Midi Health vs Evernow
Side-by-side HRT telehealth comparison · Verified July 6, 2026
The short answer
Midi Health takes it: 8.8 vs 7.2, transparency grade C against D, $0-$30 typical copay with in-network insurance; $250 cash first visit, $150 follow-ups [Reported] (~$700 realistic first year). The edge: only pure insurance-billed menopause specialist in the set — labs and testosterone possible. Evernow still makes sense for women who mainly need vaginal estrogen plus messaging access, will fill other prescriptions at their own pharmacy, and read billing terms before subscribing.
| Midi Health | Evernow | |
|---|---|---|
| Score | 8.8/10 | 7.2/10 |
| Transparency grade | C | D |
| Consult fee | $0-$30 typical copay with in-network insurance; $250 cash first visit, $150 follow-ups [Reported] | Not published pre-intake |
| Monthly cost | $0-$30 typical copay with in-network insurance; $250 cash first visit, $150 follow-ups [Reported] | From $49/mo |
| Real first-year cost | ~$700 | ~$588 |
| Bloodwork | Labs can be ordered and billed to insurance [Reported] | Not offered — providers cannot order labs or testing [Reported — Trustpilot reviewers] |
| Formats offered | patch, gel, spray, oral, vaginal, cream | patch, oral, vaginal, cream |
| Insurance | Yes | No — cash pay |
| States | All 50 states + DC [Reported — widely cited, not re-verified this pass] | ~35 states [Reported — evernow.com/faq via search; down-verified from earlier 50-state claim] |
| Trustpilot | 4.5/5 · ~1,281 reviews | Not surfaced |
| Visit Midi Health | Visit Evernow |
Midi Health first-year math: Cash-pay estimate: $250 first visit + 3 follow-ups × $150 ≈ $700, excluding labs and medications. With in-network PPO insurance: typically $0-$120 in copays for the year.
Evernow first-year math: Monthly membership $49 × 12 = $588, medications billed separately at your pharmacy (vaginal estrogen cream included free). Annual-prepay route: $348/yr — the source of the $35/mo headline [Reported].
Choose Midi Health if
Women with PPO insurance who want a thorough workup from menopause-trained clinicians, insurance-billed labs, and access to both HRT and non-hormonal options.
$0-$30 typical copay with in-network insurance; $250 cash first visit, $150 follow-ups [Reported] · Transparency C
Read full Midi Health review →Choose Evernow if
Women who mainly need vaginal estrogen plus messaging access, will fill other prescriptions at their own pharmacy, and read billing terms before subscribing.
From $49/mo · Transparency D
Read full Evernow review →Where both fall short
The honest part
Midi Health
- Customer-service complaints disproportionate to the marketing polish [Reported — Trustpilot]
- Medicaid/Medi-Cal patients turned away even as self-pay [Reported]
- $250 cash exposure if insurance verification fails after the visit
Evernow
- Anchor pricing: $35 advertised vs $49 actual monthly [Reported]
- Annual-billing surprise pattern in BBB complaints ($420 charge) [Reported]
- No lab capability at all [Reported]
- Visit price hidden behind intake [Verified July 2026]
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 6, 2026 where sites allow crawling; items marked [Reported] rest on third-party sources.