Midi Health has built the broadest mainstream-insurance menopause telehealth practice in the US. For women who want menopause-specific care and don’t want to give up insurance billing, Midi is usually the first option on the list.
What they do
Licensed clinicians — MDs, NPs, PAs, often menopause-trained — deliver virtual menopause and women’s midlife care. Full formulary: HRT (transdermal estradiol, oral progesterone, contraceptives), non-hormonal options (fezolinetant, SSRIs/SNRIs, gabapentin), supplement guidance, and related midlife care (bone density, cholesterol, thyroid, etc.).
What sets them apart
- Insurance acceptance: Most major plans. This is genuinely rare in menopause-specialized telehealth.
- Live video visits: Not just asynchronous intake forms.
- Broad formulary: Both hormonal and non-hormonal prescription options.
- Credentialed clinicians: Many are Menopause Society Certified Practitioners.
What community reports
“Easy virtual appointments, they listened, offered lots of different medication options. First appt was great, got on HRT, helped SO much with mood swings, weight loss, energy.”
Positive sentiment on provider quality and the feeling of being heard is consistent across r/Menopause reports. Complaints, when they exist, tend to be around wait times during peak demand.
Pricing
- With insurance: standard copay for covered plans
- Cash pay: approximately $250/visit
- Prescriptions billed through your pharmacy benefit separately
Who it’s best for
- Women with insurance who want to use it
- Women wanting live video visits rather than async
- Women who want flexibility across hormonal and non-hormonal options
- Women whose primary care declined HRT and they want a menopause-trained second opinion
Who might prefer alternatives
- Women wanting specifically bioidentical-only compounded HRT (Midi uses FDA-approved bioidentical options; compounded preparations are not their focus) — Winona may fit better
- Women wanting lowest possible flat-rate pricing — Alloy may fit better
- Women in states Midi doesn’t currently cover — verify before booking
The honest summary
Midi is our default recommendation for most women for one reason: insurance acceptance plus live clinician visits plus broad formulary is the most common combination women are looking for, and no other major provider offers all three as consistently.