Hers vs Gennev: Which Online Menopause Provider Is Right for You in 2026?

Here’s the answer to Hers vs Gennev: choose Gennev when your exact plan is in network and you want a scheduled 30-minute doctor visit; choose Hers when you want cash-pay care and medication bundled. Gennev costs $250 initially and $199 for follow-ups. Neither is the cleanest fit for Medicare, Medicaid, testosterone, or urgent in-person evaluation.

Best for: Gennev if you want a live menopause-focused visit, insurance billing when your exact plan qualifies, and prescriptions sent to your pharmacy. Hers if you want online intake, ongoing messaging, medication delivery, and one cash-pay subscription.

Not for you if: you need a guaranteed medication before clinical review, want testosterone, cannot use an auto-renewing subscription, or need an examination or urgent evaluation that cannot be completed online.

Hers vs Gennev at a glance

Difference	Hers	Gennev
1. Care model	Cash-pay subscription with care and prescribed medication bundled	Virtual clinic charging per visit
2. Published price	Oral medication from $79/month and patches from $134/month, each stated as a monthly equivalent on a 12-month plan; confirm the actual charge and cadence at checkout[1]	$250 initial doctor visit; $199 doctor follow-up; $199/$119 initial/follow-up dietitian visits[2]
3. Insurance	Does not bill commercial insurance, Medicare, or Medicaid for platform services or products[3]	Current lookup includes in-network entries for Aetna, Anthem, Cigna, and certain plan administrators; exact-plan eligibility controls[2]
4. Medication cost	Included when prescribed and filled through an associated pharmacy[3]	Separate; prescription is sent to your pharmacy[2]
5. Visit format	Online intake and messaging; a video visit is required in some states[4]	Scheduled 30-minute video appointment[2]
6. Clinician disclosure	Licensed provider trained in women’s health; Hers does not publish the credential of the clinician who will review your case before intake	Gennev describes its doctor visits as care from board-certified, menopause-trained doctors and markets an OB/GYN-led model[2]
7. Medication category	Hers’ patient guide says a plan may include commercially available medication, custom-compounded medication, or both[5]	Gennev says it prescribes FDA-approved hormonal and non-hormonal medication and does not prescribe compounded hormones[6]
8. Publicly listed menopause options	Estradiol pill or patch, progesterone when appropriate, and vaginal estradiol cream[7]	FDA-approved hormonal and non-hormonal prescription options selected after evaluation[8]
9. Labs	No universal baseline-lab requirement is published for the menopause program	No universal baseline-lab requirement is published; testing may be ordered when clinically indicated
10. Nutrition support	Not listed as a core part of the menopause subscription	Registered dietitian nutritionists and lifestyle support are available; dietitian visits may be referred and billed separately[2]
11. State availability	Hers says menopause care is not available in all 50 states and does not publish a menopause-specific state list[7]	Gennev says video appointments are available nationwide; its staffing materials state all 50 states and DC[2]
12. Exit friction	Auto-renews unless cancelled at least two days before the renewal-processing date; cancellation takes effect at the end of the current period[3]	No subscription to cancel, but the dedicated policy charges $100 for cancelling or rescheduling inside 24 hours or missing the appointment[9]

Choose Gennev if…

• You want a scheduled video conversation instead of relying mainly on forms and messages.
• Your exact insurance plan appears in Gennev’s live lookup and Gennev confirms the benefit.
• You want the prescription sent to a pharmacy you choose.
• You want a clinician who works specifically in menopause care and the option of dietitian support.
• You want to avoid an auto-renewing care subscription.

Choose Hers if…

• You are paying cash and want care plus prescribed medication bundled.
• You prefer completing an intake on your own schedule and using secure messaging for follow-up.
• Home delivery matters more to you than choosing the dispensing pharmacy.
• You are comfortable confirming your state, exact checkout charge, renewal date, and the regulatory category of every medication before proceeding.

Skip a direct-to-consumer start if…

• You have unexplained vaginal bleeding or symptoms that need urgent evaluation.
• Your history includes a hormone-sensitive cancer, blood clot, stroke, or liver disease and you need coordinated risk review before starting systemic hormone therapy.
• You want testosterone. Gennev explicitly says it does not prescribe it, and Hers does not list it in its menopause program. Testosterone is a Schedule III controlled substance in the United States and requires a prescription and controlled-substance compliance.^[10]
• Medicare or Medicaid is your only coverage and you cannot comfortably self-pay. Hers does not participate in those programs, and Gennev’s public coverage tool should be checked plan by plan rather than assumed.

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.

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. Because a general answer can't resolve those for you, use The HRT Index's Find My HRT Path tool to match your situation to the right provider — and to flag when online care isn't the right starting point — before your first consult.

Hers vs Gennev: what’s actually different?

Hers is a subscription. Gennev is a clinic. Hers bundles online care and medication into a cash-pay plan. Gennev charges for individual appointments, may bill eligible insurance, and sends any prescription to a separate pharmacy. That payment-model difference drives almost every practical tradeoff on this page.

You are not really choosing between two versions of the same service. You are choosing between two ways of entering menopause care.

Hers sells the absence of insurance paperwork as simplicity. That can be a real benefit when your plan has a high deductible, your carrier is not accepted, or you want a predictable published monthly equivalent.

Gennev sells insurance access and a scheduled specialist conversation. That can be the better model when your exact plan is in network, but the insurer—not the logo on your card—still decides your deductible, copay, coinsurance, visit limit, and final patient balance.

Same decision. Opposite strengths.

The mistake is choosing from the headline alone:

• “Hers starts at $79” does not tell you what will be charged at checkout, how often it will be charged, or whether your medication will be commercially available or compounded.
• “Gennev takes insurance” does not tell you whether your exact plan is in network or what your final out-of-pocket amount will be after the claim processes.

First step, no commitment: search your exact plan—not just your carrier—in Gennev’s live coverage tool. Save the result and ask the care team to confirm your expected patient responsibility in writing before booking.

How much does Gennev cost in 2026?

Gennev’s current self-pay prices are $250 for an initial 30-minute doctor visit and $199 for a doctor follow-up. Initial and follow-up dietitian visits are $199 and $119. Medication is not included; the prescription is sent to your pharmacy, where your insurance benefit or cash price applies.^[2]

Here is the part that sent us back to the source more than once.

A number of older reviews and cached snippets still show $199 for the first doctor visit and $149 for a follow-up. Those figures are stale. Gennev’s current live pricing page and its help-center pricing article both show $250 and $199.^[2][11]

The verified Gennev price list

Service	Length	Current self-pay price	With eligible insurance
Doctor — initial visit	30 minutes	$250	Copay, coinsurance, and/or deductible determined by the exact plan
Doctor — follow-up	30 minutes	$199	Plan-specific; number of covered visits may be limited
Dietitian — initial visit	50–55 minutes	$199	Plan-specific when referred and covered
Dietitian — follow-up	30–40 minutes	$119	Plan-specific
Medication	—	Not included	Runs through your pharmacy benefit or is paid in cash

The dietitian is not an automatic $199 add-on. Gennev says an OB/GYN may refer you when it is clinically indicated, after which you and the dietitian decide the cadence.^[2]

What a Gennev year can cost before medication

The only honest way to show Gennev’s first-year cost without inventing follow-up frequency is by scenario:

Visit pattern	Verified visit total	What is still unknown
Initial visit only	$250	Medication and any later care
Initial visit + 1 follow-up	$449	Medication
Initial visit + 2 follow-ups	$648	Medication
Insurance	Cannot be stated universally	Deductible, copay, coinsurance, allowed amount, visit limit, pharmacy benefit, and any post-claim balance

A follow-up may be recommended when medication is prescribed, but the number and timing are individualized. Presenting $449 or $648 as a guaranteed first-year price would be fake precision.

The price conflict Gennev still needs to fix

Gennev’s current pricing article, updated March 12, 2026, says a no-show fee is $50. Its dedicated no-show policy, updated March 18, 2026, says $100 for a no-show or a cancellation/reschedule inside 24 hours. Another platform-access article also says $100.^[9][11]

The dedicated, newer policy is the safer number to budget for: $100.

That conflict does not make Gennev a bad clinic. It does mean the help center is not perfectly synchronized, and a woman should not have to discover the larger number after missing an appointment.

How much does Hers cost, and which one is cheaper?

Hers publishes oral medication from $79 a month and patches from $134 a month, each with a 12-month plan and medication included. Those are monthly equivalents published in a Hers insurance article. The public menopause landing page does not display a dollar price, so the binding charge, billing cadence, and renewal date are the figures shown at checkout.^[1][7]

We checked the public menopause page from top to bottom on August 13, 2026. It explains the treatment kit, online care, ongoing messaging, and state limitation. It does not show the $79 or $134 price.

The numbers live in a separate Hers article:

• Oral medication starts at $79 per month with a 12-month plan.
• Patches start at $134 per month with a 12-month plan.
• Hers says it offers multiple subscription models and price points.^[1]

That gives you a useful comparison number. It does not prove whether the menopause plan charges monthly, quarterly, semiannually, annually, or on another cadence for your selected treatment.

Monthly equivalent is not the same as the card charge

The verified arithmetic is:

Hers published option	Monthly equivalent	12-month equivalent	Confirm before paying
Oral plan	$79	$948	Actual checkout charge, cadence, medication selection, renewal date, cancellation deadline
Patch plan	$134	$1,608	Actual checkout charge, cadence, medication selection, renewal date, cancellation deadline

Those annual figures are arithmetic equivalents, not claims that Hers will charge $948 or $1,608 in one transaction.

Hers vs Gennev cost scenarios without invented medication estimates

Situation	Hers	Gennev	What the comparison really says
Published oral-plan equivalent	$948/year equivalent	$250 initial visit, then $199 per follow-up, medication separate	Hers gives a bundled published equivalent; Gennev’s total depends on visits and pharmacy cost
Published patch-plan equivalent	$1,608/year equivalent	$250 initial visit, then $199 per follow-up, medication separate	Gennev may cost less or more after medication; no universal answer exists
Exact plan confirmed in network	Cash-pay; no claim submitted	Plan-specific copay/deductible/coinsurance plus pharmacy cost	Gennev is usually the first model to price-check, not an automatic winner
Uninsured and wants one bundled figure	Potentially simpler	Every visit and medication remain separate	Hers has the cleaner structure if the checkout terms work for your budget
Wants the lowest possible cash route	May not be the floor	May not be the floor	A local clinician, community health center, or one-off telehealth visit plus generic pharmacy pricing may cost less

The earlier draft tried to manufacture a single winner by adding assumed generic pharmacy prices and assumed follow-up counts. That looked decisive and was not reliable enough to publish.

The better answer is simpler:

• Price-check Gennev first when your exact insurance plan is eligible.
• Choose Hers for structure when your priority is a bundled cash-pay model and you accept the checkout terms.
• Choose neither for lowest-price-only intent until you compare a local or one-off prescribing route.

Still not sure which model you are actually in? Use Find My HRT Path to compare your insurance, state, medication route, and safety flags before you open either intake.

Does Hers or Gennev take insurance?

Hers does not bill commercial insurers, Medicare, or Medicaid for services or products sold through the platform. Gennev bills eligible insurance, but current public data supports an exact-plan lookup—not a blanket promise based on a carrier logo. Your deductible, copay, coinsurance, covered visits, and final post-claim balance remain plan-specific.^[2][3]

Hers is cash-pay by contract

Hers’ terms say Hims & Hers and its associated medical groups are not participating providers with commercial payers or federal or state healthcare programs for platform services and products. The terms also say neither the company nor the user may receive payment from those programs for those platform purchases.^[3]

That means “insurance isn’t required” is not the same as “you can submit it and see what happens.” The platform is designed as a cash-pay route.

Gennev’s current carrier picture is Aetna, Anthem, and Cigna—not UnitedHealthcare

This was the largest commercial-fact error in the draft.

Gennev’s live insurance page currently displays in-network plan entries for Aetna, Anthem, and Cigna, along with certain administrators and plan names such as Meritain and S&S Healthcare. It also displays some out-of-network entries. The page does not support the blanket statement that Gennev accepts UnitedHealthcare.^[2]

Aetna independently identifies Gennev as a virtual in-network menopause specialist and tells members to check their plan for coverage.^[12]

That third-party confirmation strengthens the Aetna claim. It still does not turn every Aetna card into the same benefit.

“My carrier is listed” is not the same as “my plan is covered”

Gennev’s own coverage tool is built around full plan names and network status. That is the correct level of verification.

Before booking, ask:

“Please confirm whether my exact plan is in network for the Gennev doctor visit, whether a referral or prior authorization is required, my estimated copay/coinsurance/deductible, how many visits are covered, and whether I may owe a balance after the claim processes.”

Save the reply.

Gennev says it estimates the amount due, collects that amount through a secure payment link, bills the remaining balance to the insurer, and later issues a patient statement if a balance remains after claim processing.^[2]

That is ordinary insurance mechanics. It is also the reason nobody should promise you a $20, $40, or $50 Gennev visit without reading your plan.

What about HSA and FSA funds?

Hers says some medications through its platform may be eligible for HSA or FSA reimbursement, while eligibility depends on the plan and expense.^[1] Gennev does not publish a universal HSA/FSA guarantee for every visit and medication combination.

For either provider, the practical move is to confirm eligibility with your plan administrator and retain the itemized receipt. An HSA card going through at checkout is not the same thing as the expense being qualified under your plan and tax rules.

If your exact plan appears eligible, check Gennev’s live coverage tool and get the expected patient responsibility in writing before you book.

Are Hers and Gennev medications FDA-approved, or compounded?

Gennev says its menopause clinicians prescribe FDA-approved hormonal and non-hormonal medications and do not prescribe compounded hormones. Hers’ own patient guide says a plan may contain commercially available medication, custom-compounded medication, or both. With Hers, ask before payment and verify every dispensed product on its label.^[5][6][8]

This is the most important correction on the page.

FDA-approved and compounded are not interchangeable categories

An FDA-approved drug is a finished product that has gone through FDA review for its approved use, labeling, manufacturing standards, safety, and effectiveness.

A compounded drug is prepared for an individual patient by a qualifying pharmacy, outsourcing facility, or clinician under compounding law. Compounded drugs are not FDA-approved, and FDA does not verify their safety, effectiveness, or quality before marketing. FDA says compounding can serve an important need when an FDA-approved drug cannot meet a patient’s medical need, but it should not be presented as an approved generic or equivalent product.^[13]

That is the line this page will not blur.

What Hers actually publishes

Hers’ patient drug guide is titled Commercial Estradiol and Progesterone for treatment of perimenopause/menopausal symptoms and carries document code FPG-MENOPAUSE-PIB-OHAZ01. It was updated October 15, 2025.^[5]

Near the top, the guide says a plan may include “commercially available medications and custom compounded medications.”^[5]

That sentence changes the answer.

It means Hers cannot accurately be described as an FDA-approved-only menopause service. It also does not mean every Hers menopause prescription is compounded. It means the category is plan- and product-specific.

How to confirm what Hers is prescribing

Ask this before you approve payment:

“For each item in my plan, please confirm the exact drug name, dosage form, strength, manufacturer or compounding pharmacy, dispensing pharmacy, and whether the finished product is FDA-approved or compounded.”

Then verify the answer against the package and pharmacy label when it arrives.

Do not use an NDC number as the only test. FDA says assignment of an NDC does not denote approval, and the NDC Directory can include compounded products reported by outsourcing facilities. The strongest confirmation is the exact finished product, manufacturer, dispensing source, and FDA-approved prescribing information—or an explicit compounded designation.^[25]

What Hers publicly lists in its menopause kit

Hers describes “one kit with three potential parts,” selected after provider review:^[7]

Part	Role	Key detail
Estradiol pill or patch	Systemic treatment for eligible symptoms such as hot flashes and night sweats	One systemic route is selected; a prescription is not guaranteed
Progesterone capsule	Used when clinically appropriate, including endometrial protection for many patients with a uterus using systemic estrogen	The Hers guide directs bedtime use and warns against use with peanut or peanut-oil allergy[5]
Estradiol vaginal cream	Local treatment for vaginal and urinary symptoms	This is not the same thing as a systemic body cream

The distinction matters because “pill, patch, or cream” can sound like three interchangeable systemic routes. Hers’ public program instead presents vaginal cream as a local part that may accompany systemic treatment.

Hers’ guide also says its listed patch is applied once weekly and worn for seven days, and progesterone is taken at bedtime with water.^[5]

What Gennev publishes

Gennev’s current treatment page says clinicians prescribe FDA-approved hormonal and FDA-approved non-hormonal medications after reviewing history and symptoms.^[8] Its support center gives a direct “no” when asked whether Gennev prescribes compounded bioidentical hormones.^[6]

That is cleaner for a reader who wants the regulatory category decided before the visit.

The 2026 FDA labeling change is product-specific

On February 12, 2026, FDA approved labeling changes for an initial group of six menopausal hormone therapy products. The changes removed boxed-warning statements about cardiovascular disease, breast cancer, and probable dementia from those products. FDA also requested broader labeling updates, but approvals roll out product by product; it is inaccurate to say every menopause hormone product lost every boxed warning at once.^[14]

FDA retained the endometrial-cancer boxed warning for systemic estrogen-alone products and kept other risk information elsewhere in labeling.^[14]

Hers’ October 2025 guide still contains older class-warning language, including the lowest-dose/shortest-duration formulation. That is a documentation-currency issue. For an FDA-approved product, use the current FDA-approved prescribing information for the exact drug. A compounded product does not have FDA-approved product labeling.

If FDA-approved-only is your non-negotiable, Gennev states that answer before booking. See Gennev’s current treatment model. If Hers otherwise fits, use the written product-confirmation question above before approving the plan.

Do you actually talk to a doctor, and are labs required?

Gennev gives you a scheduled 30-minute video appointment with a board-certified, menopause-trained doctor. Hers begins with an online intake and may be asynchronous, but its support center says some states require a video visit. Neither provider publishes a universal menopause lab requirement; testing should be driven by the clinician and your history.^[2][4]

The earlier “Hers has no live video visit” line was too absolute.

Hers says the consultation may be asynchronous depending on the state. In states where a video visit is required, the user is prompted to schedule one after submitting the intake.^[4]

That is different from Gennev’s default model, where the first appointment is a scheduled 30-minute video visit.^[2]

The practical care-model difference

Question	Hers	Gennev
Is a scheduled video appointment the standard public model?	No. Intake and secure messaging are central; video is required in some states	Yes. First visit is a scheduled 30-minute video appointment
Can I message after the initial review?	Hers advertises unlimited provider messaging, regular check-ins, and adjustments as needed[7]	Gennev provides a patient account, appointment notes, and care-team contact; follow-ups are separately booked
Will I know the assigned clinician’s credential before intake?	Not clearly from the public menopause page	Gennev publicly describes the doctor model as board-certified and menopause-trained
Are labs universally required?	No universal requirement published	No universal requirement published; clinicians may order or recommend testing when indicated

Hers’ Chief Medical Officer, Dr. Jessica Shepherd, is a board-certified OB/GYN. That does not mean she will review your intake. Hers’ public menopause page says the reviewing clinicians are licensed providers trained in women’s health, but it does not publish the assigned-provider credential mix before intake.^[15]

Gennev’s public pages describe its doctor visits as care from board-certified, menopause-trained doctors and show an OB/GYN-led clinical team. Some clinicians display Menopause Society Certified Practitioner credentials.^[2]

Labs should not be turned into a marketing checkbox

Routine hormone testing is not a universal prerequisite for diagnosing typical menopause in the usual age range. Hormone levels fluctuate, and clinicians may instead use age, menstrual pattern, symptoms, history, and targeted testing to rule out other causes. Testing becomes more relevant when the presentation is atypical, menopause may be early or premature, or another condition needs to be excluded.^[16]

The useful comparison is not “no labs = easy” versus “labs = better.” It is whether the clinician orders what your situation actually requires.

One appointment detail worth knowing

Gennev asks patients to complete intake forms 48 hours before the visit. Its provider waits up to 10 minutes for a 30-minute appointment; after that, the appointment is considered a no-show. The current dedicated policy applies a $100 fee to no-shows and cancellations or reschedules inside 24 hours.^[9]

Plan around that. A specialist appointment is only useful if the intake is complete and you can make the time.

What does the FTC lawsuit against Hims & Hers say?

The FTC, Utah, and California sued Hims & Hers on July 29, 2026, alleging deceptive subscription billing, difficult cancellation, and improper sharing of sensitive health information with advertising platforms. The case is pending, the allegations have not been proven, and Hims & Hers denies them. The filed complaint names the Hers platform but does not make a menopause-specific allegation.^[17][18][19]

This belongs on the page because Hers is an auto-renewing subscription and asks users for health and payment information. It does not belong here as a shortcut to “Hers is guilty” or “the menopause program did this.”

What the government alleges

The FTC’s announcement and complaint allege that Hims & Hers:

1. charged many consumers shortly after an intake was submitted, without the consultation or approval process those consumers believed would happen first;
2. failed to disclose refill timing clearly enough for consumers to cancel before another charge;
3. made cancellation unreasonably difficult, including by placing the online cancellation route behind multiple account steps; and
4. shared sensitive health information with Meta, Snap, and other third parties through customer-list and tracking-technology practices.^[17][18]

The complaint invokes the FTC Act and the Restore Online Shoppers’ Confidence Act, with additional state claims. The FTC says it files a complaint when it has reason to believe the law is being violated and that the case will be decided by the court.^[17]

The FTC case page listed the matter as pending when checked August 13, 2026.^[18]

What Hims & Hers says

Hims & Hers says the lawsuit disregards evidence supplied during a nearly three-year investigation, misapplies the law, and manufactures claims. The company says it will vigorously defend itself and that users can control how their data is used.^[19]

That denial belongs next to the allegations, not buried at the bottom.

Does the complaint specifically accuse the menopause program?

No menopause-specific conduct is identified in the complaint’s searchable text. We reviewed the filed complaint and found no use of the word “menopause.”

That does not make the allegations irrelevant. The complaint names the Hers platform, and its billing, cancellation, and privacy allegations concern platform-wide systems that a menopause subscriber may use. It does mean the page should not claim that the government proved or even specifically alleged misconduct inside the menopause line.

The five-minute subscription checklist

If Hers is still the better model for you, do this before paying:

1. Screenshot the final payment screen. Capture the total charge, plan length, billing cadence, renewal date, cancellation deadline, refund terms, medication category, and shipping terms.
2. Calendar the renewal date with a seven-day warning. Hers’ terms require cancellation at least two days before the renewal-processing date. Seven days gives you room if the account route fails.
3. Cancel through a documented channel and save confirmation. Keep the cancellation page, confirmation number, message, and date.
4. Save the prescription, pharmacy label, receipt, and provider messages. Those records matter if the product or charge differs from what you approved.
5. Review the privacy choices before submitting sensitive information. Read the consumer-health-data and privacy controls, and use the opt-out tools that apply to advertising or data sharing.

None of those steps is dramatic. They are what informed consent looks like for a health subscription.

If an auto-renewing health plan is a hard no, do not talk yourself into one. Use Find My HRT Path to filter for per-visit or insurance-based models instead.

Which one is available in my state?

Gennev says its video appointments are available in every state, and its staffing information includes all 50 states and DC. Hers repeatedly says menopause care is not available in all 50 states but does not publish a menopause-specific state list. With Hers, state eligibility may not become clear until you begin intake.^[2][7][20]

Gennev is the easy answer on geographic reach.

Its current public pages say it serves every state and all zip codes. Its current pricing page also labels the service nationwide.^[2][20]

Hers is less transparent. The menopause page carries the same footnote in multiple places: not available in all 50 states.^[7]

We did not find a public menopause state list on the service page, support guide, or educational hub. So we are not publishing a made-up count.

That leaves one practical move: begin the eligibility flow before you spend time comparing medication details, and stop before payment if the state or plan terms do not work.

Live in a state Hers may not serve? Check eligibility first, then use Find My HRT Path if the intake closes the door or routes you to a model you do not want.

What is it like to cancel Hers or stop using Gennev?

Hers is an auto-renewing subscription that must be cancelled at least two days before the renewal-processing date. Gennev has no recurring care subscription to cancel, but a missed appointment or cancellation/reschedule inside 24 hours can trigger a $100 fee. These are different kinds of friction: renewal risk versus appointment risk.^[3][9]

Hers cancellation and refunds

Hers’ terms say:

• subscriptions automatically renew;
• cancellation must be completed at least two days before the renewal-processing date to avoid the next cycle;
• cancellation takes effect at the end of the current subscription period; and
• partial periods are generally not refunded, although the company may make exceptions at its discretion.^[3]

That is more specific than the earlier draft’s suggestion that menopause refund terms could not be read. The general terms are broad enough to establish the default rule.

What still needs checkout confirmation is the actual menopause charge and billing cadence attached to your selected plan. The terms describe the legal framework; the final payment screen tells you the dollar exposure.

Gennev cancellation and no-show fees

Gennev does not auto-renew doctor visits. You stop by not booking another one.

The current dedicated policy says:

• cancelling or rescheduling inside 24 hours: $100;
• no-show: $100;
• provider wait time for a 30-minute appointment: up to 10 minutes.^[9]

A March 12 pricing article still says $50 for a no-show.^[11] Because the dedicated policy was updated on March 18 and is more specific, this article uses $100.

Exit issue	Hers	Gennev
Recurring care charge	Yes	No
Deadline	At least 2 days before renewal processing	At least 24 hours before appointment to avoid the published fee
Main financial risk	Another subscription cycle	$100 late-cancellation/no-show fee
Best protection	Screenshot checkout, calendar renewal, save cancellation confirmation	Complete intake early, calendar appointment, cancel/reschedule before 24 hours

What could go wrong with each one?

Hers’ biggest risks are checkout ambiguity, auto-renewal timing, state eligibility, and not knowing whether each medication will be commercially available or compounded until you confirm it. Gennev’s biggest risks are separate pharmacy costs, plan-specific insurance balances, and a strict $100 appointment policy. None is hidden if you ask the right question before paying.

Provider	Main risk	Why it matters	How to protect yourself
Hers	Monthly-equivalent price without a public menopause checkout cadence	The amount charged may feel very different from the advertised monthly equivalent	Screenshot the final total and cadence before approval
Hers	Commercially available and custom-compounded products may both appear in plans	You cannot assume FDA-approved-only from the marketing page	Confirm every product in writing and verify the label
Hers	Auto-renewal	Missing the two-day cancellation deadline can start another term	Calendar the renewal and save cancellation confirmation
Hers	No public menopause state list	You may spend time in intake before learning the service is unavailable	Check state eligibility before comparing fine details
Gennev	Medication is separate	Your pharmacy cost is not included in the visit price	Ask for likely product names and check your formulary after the visit plan is discussed
Gennev	Insurance estimate may not be final	A deductible, coinsurance amount, or post-claim balance can remain	Confirm exact-plan status and save the written estimate
Gennev	$100 late-cancel/no-show policy	A missed 30-minute visit can become an expensive non-visit	Complete forms and set two reminders
Gennev	Help-center fee conflict	One official article still says $50	Budget for the newer, dedicated $100 policy

The damaging admission about Gennev

Gennev will not give you one flat monthly number that includes medication. You may pay $250 for the visit and then face a pharmacy price you did not know before the clinician chose the product.

If one bundled figure is the only structure that makes treatment manageable, Hers may be the better fit. That is not a consolation prize. Predictable budgeting can decide whether care is usable.

But Gennev’s separation also creates a real advantage: the prescription is sent to your pharmacy, where you can use your pharmacy benefit, compare an allowed cash option, maintain a local dispensing record, and discuss transfers when permitted. Continued access still depends on the prescription’s duration, authorized refills, state law, and clinical follow-up; the medication does not become permanent just because it is at a local pharmacy.

That is the accurate version of the portability benefit. It is useful without pretending refills last forever.

The damaging admission about Hers

Hers asks you to accept more commercial uncertainty before you know the final product. The public service page does not show the menopause price, does not publish a state list, and does not tell you whether each prescribed item will be FDA-approved or compounded.

Hers can still win for the right woman because it puts intake, provider messaging, medication, and delivery into one route. But the convenience is earned only after you verify the details the marketing page leaves open.

Want the live visit and pharmacy separation? Check Gennev’s exact-plan lookup. Want the bundled model? Open Hers directly with the five-minute checklist above and stop before payment until every field is clear.

What do real patients say about Hers and Gennev?

Gennev publishes menopause-specific patient testimonials on its own site. Hers’ current menopause landing page does not publish menopause-specific customer testimonials. Provider-hosted testimonials can reveal what the care experience feels like, but they are selected by the provider and do not prove effectiveness, safety, or a typical outcome.^[7][21]

One current Gennev testimonial says:

“I felt as though I was validated regarding my symptoms for the first time in 2 years.”

Gennev attributes that statement to a patient who received hormone replacement therapy and links it to the clinician profile.^[21]

The useful signal is not the medical outcome. It is the repeated care-experience theme: being listened to, having time, and getting a menopause-focused conversation.

Hers’ public menopause page does not offer a comparable menopause testimonial block. Hers has customer reviews across other categories, but hair, weight, skin, and sexual-health reviews should not be repackaged as evidence about menopause care.

We will not invent symmetry where none exists.

Provider-published testimonials describe individual experiences, are not independently verified here, are not guarantees, and are not evidence of medical effectiveness or safety.

What if neither Hers nor Gennev fits?

Neither provider closes every case. Hers is built for cash-pay subscription care; Gennev is built for scheduled virtual visits with self-pay or eligible insurance. Medicare, Medicaid, testosterone, urgent symptoms, an unavailable state, or a need for hands-on examination can push you toward a different route.

Your situation	Better next step	Why
Medicare or Medicaid is your only coverage	Start with your plan directory, primary-care clinician, gynecologist, or The Menopause Society directory	Hers does not participate; Gennev’s public tool should not be assumed to cover a federal or state program without exact-plan confirmation
You want testosterone	Use a clinician who explicitly evaluates and monitors it under federal and state rules	Gennev says it does not prescribe testosterone; Hers does not list it; testosterone is Schedule III and no FDA-approved testosterone product is specifically dosed and approved for women in the US[10][22]
You need an examination, imaging, biopsy, or urgent evaluation	In-person clinician or urgent care, depending on the symptom	A telehealth comparison cannot replace hands-on diagnostic care
Your carrier or plan is not eligible with Gennev	Check out-of-network benefits or compare another insurance-based menopause clinic	A carrier logo is not a network guarantee
Hers does not serve your state	Compare another cash-pay provider that publishes your state and medication category	Do not pay a subscription to solve an eligibility mismatch
You want the lowest possible cash price	Compare a local clinician, community health center, or one-off telehealth visit plus pharmacy pricing	Bundled convenience and specialist time are not always the cheapest route
You are not sure whether systemic or local treatment is the real question	Use Find My HRT Path	The provider decision comes after the medication-route and safety decision

The Menopause Society’s practitioner directory can help locate members and certified practitioners, although inclusion is not an endorsement.^[23]

You can also compare broader provider models in our best online HRT providers for menopause guide.

Not seeing yourself in either column? That is useful information, not a dead end. Take Find My HRT Path and route around the mismatch before you create another account.

How did The HRT Index verify Hers vs Gennev?

Every price, insurance statement, medication-category disclosure, state claim, cancellation rule, and regulatory action on this page was checked against a provider page, provider contract or support document, insurer page, FDA source, DEA source, court filing, or FTC source on August 13, 2026. Conflicts are shown instead of silently resolved.

This page follows The HRT Index Verification Standard. We evaluate providers through five pillars, always in this order: clinical legitimacy, care quality, medication fit, price transparency, access.

We read every published price, keep FDA-approved and compounded products separate, verify state and insurance statements at the most specific level available, and re-check top providers monthly and the full roster quarterly. We do not publish numeric provider scores.

Provider-stated vs verified

Claim	Provider-stated	What we verified on August 13, 2026	Remaining uncertainty
Gennev doctor price	$250 initial; $199 follow-up	Same figures on current pricing page and help article	Future changes; follow-up cadence
Gennev insurance	Covered by named insurers; plan lookup available	Live lookup includes Aetna, Anthem, Cigna and specific plan/administrator entries	Exact eligibility, benefit level, visit limits, final claim balance
Gennev late-cancel fee	$100 on dedicated policy; $50 on pricing article	The official conflict exists; dedicated policy is newer and more specific	Whether Gennev will correct the stale article
Hers price	$79 oral and $134 patch monthly equivalents on 12-month plans	Figures remain in Hers’ insurance article; public menopause page shows no dollar price	Exact checkout total, cadence, selected plan, renewal date
Hers insurance	Insurance not required	Terms say platform services and products are cash-pay and not billed to commercial or government payers	Whether an HSA/FSA administrator will treat a specific expense as qualified
Hers medication category	Plan may include commercially available and custom-compounded medication	Exact language remains in patient guide FPG-MENOPAUSE-PIB-OHAZ01	Which category each reader will receive
Hers state availability	Not available in all 50 states	Repeated on the public menopause page	Exact state list is not published
Hers cancellation	Cancel at least two days before renewal processing	Current terms confirm auto-renewal, deadline, end-of-period cancellation, and general no-partial-refund rule	Exact plan charge and term shown at checkout
FTC case	Billing, cancellation, and privacy allegations	FTC case is pending; complaint names Hers platform but contains no menopause-specific allegation; company denies claims	Court outcome and future case developments
FDA labeling	Initial 2026 labeling changes approved	Six-product first wave confirmed; not a universal one-date rewrite of every product	Product-by-product implementation

What we could not verify—and did not guess

• Hers’ exact menopause state list.
• Hers’ exact menopause checkout charge and billing cadence for every treatment configuration.
• The FDA-approved-versus-compounded category of a Hers prescription before individual intake and dispensing.
• The credential of the Hers clinician who will review a particular user’s intake.
• A universal Gennev copay or final insured visit amount.
• A universal first-year medication total for Gennev.
• Medicare or Medicaid participation for every Gennev plan configuration.

Anywhere one of those facts would change the decision, the page tells you exactly where to confirm it.

A word about how we make money

The HRT Index earns commissions from some telehealth providers. This page contains no commission link to Hers or Gennev. We removed monetization from the two companies being compared so the regulatory finding, compounded-medication disclosure, and provider verdict can stand without a payment conflict.

Full affiliate disclosure · Methodology · Editorial standards · Corrections policy

Hers vs Gennev: frequently asked questions

Is Hers or Gennev cheaper?

There is no universal cash winner. Hers publishes annual equivalents of $948 for oral medication and $1,608 for patches, with medication included. Gennev charges $250 initially and $199 per follow-up, with medication separate. When an exact Gennev plan is in network, insurance may make Gennev cheaper, but the amount cannot be stated without the plan.

Does Gennev take UnitedHealthcare?

Gennev’s current public carrier display and plan lookup support Aetna, Anthem, Cigna, and specific administrators or plan entries. We did not find current primary-source support for the earlier blanket UnitedHealthcare claim. Search the exact full plan name in Gennev’s tool before booking.

Does Gennev take Aetna, Anthem, or Cigna?

Its current public lookup contains in-network entries for all three. That does not mean every plan under those brands is eligible. The full plan name, network, location, referral rules, and benefits control.

Does Hers take insurance for menopause?

No. Hers’ terms say the platform, medical groups, and associated services are not participating with commercial, federal, or state healthcare payers for platform products and services. The menopause program is a cash-pay route.

Is Hers real prescription hormone therapy?

Yes, when a licensed provider determines a prescription is appropriate. Hers publicly lists estradiol pills or patches, progesterone when appropriate, and vaginal estradiol cream. Its drug guide says a plan may include commercially available medication, custom-compounded medication, or both, so confirm every product.

Are Hers medications FDA-approved?

Some may be commercially available FDA-approved products, but Hers cannot be treated as FDA-approved-only. Its own guide explicitly leaves room for custom-compounded medication. Ask for the exact product, manufacturer or compounding pharmacy, and regulatory category before paying, then verify the label.

Does Gennev prescribe compounded hormones?

Gennev’s support center says no, and its current treatment page says it prescribes FDA-approved hormonal and non-hormonal medications. That is one of the clearest differences between the providers.

Do I get a live video visit with Hers?

Possibly, but it is not the standard public promise. Hers begins with an online intake and may conduct the consultation asynchronously. Its support center says some states require a video visit, in which case the user is prompted to schedule one.

Do I get a live video visit with Gennev?

Yes. Gennev’s standard first visit is a scheduled 30-minute video appointment with a board-certified, menopause-trained doctor.

Does either provider require blood work?

Neither publishes a universal baseline-lab requirement for the menopause program. A clinician may order or recommend targeted testing when the history, age, symptoms, medication choice, or need to exclude another condition makes it appropriate.

Can I cancel Hers at any time?

You can request cancellation, but timing matters. Hers’ terms say cancellation must be completed at least two days before the renewal-processing date to avoid the next term, takes effect at the end of the current period, and generally does not create a partial-period refund.

What is Gennev’s cancellation fee?

Use $100. Gennev’s dedicated policy says a $100 fee applies to no-shows and cancellations or reschedules inside 24 hours. A separate pricing article still says $50, but it is less specific and was updated six days earlier.

Is Gennev available in every state?

Gennev says its video appointments are available nationwide, and its staffing information includes all 50 states and DC.

Is Hers available in every state?

No. Hers says the menopause program is not available in all 50 states and does not publish a menopause-specific state list. You may need to begin intake to confirm eligibility.

Who owns Hers and Gennev?

Hers is the women’s brand of Hims & Hers Health, Inc. Gennev is a Unified Women’s Healthcare company; Unified announced its acquisition of Gennev in 2022.^[24]

Can I use an HSA or FSA?

Hers says some medications through its platform may be eligible for HSA or FSA reimbursement. Neither provider can override your plan administrator’s rules. Confirm the specific expense and keep an itemized receipt.

Do I pay separately for medication with Gennev?

Yes. Gennev sends a prescription to your pharmacy when medication is appropriate. The pharmacy charge is separate from the appointment and runs through your pharmacy benefit or cash payment.

Does either provider prescribe testosterone for menopause?

Gennev explicitly says it does not. Hers does not list testosterone in its menopause program. Testosterone is a Schedule III controlled substance, requires a prescription, and has no FDA-approved product specifically indicated and dosed for women in the United States.^[10][22]

Can I get a vaginal ring, gel, or spray?

Hers currently lists systemic estradiol as a pill or patch and local vaginal estradiol as a cream. Gennev says it prescribes FDA-approved hormonal options but does not promise every route on the public pricing page. Ask the Gennev clinician whether a specific FDA-approved ring, gel, spray, patch, tablet, or cream fits your symptoms and history.

What if I have Medicare or Medicaid?

Hers is not a participating provider with those programs for platform services or products. Gennev should be verified through its exact-plan tool and care team; do not assume federal or state program participation from a commercial-insurance logo. Your plan directory or an in-person clinician may be the cleaner route.

Still deciding?

If you have reached this point, the decision usually falls into one of three groups.

Your exact plan is eligible with Gennev. Get the estimate in writing, ask about the final balance process, and decide whether the 30-minute visit plus separate pharmacy bill fits. That is the strongest case for Gennev.

You are paying cash and want one bundled route. Hers can be the cleaner structure. Confirm state eligibility, the final checkout charge, renewal timing, and whether every prescribed product is FDA-approved or compounded before you approve payment.

You are somewhere in between. Wrong carrier, unclear state, Medicare or Medicaid, testosterone, local-only symptoms, or a risk history that needs a different starting point.

Still not sure which HRT program is right for you? Take Find My HRT Path. It matches the decision to your insurance, state, medication route, and safety flags—and tells you when online care is not the right first step.

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This page is educational and is not medical advice. It does not diagnose, prescribe, or replace care from a qualified clinician. Hormone therapy is not appropriate for everyone. Seek prompt medical care for urgent symptoms, and discuss unexplained vaginal bleeding, cancer history, blood-clot or stroke history, liver disease, pregnancy possibility, and medication allergies with a clinician before treatment.

Related online menopause provider comparisons

Compare care models, price exposure, insurance, medication options, and fit before you choose:

• Compare Hers and Winona
• Compare Alloy and Gennev
• Compare Evernow and Gennev
• Read the full Gennev menopause review
• Read the full Hers menopause review
• Review the best online HRT providers
• Find your best-fit HRT path

Primary sources

¹ Hers, Does Insurance Cover HRT for Menopause?, checked August 13, 2026.

² Gennev, Insurance and Pricing, checked August 13, 2026.

³ Hers, Terms and Conditions, checked August 13, 2026.

⁴ Hims & Hers Support, How does this work?, updated June 18, 2026.

⁵ Hims & Hers Support, Commercial Estradiol and Progesterone for treatment of perimenopause/menopausal symptoms, updated October 15, 2025.

⁶ Gennev Support Center, Do Gennev providers prescribe compounded “bio-identical” hormones?, checked August 13, 2026.

⁷ Hers, Menopause Care for Women, checked August 13, 2026.

⁸ Gennev, Symptoms and Treatment, checked August 13, 2026.

⁹ Gennev Support Center, What is Gennev’s No-Show Policy for Appointments?, updated March 18, 2026.

¹⁰ DEA Diversion Control Division, Controlled Substances — Alphabetical Order, June 25, 2026; Gennev Support Center, Do Gennev providers prescribe testosterone?.

¹¹ Gennev Support Center, How much does it cost to book a visit with a Virtual Clinic doctor?, updated March 12, 2026.

¹² Aetna, Why menopause matters, checked August 13, 2026.

¹³ FDA, Compounding and the FDA: Questions and Answers, updated September 16, 2025.

¹⁴ FDA, FDA Approves Labeling Changes to Menopausal Hormone Therapy Products, February 12, 2026; FDA, Requests Labeling Changes Related to Safety Information, February 12, 2026.

¹⁵ Hers, Women’s Healthcare, Online, checked August 13, 2026; Hers, Provider Opportunities, checked August 13, 2026.

¹⁶ NICE, Diagnosis of menopause and perimenopause; The Menopause Society, Premature Menopause.

¹⁷ Federal Trade Commission, FTC and States Act Against Hims & Hers for Deceptive and Unlawful Privacy Practices, July 29, 2026.

¹⁸ Federal Trade Commission, Hims & Hers case page and filed complaint, case status checked August 13, 2026.

¹⁹ Hims & Hers Health, Inc., Hims & Hers Responds to FTC Lawsuit, July 29, 2026.

²⁰ Gennev, Home, checked August 13, 2026; Gennev, Registered Dietitian Nutritionist — Remote, checked August 13, 2026.

²¹ Gennev, Testimonials from Real Patients, checked August 13, 2026.

²² International Society for the Study of Women’s Sexual Health, Clinical Practice Guideline for the Use of Systemic Testosterone for Hypoactive Sexual Desire Disorder in Women, 2021.

²³ The Menopause Society, Find a Menopause Practitioner, checked August 13, 2026.

²⁴ Unified Women’s Healthcare, Unified Women’s Healthcare acquires Gennev, 2022.

²⁵ FDA, National Drug Code Directory, updated March 4, 2026; FDA, 503B Product Reporting: Compounded Drug Products.