Midi Health vs Gennev
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 C, $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. Gennev still makes sense for women who want OB-GYN-led care with insurance and additional nutrition support.
| Midi Health | Gennev | |
|---|---|---|
| Score | 8.8/10 | 7.2/10 |
| Transparency grade | C | C |
| 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 | Not verified |
| Bloodwork | Labs can be ordered and billed to insurance [Reported] | Lab interpretation included with membership [Reported] |
| Formats offered | patch, gel, spray, oral, vaginal, cream | patch, oral, vaginal |
| Insurance | Yes | Yes |
| States | All 50 states + DC [Reported — widely cited, not re-verified this pass] | All 50 states [Reported — unverified] |
| Trustpilot | 4.5/5 · ~1,281 reviews | Not surfaced |
| Visit Midi Health | Visit Gennev |
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.
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 Gennev if
Women who want OB-GYN-led care with insurance and additional nutrition support.
From $49/mo · Transparency C
Read full Gennev 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
Gennev
- Not covered by the July 2026 verification pass — pricing and coverage need re-confirmation
- Post-acquisition consolidation has slowed product velocity
- App experience lags newer entrants
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.