Midi vs Gennev: Which Menopause Telehealth Is Right for You? (2026)
The HRT Index Editorial Team
Independently checked against each provider's own pricing and policy pages
Consumer information only — not medical advice. Editorial standards
For most women choosing between Midi vs Gennev, Midi is the stronger default, and Gennev wins in a few specific situations. Both are real, nationwide menopause clinics with menopause-trained clinicians who can prescribe FDA-approved hormone therapy. A first self-pay doctor visit costs the same $250 at both. Midi is cheaper on follow-ups ($150 vs $199), broader in treatment scope, and is the only one that prescribes testosterone for women. Gennev wins when you want a doctor plus a registered dietitian, a link to in-person care, or when your Medicaid plan is in its network.
That's the short answer. The longer answer matters, because one number on the most-shared comparison page is just plain wrong — and it's the number people use to decide. We'll show you the corrected math, the testosterone difference no one explains clearly, and the one billing trap that catches patients at both clinics.
Quick verdict
| If this sounds like you… | Better fit | Why |
|---|---|---|
| You have PPO insurance, want broad midlife care, want the lower follow-up price, or want women’s testosterone | Midi | Widest treatment range, $150 follow-ups, in-network with most PPO plans, prescribes compounded testosterone in 24 states |
| You want a doctor + dietitian together, a link to in-person care, your Medicaid plan is in Gennev’s network, or Gennev takes your private plan | Gennev | Integrated nutrition model, owned by a large in-person women’s-health network, shows at least one Medicaid plan in-network |
| You’re not sure which fits your insurance and symptoms | Take the 60-second matcher | Get a recommendation based on your plan, your state, and what matters most to you |
What we actually verified
We pulled every price and policy on this page from each company's own website on , then cross-checked patient experience against independent review platforms. We didn't rely on marketing copy or other comparison blogs. Where we couldn't fully confirm something, we say so plainly instead of guessing.
| What we checked | What each provider says | Primary source (checked ) |
|---|---|---|
| Self-pay prices | Midi: $250 first / $150 follow-up. Gennev: $250 / $199 doctor; $199 / $119 dietitian | joinmidi.com pricing; gennev.com insurance & pricing page |
| Insurance | Midi: most PPO plans; no Medicare claims; cannot treat Medicaid at all. Gennev: Aetna, Anthem, Cigna, Meritain, S&S Healthcare; at least one Medicaid plan | Each provider’s pricing/insurance pages |
| Testosterone | Midi: compounded, 24 listed states. Gennev: does not prescribe | joinmidi.com/testosterone; Gennev support center |
| FDA HRT labeling | Boxed warnings eased on six products (Feb 12, 2026); endometrial-cancer warning kept for estrogen-alone systemic products | fda.gov |
| Company background | Gennev launched 2016; acquired by Unified Women’s Healthcare in 2022 | Gennev; Unified Women’s Healthcare |
| Reputation | Midi: 4.1 on Trustpilot from ~1,200 reviews. Gennev: 2.3 from just ~7 reviews | Trustpilot (June 2026; counts shift) |
Midi vs Gennev at a glance
Side by side, Midi and Gennev share more than they differ: both are available in all 50 states, both run on insurance, both prescribe FDA-approved hormonal and non-hormonal menopause treatments, and both use menopause-trained clinicians for video visits. The real differences are follow-up price, testosterone access, the care model, and how each handles Medicare and Medicaid. Everything below is self-pay (the price with no insurance) unless noted, verified .
| Midi Health | Gennev | |
|---|---|---|
| Self-pay initial doctor visit | $250 (same) | $250 (same) |
| Self-pay follow-up doctor visit | $150 ✓ lower | $199 |
| Dietitian (RDN) visits | Not a core service | $199 initial / $119 follow-up ✓ built in |
| With insurance | In-network with most PPO plans; ~$50/visit average | Standard copay/deductible on covered plans |
| Insurers named in-network | Most PPO plans; many employer programs | Aetna, Anthem, Cigna, Meritain, S&S Healthcare (varies) |
| Medicare / Medicaid | No Medicare claims (self-pay only); cannot treat Medicaid at all | At least one Medicaid managed-care plan shown in-network ✓ edge |
| Visit length | 30-min initial; 15-min follow-ups | 30-min doctor visits ✓ longer follow-ups; dietitian sessions longer |
| Prescribes testosterone for women | Yes — compounded, 24 states ✓ | No |
| States available | All 50 | All 50 |
| Care model | Broad midlife: HRT, non-hormonal, mood, sleep, bone, weight, skin/hair ✓ widest | Doctor + registered dietitian; nutrition and metabolic focus |
| In-person backup | Virtual only (orders labs locally) | Owned by Unified Women’s Healthcare; link to in-person OB-GYN network ✓ edge |
| Scale & track record | 230,000+ patients; ~$1B valuation ✓ larger | Launched 2016; backed by Unified’s 2,700+ affiliated providers |
| Independent reviews | Trustpilot 4.1, ~1,200 reviews | Trustpilot 2.3 from only ~7 reviews — too few to judge |
| Cancel/reschedule fee | 24 hours’ notice to avoid a fee | $100 if within 24 hours |
\u2713 marks the clearer advantage for that row, based on the verified facts. Confirm current pricing and your specific plan with each provider before you book. See our guide to the best HRT telehealth providers for the wider field.
Should you choose Midi or Gennev?
Choose Midi if you want the broadest medical care, the lower follow-up price, PPO-friendly insurance, or testosterone. Choose Gennev if you want a doctor and dietitian working together, a connection to in-person care, or your Medicaid plan is in its network. The single thing that changes the answer fastest isn't price or features. It's your insurance.
Choose Midi if…
- ✓
You have commercial or PPO insurance.
Midi is in-network with most PPO plans (a plan type that usually lets you see specialists without a referral). Most insured patients pay around $50 per visit.
- ✓
You want the lower self-pay follow-up price.
$150 at Midi versus $199 at Gennev for a doctor visit. If you’re seeing someone two or three times a year, that gap adds up.
- ✓
Your symptoms go beyond hormones.
Sleep, mood, brain fog, weight, bone health, skin and hair — Midi treats the whole midlife picture, not just HRT.
- ✓
You want to ask about testosterone for women.
Midi prescribes a compounded testosterone cream in 24 states. Gennev does not. If testosterone is the reason you’re comparing these two clinics, that one fact may decide it.
Choose Gennev if…
- ✓
You specifically want a 30-minute doctor visit plus a registered dietitian.
Gennev pairs a board-certified menopause doctor with an RDN (a credentialed food-and-nutrition expert) as part of the same plan. That integration is Gennev’s whole point.
- ✓
You like knowing there’s a link to in-person care.
Gennev is owned by Unified Women’s Healthcare, a network of 2,700+ affiliated providers and 815+ clinics. It can connect you to in-person OB-GYN care if you ever need a procedure or hands-on exam.
- ✓
You’re on Medicaid and your plan appears in Gennev’s lookup.
Midi cannot treat Medicaid or Medi-Cal patients at all — not even self-pay. Gennev’s coverage lookup shows at least one Medicaid managed-care plan in-network, making it the only one of the two worth checking for Medicaid patients.
- ✓
Your private insurance is in Gennev’s network but not Midi’s.
Gennev lists Aetna, Anthem, Cigna, Meritain, and S&S Healthcare as in-network carriers. If your plan is there, your real cost drops to your copay.
Start with in-person care first if…
Telehealth isn't the right front door for everyone. See a clinician in person before starting an online menopause program if you have:
- !Postmenopausal bleeding (any vaginal bleeding after 12 months with no period). Per ACOG, this needs an in-person evaluation, often including an ultrasound and a tissue sample.
- !New chest pain, shortness of breath, a new breast lump, or sudden neurological symptoms.
- !A history of an estrogen-sensitive cancer, or a complicated blood-clot history.
- !A need for a physical exam, imaging, or a procedure that a video visit can’t do.
If that's you, neither Midi nor Gennev is your first step. See your doctor or OB-GYN, then revisit telehealth for ongoing care if it fits.
How much do Midi and Gennev actually cost? (And the $199 myth)
For a self-pay doctor visit, Midi and Gennev start at the exact same price: $250 for the first appointment. Midi is cheaper on follow-ups — $150 versus Gennev's $199. With insurance, both bill your plan, so your real cost is your copay and deductible, not the sticker price. The widely shared claim that “Gennev is cheaper at $199” compares two different things.
The mistake almost every comparison page makes
You'll see other pages declare Gennev the cheaper option — usually “$199 vs Midi's $250.” That's an apples-to-oranges error. It compares Gennev's registered-dietitian visit ($199) against Midi's doctor visit ($250).Those aren't the same product. Line up the same service — doctor to doctor — and here's what each company's own pricing page actually says:
| Self-pay visit | Midi | Gennev (doctor) | Gennev (dietitian) |
|---|---|---|---|
| Initial visit | $250 | $250 | $199 |
| Follow-up visit | $150 | $199 | $119 |
Doctor-to-doctor, the first visit is identical, and Midi is actually the cheaper one on follow-ups. Gennev's dietitian visits are a real, valuable service — but they're usually in additionto a doctor visit, not a replacement for one. If a page is telling you Gennev is cheaper, ask which visit they're counting.
What a year might actually cost (self-pay, visit-only)
Most women have a first visit plus one to three follow-ups in year one to dial in a dose. Here's the visit-only math:
| Your first year | Midi (visit-only) | Gennev doctor (visit-only) | Lower |
|---|---|---|---|
| Initial visit only | $250 | $250 | Tie |
| Initial + 1 follow-up | $400 | $449 | Midi |
| Initial + 2 follow-ups | $550 | $648 | Midi |
| Initial + 3 follow-ups | $700 | $847 | Midi |
Visit-only numbers. They do not include medication, lab work, insurance adjustments, or Gennev dietitian sessions. With insurance, ignore this table — your cost is your copay. For the bigger picture, see what HRT actually costs in 2026.
Do Midi and Gennev take insurance, Medicare, or Medicaid?
Both clinics run on insurance, but they cover different programs. Midi is strongest for PPO and employer plans; it doesn't bill Medicare and can't treat Medicaid at all. Gennev covers several major carriers and shows at least one Medicaid managed-care plan in-network — which makes it the only one of the two worth checking if you're on Medicaid.
Midi and insurance
In-network with most PPO plans and offered through many employers' health benefits in all 50 states. Insured patients pay around $50 a visit on average by Midi's own figure (though your real number depends on your deductible).
- !Midi doesn't bill Medicare.Medicare beneficiaries can be seen as self-pay, but Midi won't submit claims.
- !Midi cannot treat Medicaid or Medi-Cal patients at all — not even self-pay. If you have Medicaid, Midi is off the table.
Gennev and insurance
In-network with Aetna, Anthem, Cigna, Meritain, and S&S Healthcare, among others. Some plans qualify for out-of-network benefits. Notably, at least one Medicaid managed-care plan (an Anthem HealthKeepers Plus plan) shows as in-network in Gennev's coverage lookup.
Medicaid coverage is plan-by-plan — confirm yours is accepted before assuming.
Which step fits your coverage:
| Your insurance | Best next step |
|---|---|
| Commercial / PPO plan | Check Midi first (often the cleaner fit), then Gennev if needed |
| Aetna, Anthem, Cigna, Meritain, or S&S | Check Gennev — you may be in-network |
| Medicaid / Medi-Cal | Not Midi. Check whether your plan appears in Gennev’s lookup, or use the matcher |
| Medicare | Don’t assume coverage with either. Confirm self-pay terms or use the matcher |
| No insurance (self-pay) | Midi has the lower follow-up price; compare expected visit frequency |
The testosterone difference: Midi prescribes it, Gennev doesn't
This is the single biggest clinical difference between the two. Midi prescribes testosterone for women — as a compounded medication, in 24 states. Gennev does not prescribe testosterone at all. If testosterone is the reason you're comparing these two clinics, that one fact may decide it for you.
What Midi offers.In late 2025, Midi launched a testosterone program for peri- and post-menopausal women. It's a low-dose topical cream, not pellets, and Midi's process typically runs across two visits: a first visit to review symptoms and order lab work, then a second visit to set a plan — followed by regular check-ins to adjust the dose. As of , Midi lists testosterone availability in 24 states: Arizona, California, Colorado, Washington D.C., Delaware, Florida, Iowa, Illinois, Indiana, Kansas, Massachusetts, Maryland, Maine, New Jersey, New Mexico, Nevada, New York, Ohio, Oregon, Pennsylvania, Texas, Utah, Virginia, and Washington.
Three things you must understand before you consider it:
- There is no FDA-approved testosterone product for women in the United States. Any testosterone a woman is prescribed here is either off-label or compounded (custom-mixed by a pharmacy).
- Compounded medications are not FDA-approved.The FDA does not evaluate compounded drugs for safety, effectiveness, or quality before they're used. They can be appropriate under a clinician's care, but a compounded product is not the same category as an FDA-approved one.
- Testosterone is a Schedule III controlled substance. Federal and state controlled-substance rules apply, a licensed clinician must prescribe it after an evaluation, and Midi currently runs its program only in the 24 states it lists.
What Gennev says.Gennev does not prescribe testosterone, and it's upfront about why: testosterone is a controlled substance, there are no female-dosed products in the U.S., and Gennev's view is that it's hard to dose safely over telehealth without regular in-person exams and bloodwork. That's a defensible medical position — not a gap in their service so much as a different risk judgment.
If you want to explore testosterone and you're in one of Midi's 24 states, Midi is the only one of these two that can help — with the compounded-medication caveats above. If you're outside those states, neither clinic prescribes it to you over telehealth.
The real difference in care: broad medical vs. doctor-plus-dietitian
The biggest everyday difference between Midi and Gennev isn't price — it's the care model. Midi is built as a complete midlife clinic, treating hormones plus the cluster of symptoms that come with them. Gennev pairs a menopause doctor with a registered dietitian and connects to a large in-person OB-GYN network through its parent company. Neither is “better” in the abstract; it depends on what you want handled.
Midi's model: the whole midlife picture
Hot flashes, night sweats, sleep problems, mood swings, brain fog, weight changes, bone loss, thinning hair, low libido — Midi treats all of it with hormonal and non-hormonal prescriptions, supplements, and lifestyle coaching. Clinicians include nurse practitioners, certified nurse-midwives, physicians, and naturopathic doctors, with training and oversight from menopause physicians.
Gennev's model: doctor plus dietitian
Deliberately combines a board-certified, menopause-trained doctor with a registered dietitian for nutrition, metabolic, and weight support, plus sleep and mindfulness guidance. And because Gennev is owned by Unified Women's Healthcare — 2,700+ affiliated providers, 815+ clinics — it can connect you to in-person OB-GYN care if you ever need a procedure or hands-on exam.
One practical note on visit time: Midi's follow-ups are 15 minutes;Gennev's doctor visits are 30 minutes.If longer face time with the doctor matters to you, that's a point for Gennev.
What do Midi and Gennev reviews say?
Independent reviews tell two very different stories, mostly because of sample size. Midi has about 1,200 Trustpilot reviews and a 4.1 rating; Gennev has only about 7 third-party reviews — too few to read much into. Across both, the praise and the complaints rhyme: women love feeling heard, and the friction is almost always about billing.
| Midi Health | Gennev | |
|---|---|---|
| Trustpilot (June 2026; counts shift) | 4.1 / 5 from ~1,200 reviews | 2.3 / 5 from just ~7 reviews — too small to judge |
| Company’s own numbers | 230,000+ patients treated | Claims thousands of 5-star ratings and 95%+ satisfaction (self-reported) |
| What patients praise | Felt heard, fast access, quick symptom relief | Doctors who listen, dietitian integration |
| What patients criticize | Surprise bills, rushed 15-min follow-ups, seeing different clinicians | Surprise bills, visits that felt as short as ~5 minutes, heavy email/text, occasional billing glitches |
A word on Gennev's numbers: a 2.3 from only about 7 reviews isn't a verdict — it's noise. A company's own “95%+ satisfaction” claim is marketing, not independent data. The fair read is that Gennev hasn't accumulated much third-party feedback either way, while Midi's larger, mostly positive record gives you more to go on. Treat any individual review as one person's experience, not proof of what you'll get.
Is Midi legit?
Yes. Midi Health is an established, venture-backed virtual clinic focused specifically on women's midlife health, with menopause-trained clinicians, insurance partnerships, and more than 230,000 patients. It holds a 4.1 rating on Trustpilot from about 1,200 reviews.
The praise is consistent: women who felt brushed off elsewhere describe finally being heard, fast appointments, and symptom relief within days of starting treatment. (That's individual experience, not a promise of results.)
The criticism is also consistent, and worth knowing: some patients report surprise bills after being told a visit was covered, 15-minute follow-ups that feel rushed, and seeing a different clinicianbetween visits. The billing issue isn't unique to Midi — it's structural to insurance-based telehealth, and we show you how to head it off below. See our full Midi Health review.
Is Gennev legit?
Yes. Gennev launched in 2016, was acquired by Unified Women's Healthcare in 2022, and still operates as its own menopause-care unit with menopause-trained doctors and dietitians, available in all 50 states.
Patient feedback is genuinely mixed. On the positive side, women praise the doctors for listening and the dietitian integration for making nutrition feel like part of real care. (One person's experience, not a typical result.) On the critical side, the same themes come up as at Midi: surprise bills, visits that can feel short, and a lot of email and text outreach.
Because Gennev is the non-affiliate option here, we have no incentive to oversell it — and we're recommending it anyway for the readers it genuinely fits. More in our Gennev review.
How to avoid a surprise bill with either clinic
The number-one complaint about both Midi and Gennev is the same: a bill bigger than expected. These four steps head off most of that risk before it starts — and they work no matter which clinic you choose.
- 1
Call your insurer first — not the clinic.
Ask: “Is [Midi Health / Gennev] in-network for telehealth? What’s my copay or coinsurance for a specialist video visit, and is my deductible met?” Write down the reference number for the call.
- 2
Get the self-pay price in writing as your backup.
If your insurance turns out not to cover the visit, you’ll already know the exact number ($250 initial at both) instead of being blindsided.
- 3
Confirm prescription and lab coverage separately.
A covered visit does not mean covered medication or labs. Ask your pharmacy what your specific HRT will cost on your plan, and ask whether any labs get billed to you.
- 4
Save every estimate and explanation of benefits (EOB).
If a later bill doesn’t match your quote, that paper trail is exactly what got several patients their charges corrected.
The fine print, by clinic:
| What to know before booking | Midi | Gennev |
|---|---|---|
| Cancel/reschedule fee | Give 24 hours’ notice to avoid a fee | $100 if you cancel or reschedule within 24 hours |
| Does the visit price include meds or labs? | No — billed separately | No — billed separately |
| Can a balance still arrive after insurance? | Yes (insurance-based billing) | Yes — Gennev says a remaining balance may be billed after the claim processes |
The honest tradeoff (and who should pick the other clinic)
Here's what we'd tell a friend. Midi is not the most “doctor-branded” option, and its follow-ups are short — 15 minutes. If your top priority is a longer visit with a board-certified physician plus a dietitian working the nutrition side, Gennev is the better fit, and you should choose it.
But here's why that tradeoff works forMidi's core user rather than against it. Because Midi keeps visits focused and its clinician network broad, it can offer fast, often same-day access, the widest treatment toolkit in midlife care, the lower follow-up price, and — uniquely between these two — women's testosterone in 24 states. For someone who wants fast, affordable, comprehensive access and doesn't need a 30-minute doctor visit or integrated nutrition coaching, those are exactly the right trades.
Route yourself honestly:
- →Want a longer doctor visit + dietitian + a link to in-person care? Gennev.
- →Want broad, fast, lower-cost medical care and possibly testosterone? Midi.
- →Genuinely torn?That's what the matcher is for.
Is online menopause HRT even safe?
For many women, yes — when it includes a licensed clinical evaluation, an honest medical history, appropriate lab work, and follow-up. Hormone therapy is not one-size-fits-all: the benefit-and-risk balance depends on your age, how long since menopause, the dose, the form, and your personal health history.
The FDA eased HRT's strongest warning in 2026. On , the FDA approved labeling changes for six menopausal hormone-therapy products, removing language about cardiovascular disease, breast cancer, and probable dementia from the “boxed warning” (the most serious warning the FDA puts on a drug). The agency cited an updated review of the evidence and now emphasizes timing — starting systemic HRT before age 60 or within 10 years of menopause onset — to get the best benefit-risk balance.
But the picture is nuanced, not “all clear”:
- !The FDA did not remove the endometrial-cancer warning for estrogen-alone systemic products.
- !The Menopause Society stressed that systemic estrogen still carries real risks for some women, and decisions should be individualized.
- !Neither clinic replaces in-person care if you have warning-sign symptoms.
This page is consumer information, not medical advice.
How we compared Midi and Gennev
We compared both clinics on the things that actually change your decision — real cost, insurance, care model, what they prescribe, state availability, and patient experience — using each provider's own pages and independent reviews, not marketing claims. We pulled pricing and insurance details straight from joinmidi.com and gennev.com and recorded the verification date. We read patient reviews across Trustpilot and the Better Business Bureau to find patternsrather than one-off stories. Where we couldn't fully confirm something — like the breadth of Gennev's Medicaid coverage — we flagged it and told you to verify it for your own plan.
Midi vs Gennev: frequently asked questions
Is Midi or Gennev cheaper?
For a self-pay doctor visit, they cost the same to start: $250 for the initial appointment at both. Midi is cheaper on follow-up doctor visits ($150 vs Gennev’s $199). Gennev’s $199 dietitian visit is a different service, so it isn’t a like-for-like comparison. With insurance, your real cost is your copay or deductible at either clinic.
Is Midi better than Gennev?
For most commercially insured women who want broad midlife care, the lower follow-up price, or testosterone, Midi is the stronger default. Gennev is better if you want a doctor paired with a dietitian, a connection to in-person care, or your Medicaid plan is in its network. Neither is universally better — it depends on your insurance and what you need treated.
Does Midi take insurance?
Yes. Midi is in-network with most PPO plans and is offered through many employers’ benefits in all 50 states. However, Midi does not bill Medicare (Medicare beneficiaries can only self-pay), and it cannot treat Medicaid or Medi-Cal patients at all, even as self-pay.
Does Gennev take insurance?
Yes. Gennev lists in-network coverage with Aetna, Anthem, Cigna, Meritain, and S&S Healthcare, among others, plus possible out-of-network benefits on some plans. At least one Medicaid managed-care plan appears in its coverage lookup, but you should confirm your specific plan directly.
Do Midi and Gennev prescribe HRT?
Yes. Both prescribe FDA-approved hormone replacement therapy — such as estradiol and progesterone — when it is clinically appropriate after a video visit, plus FDA-approved non-hormonal options. Prescriptions go to your local pharmacy.
Does Midi prescribe testosterone? Does Gennev?
Midi prescribes testosterone for women as a compounded, non-FDA-approved medication in 24 states, typically across two visits with lab work. Gennev does not prescribe testosterone at all, citing its controlled-substance status and the lack of female-dosed products in the United States.
What is the main difference between Midi and Gennev?
Care model. Midi is a broad midlife clinic covering hormones plus mood, sleep, bone, weight, and skin and hair, and it prescribes testosterone in 24 states. Gennev pairs a menopause doctor with a registered dietitian and connects to a large in-person OB-GYN network through its parent company, Unified Women’s Healthcare.
Which should I pick if I am on Medicaid?
Check Gennev. Midi cannot treat Medicaid or Medi-Cal patients at all, even self-pay. Gennev’s coverage lookup shows at least one Medicaid managed-care plan in-network, so it is the one to verify for your specific Medicaid coverage — do not assume yours is accepted until you see it.
Is Gennev still operating after the Unified acquisition?
Yes. Gennev was acquired by Unified Women’s Healthcare in 2022 and continues to operate as its own menopause-care unit, offering virtual visits in all 50 states with menopause-trained doctors and dietitians.
Can I do labs or in-person exams with either?
Midi publicly explains that it orders labs you complete locally but is virtual-only for visits. Gennev’s doctors can order labs as clinically needed, and because Gennev is owned by Unified Women’s Healthcare, it can connect you to in-person OB-GYN care if you need a procedure or hands-on exam. Confirm Gennev’s lab process at booking if labs are important to you.
What are the cancellation fees?
Midi asks you to cancel or reschedule at least 24 hours in advance to avoid a cancellation fee. Gennev charges a $100 fee for appointments cancelled or rescheduled within 24 hours of the start time.
Still not sure which is right for you?
Both Midi and Gennev are legitimate, and the “right” one really does depend on your insurance, your symptoms, and what you want out of the visit. If you'd rather not guess:
Answer a few questions about your plan, your state, and what matters most — and get a personalized recommendation.
Take the free 60-second Midi-or-Gennev matcher →We'll also route you to a different provider if neither of these is your best fit.
How we're funded, and how we ranked these
The HRT Index is an independent comparison resource for HRT telehealth providers. We're reader-supported: we may earn a commission when you start care with some of the providers we link to (including Midi) — at no extra cost to you. Gennev is not an affiliate partner.We link to it, and recommend it for the readers it fits, because the evidence says it's the better choice for them. Commissions never decide our recommendations.
Keep reading:
Sources (verified )
- Midi Health — pricing, insurance, visit structure, clinician model, HRT, and testosterone pages (including the 24-state testosterone list, two-visit process, no Medicare claims, cannot treat Medicaid/Medi-Cal, and cancellation policy). joinmidi.com and Midi help center, verified June 4, 2026.
- Gennev — insurance and pricing page (doctor and dietitian self-pay rates, in-network carriers including at least one Medicaid managed-care plan, 50-state availability), support center (testosterone policy; $100 cancel/no-show fee within 24 hours), and About page (parent-network scale). gennev.com, verified June 4, 2026.
- Midi Health women’s testosterone program (compounded topical, launched late 2025, 24 listed states) — joinmidi.com/testosterone; testosterone’s Schedule III classification per the U.S. Drug Enforcement Administration (DEA).
- Gennev launch (2016) and acquisition by Unified Women’s Healthcare (2022) — Gennev and Unified Women’s Healthcare announcements.
- Reputation — Trustpilot (Midi 4.1 from ~1,200 reviews; Gennev 2.3 from ~7 reviews, as of June 2026) and the Better Business Bureau.
- FDA hormone-therapy boxed-warning update (February 12, 2026; six products; cardiovascular, breast-cancer, and dementia language removed; endometrial-cancer warning retained for estrogen-alone systemic products), The Menopause Society response, and ACOG guidance on evaluating postmenopausal bleeding — FDA.gov, menopause.org, and acog.org.
Pricing, insurance networks, and policies change. We re-verify this page quarterly and update the “last verified” date when we do.
The HRT Index is an independent comparison resource for HRT telehealth providers. We are not a medical provider, and this page is not medical advice. Talk to a licensed clinician about your symptoms, history, and risks before starting any hormone therapy.