At a glance
Get 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.
Skip if
Cash-pay women (highest cash prices in the category), Medicaid/Medi-Cal patients (excluded), or anyone who wants published all-in pricing before booking.
How we verified Midi Health
Last pass July 6, 2026 · Method: joinmidi.com team page confirmed via search results; pricing via Midi's own Zendesk help-center article surfaced in search (joinmidi.com/faq 308-redirects to Zendesk); insurance/states/labs cross-referenced from third-party reviews.
Confirmed on official sources
- Co-founder Joanna Strober (CEO)
Still resting on third-party reports
- Cash prices $250/$150 (official help-center article, surfaced via search not fetched)
- Copay range $0-$30 with in-network insurance
- All-50-states coverage
- Medicaid/Medi-Cal exclusion
- Testosterone off-label prescribing
- Trustpilot 4.4-4.6 / 1,281 reviews
We verify against the provider's own public pages without signing up. When a provider blocks crawlers or hides pricing behind intake, we say so — not disclosed is a finding, and it feeds the Transparency Grade. Full methodology: editorial policy.
Quick facts
Monthly cost
Insurance-billed
Consult fee
$0-$30 typical copay with in-network insurance; $250 cash first visit, $150 follow-ups [Reported]
States
All 50 states + DC [Reported — widely cited, not re-verified this pass]
Insurance
Accepted
Shipping
Not disclosed
Cancellation
Not published
Where it wins
- In-network with major PPO plans (Aetna, Cigna, BCBS, United) — typical copay $0-$30 [Reported]
- Menopause-trained clinicians with video visits, not chat-only
- Can order labs, billed to insurance [Reported]
- Testosterone can be discussed and prescribed off-label where clinically appropriate [Reported]
- No membership fee — per-visit model, nothing to cancel [Reported]
- Strongest institutional credibility in the set: TIME100 Health 2025, met with the FDA on the estrogen patch shortage in May 2026
Where it lags
- Cash prices are the category's highest: $250 first visit, $150 follow-up, excluding labs and meds [Reported — Midi help center]
- Cannot treat Medicaid/Medi-Cal patients — even as self-pay [Reported]
- Cash pricing lives in a Zendesk help article, not on the pricing page
- Trustpilot complaint cluster: insurance-coverage confusion, slow communication, 'AI support lines', prescription-processing delays [Reported]
- Medication costs entirely separate (filled at your pharmacy)
The math
First-year cost & how Midi Health compares
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.
| Provider | Entry | Year-1 est. | Score | Transparency |
|---|---|---|---|---|
| Midi Health (reviewed) | Insurance | $700 | 8.8/10 | C |
| Alloy | $40/mo | $530 | 8.9/10 | A |
| Gennev | $49/mo | — | 7.2/10 | C |
| Evernow | $49/mo | $588 | 7.2/10 | D |
Year-1 totals are our documented estimates from pricing as of July 6, 2026; each provider's assumption set is on its review page. Insurance, HSA/FSA, and promo pricing excluded. “—” means no defensible estimate exists yet. Full price breakdown: what HRT really costs.
Formulary
Medications & formats
Safety & legitimacy
The trust signals on Midi Health
Six signals we check on every HRTreview. “Not disclosed” is itself a finding — it feeds the Transparency Grade.
Prescriber type
NPs primarily, with MD oversight; menopause-trained [Reported]
Lab work
Labs can be ordered and billed to insurance [Reported]
HIPAA disclosure
Not independently assessed this pass — check the privacy policy before intake
Support channels
Not catalogued this pass
Cancellation
Not published — a finding
Medication status
FDA-approved brand medications
Numbers current as of July 6, 2026
Prices change — confirm on Midi Health's site before signing up.
Verdict
8.8/10The default first call if you have PPO insurance: real clinicians, real labs, real testosterone conversation, copay-level cost. Cash-pay women should look at Alloy first — Midi's $250/$150 cash rates and Zendesk-buried pricing are the weak side of an otherwise strong clinical operation.
Real customer feedback
What reviewers say about Midi Health
Third-party signals only — we never write or source testimonials. “Not surfaced” means no public base was found in our verification pass.
BBB
Not surfaced
No public profile found
Not surfaced
No substantive threads found
Provider claim
None disclosed
Our reading
Trustpilot ~4.4-4.6/5 across 1,281 reviews, 75% 5-star. Complaint cluster is operational, not clinical: insurance-coverage confusion, slow communication, 'AI support lines', prescription-processing delays. At least one formal BBB complaint; no BBB rating surfaced.
Change log — what we've corrected on this review
- May 12, 2026Initial verification: insurance-first model, score 9.2, rank 1.
- July 6, 2026Score 9.2 → 8.8, rank 1 → 2. Cash pricing confirmed at $250/$150 but buried in Zendesk (Transparency C); Medicaid exclusion added; Trustpilot complaint cluster (slow comms, AI support lines, Rx delays) weighed into patient experience. Still the best insurance-covered option.
This review is educational, not medical advice. Talk to a licensed clinician before starting, stopping, or changing hormone therapy.