Winona vs Midi Health
Side-by-side HRT telehealth comparison · Verified July 6, 2026
The short answer
Midi Health takes it: 8.8 vs 8.4, transparency grade C against B, $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. Winona still makes sense for women who want compounded bioidentical HRT with zero consult fees, published product pricing, and unlimited text follow-ups.
| Winona | Midi Health | |
|---|---|---|
| Score | 8.4/10 | 8.8/10 |
| Transparency grade | B | C |
| Consult fee | $0 — product-only pricing [Verified July 2026] | $0-$30 typical copay with in-network insurance; $250 cash first visit, $150 follow-ups [Reported] |
| Monthly cost | From $54/mo | $0-$30 typical copay with in-network insurance; $250 cash first visit, $150 follow-ups [Reported] |
| Real first-year cost | ~$1,068 | ~$700 |
| Bloodwork | Not required [Reported] | Labs can be ordered and billed to insurance [Reported] |
| Formats offered | cream, oral, patch, vaginal | patch, gel, spray, oral, vaginal, cream |
| Insurance | No — cash pay | Yes |
| States | 48 states [Reported] | All 50 states + DC [Reported — widely cited, not re-verified this pass] |
| Trustpilot | 4.7/5 · ~6,000 reviews | 4.5/5 · ~1,281 reviews |
| Visit Winona | Visit Midi Health |
Winona first-year math: Estrogen Body Cream with Progesterone at $89/mo × 12 = $1,068, all-inclusive (consults, follow-ups, shipping included). Cheapest-entry route: estrogen tablets $54/mo × 12 = $648.
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 Winona if
Women who want compounded bioidentical HRT with zero consult fees, published product pricing, and unlimited text follow-ups.
From $54/mo · Transparency B
Read full Winona review →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 →Where both fall short
The honest part
Winona
- Site blocks bots (HTTP 500 on homepage) — automated re-verification impossible without patchright [Verified July 2026]
- No corporate disclosure: founders and HQ not surfaced anywhere [Verified July 2026 — absence]
- Subscription-cancellation confusion in reviews [Reported]
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
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.