Evernow vs Wisp: Which Online Menopause Provider Fits You? (2026)
Evernow vs Wisp really comes down to how you want to be seen and how you want to pay. Evernowis built for ongoing care with a menopause clinician — secure messaging, the option to add video visits, and a way to try using your insurance — starting at $35 a month. Wisp is a flat $99consult you start online, with follow-ups and three months of care-team access, in all 50 states. Both prescribe conventional, FDA-approved hormones. And here’s the line that never makes the headline: neither price includes your medication— which shifts the real cost more than most women expect.
The HRT Indexis the independent decision resource for online menopause and HRT care — comparing telehealth providers on clinical legitimacy, care quality, medication fit, price transparency, and access, with every claim verified and dated. We read both companies’ live pricing, insurance, and prescribing pages in July 2026 and put them in the same 90-day picture.
Best for / not for you
Evernow is best for you if:
- You want ongoing messaging with a menopause clinician.
- You want the option to add video visits.
- You want a chance to use commercial insurance for eligible video visits.
- You want automatic refills and an app that tracks your care.
Evernow is probably not for you if:
- You only want the lowest one-time fee.
- You’re on Medicare or Medicaid and expect coverage.
- You don’t want a recurring membership.
Wisp is best for you if:
- You want the lower-priced starting point — $99 flat.
- You want follow-ups + 3 months of care-team access included.
- You’re comfortable beginning online, mostly by message.
Wisp is probably not for you if:
- You want the medical visit billed to insurance.
- You want clearly defined care that continues past the first three months.
Evernow vs Wisp comparison, at a glance
Everything below is from each company’s live pages, checked July 2026. Medication is separate in both— these prices buy the care, not the pills. (One exception: Evernow lists a free vaginal estrogen cream with membership, when it’s medically appropriate.)
| Evernow | Wisp | |
|---|---|---|
| Best for | Ongoing care + a possible insurance path | The lower-priced first consult |
| How care works | Secure messaging with a menopause clinician; optional video visits. (A separate pay-per-visit option is a scheduled video visit.) | Start online with a questionnaire and messaging; a phone or video step may be required in some states. |
| Starting price | $49/mo, $129/3 months, or $420/year ($35/mo). A separate self-pay video visit is $150. | Flat $99 consult (with follow-ups + 3-month care-team access) |
| Medication | Separate; free vaginal estrogen cream may be included with membership | Separate, at your local pharmacy |
| Insurance (the visit) | Evernow says eligible video visits can use major commercial plans; membership is self-pay | Private-pay (the visit isn’t billed to insurance) |
| States | All 50 + D.C. (per Evernow’s FAQ) | All 50 |
| Hormones | FDA-approved options | FDA-approved options |
| Bottom line | Better for continuity + insurance | Lower cost to start; no membership needed for the consult |
The right online HRT provider isn’t the same for every woman — it depends on your symptoms, your age and whether you have a uterus, your medication route preference (patch, pill, gel, or vaginal estrogen), your risk history, your insurance or cash-pay situation, and your state. Some situations belong with an in-person clinician first.
Not sure which side of that table is you? Find My HRT Path →
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Quick definitions (HRT, systemic, local, FDA-approved, compounded) ▼
HRT— hormone replacement therapy, also called menopausal hormone therapy — replaces the estrogen, and often the progesterone, your body makes less of in menopause.
Systemic treatment, like a patch or pill, works through your whole body for symptoms like hot flashes.
Local treatment, like vaginal estrogen, works in one area for symptoms like dryness.
FDA-approvedmeans the FDA reviewed and approved a specific finished drug for one or more specific uses; that same drug can also be prescribed “off-label” for a use the FDA hasn’t approved.
Compoundedmeans a pharmacy prepares a drug outside the FDA approval process for a specific patient — the finished compounded drug is not FDA-approved, and the FDA doesn’t review it for safety, effectiveness, or quality before it’s sold.
Evernow vs Wisp: the bottom line
Evernow is the stronger fit for ongoing messaging, optional video visits, and a possible insurance pathway. Wisp has the lower published first-90-day care fee at $99, including follow-ups and three months of care-team access; Evernow’s comparable three-month plan is $129. Medication generally costs extra with both. Both use FDA-approved hormones and cover all 50 states, so the “winner” really depends on how you want to be seen and how you want to pay.
Choose Evernow if you want a relationship, not just a script.
Evernow pairs you with a menopause-trained clinician, then keeps the door open. Membership includes secure messaging (often answered within a day), optional video visits, automatic refills, and a care plan you can adjust. Evernow says its clinicians use guidance from ACOG and The Menopause Society.
Honest limitation:Evernow’s “$35/month” is the 12-month plan — $420 billed up front, not $35 month to month. Medication is extra on top.
Choose Wisp if you want the simplest, lower-cost starting point.
Wisp is a flat $99menopause consult. You fill out a symptoms questionnaire, a licensed menopause clinician reviews it and may follow up by message, phone, or video, and — if appropriate — sends a prescription to your local pharmacy, often the same day. The $99 covers follow-ups and three months of care-team access. No membership required.
Honest limitation: Wisp does notbill insurance for the medical visit, and the $99 doesn’t include your medication.
How do Evernow and Wisp compare side by side?
Every commercial fact below comes from each company’s own live pages or a dated source, checked July 2026. Where a number depends on your plan or gets decided at checkout, we say so instead of guessing.
| Decision factor | Evernow | Wisp (Hello Wisp) |
|---|---|---|
| How care works | Secure messaging with a menopause clinician; optional video visits. A separate pay-per-visit path is a scheduled video visit. | Starts online (questionnaire + medical history); provider reviews and follows up by message, and may require a phone or video step in some states. |
| How you pay | Membership ($49/mo, $129/3 mo, or $420/yr) or a one-time video visit ($150 self-pay) | Flat $99 one-time consult |
| Recurring? | Membership renews; pay-per-visit is one-time (+ 90-day access) | One-time; no membership required for the consult |
| Medication included? | Systemic hormones: no. Vaginal estrogen cream: Evernow lists it free with membership, when appropriate. | No — filled at your local pharmacy |
| Insurance — the visit | Evernow says eligible video visits can use UnitedHealthcare, Aetna, Anthem, or Blue Cross Blue Shield. Membership is self-pay. Not Medicare or Medicaid. | Private-pay — the visit isn’t billed to insurance |
| Insurance — the medicine | Eligible insurance may apply at a local pharmacy (some meds are cash-pay via Evernow’s mail pharmacy) | Eligible insurance may apply at a local pharmacy |
| HSA/FSA | Provider-stated eligible (reimbursement depends on your administrator) | Provider-stated accepted (reimbursement depends on your administrator) |
| States | All 50 + D.C. per Evernow’s FAQ (confirm your state at intake) | All 50 (provider-stated) |
| Systemic HRT options | Estradiol patch, estradiol pill, progesterone, norethindrone | Estradiol patch, gel, or pill; micronized progesterone or Provera |
| FDA-approved or compounded? | Publicly lists several FDA-approved finished products; some uses may be off-label | Lists estradiol and progestogen categories; confirm the exact product on your prescription |
| (Separate) compounded add-on | Facial estriol skincare — compounded, not FDA-approved | Estriol face cream — compounded, not FDA-approved |
| Labs to start? | Only for select medications; extra labs on request | Symptom-based; Wisp doesn’t publish a required lab panel (confirm at intake) |
| Where meds come from | Your local pharmacy, or home delivery via an Evernow partner pharmacy | Your local pharmacy, often same-day if prescribed |
| Ongoing support | Membership: messaging + refills + adjustments while active. Pay-per-visit: 90 days of access. | Consult + follow-ups + 3 months of care-team access |
| Speed (provider-stated) | Video often within 24 hours; messages often answered within a day | If prescribed, often sent to the pharmacy the same day |
| App | Yes (tracking, messaging, refill updates) | Patient portal + care-team messaging |
| Reviews (checked July 2026) | LegitScript-certified. Trustpilot 2.0/5 from ~15 reviews (small, unclaimed profile). BBB profile carries billing/cancellation complaints. | LegitScript-certified. Trustpilot 4.0/5 from ~11,300 reviews (broad, but not menopause-specific). BBB rating D− for unanswered complaints; not accredited. |
| Cancellation / fine print | Membership fees not prorated; access runs to end of the paid period; no refund after you’ve met a provider | One-time consult; if nothing can be prescribed, a $25 non-refundable consult fee applies |
How do Evernow and Wisp visits work?
Evernow’s membership is built around secure messaging with a menopause clinician, with optional video visits; its separate pay-per-visit option is a scheduled video visit. Wisp starts online with a questionnaire and messaging, and a phone or video step may be required depending on your state or your provider. If a scheduled video visit matters to you, Evernow makes that easy; if you want the lightest, fastest path, that’s Wisp.
The word to know is asynchronous— it just means “not at the same time.” You send your information when it’s convenient; a clinician reviews it when they can; the answer comes back by message. Wisp leans on this model — you handle it on your lunch break instead of matching calendars. But “mostly by message” isn’t the same as “never a call” — Wisp’s own rules allow for a phone or live video step where a state requires it or a provider needs it.
What a Wisp consult feels like
You take a short symptoms quiz and share your medical history. A licensed, menopause-trained clinician reviews it and may follow up by secure message, phone, or video. If treatment is approved, Wisp says it sends the prescription to your local pharmacy, often the same day. You then have three months of messaging with the care team to fine-tune.
What Evernow feels like
You pick a lane. Membership care runs through ongoing messaging and optional video visits, with automatic refills. Pay-per-visit is a scheduled video consultation plus 90 days of portal and prescription access. Evernow says it can often schedule a video visit within 24 hours.
- Pick Evernow’s video pathwaywhen you’d like face-to-face telehealth or want to explore visit insurance. (A complex history, or a need for an exam or imaging, may point you to in-person care first.)
- Pick Wisp when your situation is straightforward and you value speed and a low, flat fee.
One thing that’s true of both, and worth repeating: a licensed clinician decides whether treatment is right for you, and either company can decline if it isn’t safe. Fast doesn’t mean automatic.
How much do Evernow and Wisp really cost?
Wisp has the lower published price for your first 90 days: $99 flat. Evernow’s comparable three-month plan is $129, or $147 if you pay month-to-month for three months. Evernow’s advertised “$35/month” is its 12-month plan — $420 paid up front. And with both companies, medication is a separate bill at the pharmacy, roughly $20–$60 a month for common generics.
Care cost for your first 90 days
| Path | Paid up front | Cost for first 90 days | Then what? |
|---|---|---|---|
| Wisp menopause consult | $99 | $99 (consult + follow-ups + 3-mo care team) | One-time. A continuation price/process after 90 days isn’t published — ask at checkout. |
| Evernow — 3-month plan | $129 | $129 | Renews every 3 months |
| Evernow — month-to-month | $49 | $147 ($49 × 3) | Monthly |
| Evernow — 12-month plan | $420 | (part of a $420 year) | The “$35/mo” plan — but you pay $420 up front |
| Evernow — pay-per-visit | $150 (or your insurance copay) | $150 + 90-day portal access | Book more visits as needed |
Evernow vs Wisp — 90-day cost estimator
Client-side only. No health information is stored, sent, or tracked. Results are estimates based on published prices; your actual cost depends on your plan and pharmacy.
How do medications compare?
Both Evernow and Wisp prescribe conventional, FDA-approved estrogen and progesterone options — not compounded hormones as a default:
Evernow
- Estradiol patch, estradiol pill, progesterone, norethindrone
- Publicly lists several FDA-approved finished products
- Some uses may be off-label
- Vaginal estrogen cream: listed as free with membership when medically appropriate
- Separate compounded add-on: facial estriol skincare — not FDA-approved
Wisp
- Estradiol patch, gel, or pill; micronized progesterone or Provera
- Confirm the exact product on your prescription
- Separate compounded add-on: estriol face cream — not FDA-approved
One important note: both companies also sell a separate compounded estriol skincare cream. Compounded products are not FDA-approved— don’t confuse these cosmetic add-ons with your HRT. The FDA notes that compounded “bioidentical” products haven’t been shown to be safer or more effective than FDA-approved options.
Labs to start?Neither publishes a required lab panel for a menopause assessment. Evernow requires labs only for certain medications; Wisp’s consult is symptom-based. Confirm specifics at intake.
Insurance: which one bills your plan?
This is where the two models most clearly diverge:
Evernow
- Eligible video visits can be billed to UnitedHealthcare, Aetna, Anthem, or Blue Cross Blue Shield
- The membership fee is self-pay (not billable to insurance)
- Medicare and Medicaid not supported— Evernow is commercial insurance only
- HSA/FSA eligible (provider-stated; confirm with your administrator)
Wisp
- The $99 consult is private-pay— Wisp does not bill insurance for the medical visit
- Eligible insurance may apply to medication at your local pharmacy
- HSA/FSA accepted (provider-stated)
Want a menopause specialist that bills insurance in all 50 states?
Midi Healthbills most major PPOs nationwide for menopause care. It’s an affiliate partner — we may earn a commission if you use this link.
Reviews and legitimacy
Both companies are LegitScript-certified, which means they meet LegitScript’s standards for online prescribing safety. Beyond that, the review picture is very different:
Evernow (July 2026)
- LegitScript-certified ✓
- Trustpilot: 2.0/5 from ~15 reviews (small, unclaimed profile)
- BBB: billing/cancellation complaints on file
Small sample. We look for service themes; we don’t treat star ratings as evidence of medical effectiveness.
Wisp (July 2026)
- LegitScript-certified ✓
- Trustpilot: 4.0/5 from ~11,300 reviews (broad, but not menopause-specific)
- BBB: rating D− for unanswered complaints; not accredited
High volume, but most reviews cover all of Wisp’s services, not menopause specifically. The BBB rating reflects complaint handling, not clinical quality.
We look at recent reviews, note whether they were invited or unprompted, check whether they even mention menopause, and weigh billing and service themes. We don’t pull star ratings into our verdict, and we never treat a testimonial as evidence that a treatment is safe or effective.
Want a flat-fee HRT option with meds included?
Hersoffers FDA-approved menopause HRT starting at $79/month (pills) or $134/month (patch) on a 12-month plan — medication included, no insurance required. Affiliate link — see disclosure.
When is online HRT the wrong starting point?
Online care isn’t the right first step for everyone. Some symptoms are emergencies — unexplained or after-menopause vaginal bleeding, a new breast lump, chest pain, sudden shortness of breath, or signs of a stroke or blood clot need prompt in-person or emergency care, not a message thread.
Get prompt or emergency care for:
- Unexplained or after-menopause vaginal bleeding
- A new breast lump or worrying breast change
- Chest pain, sudden shortness of breath, or signs of a stroke or blood clot
Start with in-person care if you have:
- A history of breast or uterine cancer, blood clots, stroke, heart attack, or liver disease
- A possible pregnancy
- A situation that needs a pelvic exam, imaging, or urgent testing
- Several conditions or medications that need careful coordination
None of that is a diagnosis — it’s a safety net. HRT has real benefits and real risks, and the FDA is clear that it isn’t right for every woman. The FDA also recommends FDA-approved hormone therapies and notes that compounded “bioidentical” products haven’t been shown to be safer or more effective.
Not sure online care is even your right starting point? Find My HRT Path →
How we compared Evernow and Wisp
We built this comparison from each company’s live pricing, insurance, medication, and terms pages, checked in July 2026, and from primary sources (FDA, ACOG, The Menopause Society) for anything clinical. Our conclusions are based on five pillars — clinical legitimacy, care quality, medication fit, price transparency, and access — and we label anything that’s provider-stated, or that still needs confirming, rather than guessing.
What we actually verified:Evernow’s live FAQ (pricing, insurance, states, labs, pharmacies), Wisp’s menopause consult and how-it-works pages, and both companies’ public review profiles. We put every published care fee into the same 90-day comparison, separated the medical visit from the pharmacy bill, and marked what shifts at checkout.
What we didn’t do:we did not sign up as patients, request a prescription, receive treatment, time a real response, or test cancellation after paying. Your exact medication cost, Evernow’s real insurance out-of-pocket, and Wisp’s process after 90 days all depend on your specifics — so confirm those at intake.
What we actually verified (July 2026) ▼
Evernow— pricing ($49/mo, $129/3 mo, $420/yr, $150/visit), insurance (eligible video visits via UnitedHealthcare/Aetna/Anthem/Blue Cross Blue Shield; not Medicare/Medicaid), states (all 50 + D.C.), labs (select meds only), and the free vaginal estrogen cream with membership — from Evernow’s live pages.
Wisp— pricing (flat $99 consult + follow-ups + 3-month care-team access; $25 fee if nothing prescribed; no membership required), the online-first care model, all 50 states, and its FDA-approved estrogen/progesterone categories — from Wisp’s live pages.
Medication ranges— 2026 generic cash prices with a discount card; your price varies by drug, dose, pharmacy, and insurance.
Review data— Trustpilot and BBB, read for service patterns, with sample sizes noted (Wisp 4.0/5 from ~11,300; Evernow 2.0/5 from ~15).
Sources ▼
- Evernow — official FAQ, How It Works, treatment, and reviews pages (evernow.com), checked July 2026
- Wisp (Hello Wisp) — menopause consult, How It Works, and About pages (hellowisp.com), checked July 2026
- Trustpilot and Better Business Bureau — review profiles, read for service themes, July 2026
- U.S. Food and Drug Administration — menopause / menopausal hormone therapy consumer guidance; human drug compounding
- The Menopause Society and ACOG — clinical guidance on menopause diagnosis and hormone therapy
- Discount-card generic price ranges for estradiol and micronized progesterone (2026)
Evernow vs Wisp FAQ
Is Evernow or Wisp better for menopause?
Which is cheaper, Evernow or Wisp?
Does Wisp take insurance?
Does Evernow take insurance?
Do Evernow and Wisp include the medication?
Can Evernow and Wisp prescribe an estradiol patch?
Are Evernow’s and Wisp’s hormones FDA-approved?
Do Evernow or Wisp require blood tests?
Are Evernow and Wisp available in all 50 states?
Can I cancel Evernow?
Does the Wisp $99 consult renew?
Which is better for vaginal dryness only?
Which is better if I have a uterus?
What if I’m not eligible for treatment?
Still not sure which HRT program is right for you?
Take our free Find My HRT Pathmatching quiz — about 90 seconds. We’ll match your symptoms, state, insurance, and route preference to the care model and provider shortlist that fits, and flag whether an in-person clinician is the better first step.
Evernow and Wisp links are editorial — we earn nothing from them. Full disclosure.