Online HRT With the Same Clinician Every Visit
If you've ever explained your whole menopause story to a telehealth doctor — the night sweats, the brain fog, the three things you already tried — and then logged in for your next visit to find a total stranger who clearly hadn't read a word of it, this page is for you.
The most practical pick for most women is Midi Health: it takes insurance, works in all 50 states, and books every follow-up with the same clinician you saw last time. Want to handpick one clinician and see only her from day one? MyMenopauseRx does that (insurance or a $99 cash visit, but in fewer states). Want to choose your own provider and pay cash? Sesame. Want the lowest starting price with an assigned doctor you can message? Winona. Need FDA-approved hormones with insurance in all 50 states? Midi is still the answer. We cover all six picks below, including two — MyMenopauseRx and Sesame — that we earn nothing from.
As of May 2026, The HRT Index does not have active affiliate partnerships with the providers on this page. Provider links are non-affiliate editorial links pointing directly to provider websites. If affiliate relationships are added later, affected links and this disclosure will be updated. Full affiliate disclosure · methodology.
Quick note on words:“HRT” means hormone replacement therapy — estrogen, plus progesterone if you still have a uterus and use systemic estrogen, to ease menopause symptoms like hot flashes, sleep trouble, and vaginal dryness. A “clinician” can be a physician (MD/DO), a nurse practitioner (NP), or a physician assistant (PA). Most online menopause care is delivered by NPs and physicians working as a team.
Which online HRT providers offer the same clinician every visit?
The short version:Midi keeps you with the same clinician for every follow-up automatically and takes insurance nationwide. MyMenopauseRx lets you choose one clinician and stay with her for every visit, in fewer states. Sesame and Winona offer continuity in different ways — provider-choice on video (Sesame) or your assigned doctor by message (Winona). Hers and Inner Balance are built for convenience, not same-clinician care.
| Provider | Same clinician? | How visits work | Pays with | Hormone type | Starts around | States | Best for |
|---|---|---|---|---|---|---|---|
| Midi Health | Yes — every follow-up, automatically (you don’t pick your first one) | Live video (30-min first, 15-min follow-ups) | PPO insurance or self-pay | FDA-approved | PPO copay, or $250 first / $150 follow-up self-pay | All 50 | Most women who want continuity + insurance |
| MyMenopauseRx | Yes — you choose her, every visit | Live Zoom video (~20 min face-to-face) | PPO insurance or $99 cash | FDA-approved (estradiol, progesterone) | $99 cash visit, or insurance copay | Growing list, not all 50 | Picking one clinician from day one |
| Sesame | Your choice — pick a provider, re-book if available | Live video + messaging | Cash only (HSA/FSA ok) | Provider’s call | From $59/mo; meds extra | Varies by location | Cash-pay, wants to choose the provider |
| Winona | Your assigned doctor by message — no video visits | Online intake + secure messaging | Cash (HSA/FSA ok) | FDA-approved patch/tablets/capsules + compounded creams | From ~$39/mo by product | Most states, not all 50 | Lowest starting price, fine with messaging |
| Hers | No same-clinician promise | Online intake + messaging | Cash (no insurance needed) | FDA-approved forms | Patch kits from ~$134/mo | Not all states | Quick, lower-cost care |
| Inner Balance (Oestra) | No — care team, no-visit | No appointment; messaging | Cash (HSA/FSA ok) | Compounded cream | ~$199/mo, then ~$99.50/mo | All 50 + DC | No-visit convenience, one cream |
Prices and state counts move. Verified June 2, 2026 from each provider's own pages and recent dated reviews; confirm at checkout before you pay.
What does “same clinician every visit” actually mean online?
Online HRT companies use “ongoing care” and “your clinician” loosely, and they don't all mean the same thing. There are really four levels of continuity, and only the top two get you the same actual human at your next visit.
- Same clinician. You see the same named person for follow-ups. (Midi does this for follow-ups; MyMenopauseRx lets you pick her and keep her for every visit.)
- Same provider, your choice.You can choose a provider and try to re-book that same one — but it's on you to do it, and her calendar has to have room. (Sesame.)
- Same care team. A group can see your chart and answer you, but not necessarily the same individual each time. (Common with messaging-first services.)
- Ongoing messaging only.You can send questions and get support, but there's no promise of the same person, and sometimes no live visit at all. (Winona assigns you a doctor you message; Hers and Inner Balance lean toward team and check-in support.)
When a page says “personalized care” or “unlimited support,” that's usually level 3 or 4. We only give a provider full same-clinician credit when it publicly explains howthe continuity works — a named clinician, a re-booking step, something you can verify. Vibes don't count.
The one honest drawback, up front
Midi does NOT let you handpick your specific clinician for your very first visit. You're matched with an available menopause-trained clinician. But after that first visit, your follow-ups are automatically scheduled with the same clinician, unless you ask to switch or she refers you to a specialist. If choosing your exact clinician from day one is non-negotiable, MyMenopauseRx and Sesame let you do that.
The fear that brought you to this page isn't “I can't pick my doctor.” It's “I don't want to re-explain everything next time.” On that, Midi delivers.
Why does seeing the same clinician even matter for HRT?
HRT is rarely a one-and-done prescription. Your dose, hormone type, and delivery method often get adjusted over the first few months, and a clinician who already knows your history can make those changes faster and with more context.
Think about what actually happens after you start. The estrogen patch might need to go up a notch. Maybe the pill upsets your stomach and you switch to a patch or cream. Maybe you add or adjust progesterone — the hormone that protects the lining of your uterus if you still have one. Maybe a side effect shows up at week three and you need someone to tell you whether it's normal. Every one of those conversations is easier when the person on the other end remembers your last one.
ACOG tells patients directly to talk to their clinician if side effects bother them, because “you can discuss adjusting your dosage.” ACOG and The Menopause Society both recommend that the dose and length of treatment be tailored to you through shared decision-making. That's a relationship, not a transaction.
Real-world evidence supports continuity in medicine generally. A 2018 systematic review in BMJ Openfound that greater continuity with the same doctor was linked to lower death rates across most of the studies it examined. Important caveat: that's about ongoing relationships with doctors broadly. It does notprove any specific online service improves your health. We're naming it so you can see the principle; the specific claims belong to a clinician, not a comparison site.
February 12, 2026 — FDA approved labeling changes to the first six menopausal hormone therapy products, removing the “boxed warning” language about heart disease, breast cancer, and dementia for most women. One warning was kept: the uterine (endometrial) cancer warning for estrogen-only products remains. This matters whether you use FDA-approved or compounded hormones.
Is Midi Health the best online HRT option for the same clinician?
For most women, yes.Midi is the strongest practical pick for same-clinician continuity: your follow-up visits are automatically booked with the clinician you already saw, it's in-network with most PPO plans, and it operates in all 50 states. It is the best fit if you want a real follow-up relationship and want to use insurance.
Why Midi wins this page for the average reader:
- Follow-ups stick to your clinician — automatically. No emailing support, no hoping. The scheduler shows “Follow-Up Visit with [Clinician Name]” and only her times. The exceptions are clear: you can switch if you want, or she may send you to a Midi specialist for something specific.
- Real video visits.A 30-minute first visit, 15-minute follow-ups, face-to-face — not just a form.
- Insurance, in all 50 states.Midi is in-network with most PPO plans and available nationwide. That's rare in this space.
- FDA-approved hormones, menopause-trained clinicians. Midi prescribes FDA-approved (bioidentical) estrogen and progesterone, and its team focuses on midlife women's health, with many holding Menopause Society certification.
- Labs if you need them.Your clinician can order blood work or imaging when it's clinically useful — not as a hoop.
Who Midi is best for
- You want to keep the same clinician for every follow-up without managing it yourself.
- You'd rather have live video visits than only message back and forth.
- You have a commercial PPO plan and want to use it.
- You want FDA-approved hormone options prescribed by a clinician.
Who Midi is not for
- You insist on choosing your exact clinician for visit one (→ MyMenopauseRx or Sesame).
- You need Medicaid or Medicare billed. Midi does not treat Medicaid or Medi-Cal patients, and it does not bill Medicare — Medicare patients can self-pay but can't submit claims.
- You want the lowest possible cash price (→ Winona).
What it costs:if you're insured with a PPO, you pay your normal copay or deductible. Self-pay runs $250 for the initial visit and $150 for each continued-care visit. Medication is separate and often covered by insurance. See our HRT cost guide for the full math.
More than 230,000 women use Midi for midlife care. One patient summed up the experience: “Midi was incredibly easy. I signed up and had a visit the next day.” — Katherine G., via joinmidi.com. Individual experience, not a guarantee of results.
Is Sesame a good choice if I want to pick my own HRT provider?
Answer:Sesame is the best cash-pay option if you want control over who you see. It works like a marketplace — you choose a specific provider, book a video visit, and can try to re-book that same provider for follow-ups. The trade-offs: there's no public promise that every future visit will be the same clinician, it doesn't bill insurance, and medication isn't included in the visit price.
Sesame is built for people without insurance or with high-deductible plans who'd rather pay a clear cash price. Because you pick the clinician yourself, you can build real continuity — you just have to re-book the same person, and her schedule has to cooperate. Confirm that's possible before you commit.
Who Sesame is best for
- You're paying cash and want a predictable price.
- You want to choose your provider, not be assigned one.
- You like the idea of video visits plus messaging.
Who Sesame is not for
- You want a written, automatic same-clinician guarantee (→ Midi for follow-ups, MyMenopauseRx to choose).
- You need insurance billed through the platform.
- You want medication bundled into one price — Sesame's plan doesn't include the cost of the drugs.
What it costs:Sesame's menopause plan starts around $59/month (cash), with medication billed separately. Availability varies by provider and location.
Which provider has the clearest “choose the same clinician” promise?
Answer: MyMenopauseRx.Its FAQ states plainly that you can schedule with the same provider each visit, and that the practice is “built to foster lasting doctor/patient relationships.” It takes PPO insurance or offers a $99 cash visit, with live Zoom video and Menopause Society–certified clinicians — but it's available in fewer states than the national players.
We're naming MyMenopauseRx even though we earn nothing from it. That's the point. This page is about continuity first, and if the single clearest “keep your clinician” promise comes from a company we don't have a relationship with, hiding that would make this guide worse — and you'd be right not to trust us.
In its own words: “Can I schedule with the same provider each visit? Yes. Our online doctor's office is built to foster lasting doctor/patient relationships.” (MyMenopauseRx FAQ.) Visits are live Zoom with about 20 minutes of face-to-face time with a board-certified, Menopause Society–certified specialist. It prescribes FDA-approved estradiol and progesterone and is in-network with Aetna, Humana, Cigna, Blue Cross Blue Shield, Tricare, UnitedHealthcare, and Sana, or available as a $99 self-pay visit.
The honest limits: MyMenopauseRx is in a growing list of states (not all 50)— check yours in the booking flow. It does not accept Medicare, Medicaid, or HMO plans. And because it practices like a real doctor's office, a refill means booking a visit. Cancel or no-show within 24 hours and there's a $99 fee.
Because MyMenopauseRx isn't a partner, we won't push you with a hard sell. If picking and keeping one specific clinician matters most to you, it's worth a look — visit mymenopauserx.com. If it doesn't serve your state, the matching quiz can route you to the closest fit.
What about Winona for ongoing HRT — and the trade-offs?
Answer: Winona is a strong, low-cost option for shipped HRT with an assigned doctor you can message any time, free unlimited follow-ups, and no membership fee. Two things to know before you choose it.
Where Winona is genuinely strong: it's one of the lowest startingprices in this comparison — progesterone starts around $39/month, estrogen tablets around $54, the popular estrogen-plus-progesterone combo cream around $89, and the estrogen patch around $149. There's no membership fee, you can pause or cancel anytime, follow-ups and 24/7 doctor messaging are included, and it's HSA/FSA eligible. It holds about 4.7 out of 5 across 5,000+ Trustpilot reviews.
Trade-off 1 — no video
Winona's care happens through online intake and a secure messaging portal; it doesn't offer video appointments. You get an assigned doctor you can message — which is real continuity — but if you pictured seeing a face on a screen, Winona isn't that. If face-to-face matters, Midi or MyMenopauseRx are better, and Sesame lets you pick your own.
Trade-off 2 — some products are compounded, not FDA-approved
Per Winona's own site, its estrogen patches, estrogen tablets, and progesterone capsules are FDA-approved. But its estrogen and progesterone body creams are compounded — mixed to your prescription in Winona's own pharmacy — and compounded products are not FDA-approved as finished medicines (Winona notes the creams use FDA-approved ingredients). Winona also offers DHEA and does not prescribe testosterone. If you specifically want only FDA-approved medicine, stick to Winona's FDA-approved forms, or lean toward Midi or MyMenopauseRx.
Also worth knowing: Winona serves most states but not all 50, so check yours.
What about Hers and Inner Balance for online menopause care?
Answer:Hers and Inner Balance are convenience-first options, not same-clinician services. Hers offers FDA-approved medication forms with provider messaging and check-ins, but no verified same-clinician promise. Inner Balance prescribes a compounded hormone cream (Oestra) with a no-appointment model and care-team support. Both can fit the right person — just not the reader whose top priority is keeping one clinician.
Hers
Hers brings online menopause care with a licensed-provider review, ongoing messaging, and regular check-ins, and it offers FDA-approved medication forms like estradiol pills and patches and progesterone. Reuters reported Hers patch kits starting around $134/month, depending on plan (Reuters, April 2026). It doesn't require insurance and isn't available in all states. One medical note: HRT is FDA-approved for menopausal symptoms, and using it during perimenopauseis common but considered off-label — a normal clinical decision your provider makes, not a red flag. What we couldn't verify is a same-clinician guarantee; Hers' public pages describe ongoing support, not a named, consistent provider. If you want quick, lower-cost care and don't mind who you see, Hers is reasonable. If continuity is the point, it isn't the winner.
Inner Balance (Oestra)
Inner Balance offers Oestra, a compounded vaginal cream combining estradiol and progesterone, on a no-visit model — you complete a quiz, a clinician reviews it, and the cream ships, with ongoing messaging and check-ins from a care team. Pricing runs around $199/month for the first six months, then about $99.50/month, not covered by insurance but HSA/FSA eligible, and available in all 50 states plus DC. The key distinction: Oestra's active ingredients are FDA-approved ingredients, but the compounded finished product itself has not been evaluated or approved by the FDA. It's a simple, one-product path for someone who wants convenience and is comfortable with compounded therapy and a care-team (not same-clinician) model.
Can online HRT use FDA-approved hormones, compounded hormones, or both?
It can be either or both, depending on the provider and your treatment plan. FDA-approved hormones — like estradiol patches, estradiol pills, vaginal estrogen, and progesterone capsules — are tested and approved as finished products. Compounded hormones are mixed by a pharmacy to a prescription and are not FDA-approved. The FDA and ACOG both caution that compounded “bioidentical” hormone therapy should not be assumed safer or more effective than FDA-approved options.
| Provider | FDA-approved finished products? | Compounded finished products? | Plain-English note |
|---|---|---|---|
| Midi | ✅ Yes | Not the main focus | Verify your exact medication at your visit |
| MyMenopauseRx | ✅ Yes (estradiol, progesterone) | Not the main focus | FDA-approved hormones |
| Sesame | ✅ Yes, provider-dependent | Possible, provider-dependent | Your provider decides what fits |
| Winona | ✅ Yes (patch, tablets, progesterone capsules) | ⚠️ Yes (body creams) | Creams aren’t FDA-approved; ingredients are |
| Hers | ✅ Yes (estradiol, progesterone) | Not primary | Not all states; perimenopause use often off-label |
| Inner Balance (Oestra) | ❌ No (finished product not FDA-approved) | ⚠️ Yes (cream) | Ingredients FDA-approved; finished product is not |
A quick word on testosterone: There is no FDA-approved testosterone product made for menopausal symptoms in women — when it's used, it's prescribed off-label at a clinician's discretion. Testosterone is also a Schedule III controlled substance in the U.S., requiring a prescription and tightly regulated. Any service that treats it casually should be a red flag. Most menopause HRT is estrogen and progesterone; testosterone for women is a selective, off-label conversation for your clinician.
See our full guide: Best compounded HRT providers online (2026).
How much does online HRT with same-clinician care cost?
Costs depend on whether the provider bills insurance, charges a subscription, includes medication, and orders labs. Insurance-based care (Midi, MyMenopauseRx) can be just a copay if you're covered, with a self-pay backup. Cash-pay services run roughly $39 to $199 a month. The cheapest option and the best continuity aren't always the same provider — don't sort by price alone.
| Provider | What you'll pay | What can cost extra | How we know |
|---|---|---|---|
| Midi | PPO copay/deductible if insured; $250 first / $150 follow-up self-pay | Medication, labs (often covered by insurance) | Midi’s pricing page |
| MyMenopauseRx | Insurance copay, or $99 cash visit | Medication, labs, follow-up visits | MyMenopauseRx FAQ |
| Sesame | From $59/mo (cash) | Medication not included, some labs | Provider page + listing |
| Winona | From ~$39/mo by product (cash) | Your exact medication mix | Pricing review, March 2026 |
| Hers | Patch kits from ~$134/mo | Exact plan, availability | Reuters, April 2026 |
| Inner Balance (Oestra) | ~$199/mo for 6 months, then ~$99.50/mo | Not insurance-covered | ConsumerAffairs |
Confirm live pricing at checkout — these move, and your insurance changes the math.
If you have a PPO plan, Midi or MyMenopauseRx may cost you only a copay andgive you the strongest continuity — often the best value even if the sticker looks higher than a $39 cash product. If you're paying cash and want to choose your provider, Sesame's plan is competitive. If you want the lowest monthly number for shipped HRT and you're fine with messaging-only care, Winona's starting prices are hard to beat.
Will I need labs, a video visit, or an in-person exam?
It depends on your symptoms, history, state rules, and your clinician's judgment. Many menopause HRT cases can start from a detailed symptom history without mandatory blood tests, but a clinician may order labs when they'll change your care.
On visits: Midi and MyMenopauseRx use live video; Sesame offers video as needed plus messaging; Winona and Inner Balance run on intake and messaging without video. On labs: they're not always required for menopause HRT — MyMenopauseRx says hormone testing isn't required to start if you're 45 or older with symptoms — but your clinician can order blood work or imaging when it's useful.
When you should seek in-person care instead of (or before) online HRT:
- New or unexplained vaginal bleeding.
- Chest pain, sudden shortness of breath, or sudden weakness or numbness — call 911; that's an emergency.
- A history of blood clots, stroke, or certain hormone-sensitive cancers.
- Pregnancy or breastfeeding.
- A situation where you need a physical exam, or your clinician says telehealth isn't appropriate.
What happens if my clinician leaves, or I want to switch or cancel?
Ask about this before you pay, because it's the part nobody plans for. The good news: every provider here lets you change clinicians or cancel, and most run month-to-month.
- Winona is month-to-month with pause-or-cancel-anytime, so leaving is simple.
- Midilets you switch clinicians whenever you want and bills per visit, so there's no subscription to unwind.
- MyMenopauseRxworks like a doctor's office — you can rebook with a different specialist, but canceling or no-showing a visit within 24 hours carries a $99 fee.
- Sesame is pay-per-visit, so you simply book whoever you want next time.
If your clinician leaves a platform, a good one will move your history to a new clinician and keep your refills on track — so ask exactly how they handle that before you sign up.
Who should not choose an online-only HRT provider?
Online HRT may not be the right first step for people with complex medical histories, urgent symptoms, unexplained bleeding, or anyone whose clinician recommends an in-person exam. If that's you, the better move is to see an OB-GYN, primary care clinician, endocrinologist, or a Menopause Society Certified Practitioner in person.
Losing you to the right kind of care is fine by us; sending you to the wrong kind isn't.
What should I ask before booking online HRT if I want the same clinician?
Ask directly whether follow-ups are with the same named clinician, whether you can choose or re-book that clinician, what happens if she becomes unavailable, and whether insurance or state rules could force a change. Ask before you enter payment information — a confident, specific answer is a good sign; a vague one isn't.
Copy and paste this when you contact a provider:
“I'm choosing online HRT partly because I want continuity. After my first visit, can I keep seeing the same clinician for follow-ups? If it's not automatic, can I choose or re-book the same provider? And what happens if my clinician is unavailable, leaves, or no longer takes my insurance?”
✅ Five answers that are green flags
- “Follow-ups are automatically booked with your clinician.”
- “You can choose or re-book the same provider.”
- “Here are the specific exceptions, and why.”
- “Your clinician can see your full history and past notes.”
- “Here's exactly what happens if your provider changes.”
❌ Five answers that are red flags
- “Any provider can handle it” — with no explanation.
- “Don't worry about that.”
- No named clinician before you pay.
- No clear follow-up process.
- No difference explained between your clinician, a care team, and customer support.
How we verified this
We don't ask you to take our word for it. Here's exactly what we checked for this guide, and what we couldn't confirm without going through checkout ourselves.
✅ Verified in June 2026, from each provider's own pages and recent dated reviews:
- Each provider's same-clinician or same-provider language, and the mechanismbehind it — Midi's automatic follow-up booking, MyMenopauseRx's “choose the same clinician” FAQ, Sesame's choose-your-provider model, and Winona's assigned-doctor, messaging-only model.
- Whether each offers live video, messaging, or no-visit care.
- Insurance vs. cash-pay, payer exclusions, and published starting prices.
- FDA-approved vs. compounded status, drawn from each provider's own pages, the FDA, and ACOG.
- The February 2026 FDA labeling change, confirmed against the FDA's and HHS's own announcements.
What we could not fully verify without signing up: your exact personalized price after insurance; final medication costs after a clinician's evaluation; the current exact state count for MyMenopauseRx and Winona; same-clinician availability on a specific future date in a specific state.
Why we include a provider we don't earn from: MyMenopauseRx isn't one of our partners, but it has the clearest same-clinician promise we found, so it's here. Strip every link out and it should still be the most useful page on this topic — that's the bar we hold it to. More on our process in our methodology.
Frequently asked questions
Can I get online HRT with the same clinician every visit?
Yes — some online HRT providers support same-clinician care, but the strength of the promise varies. Midi automatically books your follow-ups with the same clinician after your first visit, and MyMenopauseRx lets you choose one clinician and keep her for every visit. Sesame lets you pick and try to re-book a provider, while Winona, Hers, and Inner Balance offer ongoing support without a verified same-clinician guarantee.
Does Midi use the same clinician for follow-ups?
Yes. Midi’s help center states that follow-up visits after your first appointment are automatically scheduled with the same clinician, shown in your scheduler as a “Follow-Up Visit with [Clinician Name],” unless you request a change or she refers you to a specialist. You don’t choose your first clinician, but you keep her for follow-ups.
Does Sesame let you choose your HRT provider?
Yes. Sesame works like a marketplace, so you choose your own provider, book video visits, and use messaging. That’s strong provider choice, but it isn’t a written guarantee that every future visit will be with the same person — you re-book the provider yourself, subject to availability.
Does Winona guarantee the same doctor every visit?
Winona assigns you a doctor you can message 24/7, includes free unlimited follow-ups, and provides ongoing care — but it does not advertise a same-clinician-every-visit guarantee, and it has no video visits. Its patch, tablets, and progesterone capsules are FDA-approved, while its body creams are compounded and not FDA-approved.
Is online HRT covered by insurance?
Sometimes. Midi is in-network with most PPO plans, and MyMenopauseRx is in-network with several major PPO plans; neither bills Medicare, Medicaid, or HMO plans. Sesame, Winona, and Inner Balance are cash-pay, though they’re usually HSA/FSA eligible.
Is online HRT safe?
Online HRT can be appropriate for many women when prescribed and monitored by a licensed clinician, but it isn’t right for everyone. Whether it’s safe for you depends on your symptoms, medical history, contraindications, and the type of hormone — which is why a clinician’s evaluation matters. It’s not a substitute for emergency or in-person care when those are needed.
Is compounded HRT FDA-approved?
No. Compounded hormone products are not FDA-approved, and the FDA has said it doesn’t have evidence that compounded “bioidentical” hormones are safer or more effective than FDA-approved hormone therapy. ACOG also advises against routinely prescribing compounded bioidentical hormone therapy when FDA-approved options exist.
Do I need labs for online HRT?
Sometimes. Many menopause HRT cases can start from a detailed symptom history, but a clinician may order blood work or imaging when it will change your care. Lab availability through a provider doesn’t mean every lab is free.
What happens if my online HRT clinician leaves?
Ask the provider before you book. A good platform will explain whether you can choose a replacement, whether the new clinician sees your full history, and whether your refills or follow-ups will be interrupted. Insurance and state-licensure changes can also affect who you can see.
So which online HRT provider should you choose?
- Same clinician + insurance, the easy way → Midi. Check your coverage and state.
- Pick one clinician and keep her for every visit → MyMenopauseRx (if it's in your state).
- Cash-pay and want to choose your provider → Sesame.
- Lowest starting price, fine with messaging → Winona (FDA-approved forms plus compounded creams; no video).
- Convenience over continuity → Hers (FDA-approved forms) or Inner Balance (no-visit compounded cream).
- Still deciding →take the quiz; it'll point you to the right one based on your insurance, state, and how much continuity you want.
You want the symptoms handled, and you want it to feel like real care — not an assembly line. That's a reasonable thing to want, and the good news is it exists. Pick the path that fits your situation, ask the one question that proves they'll keep you with your clinician, and get started.
Related guides
- Best Online HRT Providers for Menopause (all types)
- Best Compounded HRT Providers Online (2026)
- Online HRT Providers That Accept Insurance
- Best Online HRT Providers for Women Over 60
- Midi vs Alloy vs Winona vs Evernow
- HRT Cost Guide 2026
- HRT Benefits, Risks, and FDA-Approved vs. Compounded
- How We Rank Providers
Sources
- Midi Health — How it works, pricing, insurance, and same-clinician follow-up help center article: joinmidi.com/hrt; joinmidi.zendesk.com
- MyMenopauseRx — FAQ on same-provider scheduling, pricing, insurance: mymenopauserx.com/faq
- Sesame — Menopause service page: sesamecare.com
- Winona — HRT and compounded vs. FDA-approved FAQ: bywinona.com; ClearMetabolic review, March 2026.
- Hers — Menopause care page: forhers.com/menopause; Reuters, April 2026.
- Inner Balance — Oestra product and ConsumerAffairs review: innerbalance.com
- ACOG — Hormone therapy for menopause FAQ; Compounded Bioidentical Menopausal Hormone Therapy (2023): acog.org
- FDA — Labeling changes for menopausal hormone therapies (February 12, 2026); Women's health topics on compounding: fda.gov
- The Menopause Society — FDA hormone therapy announcement comment.
- Pereira Gray DJ et al. — “Continuity of care with doctors: a matter of life and death?” BMJ Open 2018; 8(6):e021161. bmjopen.bmj.com
- DEA — Drug Scheduling (testosterone as Schedule III): dea.gov
The HRT Index is an independent comparison resource for HRT telehealth providers. This guide is for comparison and education. It is not medical advice and was not medically reviewed. HRT decisions should be made with a licensed clinician who can evaluate your symptoms, history, and risks. If you're having a medical emergency, call 911. Provider links are currently editorial, non-affiliate links; if we add affiliate relationships, affected links will be labeled above the fold before publication. Found something out of date? Let us know.