Gala Health vs Hers for Menopause: Price, Medicines, Billing and Who Each Fits

By The HRT Index Editorial Team · Editorial research — not medically reviewed · Last updated November 3, 2026 · Last verified November 3, 2026

Gala Health vs Hers mostly comes down to price and commitment. Gala advertises pills at $69 a month and patches at $99 a month, billed every 12 weeks, with no contract and says you can cancel anytime. Hers starts at $79 a month for pills and $134 a month for patches, but those prices come with a 12-month plan. Both are cash-pay, and both prescribe estradiol and progesterone online.

The HRT Index is 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, so women can choose the path that fits their situation before their first consult.

Affiliate note: Gala Health and Hers are both affiliate partners. We may earn a commission if you start care through a labeled link on this page. That doesn't change the facts below, and we point out where each one falls short. See our affiliate disclosure.

What we actually verified · Last verified November 2026

• Sources for this comparison: Gala's hormone-health page, its two HRT sign-up pages, its refund policy (dated February 2026) and its terms (dated September 22, 2026). For Hers: its menopause page, its HRT insurance and pricing article (updated December 23, 2025) and its terms and conditions (dated October 20, 2026). Medical sources include The Menopause Society, the FDA and The Menopause Society's 2022 hormone therapy position statement. On November 3, 2026 we rechecked Gala's HRT pages and refund policy and Hers's menopause page; the full Hers pricing article was not accessible to us during that check.
• What we confirmed: Gala's sign-up page says "$69 a month, flat" with "no contract or membership." Another Gala HRT page specifies $69 a month for pills and $99 a month for patches, billed every 12 weeks. The supplied Hers pricing source reports oral medicines from $79 a month and patches from $134 a month "with a 12-month plan"; we could not independently retrieve the complete article during this check. Both say insurance isn't needed. Hers's terms say it doesn't refund partly used subscription periods. Gala's refund policy says no refunds on cancellation, except for medical disqualification.
• What we did not do: we didn't sign up, pay, talk to a clinician or receive medicine from either company. This is a documentation review, not a patient test.
• What we could not confirm: whether Gala's $69 pill price covers progesterone, whether the 12-week billing terms apply to every Gala HRT offer, whether Gala's refund policy (written for its weight-loss program) applies to HRT, how much Hers charges on day one for a 12-month plan, and whether Hers's starting price includes progesterone and vaginal cream.
• Verification Standard: we judge online menopause care on five pillars, in this order: clinical legitimacy, care quality, medication fit, price transparency and access. We don't give either company a score. Our methodology explains how we work.

Jump to: At a glance · Who fits which · Cost · Medicines · Billing and cancelling · Insurance and HSA/FSA · States and ages · Care after sign-up · Reviews · In-person first · Questions to ask · FAQ · Sources

Gala Health vs Hers at a glance

Gala Health and Hers are both online, cash-pay menopause services. You fill out an intake, a licensed clinician reviews it, and if treatment is appropriate, medicine ships to your door. The biggest differences are the price, how long you're signing up for and how each one handles cancelling.

Sources are linked in the sources. Gala's HRT pricing was rechecked November 3, 2026; the full Hers pricing article could not be retrieved at that check.

The short version: if you want the lowest advertised monthly price and no long plan, Gala is the one to check first. If you're comfortable with a 12-month plan and want a bigger brand with an all-in subscription price, Hers is a reasonable choice. Either way, get the complete quote in writing before you pay.

Gala Health vs Hers: which one fits you?

Gala fits women who want a low flat price and the freedom to leave. Hers fits women who are sure they'll stay on treatment for a year and like a single all-in subscription. Some women should start with neither.

Prices are advertised starting prices, not quotes. Gala's pricing was rechecked November 3, 2026; the supplied Hers pricing could not be independently reconfirmed from the full article at that check.

A 20-second self-check

Nobody sees your answers but you.

1. Are you paying cash? If not, start with an in-network option instead.
2. Do you want to avoid a 12-month plan? If yes, Gala is the easier start.
3. Do you have a uterus and expect to use a pill or patch? Then ask each company to price estrogen plus progesterone together.
4. Are you free of the red flags in the last row above? If not, see a clinician in person first.

If you're still not sure which kind of care fits, that's what our free tool is for.

The right online menopause care isn't the same for every woman — it depends on your symptoms, what you've already tried, your age, your state and your health history. Some situations belong with an in-person clinician first. Use The HRT Index's Find My HRT Path tool to explore a featured care option for your situation — and to flag when online care isn't the right starting point — before your first consult.

Find My HRT Path is free, takes about 60 seconds and doesn't ask for your email. It asks about your symptoms, what you've already tried, your age, your state and your health history. It isn't a diagnosis and doesn't decide whether you should take hormones. A clinician does that. Our partner relationships affect which providers it features. (How it works)

Gala Health vs Hers cost: what you'd pay in 3 months and a year

At advertised monthly-equivalent prices, Gala costs less than Hers for both pills and patches. Multiplying each monthly rate by 12 gives $828 for Gala pills and $1,188 for Gala patches, against $948 for Hers pills or $1,608 for Hers patches. Gala's stated 12-week billing schedule means actual charges over a calendar year may differ. These are illustrations, not quotes.

How we worked it out: we multiplied each advertised monthly price by 3 and by 12; these are monthly-equivalent illustrations, not necessarily actual charges. One Gala sign-up page says "the same $69 every month," while another Gala HRT page lists pills at $207 and patches at $297 every 12 weeks. The 28-day example is hypothetical, not a verified Gala billing schedule; if a charge falls on day one, 13 or 14 charges can fall within a calendar year depending on timing. Sources: Gala sign-up page, the other Gala HRT page and the supplied Hers pricing article. Confirm your actual billing dates and checkout quote.

What the numbers don't tell you

• Whether the advertised price covers your full plan at Gala. Gala says there's "no price rise when your dose changes," and that "your exact plan and price are always shown before you pay." Its other HRT page lists patches at $99 a month; whether progesterone is included is not stated. Ask.
• What Hers charges on day one. Hers's terms say subscriptions are charged "at regular intervals as described for that product or service during the checkout process." Its pricing article doesn't say how the 12-month plan is billed. Before you pay, ask what's due today and when the next charge falls.
• Whether Hers's price includes progesterone and vaginal cream. Hers lists them as two of "three potential parts" of a menopause kit, but its starting prices are for pills and patches. Ask if adding them changes your price.
• Labs. Gala says it orders labs "only when they actually change the plan." Who pays for them isn't stated. Hers's pages we read don't say.

Is either one cheaper than your own doctor?

Sometimes, no. Generic estradiol and progesterone can be inexpensive at a regular pharmacy, and Hers's own article lists generic Estrace at about $33 from retail pharmacies. If you have insurance and a clinician who will prescribe, your plan may cost less than either subscription. What you're paying for with Gala or Hers is speed and convenience. Our HRT cost guide for 2026 goes deeper.

Medicines: what Gala and Hers prescribe

Gala and Hers name nearly the same medicines: estradiol as a pill or patch, progesterone and vaginal estradiol. Gala also lists non-hormonal options and vaginal progesterone. A clinician at each company chooses what you get, and neither service guarantees a prescription.

Sources: Gala hormone health, Gala sign-up page, Hers menopause page. Read November 3, 2026.

FDA-approved or compounded?

Gala says it "prescribes FDA-approved bioidentical forms." But its other HRT sign-up page carries a general notice that "compounded drugs are not FDA-approved." That notice doesn't tell you whether your medicine is compounded. Hers names estradiol and progesterone, but the pages we read don't say whether they're FDA-approved products or compounded. Neither names the maker of the product you'd get.

Here's why the label matters. The FDA says "compounded drugs are not FDA-approved," which means it doesn't check their safety, effectiveness or quality before they're sold (FDA). "Bioidentical" just means the hormone has the same structure as the one your body makes. The Menopause Society says bioidentical hormones "do not have to be custom compounded" (The Menopause Society). Many FDA-approved estradiol and progesterone products are bioidentical.

Ask either company: "What exact product will I receive, who makes it, and is it FDA-approved?" Our compounded vs FDA-approved HRT guide and FDA-approved HRT medication list explain more.

If you have a uterus

If you still have a uterus and take whole-body estrogen, you need a progestogen, such as progesterone, to protect the uterine lining. The Menopause Society says women with a uterus "must use EPT [estrogen plus progestogen] to protect against uterine cancer" (The Menopause Society). Hers says the same on its menopause page: progesterone "helps protect the uterine lining."

Gala's sign-up page says progesterone is "skipped if you've had a hysterectomy, or if an IUD already covers it." Whether your IUD protects you enough is a question for the clinician, not the checkout page. Tell them what type of IUD you have and when it was placed.

Pill or patch

The Menopause Society says the risk of blood clots "may be lower" with a patch, gel or spray than with estrogen pills. A clinician picks the route from your history. If a patch is likely for you, compare Gala's advertised $99 monthly-equivalent patch price with Hers's $134 starting rate, and confirm the full quote and billing schedule.

Local vaginal estrogen

Vaginal estradiol mainly treats dryness, pain with sex and some urinary symptoms. It isn't meant to treat hot flashes. If dryness is your only symptom, you may not need whole-body treatment at all. See our vaginal estrogen guide.

Non-hormonal options

If hormones aren't right for you, Gala lists non-hormonal options. Hers's menopause page doesn't. Our non-hormonal options guide covers what's available and what to ask.

Billing, cancelling and refunds: which is easier to leave?

Gala is the easier one to leave on paper. It says "no contract or membership," while Hers's starting prices come with a 12-month plan that auto-renews. But Gala's written refund policy is strict, and it was written for its weight-loss program. Read both before you pay.

Sources: Gala refund policy, Gala sign-up page, Gala HRT page, Hers terms. Read November 3, 2026.

Here's what that means for you. With Hers, the bigger risk is the length of the plan. If you sign up for 12 months and stop early, you shouldn't expect money back for the unused time. With Gala, the risk is the deadline. If your HRT order follows the same policy, a cancellation that arrives less than 72 hours before billing means one more charge.

A deadline example: say your next charge at either service is December 15, 2026. For Gala, send your cancellation by December 11 to clear the 72 hours with room to spare. For Hers, cancel by December 12, and earlier if your plan was billed early. Take a screenshot of the confirmation either way.

Switching between them

Each company does its own intake and prescribing. To avoid a gap, start the new intake before cancelling the old plan, tell the new clinician exactly what you take now, and cancel only after the new prescription is confirmed. Don't stop or change hormones on your own.

Insurance and HSA/FSA at Gala and Hers

Neither Gala nor Hers bills your health insurance. Gala says it's cash-pay and accepts FSA and HSA cards. Hers's terms say it isn't enrolled with Medicare, Medicaid or commercial insurers and doesn't submit claims. Hers says "some medications through Hers are eligible for HSA or FSA reimbursement."

Paying with an HSA or FSA lets you use pre-tax money. It doesn't make either service in-network. If you want insurance to pay, a visit with an in-network clinician and a generic prescription filled at your own pharmacy may cost less. See does Hers menopause take insurance? for more on Hers.

States and ages: can Gala or Hers treat you?

Both serve most, but not all, U.S. states, and neither publishes a state list for menopause care. Gala says it confirms your state during the assessment and that "if we can't serve your state yet, you won't be charged." Hers says it's "not available in all 50 states."

Both companies' terms require you to be at least 18. Neither publishes an age range for starting HRT. A clinician decides. The Menopause Society says that for most women, hormone therapy helps control moderate to severe symptoms when it's started within 10 years of menopause or before age 60 (The Menopause Society). Starting later isn't an automatic no, but it needs a careful, individual conversation.

Perimenopause: both treat it. Gala says its plans are "built for the years before and after the final period." Hers notes that hormone therapy isn't FDA-approved for perimenopause but "may be prescribed off-label" at a provider's discretion.

What care looks like after you sign up

Both services start with an online questionnaire and continue by message. Gala says a U.S.-licensed provider reviews you "typically within 24 hours," with a short video visit in some states. Hers describes "100% online care" with "unlimited access to providers."

Sources: Gala sign-up page, Gala terms, Hers menopause page, Hers terms. Read November 3, 2026. These are company statements; we didn't time any replies.

Two details worth knowing. Gala's terms say, "We do not practice medicine, nor are we a pharmacy." Gala connects you with medical groups and third-party pharmacies. Hers's terms say it may use AI to help draft messages, which licensed professionals review. Both setups are common in telehealth. Ask for your clinician's name and your pharmacy's name in writing.

What reviews can and can't tell you

Reviews help you spot service problems like billing, shipping and slow replies. They can't tell you whether a medicine will work for you.

Gala shows "4.8 on Trustpilot" on its own pages. That profile covers all of Gala's services, including weight loss, so it isn't an HRT-only score. Hers launched its menopause program in October 2025, so menopause-specific reviews are still thin. In our Hers review, the most common company-wide complaints we found were about cancelling and refunds rather than the medicine. We cover each company's review picture in our Gala Health HRT review and our Hers menopause review.

When to start with an in-person clinician

Some health histories need an exam or a full review that an online form can't replace. Start in person before choosing between Gala and Hers if any of these apply:

• Unexplained vaginal bleeding, especially after menopause.
• A history of breast cancer, uterine cancer, liver disease, blood clots or heart disease. The Menopause Society says women with these "should not use hormone therapy" in general (The Menopause Society). A non-hormonal option or a specialist may be the right path.
• You might be pregnant or are breastfeeding.
• New, severe or unexplained symptoms. If anything feels urgent, get urgent care or call 911.

The Menopause Society keeps a directory of menopause practitioners.

A note on 2026 label changes: on February 12, 2026, the FDA approved labeling changes for six menopausal hormone therapy products. Risk statements about cardiovascular disease, breast cancer and probable dementia were removed from the boxed warning (FDA). That doesn't make hormone therapy risk-free. The Menopause Society still lists blood clots and breast cancer among its risks. Our 2026 label changes explainer has more.

Questions to ask Gala or Hers before you pay

Copy these before you start an intake. Write down the answers.

Frequently asked questions

Is Gala Health cheaper than Hers for menopause?

At advertised monthly-equivalent prices, yes. Gala lists pills at $69 and patches at $99 a month, billed every 12 weeks. Hers starts at $79 a month for pills and $134 a month for patches on a 12-month plan. Whether progesterone is included remains unclear, so compare full written quotes.

Do I have to sign a 12-month contract with Hers?

Hers's starting prices of $79 and $134 a month come "with a 12-month plan." Hers's terms say its plans auto-renew unless you cancel at least two days before renewal, and it doesn't refund partly used periods. Gala says it has no contract or membership.

Does Gala Health or Hers take insurance?

No. Both are cash-pay. Gala accepts FSA and HSA cards. Hers says some of its medicines are HSA or FSA eligible. Neither submits claims to your health plan.

Are Gala and Hers medicines FDA-approved?

Gala says it prescribes "FDA-approved bioidentical forms," though one of its sign-up pages carries a general compounded-medicine notice. Hers names estradiol and progesterone but doesn't say on its menopause pages whether they're approved products. Ask either one for the exact product before you pay.

Can I cancel Gala or Hers anytime?

Gala says you can cancel anytime from your account, but its refund policy asks for 72 hours' notice before billing and gives no refund on cancellation. Hers lets you cancel in the app, online or by phone at least two days before renewal, with no refund for unused time.

Does Find My HRT Path compare Gala and Hers for me?

Find My HRT Path asks about your symptoms, what you've tried, your age, your state and your health history, then suggests a featured care option. It doesn't diagnose anything or check insurance. A clinician decides on treatment.

The bottom line

Gala Health vs Hers is a choice between lower advertised rates with no contract and a bigger brand with a 12-month plan. Gala advertises $69 a month for pills and $99 for patches, billed every 12 weeks. Hers starts at $79 for pills and $134 for patches. Both are cash-pay, both prescribe estradiol and progesterone online and neither refunds unused time as a rule. Before you pay either one, confirm the exact medicine, whether progesterone is included, what's due today and your cancel deadline. If you have a red-flag health history, start with an in-person clinician.

If you're still deciding which kind of menopause care to start with, Find My HRT Path can point you to a starting option and flag when in-person care should come first.

Related reading

• Gala Health HRT review
• Hers menopause review
• Does Hers menopause take insurance?
• Gala Health vs Winona
• Gala Health vs Midi Health
• Midi vs Hers for menopause
• Hers vs Winona
• Fountain HRT vs Hers
• Best online HRT providers for menopause

Sources

Sources listed below informed the comparison. Gala's HRT pages and refund policy and Hers's menopause page were rechecked November 3, 2026. The full Hers pricing article was not accessible during that check.

1. Gala Health. Hormone health. https://galahealth.co/hormone-health
2. Gala Health. HRT sign-up page ($69 a month). https://galahealth.co/lp/hrt1
3. Gala Health. HRT treatment plan page. https://galahealth.co/lp/hrt
4. Gala Health. Subscription Services Cancellation and Refund Policy (last updated February 2026). https://galahealth.co/refund-policy
5. Gala Health. Terms of Service (last updated September 22, 2026). https://galahealth.co/terms-and-conditions
6. Hers. Menopause care. https://www.forhers.com/menopause
7. Hers. Does Insurance Cover HRT for Menopause? What You Need to Know (updated December 23, 2025). https://www.forhers.com/blog/does-insurance-cover-hrt
8. Hers. Terms and Conditions (last updated October 20, 2026). https://www.forhers.com/terms-and-conditions
9. The Menopause Society. Hormone therapy. https://menopause.org/patient-education/menopause-topics/hormone-therapy
10. The 2022 hormone therapy position statement of The North American Menopause Society. Menopause, 2022;29(7):767–794. https://menopause.org/wp-content/uploads/professional/nams-2022-hormone-therapy-position-statement.pdf
11. U.S. Food and Drug Administration. Compounding and the FDA: Questions and Answers. https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers
12. U.S. Food and Drug Administration. FDA Approves Labeling Changes to Menopausal Hormone Therapy Products (February 12, 2026). https://www.fda.gov/news-events/press-announcements/fda-approves-labeling-changes-menopausal-hormone-therapy-products
13. The Menopause Society. Find a menopause practitioner. https://www.menopause.org/for-women/find-a-menopause-practitioner

This page is for education only and is not medical advice. Prices and policies come from each company's own pages on the date shown and can change; your checkout page and your clinician have the final word. Don't start, stop or change any hormone treatment without talking with your clinician. If you have bleeding after menopause, chest pain, sudden shortness of breath, a sudden severe headache, vision or speech changes, or a painful swollen leg, get medical care right away.