Is MyMenopauseRx cheaper than Midi Health?

For self-pay, yes. A MyMenopauseRx visit is $99, versus Midi's $250 first visit and $150 follow-ups. With insurance, both bill your plan and your cost depends on your deductible and copay; Midi says most insured patients pay around $50 a visit. Neither fee includes medications. Verified June 5, 2026.

What states is MyMenopauseRx in, and is Midi everywhere?

As of June 5, 2026, MyMenopauseRx lists 39 states plus Washington, DC; Midi Health lists all 50 states. The notable states MyMenopauseRx doesn't cover yet include California, New York, New Jersey, Massachusetts, and North Carolina. Confirm your state on each provider's site before booking.

Do MyMenopauseRx and Midi take insurance, Medicare, and Medicaid?

Both are in-network with major PPO plans (Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Humana, Tricare). MyMenopauseRx does not accept Medicare, Medicaid, or HMO plans. Midi cannot treat Medicaid or Medi-Cal patients even as self-pay, and Medicare beneficiaries can only self-pay with no claims submitted. Verify your specific plan. Verified June 5, 2026.

Are MyMenopauseRx and Midi clinicians real menopause specialists?

Both use trained, licensed clinicians who follow Menopause Society and ACOG guidelines. MyMenopauseRx is a menopause-focused practice founded by an MSCP-certified OB/GYN, with several MSCP-certified clinicians and others who are members of The Menopause Society. Midi's nationwide network is mostly board-certified nurse practitioners and nurse-midwives, all menopause-trained. Verified June 5, 2026.

Does MyMenopauseRx or Midi prescribe testosterone for women?

Testosterone is a Schedule III controlled substance and always requires a prescription and a clinical evaluation. There is no FDA-approved testosterone product indicated for women in the U.S. Midi offers compounded testosterone in 24 listed locations; MyMenopauseRx prescribes it directly only in Illinois and otherwise coordinates with your local primary care provider. Verified June 5, 2026.

Do either of them offer compounded hormones?

Both center systemic estrogen and progesterone on FDA-approved options. MyMenopauseRx uses compounded hormone therapy only when someone has an allergy or cannot use FDA-approved therapy. Midi offers a separate Custom Rx line of compounded products, including testosterone, a DHEA/estradiol cream, and an arousal cream, paid out of pocket. Compounded drugs are not FDA-approved and are not checked by the FDA for safety, quality, or effectiveness before sale. Verified June 5, 2026.

Which should I choose for the simplest, lowest-cost start?

If your state is covered and you're paying cash, MyMenopauseRx ($99) is the simplest, cheapest start. If you want broad care, nationwide access, or you'll use insurance, Midi (all 50 states) is the cleanest default — just confirm your insurance before the visit to avoid billing surprises.

MyMenopauseRx vs Midi Health: Which Menopause Telehealth Is Right for You in 2026?

By The HRT Index editorial team · Last verified: June 5, 2026 · ~12 min read

The HRT Index is an independent comparison resource for HRT telehealth providers. We earn a commission if you start care with Midi Health through links on this page. We have no paid relationship with MyMenopauseRx and earn nothing if you pick them — yet we still send you there when they're the better fit. The commission did not change our verdict. Jump to exactly what we checked.

Here's the short version of MyMenopauseRx vs Midi. For most women, Midi Health is the cleaner first move — it's available in all 50 states, treats far more than hot flashes, and has roughly 1,300 real patient reviews behind it. But the answer flips on two questions most comparison pages skip. If you're paying cash, MyMenopauseRx is far cheaper — a $99 visit versus Midi's $250 first visit. And the availability gap is smaller than you'd think: MyMenopauseRx covers 39 states plus D.C.

We verified every number below on the providers' own pages, the FDA, and third-party review sites on June 5, 2026. No guesses. Where something changes often, we say so and link you to the live source.

Check whether Midi is in-network for your plan →See whether MyMenopauseRx covers your state →

The 30-second answer, sorted by your situation

The "better" provider depends on three things: your state, how you pay, and what you want most.

If this is you…	Start with	Why, in one line
Paying cash and in a covered state	MyMenopauseRx	$99 a visit vs Midi's $250 — that gap is real money.
In CA, NY, NJ, MA, NC (or another state MMRX doesn't list)	Midi Health	It's in all 50 states; MyMenopauseRx covers 39 + DC.
Have PPO insurance and want to compare	Either — check both	Both bill major PPOs; your real cost is your copay/deductible.
Want more than hormones (weight, sleep, bone, sex, skin)	Midi Health	Broader midlife clinic, plus a Custom Rx line.
Want a doctor-led, menopause-focused practice	MyMenopauseRx	Founded and staffed heavily by OB/GYN physicians.
Interested in testosterone	Depends — read below	Midi offers it (compounded) in 24 locations; MMRX routes outside IL.
On Medicaid / Medi-Cal	Neither — take the quiz	Midi can't treat Medicaid patients at all; MMRX doesn't accept it.
On Medicare	Cash-pay only — read insurance section	Neither bills Medicare; Midi allows self-pay but no claims.
Not sure	Take the 60-second match	We'll point you to the right path for your specifics.

→ Want us to do the matching for you? Check your best-fit provider in 60 seconds.

MyMenopauseRx vs Midi Health: the full verified comparison

This is the table you'd otherwise need six tabs to build. Every row was checked on June 5, 2026. Where a fact moves fast (state lists, review scores), we flag it and link the live source.

What you're comparing	MyMenopauseRx	Midi Health
States available	39 states + Washington, DC	All 50 states ✓
First visit (cash)	$99 ✓	$250
Follow-up visit (cash)	$99 per video visit	$150
Typical cost with insurance	Varies by plan (copay/deductible)	About $50 a visit on average, per Midi
Core hormones	FDA-approved estradiol & progesterone; local vaginal estrogen and prasterone (DHEA) for vaginal symptoms	FDA-approved estradiol, progesterone, and more forms (patches, pills, rings, gels, creams) ✓
Compounded options	FDA-approved-first; compounded HRT only for allergy or inability to use FDA-approved therapy	Separate Custom Rx line of compounded products (testosterone, DHEA/estradiol cream, arousal cream, skin/hair)
Testosterone	Directly in Illinois only; elsewhere works with your own doctor	Compounded testosterone in 24 locations ✓ (direct)
Lab work	Self-order Quest panels from $49 ✓	Ordered by your clinician, generally via Labcorp
Insurance accepted	Aetna, BCBS, Cigna, UnitedHealthcare, Humana, Tricare, Sana (PPO)	Most PPO plans, plus many employer and health-system networks
Medicaid / Medi-Cal	Not accepted	Cannot treat Medicaid/Medi-Cal patients — even self-pay
Medicare	Not accepted	Self-pay only; no claims can be submitted
Clinician model	Menopause-focused practice; founder + several clinicians are MSCP-certified; physician-heavy (OB/GYNs + women's-health NPs)	Board-certified NPs, nurse-midwives, physicians, and naturopathic doctors across all 50 states; menopause-trained
Typical first visit	~30 min total (20 min face-to-face)	~30 min first visit; ~15 min follow-ups
Follow-up schedule	Every 8–12 weeks until stable, then every 6 months	Personalized; check in as needed
Same clinician each time	Yes — built for continuity	Possible on request (depends on state/availability)
Weight care / GLP-1	Yes — Saxenda, Wegovy, Zepbound when appropriate	Yes — integrated weight care including GLP-1
Scope beyond menopause	Menopause-focused, plus weight, thyroid, UTIs, hair/skin, sexual health	Broader: menopause, weight, bone, sleep, sexual health, skin/hair, cancer survivorship ✓
Messaging	24/7 messaging	Secure messaging through the patient portal
Third-party reviews	2.9/5 from 3 Trustpilot reviews — too few to mean much	~4.0/5 from ~1,300 Trustpilot reviews ✓ (billing is the top complaint)
Known friction point	Smaller, with a thin public review record	Recurring billing-confusion complaints
Company	Founder-led, bootstrapped, real office in Wheaton, IL	Venture-backed; ~$1B valuation after a Feb 2026 $100M round
Cancellation	$99 fee if you cancel within 24 hours	No charge at booking; visit fee processed after the appointment

A "✓" marks the stronger option on that one row only — not the overall winner. Most women won't care about all 22 rows; the trick is knowing which three or four are your dealbreakers.

Why so many women are comparing these two right now

In November 2025, the FDA announced it would remove certain "boxed warning" risk statements from menopausal hormone therapy labels, and on February 12, 2026, it approved the first label changes for six products. That black-box warning had spooked patients and doctors for 20 years. The change sent a wave of women to finally look into hormone therapy — which is why insurance-friendly clinics like these two are suddenly being compared side by side.

The change applied to the first six menopausal hormone therapy products and removed boxed-warning language about cardiovascular disease, breast cancer, and probable dementia for those products. It did not make hormone therapy risk-free or erase every warning — for example, estrogen-only therapy still carries a uterine-cancer warning for women who have a uterus. The FDA pointed to randomized-study evidence of reduced mortality and fracture risk when systemic estrogen is started within 10 years of menopause or before age 60 — and both clinics here can discuss that with you.

The Menopause Society supports the change but stresses that systemic estrogen still carries real risks for some people: a history of certain cancers, blood clots, a heart attack or stroke, or active liver disease all need a careful, individual conversation. That conversation is the whole point of a visit, and both clinics build it in. This is a better-informed moment to have the HRT conversation — not a reason to skip the medical review.

Which is cheaper — MyMenopauseRx or Midi?

If you're paying cash, MyMenopauseRx is the clear winner: $99 a visit versus Midi's $250 first visit and $150 follow-ups. With insurance, it's a closer call, because both clinics bill your plan and your real cost is whatever your copay or deductible says. Midi reports that most insured patients pay around $50 a visit. Neither price includes medications.

The cash-pay math, year one

Here's what you'd pay out of pocket for the visits alone if you're paying cash (no insurance), before any medication or lab costs.

Visits in your first year	MyMenopauseRx	Midi Health	You save with MMRX
First visit only	$99	$250	$151
First + 1 follow-up	$198	$400	$202
First + 2 follow-ups	$297	$550	$253

What insurance actually changes

If you've met your deductible, you usually just owe a copay — and that can make either clinic cheap.
If you haven't met your deductible, you may owe the full negotiated visit amount. MyMenopauseRx says this can actually be higher than its $99 cash price, so paying cash is sometimes the smarter move.
Medications and labs are billed separately, and their cost varies by drug, dose, pharmacy, insurance coverage, and any coupons.

See whether MyMenopauseRx covers your state →Check whether Midi is in-network for your plan →

We earn nothing from the MyMenopauseRx link — it's here because it's the cheaper option for some of you.

Which one is available where you live?

Midi is in all 50 states. MyMenopauseRx covers 39 states plus Washington, DC — so the first thing to check is whether your state made the list. If it has, you genuinely get to choose. If it hasn't, Midi is your answer between these two.

As of June 5, 2026, MyMenopauseRx lists these 39 states plus Washington, DC: Alabama, Arizona, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and Washington, DC.

States MMRX doesn't cover yet: California, New York, New Jersey, Massachusetts, North Carolina (plus Alaska, Arkansas, Mississippi, Rhode Island, South Carolina, and Vermont). If you live in one of those, Midi is effectively your pick between these two. State lists move, so re-check this before booking.

→ Not sure your state qualifies? Run the 60-second match and we'll tell you which of these two can actually see you.

Will they take your insurance — and what about Medicare and Medicaid?

Both clinics are in-network with the big PPO plans — Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Humana, and Tricare. The catch is the plans they don't take, and here the two clinics differ in ways that matter for your bill.

MyMenopauseRx insurance

MyMenopauseRx is in-network with Aetna, Humana, Cigna, Blue Cross Blue Shield, Tricare, UnitedHealthcare, and Sana PPO plans, and says it's adding more. A care coordinator checks your coverage after you upload your insurance cards. Two details most people miss: its providers are billed as specialists by most insurers (which can change your copay), and if you haven't hit your deductible, you'll owe the full reimbursement amount — sometimes more than the $99 cash rate. It does not accept Medicare, Medicaid, or HMO plans.

Midi insurance

Midi works with most PPO plans plus a long list of employer and health-system networks — so there's a real chance your work plan already includes it. Your exact cost depends on your plan's deductible, copay, and coinsurance, and Midi says most insured patients pay around $50 a visit.

The Medicare and Medicaid facts, spelled out

Medicaid / Medi-Cal: MyMenopauseRx does not accept Medicaid. Midi goes further — it states it cannot treat Medicaid or Medi-Cal patients at all, even as self-pay patients.

Medicare: Neither clinic is covered by Medicare. Midi can see Medicare beneficiaries as self-pay only, and you cannot submit any claims for visits, medications, or related services. If that's your coverage, don't book on hope — use the quiz to find a provider built for your plan.

6 questions to ask your insurer before you book (copy these):

Is this provider in-network for specialist telehealth?
Will this visit process as specialist care?
What's my copay if my deductible is met?
What will I owe if my deductible isn't met yet?
Are labs covered at the lab they use (Quest for MMRX, generally Labcorp for Midi)?
Are my prescribed hormones (patch, pill, vaginal estrogen, etc.) on my plan's drug list?

Check whether Midi is in-network for your insurance →On Medicare or Medicaid? Take the quiz instead →

Are the clinicians actually menopause specialists?

Both clinics use trained, licensed clinicians who follow Menopause Society and ACOG guidelines — but the model is different. MyMenopauseRx is a menopause-focused practice founded and staffed heavily by OB/GYN physicians. Midi is a larger, nationwide clinic built mostly on board-certified nurse practitioners and nurse-midwives, all menopause-trained.

What MSCP means: MSCP stands for Menopause Society Certified Practitioner — an extra certification from The Menopause Society that shows a clinician trained specifically in menopause care. It's a real signal of focus, not a generic license.

MyMenopauseRx: smaller, physician-led, menopause-focused

✔ Founded by Dr. Barbra Hanna, DO, FACOG, MSCP — board-certified OB/GYN with 25+ years in women's health
✔ Several clinicians hold the MSCP credential; others are members of The Menopause Society
✔ LegitScript-certified — independent check of telehealth/pharmacy legitimacy
✔ Real office in Wheaton, IL; follows ACOG and Menopause Society guidelines
✔ Same clinician each visit — built for continuity
⚠ Not every clinician is MSCP-certified (some are members of The Menopause Society)

Midi: large, nationwide, mostly nurse practitioners

✔ Board-certified NPs, CNMs, MDs, and NDs across all 50 states, all menopause-trained
✔ Follows protocols from ACOG, The Menopause Society, and other expert bodies
✔ More clinicians and time slots — bigger network means faster scheduling
✔ ~1,300 third-party patient reviews to read
✔ Venture-backed, ~$1B valuation after Feb 2026 $100M round
⚠ Same clinician not guaranteed (depends on state/availability)

The plain-English takeaway: want a smaller, doctor-led, menopause-focused practice (and your state is covered)? Lean MyMenopauseRx. Want scale, fast scheduling, and a credentialed clinician anywhere in the country? Midi.

What each one prescribes — and the FDA-approved vs. compounded line you must understand

For core menopause hormones, both clinics center care on FDA-approved options like estradiol and progesterone. Neither is a "compounded-first" hormone clinic. But both offer some compounded products at the edges, and the details differ.

FDA-approved means the exact medicine was tested and cleared by the FDA for safety and how well it works. Examples: estradiol patches, micronized progesterone, vaginal estrogen.

Compounded means a pharmacy mixes a custom version. Compounded drugs can meet a real medical need, but they are not FDA-approved, and the FDA does not check them for safety, quality, or effectiveness before they're sold.

A common myth: that you need compounded hormones to get "bioidentical" hormones. Not true — many FDA-approved hormones like estradiol and micronized progesterone are body-identical molecules that insurance often covers.

MyMenopauseRx prescribing

✔ FDA-approved estradiol & progesterone (first choice)
✔ Local vaginal estrogen + prasterone (DHEA) for GSM
✔ Non-hormonal options
✔ GLP-1 weight medications (Saxenda, Wegovy, Zepbound)
⚠ Compounded HRT used only for allergy or inability to use FDA-approved therapy — the exception, not the default
✔ Prescriptions sent to your pharmacy of choice

Midi prescribing

✔ FDA-approved HRT in many forms: patches, pills, rings, creams, gels
✔ Non-hormonal options
✔ GLP-1 weight care
✔ Custom Rx line (compounded, out of pocket): testosterone cream, DHEA/estradiol cream, arousal cream, prescription skin/hair treatments

One line to never accept from anyone: that compounded hormones are "the same as" or "safer than" FDA-approved ones, or that they're "clinically proven." They aren't FDA-reviewed, full stop. If you want a compounded product, that's a valid choice — just go in with clear eyes.

Which is better for testosterone, libido, or low sex drive?

Midi offers compounded testosterone directly in 24 locations. MyMenopauseRx prescribes testosterone directly only in Illinois and otherwise coordinates with your local doctor. One fact applies to both: testosterone is a Schedule III controlled substance — a prescription and a real clinical evaluation are always required.

Important: there is no FDA-approved testosterone product specifically indicated for women in the United States. Any women's testosterone is either a compounded product or an off-label use of a drug approved for men. Midi is upfront that its testosterone is compounded therapy, prescribed under medical supervision — not an FDA-approved formulation.

Midi's testosterone program

Available in 24 listed locations (including Washington, DC): Arizona, California, Colorado, Delaware, Florida, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Nevada, New Jersey, New Mexico, New York, Ohio, Oregon, Pennsylvania, Texas, Utah, Virginia, Washington, and Washington, DC. The process is deliberately careful: two visits before a prescription in most cases. Your first visit reviews your history and orders labs; your second confirms whether testosterone is right and starts a low dose monitored with follow-up bloodwork. Midi doesn't do pellets (which can't be adjusted once placed), and not everyone who asks will qualify.

MyMenopauseRx's approach

Prescribes testosterone directly only to patients in Illinois, citing the strict DEA rules around controlled substances. Outside Illinois, it works with your local primary care provider to send the prescription, then manages your care and dosing. That's more steps — but if you'd rather keep the controlled-substance piece with your own doctor, this coordinated approach may suit you better.

Bottom line on testosterone: in one of Midi's 24 locations and want it handled in one place? Midi (compounded, monitored). Outside those, or set on coordinating through your own doctor? MyMenopauseRx's model fits better. Either way, expect labs, a real evaluation, and follow-up — that's a feature, not a hurdle.

Want testosterone handled directly where you live? See if Midi offers it in your state →

Do you need bloodwork before starting HRT?

Not always. MyMenopauseRx says that if you're 45 or older with perimenopause or menopause symptoms, hormone testing is not required before starting treatment. Midi orders labs and screening when they're needed to guide your care. Both will run bloodwork when your history or symptoms call for it — and testosterone always requires it.

MyMenopauseRx labs (Quest Diagnostics)

Self-order panels nationwide, through insurance when medically necessary, or at discounted self-pay rates (FSA/HSA accepted):

Thyroid Check — $49
Menopause Labs — $55
Wellness Basic — $65
Sex Drive Labs — $79
Hormone Check — $89
STD Panel — $99
Heart Health — $129

Self-ordered labs are non-refundable.

Midi labs (generally Labcorp)

Midi's clinicians order labs generally through Labcorp, which has drop-in sites almost everywhere, though they can order elsewhere if you prefer. Lab costs aren't bundled into the visit fee. Like MMRX, Midi requires bloodwork and monitoring for testosterone.

When labs actually matter — ask for them when:

Your symptoms could be thyroid, not menopause (they overlap a lot)
You have heart or metabolic risk factors that affect which hormone route is safest
You're starting testosterone (always) or another therapy that needs monitoring
You have abnormal bleeding — that needs a real medical workup, not a quick online refill

What happens after your first visit?

Both clinics build you a personalized care plan and keep working with you over time. MyMenopauseRx publishes a more specific follow-up rhythm: every 8–12 weeks until you're stable, then every 6 months. Midi's first visit is about 30 minutes, with shorter follow-ups as needed.

The MyMenopauseRx flow

Create an account and book a visit.
Fill out a detailed women's-health history (menopause has 30+ possible symptoms).
Meet your clinician over secure video (Zoom).
Get a care plan on your dashboard.
FDA-approved prescriptions go to your pharmacy, if recommended.
Follow up every 8–12 weeks, then every 6 months. A message visit may be available for simple dose tweaks; an annual video visit is required to keep prescriptions going.

The Midi flow

Book a visit and confirm coverage.
Meet your clinician over video.
Get a personalized care plan.
Receive prescriptions, labs, supplements, or lifestyle guidance as needed.
Check in through ongoing virtual care. Midi takes a card at registration and processes your visit fee after the appointment.

Which has better reviews — MyMenopauseRx or Midi?

Midi has far more outside evidence: about 4.0 out of 5 on Trustpilot from roughly 1,300 reviews, with billing as the top complaint. MyMenopauseRx has only three Trustpilot reviews, so there's simply too little to judge.

Review source (as of mid-2026)	MyMenopauseRx	Midi Health
Trustpilot score	2.9 / 5	~4.0 / 5
Number of reviews	3 (too few to judge)	~1,300
Five-star share	—	~75%
One-star share	—	~16% (mostly billing)

Midi — the honest read. Across about 1,300 reviews, roughly 75% are five-star and 16% are one-star, and the criticism is almost always billing. The praise is just as consistent — same-day appointments and finally being listened to after years of dismissal. Scores move, so check Midi's live Trustpilot page before you decide.

MyMenopauseRx — too small to grade. With only three third-party reviews, we won't pretend a score means much. The clinic does publish its own outcome stat — it says 94% of patients report symptom improvement — which is encouraging but self-reported, so weigh it as a company claim, not independent proof.

"All of my recent primary care providers dismissed my perimenopause symptoms. I felt hopeless until I learned about Midi. It was easy to schedule, and my clinician offered real options."— Paraphrased from a Trustpilot review of Midi Health

"The communication is great. They respond quickly and respectfully, answer all your questions without rushing, and truly listen."— Ann Marie, a MyMenopauseRx patient in Illinois, quoted in a 2025 company partnership announcement (material-connection context; individual experiences vary)

The honest drawback you should know before you book Midi

Midi's most common complaint is billing confusion, and we're not going to soft-pedal it. About 16% of Midi's Trustpilot reviews are one-star, concentrated on billing, and billing complaints also show up on its Better Business Bureau profile.

The complaints are about process, not whether the care helped. If billing predictability is your single biggest worry, MyMenopauseRx's flat $99 cash visit is genuinely simpler, and that's a fair reason to choose it. But if you want Midi's reach and range, you can mostly neutralize the risk in one phone call: confirm with your insurer that Midi is in-network and what the visit will cost, and treat the $250 as your worst case if a claim gets denied. Walking in with that number is the difference between a "surprise" and a known cost.

Want to remove the guesswork first? See if Midi is in-network for your insurance →

You're not charged at booking — Midi only verifies your card and processes the fee after your visit.

MyMenopauseRx vs Midi, by exactly who you are

You're paying cash.

Winner: MyMenopauseRx (if your state's covered).

$99 a visit versus $250 is the clearest gap on this whole page.

You have commercial PPO insurance.

Winner: compare both.

They're both PPO-friendly, but your real cost is your plan's copay and deductible — check each.

You live in California, New York, New Jersey, Massachusetts, or North Carolina.

Winner: Midi.

It's in all 50 states; that settles it between these two.

You want testosterone.

Winner: Midi in its 24 listed locations (compounded, monitored); MyMenopauseRx if you're in Illinois or want to coordinate through your own doctor.

Either way, expect labs, a real evaluation, and follow-up.

You want FDA-approved estradiol/progesterone at a regular pharmacy.

Winner: either.

Both center care on FDA-approved hormones.

You want weight care, sleep, bone, skin, or sexual-health help too.

Winner: Midi.

Its scope and Custom Rx line are broader; MMRX also covers weight and several midlife issues, but Midi is the fuller clinic.

You want a smaller, doctor-led, menopause-focused practice.

Winner: MyMenopauseRx.

Physician-heavy and built around menopause.

You have Medicaid or Medi-Cal.

Winner: neither.

Midi can't treat Medicaid patients at all, and MMRX doesn't accept it.

You're on Medicare.

Winner: neither bills Medicare.

Midi allows self-pay with no claims; budget accordingly or let the quiz route you.

→ Don't see a clean fit? Take the 60-second match and get a plan for your exact situation.

Edge cases that would otherwise send you back to Google

"I want custom-compounded estrogen or progesterone."

Neither clinic is a compounded-first hormone shop — both center systemic therapy on FDA-approved estradiol and progesterone. MyMenopauseRx will use compounded hormone therapy only if you have an allergy or can't use FDA-approved therapy, and Midi's compounded products are mostly its Custom Rx line (testosterone, DHEA/estradiol cream, arousal cream). If you specifically want fully custom-compounded systemic HRT, our quiz can point you to compounded-friendly clinics.

"What if I cancel or it's not a fit?"

MyMenopauseRx asks you to cancel at least 24 hours ahead to avoid a non-refundable $99 fee, and you can reschedule online if it's more than 3 days out. A no-show is also $99. Midi doesn't charge at booking — it verifies your card and processes the visit fee after the appointment. Either way, you're paying per visit, not signing a long contract.

"I'm on Medicare or Medicaid."

This is the most common reason neither clinic fits. MyMenopauseRx doesn't accept Medicare, Medicaid, or HMO plans. Midi can't treat Medicaid/Medi-Cal patients at all, and Medicare beneficiaries can only self-pay with no claims submitted. Don't book on hope.

"MyMenopauseRx doesn't cover my state — now what?"

Between these two, Midi is the state-availability answer for U.S. residents, because it lists all 50 states. The real edge cases are being outside the U.S., having Medicaid/Medi-Cal, navigating Medicare's cash-pay rule, or wanting fully custom-compounded care. If that's you, take the 60-second match and we'll route you — including to options we don't earn anything from when they're the better answer.

The bottom line: which should you use?

Choose Midi Health if you want the cleanest, lowest-friction default — care in all 50 states, the broadest range of midlife care, and the largest track record of the two. Choose MyMenopauseRx if you're paying cash in one of its 39 states (plus DC) or specifically want a smaller, doctor-led practice.

Choose Midi Health if…

You want the cleanest, lowest-friction default — care in all 50 states, the broadest range of midlife care, and the largest track record of the two. Just confirm your insurance up front so billing stays predictable.

Check Midi's availability and insurance →

Choose MyMenopauseRx if…

You're paying cash in one of its 39 states (plus DC) — that $99 visit is the cheapest entry point here — or you specifically want a smaller, doctor-led practice built around menopause.

See whether MyMenopauseRx covers your state →

Choose neither — and take our quiz — if…

You're on Medicaid (Midi can't treat you; MMRX doesn't accept it), on Medicare and don't want to pay cash, or want fully custom-compounded systemic HRT.

Take the 60-second matching quiz →

Both are legitimate clinics run by trained professionals, and the FDA's 2026 label change means there's never been a clearer moment to have the conversation. You've waited long enough to feel like yourself again. The only real mistake here is doing nothing.

Frequently asked questions

Is MyMenopauseRx cheaper than Midi Health?: For self-pay, yes. A MyMenopauseRx visit is $99, versus Midi's $250 first visit and $150 follow-ups. With insurance, both bill your plan and your cost depends on your deductible and copay; Midi says most insured patients pay around $50 a visit. Neither fee includes medications. Verified June 5, 2026.
What states is MyMenopauseRx in, and is Midi everywhere?: As of June 5, 2026, MyMenopauseRx lists 39 states plus Washington, DC; Midi Health lists all 50 states. The notable states MyMenopauseRx doesn't cover yet include California, New York, New Jersey, Massachusetts, and North Carolina. Confirm your state on each provider's site before booking.
Do MyMenopauseRx and Midi take insurance, Medicare, and Medicaid?: Both are in-network with major PPO plans (Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Humana, Tricare). MyMenopauseRx does not accept Medicare, Medicaid, or HMO plans. Midi cannot treat Medicaid or Medi-Cal patients even as self-pay, and Medicare beneficiaries can only self-pay with no claims submitted. Verify your specific plan. Verified June 5, 2026.
Are MyMenopauseRx and Midi clinicians real menopause specialists?: Both use trained, licensed clinicians who follow Menopause Society and ACOG guidelines. MyMenopauseRx is a menopause-focused practice founded by an MSCP-certified OB/GYN, with several MSCP-certified clinicians and others who are members of The Menopause Society. Midi's nationwide network is mostly board-certified nurse practitioners and nurse-midwives, all menopause-trained. Verified June 5, 2026.
Does MyMenopauseRx or Midi prescribe testosterone for women?: Testosterone is a Schedule III controlled substance and always requires a prescription and a clinical evaluation. There is no FDA-approved testosterone product indicated for women in the U.S. Midi offers compounded testosterone in 24 listed locations; MyMenopauseRx prescribes it directly only in Illinois and otherwise coordinates with your local primary care provider. Verified June 5, 2026.
Do either of them offer compounded hormones?: Both center systemic estrogen and progesterone on FDA-approved options. MyMenopauseRx uses compounded hormone therapy only when someone has an allergy or cannot use FDA-approved therapy. Midi offers a separate Custom Rx line of compounded products, including testosterone, a DHEA/estradiol cream, and an arousal cream, paid out of pocket. Compounded drugs are not FDA-approved and are not checked by the FDA for safety, quality, or effectiveness before sale. Verified June 5, 2026.
Do you need bloodwork before starting HRT?: Not always. MyMenopauseRx says hormone testing is not required before starting for women 45 or older with menopause symptoms; Midi orders labs and screening when needed. Both require bloodwork and monitoring for testosterone. Verified June 5, 2026.
Which should I choose for the simplest, lowest-cost start?: If your state is covered and you're paying cash, MyMenopauseRx ($99) is the simplest, cheapest start. If you want broad care, nationwide access, or you'll use insurance, Midi (all 50 states) is the cleanest default — just confirm your insurance before the visit to avoid billing surprises.

Still not sure which HRT program is right for you?

Take our free 60-second matching quiz — it asks about your state, payment method, and priorities, then shows you the clinic that fits — including options we don't earn anything from when they're your best match.

→ Take the free 60-second matching quiz

What we actually verified

The HRT Index is an independent comparison resource for HRT telehealth providers. Here's exactly what we checked on June 5, 2026.

Commercial facts confirmed on each provider's own pages:

MyMenopauseRx: $99 cash visit, 39-states-plus-DC list, insurance carriers, no Medicare/Medicaid/HMO, Quest lab prices ($49–$129), Illinois-only testosterone rule, compounded-hormone exception, ~30-minute visits, 8–12-week then 6-month cadence, $99 cancellation fee
Midi: all-50-state coverage, $250 first / $150 follow-up pricing (~$50 avg with insurance), board-certified clinician network, generally-Labcorp labs, broad scope, Custom Rx compounded line, explicit Medicaid/Medi-Cal and Medicare rules

Medical and regulatory facts — sourced to primary authorities:

FDA's February 12, 2026 label changes for the first six menopausal hormone therapy products: what was removed (cardiovascular, breast cancer, dementia warnings) and what was kept (endometrial-cancer warning for estrogen-only systemic products)
The Menopause Society's position: systemic estrogen still carries real risks for some women
Testosterone is a Schedule III controlled substance; there is no FDA-approved testosterone product indicated for women in the U.S.
Compounded drugs are not FDA-approved and are not checked by the FDA for safety, quality, or effectiveness before sale

What changes often:

State lists and review scores move. Midi's Trustpilot score (~4.0 from ~1,300 reviews) and MyMenopauseRx's tiny footprint (2.9 from 3 reviews) were accurate as of mid-2026. We re-check prices, states, and review scores monthly and the regulatory note quarterly.

Sources & verification

Verified June 5, 2026. Commercial details change often — confirm current pricing, state availability, and your specific insurance on each provider's own site before booking.

MyMenopauseRx — home page ($99 visit, 39 states + DC, care scope, 94% symptom improvement) — mymenopauserx.com — Accessed June 5, 2026.
MyMenopauseRx — FAQ (insurance, Medicare/Medicaid/HMO policy, visits, testosterone in IL, cancellation, deductible mechanics) — mymenopauserx.com/faq — Accessed June 5, 2026.
MyMenopauseRx — Prescription Refill Guide (Barbra Hanna, DO, FACOG, MSCP; May 28, 2026): FDA-approved-first hormones; compounded HRT for allergy/inability to use FDA-approved MHT — mymenopauserx.com/learn/article/your-prescription-refill-guide — Accessed June 5, 2026.
MyMenopauseRx — Labs: self-order Quest panels and prices ($49–$129) — mymenopauserx.com/labs — Accessed June 5, 2026.
MyMenopauseRx — Our Story / clinicians: Dr. Barbra Hanna (DO, FACOG, MSCP); clinician roster; Wheaton, IL; LegitScript — mymenopauserx.com/about — Accessed June 5, 2026.
Midi Health — official site (all 50 states; FDA-approved HRT; GLP-1; broad midlife scope) — joinmidi.com — Accessed June 5, 2026.
Midi Health — Pricing & Insurance ($250 first / $150 follow-up; PPO networks; Medicaid/Medi-Cal cannot be treated even self-pay; Medicare self-pay only with no claims; billing after the visit) — joinmidi.com/pricing-insurance — Accessed June 5, 2026.
Midi Health — Testosterone for women (compounded; 24 locations; two-visit/lab process; no FDA-approved women's testosterone formulation; not everyone qualifies) — joinmidi.com/testosterone — Accessed June 5, 2026.
Midi Health — Custom Rx store (compounded products: testosterone cream, DHEA/estradiol cream, arousal cream, skin/hair treatments; paid out of pocket) — joinmidi.com/store — Accessed June 5, 2026.
Midi Health — Clinicians: board-certified NPs, CNMs, MDs, and NDs; generally Labcorp labs; ACOG/Menopause Society protocols — joinmidi.com/meet-our-clinicians — Accessed June 5, 2026.
Midi Health — Trustpilot (~4.0/5 from ~1,300 reviews; ~75% five-star, ~16% one-star; billing the leading complaint) as of mid-2026 — trustpilot.com/review/joinmidi.com — Accessed June 5, 2026.
MyMenopauseRx — Trustpilot (2.9/5 from 3 reviews; too small a sample to judge) as of mid-2026 — trustpilot.com/review/mymenopauserx.com — Accessed June 5, 2026.
Dr. Jen Gunter, 'Midi Health is Valued at $1 Billion,' The Vajenda (Feb 2026): billing and visit-length criticism; BBB billing complaints — vajenda.substack.com — Accessed June 5, 2026.
Dealroom — Midi Health reportedly reached ~$1B valuation with $100M Series D (February 2026) — app.dealroom.co — Accessed June 5, 2026.
FDA — FDA Approves Labeling Changes to Menopausal Hormone Therapy Products (Feb 12, 2026): first six products; boxed-warning language removed; certain warnings retained — fda.gov — Accessed June 5, 2026.
The Menopause Society — statement on the FDA hormone therapy announcement (Nov 2025) — menopause.org/press-releases — Accessed June 5, 2026.
FDA — Compounding and the FDA: Questions and Answers (compounded drugs are not FDA-approved; FDA does not verify safety, effectiveness, or quality before marketing) — fda.gov/drugs/human-drug-compounding — Accessed June 5, 2026.
DEA — Drug Scheduling (testosterone is a Schedule III controlled substance) — dea.gov/drug-information/drug-scheduling — Accessed June 5, 2026.
Duchesnay USA & MyMenopauseRx partnership (May 13, 2025): 26-states milestone — prnewswire.com — Accessed June 5, 2026.

Affiliate disclosure: The HRT Index may earn a commission when you start care with Midi Health through links on this page. We have no affiliate relationship with MyMenopauseRx — we earn nothing if you choose them. Medical disclaimer: This page is general information, not medical advice, diagnosis, or treatment. Hormone therapy decisions should be made with a licensed clinician who knows your history. Testosterone is a Schedule III controlled substance and requires a prescription.

Last verified: June 5, 2026.