Alloy vs Midi Health
Side-by-side HRT telehealth comparison · Verified July 31, 2026
The short answer
Alloy takes it: 8.9 vs 7.7, transparency grade A against B, from $40/mo (~$530 realistic first year). The edge: every SKU priced before intake, the category's transparency benchmark. Midi Health still makes sense for women with a commercial PPO plan who want menopause care billed through insurance rather than paid as a cash membership.
| Alloy | Midi Health | |
|---|---|---|
| Score | 8.9/10 | 7.7/10 |
| Transparency grade | A | B |
| Consult fee | $49 one-time [Reported] | Not published pre-intake |
| Monthly cost | From $40/mo | From $150/mo |
| Real first-year cost | ~$530 | Not verified |
| Bloodwork | Not required. No lab panel mentioned on pages reviewed [Verified July 2026, absence noted] | Not verified |
| Formats offered | patch, gel, spray, oral, vaginal, cream | oral, patch, cream, injection |
| Insurance | No, cash pay | Yes |
| States | All 50 states + DC; compounded formulas unavailable in AL, AR, CA, NV, LA, MS, DC [Verified July 2026] | Not confirmed |
| Trustpilot | 4.3/5 · ~3,821 reviews | 4.0/5 · ~1,473 reviews |
| Visit Alloy | Visit Midi Health |
Alloy first-year math: $49 consult + estradiol pill at $39.99/mo × 12 ≈ $530. Patch route: $49 + $74.99 × 12 ≈ $949. Progesterone adds $0 when co-prescribed with estradiol [Reported].
Choose Alloy if
Women without insurance who want to know the exact cost of every option before starting, with menopause-specialist doctors and fast asynchronous onboarding.
From $40/mo · Transparency A
Read full Alloy review →Choose Midi Health if
Women with a commercial PPO plan who want menopause care billed through insurance rather than paid as a cash membership
From $150/mo · Transparency B
Read full Midi Health review →Where both fall short
The honest part
Alloy
- 3-month billing blocks front-load the cash outlay (~$225/refill for the patch)
- Subscription-management complaints on Trustpilot [Reported]
Midi Health
- 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]
Go deeper
This is general information, not medical advice. Hormone therapy is prescription treatment. Whether either provider fits your health history is a decision for a licensed clinician. Facts on this page render from our provider data layer, verified July 31, 2026 where sites allow crawling; items marked [Reported] rest on third-party sources.
Midi Health
Sesame Care