Winona vs Midi Health
Side-by-side HRT telehealth comparison · Source-check dates shown for each provider
Previously published research: this pair includes a provider outside our current approved-partner shortlist. Price evidence retains its original dates. Scores use the current public-information method. Compare approved partners.
The short answer
Winona: $54 per 28 days, all-in; Midi Health: $150 per visit, medication billed separately. Check what each price includes before choosing: medication, required tests and payment commitments can change the bill.
The table keeps each provider's treatment and cost assumptions separate. An information score measures disclosure, not which treatment is right for you.
| Winona | Midi Health | |
|---|---|---|
| Source record checked | ||
| Consult fee | $0, product-only pricing [Verified July 2026] | Not published pre-intake |
| Published entry price | $54 per 28 days, all-in | $150 per visit, medication billed separately |
| Annual treatment example | ~$1,160 | Not verified |
| Plan assumptions | What the estimate covers | What the estimate covers |
| Bloodwork | Not required [Reported] | Not verified |
| Formats offered | cream, oral, patch, vaginal | oral, patch, cream, injection |
| Insurance | No, cash pay | Yes |
| States | 37 states plus Puerto Rico, counted from Winona's states page; confirm current eligibility before intake [Verified August 2026] | Not confirmed |
| Trustpilot | 4.6/5 · ~7,802 reviews | 4.0/5 · ~1,473 reviews |
| Public-information score | 8.0/10 | 7.0/10 |
| Transparency grade | B | B |
| Sources and limits | Winona evidence record | Midi Health evidence record |
| Visit Winona | Visit Midi Health |
What does Winona's annual estimate cover?
Annualized estimates use the 28-day billing cycle: Estrogen Body Cream with Progesterone at $89 × 365/28 = $1,160.18; estrogen tablets at $54 × 365/28 = $703.93. Consults, follow-ups and standard shipping are included. Additional prescribed products change the total. Actual first-year charges depend on the first charge, refill timing and pauses [Billing cadence checked October 7, 2026; product prices verified July 2026].
What does Midi Health's annual estimate cover?
Complete treatment costs are not established in this source record.
Annual examples may cover different medicines and services; they are not equivalent treatment quotes. Scores measure public information, not clinical quality or safety. See the scoring method.
Choose Winona if
Women who want compounded bioidentical HRT with zero consult fees, published product pricing, and unlimited text follow-ups.
$54 per 28 days, all-in · Transparency B
Read full Winona 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
$150 per visit, medication billed separately · Transparency B
Read full Midi Health review →Where both fall short
The honest part
Winona
- A 28-day billing cycle needs an annualized calculation rather than a 12-payment budget [Billing cadence checked October 7, 2026]
- Complete ownership details and every treating practice's legal identity were not established in the checked sources; Winona, Inc. is the named platform operator [Terms checked October 7, 2026]
- Subscription-cancellation confusion in reviews [Reported]
Midi Health
- Medicare is out of network: beneficiaries may self-pay but Midi says they cannot submit claims for its visits, medications or associated services. Medicaid/Medi-Cal patients are not accepted [Verified September 8, 2026, joinmidi.com/pricing-insurance]
- Coverage varies by exact plan and state. Use Midi's public state-and-carrier checker before booking; deductibles, coinsurance and copays may still apply [Verified September 8, 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]
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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. Each provider's evidence record has its own check date, sources and limits. Items marked [Reported] have not been independently confirmed. Confirm current prices and availability before booking.
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