Winona vs Midi Health
Side-by-side HRT telehealth comparison · Verified August 16, 2026
The short answer
Winona takes it: 8.4 vs 7.7, transparency grade B against B, from $54/mo (~$1,161 realistic first year). The edge: $0 consult + product-only pricing + largest HRT-specific review base. 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.
| Winona | Midi Health | |
|---|---|---|
| Score | 8.4/10 | 7.7/10 |
| Transparency grade | B | B |
| Consult fee | $0, product-only pricing [Verified July 2026] | Not published pre-intake |
| Monthly cost | From $54/mo | From $150/mo |
| Real first-year cost | ~$1,161 | Not verified |
| 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 off Winona's own states page. The 48-state figure this record carried until 2026-08-16 was third-party and is 11 states too generous [Verified August 2026] | Not confirmed |
| Trustpilot | 4.6/5 · ~7,802 reviews | 4.0/5 · ~1,473 reviews |
| Visit Winona | Visit Midi Health |
Winona first-year math: Winona bills every 28 days, not monthly, so a year holds 13.04 charges rather than 12. Estrogen Body Cream with Progesterone at $89 per cycle x 13.04 = $1,160.56, all-inclusive (consults, follow-ups, shipping included). Cheapest-entry route: estrogen tablets at $54 x 13.04 = $704.16. Every other provider on this roster is measured at 12 charges a year, so counting Winona the same way understated its year by one full charge, which is where the $1,068 this record carried until 2026-08-16 came from [Verified August 2026].
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 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
Winona
- Bills every 28 days while quoting a monthly price, which is 13.04 charges a year, not 12 [Verified August 2026]
- Founders, HQ and corporate entity still not surfaced anywhere, though the clinicians now are [Verified August 2026, absence]
- Subscription-cancellation confusion in reviews [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 August 16, 2026 where sites allow crawling; items marked [Reported] rest on third-party sources.
Midi Health
Sesame Care