyed I stuck with it! The breast tenderness went away quickly, the hot flashes and night sweats are a thing of the past, I haven't had to change my sheets in the middle of the night from sweating and I am actually a happy person again. I am only on week 10 and am feeling hopeful for it only getting better.”

S

Stacey

US

Nov 1, 2026

Best decision ever

“I had went to the doctor several times over the past couple years about my menopause symptoms. The doctor just wanted to put me on antidepressants and nothing I tried was helping with all my symptoms. I saw an ad for Winona and clicked the link. I answered all the questions about my symptoms and in no time the doctor had come up with a treatment plan. The process was simple and fast. I have been on HRT meds for going on three months now and I feel so much better. My hot flashes, night sweats, and other symptoms have gone away. Also if you have questions they always answer in no time.”

L

Lana Herald

US

Nov 3, 2026

Don't feel so much difference

“Don't feel so much difference, will see in the next few months.”

I

Ivelisse Muniz

PR

Nov 1, 2026

I feel so much better

“I feel so much better. Anxiety has almost stopped completely. I am not as angry at times. My ears still itch like crazy but I can live with that as long as the anxiety and mood swings are better. The service is great. I highly recommend.”

E

Elizabeth Hoyle

US

Nov 2, 2026

Easy to navigate

“Easy to navigate. Reasonably priced. Improved my symptoms of dryness and insomnia within 2 months. Going to continue treatment.”

D

Debra Gold

US

Nov 2, 2026

I highly recommend Winona

“I highly recommend Winona to every lady experiencing hormonal issues. Within 3 weeks I felt so much better - my hot flashes gone, brain fog gone, energy levels started to feel like exercising again. Winona doctors are phenomenal. Truly care for the patients.”

S

Sheryl Shifflett

US

Nov 1, 2026

It works!

“Since starting my treatment, I finally feel more like myself. My night sweats are less and less. It's hassle free too. When I get low on my cream it's automatically sending me notifications that it's being processed and on the way.”

K

Kelly Palmer

US

Nov 3, 2026

HRT is life changing!

“Winona has completely changed the way I navigate perimenopause! HRT and DHEA have been life-changing. Telehealth and refills are so easy and the fact it's shipped right to my door makes the process seamless.”

E

Emily

US

Nov 1, 2026

I really liked being a customer

“I really liked being a customer of theirs. I had to switch eventually to my primary care doctor for personal reasons otherwise I would have stayed a customer of theirs. Worth checking out!”

M

Megan McBride

US

Nov 3, 2026

Doctors are great!

“I definitely recommend doing this. It has helped me a lot. I'm doing the estrogen and progesterone cream.”

V

Victoria Cook

US

Oct 4, 2026

The estradiol last shipment arrived stuck together

“The estradiol last shipment arrived stuck all together, I guess the Texas humidity was too much. They should pack it with those little silica pouches or something. Otherwise the service is great.”

S

Stephanie Baum

US

Oct 2, 2026

My spontaneous crying spells have subsided

“My spontaneous crying spells and feeling of doom have subsided but still not feeling any better libido wise and still having some mood swings (easy to anger). I will keep on keeping on in hopes things continue to get better. Fingers crossed.”

A

Amber Gillham

US

Sep 10, 2026

The Winona products have made all the difference

“The Winona products have made all the difference in my life. No more night sweats. No more vaginal dryness. I feel so much better and I love how easy the whole process was. Highly recommend.”

J

Jamie Wilkins

US

1 / 13
Get started with Winona
Midi Health logo
1,795 reviews onTrustpilot
Licensed US telehealth
Visit Midi Health

What is Midi Health?

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.

Read the full Midi Health breakdown▾

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.

Accepts major insuranceMenopause-trained cliniciansVideo visits

What you get with Midi Health

  • In-network with most major commercial insurance plans
  • Video visits with menopause-trained NPs and nurse midwives
  • Care Plans that can include hormonal and non-hormonal options
  • Prescriptions sent to your pharmacy of choice
  • Follow-up visits as often as you need
  • Broader midlife care: weight management, sexual wellness, hair and skin

Who 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

How much does Midi Health cost?

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.

What we like about Midi Health

  • Uses your health insurance - often the lowest-cost route for insured women
  • Live video conversation with a menopause-trained clinician
  • Prescriptions filled at your own pharmacy, typically through your drug coverage
  • Broad midlife care beyond HRT, including non-hormonal options

Worth keeping in mind

  • Requires scheduling a video visit rather than a quick async intake
  • Not billed to Medicare
  • Costs vary by plan - deductibles and copays can add up
  • Medication is not bundled or delivered as part of a single subscription

What real Midi Health customers are saying

Midi Health logo

Midi Health reviews on

Trustpilot
(1,795 reviews)
Oct 22, 2026

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.”

A

Arri

US

Oct 21, 2026

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.”

T

Tonia Reid

US

Oct 29, 2026

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.”

M

MoMzoMbie

US

Oct 31, 2026

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!”

S

Sarah

US

Oct 21, 2026

My provider was knowledgeable

“My provider was so knowledgeable and listened to my symptoms and based her treatment plan on my clinical presentation rather than just doing labs, which are not accurate in this diagnosis. I would recommend Midi Health especially if you have been turned down or you have a provider that doesn't take your symptoms seriously!”

M

Maddie Martin

US

Oct 28, 2026

My provider was fabulous

“My provider was fabulous. She was professional, kind, knowledgeable and thorough. She made the visit stress free and easy. They also helped navigate any insurance issues that came up.”

E

Erika

US

Oct 28, 2026

I had my first appointment with Midi

“My provider was warm, attentive, and genuinely listened to my concerns. I never felt rushed or dismissed, and I really appreciated that she took the time to understand what I've been experiencing rather than jumping straight to a treatment recommendation. She explained possible options, recommended additional testing, and developed a plan for moving forward.”

C

Carissa Woleslagle

US

Oct 28, 2026

From barely surviving to completely thriving

“I was already deep in the throes of perimenopause when I found Midi, not knowing that my daily challenges were all due to a natural decline in hormones. In the two years since first coming under their care my life has improved in every single way possible.”

K

Kat

US

Oct 1, 2026

Convenience and excellent provider and care

“The provider has been amazing with listening and changing my treatment plan as needed. She has been friendly, kind, and clearly knowledgeable. She has been careful to make sure my medications are safe, monitor side effects, ensure they are working as they should, and make sure I have refills as needed. The convenience has just been amazing too!”

E

Erin Woltjen

US

Oct 1, 2026

I feel heard and seen

“What made my experience great is that they listened to me! I felt heard and seen! My concerns were not dismissed. I was suffering in silence for five years and no one would listen or believe me. The treatment plan put in place for me is changing my life! I am now mending relationships and getting my life back thanks to MIDI Health.”

T

Terri Wilson

US

Oct 1, 2026

Scheduling with Midi was easy and I'm myself again

“Scheduling with Midi was easy and I quickly had my appointment. My provider is knowledgeable, efficient and pleasant. My hot flashes are gone and I feel like myself again.”

M

Marcy Wofford

US

Sep 29, 2026

My health care provider listened

“My health care provider (Holly) listened to my issues and took the time to explain them and address them. She made sure to provide a treatment that my insurance covers, and I am so happy to have received help. I am already feeling the effects of my treatment and I appreciate it a lot.”

J

Julie Harris

US

Sep 29, 2026

My provider

“My provider, Jayne Fortenberry, was kind and very informative! She listened to me and made me feel at ease with the process of starting HRT. I feel so grateful for her! The whole process was seamless!”

C

Candita Shoemake

US

Sep 29, 2026

I was a person and not just a patient

“Since going to the doctor on my own as a young adult until 40+, I have never spent more time with a doctor who saw me as a person and who truly heard me. From scheduling to logging off of the appointment was done with ease. My provider got to know me more in my 30 minute visit than my own PCP. She was very thorough, patient, knowledgeable and willing to see me as person and not just the next patient. I know it's crazy to say but I'm actually excited for my next appointment.”

H

Holman

US

Sep 28, 2026

No BS

“There is no re-explaining, no over justifying. My clinician listened, she educated, we discussed, then there was a clear plan with clear check-ins. No BS, just women getting healthcare.”

E

Erin Olson

US

Sep 28, 2026

Feeling great!

“My provider was very attentive, listening to my concerns and explaining different treatment options thoroughly, including possible side effects. She is personable and remembers me from one visit to the next. My treatment plan has already alleviated so many of my symptoms. The system is easy to access and use.”

K

Karen Reynolds Mohme

US

1 / 16
Get started with Midi Health

Winona vs Midi Health: products & prices

Both providers' products with published prices and what each price includes. Prescription treatments need a clinician's review first.

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.

Winona vs. Midi Health: What’s the Difference?

The key differences to consider when comparing the two providers.

WinonaMidi Health
Visit styleAsync intake + messagingVideo visit
CliniciansBoard-certified physiciansMenopause-trained NPs / CNMs
InsuranceSelf-payMost major commercial plans
MedicationDelivered to your doorSent to your pharmacy
Non-hormonal optionsLimitedYes

So which one should you pick?

Find the line that sounds like you - that’s your answer.

In-network with most major commercial insuranceMidi Health
Live video visits with menopause-trained cliniciansMidi Health
Hormonal and non-hormonal care plansMidi Health
No appointments - online intake and messagingWinona
Medication, messaging and shipping bundledWinona
Board-certified physiciansWinona

Here’s the short version

Winona and Midi Health represent the two main models of online menopause care. Winona is a self-pay subscription: an online intake, a physician review and treatment delivered to your door, with no video visit.

Midi is a virtual specialist clinic: video visits with menopause-trained clinicians, billed to your insurance, with prescriptions sent to your own pharmacy. Here's how they compare.

The quick answer

Go with Midi Health if you want

  • In-network with most major commercial insurance
  • Live video visits with menopause-trained clinicians
  • Hormonal and non-hormonal care plans

Winona makes more sense if you want

  • No appointments - online intake and messaging
  • Medication, messaging and shipping bundled
  • Board-certified physicians

Had to pick one for most people? Midi Health. The numbers and customer feedback below are why - and where Winona wins instead.

Winona vs Midi Health: FAQs

Which is better, Winona vs Midi Health?

Midi Health is our overall pick - menopause-trained clinicians over live video, billed to most major commercial insurance, with hormonal and non-hormonal care plans. Winona is the better choice if you want no appointments at all and everything bundled into one self-pay subscription. Confirm current pricing and your coverage before choosing.

Insurance coverage: Winona or Midi Health?

Midi is in-network with most major commercial plans; Winona is self-pay only. Neither is billed to Medicare.

Convenience: Winona or Midi Health?

Winona needs no scheduled visit and delivers treatment to your door; Midi requires a video appointment and a pharmacy pickup or delivery.

Depth of consultation: Winona or Midi Health?

Midi's live, roughly 30-minute video visits suit women who want to talk through a complex history in real time.

Clinical oversight: Winona or Midi Health?

Both put a licensed, menopause-focused clinician in charge of the decision and offer ongoing follow-up.

Sources & methodology

We built this comparison of Winona and Midi Health from each 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

  1. 1.FDA Approves Labeling Changes to Menopausal Hormone Therapy Products - U.S. Food & Drug Administration - February 2026
  2. 2.FDA Requests Labeling Changes to Clarify the Benefit/Risk Considerations for Menopausal Hormone Therapies - U.S. Food & Drug Administration - November 2025
  3. 3.The Women's Health Initiative Randomized Trials and Clinical Practice: A Review - Manson JE et al., JAMA - 2024;331(20):1748-1760
  4. 4.The 2022 hormone therapy position statement of The North American Menopause Society - Menopause (journal), The Menopause Society - 2022;29(7):767-794
  5. 5.The 2023 nonhormone therapy position statement of The North American Menopause Society - Menopause (journal), The Menopause Society - 2023
  6. 6.Menopause: identification and management (NG23, updated November 2024) - National Institute for Health and Care Excellence (NICE)
  7. 7.FDA Update on Estradiol Transdermal Patch Availability - U.S. Food & Drug Administration - 2026
  8. 8.Hormone Therapy for Menopause - patient FAQ - American College of Obstetricians and Gynecologists (ACOG)
  9. 9.Menopause - overview - National Institute on Aging (NIA), NIH

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.