Push Health HRT Cost: What You’ll Actually Pay in 2026
By The HRT Index Editorial Team · Last verified: · Editorial research — not medical advice, and not medically reviewed by a clinician. · Some links on this page are affiliate links; The HRT Index may earn a commission at no extra cost to you. The HRT Index does not earn a commission from Push Health — Push Health links here are unpaid. See our affiliate disclosure.
Push Health HRT cost isn’t one flat number — and most of the prices you’ll find online aren’t the ones you’ll actually pay.
Push Health doesn’t publish a single HRT price. It’s a telehealth service that matches your request with a licensed U.S. provider, and the fee is shown to you before you pay. The clearest figure Push has ever put in writing — $64.99 to $80 for an initial consultation — comes from a support page last updated in March 2022, so treat it as a ballpark, not a quote. Your medication is paid separately at your own pharmacy, and Push Health doesn’t prescribe testosterone.
So why does one page say “$60 a month,” another says “$64.99,” and a third says something else? Because they’re quoting different things — and one of them isn’t even a patient price. We’ll show you exactly which number is which, what the pieces add up to, and the one honest catch you should know beforeyou enter your card. Stick with the cost table and the estimator below and you’ll walk away with your own number.
Push Health may fit you if:
- You'd rather pay per request than keep a monthly membership
- You have an established regimen you want an independent clinician to review — knowing the clinician may approve, change, or decline it
- You're fine confirming your medication price at your own pharmacy
- You don't need testosterone (Push doesn't prescribe it)
Push Health is probably not your best starting point if:
- You want one predictable monthly price that covers ongoing menopause care
- You need your visit billed through insurance
- You want a menopause specialist and a set follow-up schedule
- You specifically need testosterone
Push Health HRT cost at a glance
| Question | The bottom line |
|---|---|
| Consult / request fee | No current published fee. Push's own 2022 support page listed $64.99–$80 for an initial consultation; today's fee varies by service and is shown before you pay. |
| Monthly membership? | None. You pay when you submit a request. |
| Medication included? | No — you pay your pharmacy separately. |
| Labs included? | No. Push's separate lab service has its own price. |
| Insurance? | Not accepted for the consult. Your pharmacy may bill insurance for the medication. |
| Testosterone? | Not prescribed by Push Health. |
| First-year cost (illustrative) | ~$185–$1,160 for one paid request plus a year of generic medication — varies by regimen, pharmacy, and how many paid requests you need. Not a guaranteed or typical total. |
The HRT Index is the independent decision resource for online menopause and HRT care — comparing telehealth providers on clinical legitimacy, care quality, medication fit, price transparency, and access, with every claim verified and dated, so women can choose the path that fits their situation before their first consult.
The right online HRT provider isn’t the same for every woman — it depends on your symptoms, your age and whether you have a uterus, your medication route preference, your risk history, your insurance or cash-pay situation, and your state. Some situations belong with an in-person clinician first.
How much does Push Health HRT cost in 2026?
Push Health is a marketplace, but not the kind where you browse and pick a doctor. When you submit a new request, Push opens it to the first available provider licensed in your state— an MD, nurse practitioner, or physician assistant who isn’t employed by the platform and who sets their own fee. (If you’d rather not use that provider, Push’s support can remove them and rematch your request.) That’s the single most important thing to understand about the price: there’s no company-wide sticker, and you see the fee before you pay.
Push Health HRT: an illustrative first-year cost
Illustrative only — assumes one paid requestat Push’s 2022 figure, plus a year of generic medication. Generic prices vary by the exact product, strength, quantity, pharmacy, ZIP, insurance, and discount source. This is not a typical or guaranteed total. If your provider requires more paid requests for refills or follow-ups, add the fee each time.
| Your regimen (filled at your own pharmacy) | Consult (Push’s 2022 figure) | Medication for a year (generic, varies) | Illustrative first-year estimate |
|---|---|---|---|
| Estrogen only (oral estradiol) | $64.99–$80 | oral estradiol ~$10–$30/mo → $120–$360 | ~$185–$440 |
| Estradiol + progesterone (pills) | $64.99–$80 | estradiol $10–$30 + micronized progesterone $15–$45/mo → $300–$900 | ~$365–$980 |
| Estradiol patch + progesterone | $64.99–$80 | patch $30–$45 + progesterone $15–$45/mo → $540–$1,080 | ~$605–$1,160 |
Estradiol is the main form of estrogen used in menopause hormone therapy. Micronized progesterone is one option that’s generally added if you still have a uterus and you’re using systemic estrogen — it helps protect the uterine lining. FDA-approved means the exact product has been reviewed by the U.S. Food and Drug Administration for safety, quality, and effectiveness.
Why the “$64.99–$80” number needs an asterisk
You’ll see $64.99–$80 quoted as the Push Health price. It comes from Push’s own support center — but that specific figure sits on a page last updated in March 2022. Push’s current HRT page doesn’t publish a consultation price at all, and its current FAQ simply says fees vary by service and are shown before you pay. So the old range is a reasonable ballpark, not a quote you can bank on. What you pay is whatever your matched provider charges, displayed to you before you pay.
Here’s the one honest catch
Push Health won’t hand you a fixed, all-in menopause price before you commit, it doesn’t bundle your medication or labs, and because its providers are independent, the responsiveness and follow-up you get can vary with whichever provider Push matches you to. A recurring theme in recent Trustpilot and BBB feedback is exactly that — someone paid a fee and then had trouble reaching the provider or resolving a prescription issue.
If a predictable monthly price and a set schedule matter most to you, compare a recurring-care model. But because Push skips the standing subscription and simply routes an approved prescription to your own pharmacy, it can land among the cheapest routes there is when you need only a paid request or two and your pharmacy price is low. That’s the whole reason you’re here.
Unpaid editorial link — Push Health is not one of our affiliate partners.
Does Push Health charge a monthly fee?
This is the fork in the road that decides whether Push is a bargain or a slow leak.
| Pay-per-request (Push Health) | Subscription / ongoing-care model |
|---|---|
| You're charged per request | One predictable recurring fee |
| Can be cheapest for infrequent use | Often better value for frequent care |
| Provider and follow-up terms can vary | Follow-up cadence is usually set |
| Medication stays separate | Medication may or may not be included |
| You estimate how often you'll need care | Easy monthly budgeting |
Push tends to be cheaper when you need only a couple of paid requests a year, your pharmacy price is low, you don’t need labs through the platform, and you don’t need high-touch support.
It can quietly get expensive when repeated refill, renewal, or follow-up requests trigger additional fees at the cadence your matched provider requires. That’s not a knock on Push — it just means the honest cost depends on your cadence, which is why we built the estimator below.
What does the Push Health HRT fee actually include?
What the fee covers:
- The clinician's review or consultation
- Push's platform processing
- Routing an approved prescription to your chosen pharmacy
- Messaging tied to the request, depending on how quickly your provider responds
What it does not cover:
- Your medication and pharmacy dispensing charges
- Any insurance deductible or copay
- Lab testing
- Future refill requests
- Future follow-up consultations
- Prior authorization paperwork
- Any in-person exam or care
- A guaranteed prescription
- A guarantee your pharmacy will stock or fill it
What will Push Health HRT cost over 90 days or a year?
Use the estimator below. You enter the fee Push shows you, how many paid requests you expect, your monthly medication cost, and any labs, and it returns your totals — with every input shown next to the result. It starts with blank fields — no invented visit schedule — and it collects no health information: no symptoms, no history, no name, no email. Just the math.
Push Health HRT 90-Day & First-Year Cost Estimator
Enter your own numbers — no health information collected, no account needed. Start with blank fields and fill in only what you know.
The live fee shown before you pay — not the 2022 ballpark.
Confirm with your pharmacy after you have a prescription.
Each refill or follow-up that needs a new request counts.
Push’s lab service charges separately; labs may not be required.
Illustration only — based on your inputs. Not a guaranteed or typical total. Medication price, request cadence, and labs vary. Confirm all figures before paying.
Are medication and lab costs included?
How the medication path actually works:
- 1.The clinician approves a prescription when it's appropriate.
- 2.It's sent to the pharmacy you chose. Push does not ship medication.
- 3.Your pharmacy sets the cash price, runs any insurance, and confirms stock.
- 4.You pay the pharmacy separately.
Push publishes a couple of real medication examples on its own drug pages. Treat these as provider-stated illustrations, not guaranteed quotes:
| Example Push publishes | What it means | What it does not mean |
|---|---|---|
| Under $40 for eight generic twice-weekly estradiol patches (~1-month supply) | A current price example on Push’s estradiol page (updated ) | Not a guaranteed quote, not every dose or brand, and not part of the consult fee |
| About $0.80 per 100 mg progesterone capsule | A current per-capsule example on Push’s progesterone page (updated ) | Not a guaranteed monthly total, and not confirmation of what you’ll be prescribed |
Route matters too. A patch, a pill, a gel, and a vaginal estrogen product aren’t one price — the exact product, strength, quantity, pharmacy, ZIP, insurance, and discount source all move the number. Branded products cost more.
On labs: Push’s lab service (which uses Quest Diagnostics) says its price includes the order, the lab work, and your results delivered electronically — generally in four business days or less (Push’s own statement, not our timed test). It accepts major cards, HSA, and FSA, and it doesn’t bill insurance. But labs are a separate purchase, not baked into the HRT request.
An important reality check: hormone testing is not routinely recommended before starting hormone therapy for menopausal symptoms, because hormone levels swing and a test is unlikely to add useful information (this is ACOG’s guidance). Other testing may still make sense for a specific clinical question — but “everyone needs a hormone panel” isn’t true.
Does Push Health take insurance for HRT?
| What you’re paying for | Can insurance apply? | What to confirm |
|---|---|---|
| Push Health consult fee | No — cash-pay only; most providers are out of network | The exact fee shown before you pay |
| Medication at your pharmacy | Often yes — your pharmacy can run your plan | Your formulary, your pharmacy's network status, any prior auth |
| Push's lab service | No — doesn't use insurance; accepts HSA/FSA | The exact panel and price before ordering |
| HSA funds | Yes for Push services; Push lists HSA as a payment option | Whether FSA works for the HRT consult (not confirmed — check at checkout) |
How Push Health compares on cost to Midi, Hers, and Sesame
A note on labeling: FDA-approved and compounded are not the same, and a provider isn’t one blanket status. Verify the exact dispensed product (and its NDC) before you treat it as FDA-approved.
| Provider | Cost | Meds included? | Rx type | Insurance? | Testosterone? | Model |
|---|---|---|---|---|---|---|
| Push Health | No current published fee; 2022 figure: $64.99–$80/request; shown before you pay | No — pharmacy separate | FDA-approved pharmacy fills; compounded not confirmed | No (consult). Pharmacy may | No | Pay-per-request marketplace; no subscription |
| Midi | $250 first visit, $150 follow-ups (self-pay); or your plan’s share if in-network PPO | Usually separate (pharmacy) | FDA-approved; specialist-focused | Yes — most PPOs; not Medicare/Medicaid | Yes (25 states, off-label) | Menopause-specialist telehealth, all 50 states; no offices |
| Hers | From $79/mo oral, or $134/mo patches — 12-month plan (recheck at booking) | Yes — meds shipped in price | FDA-approved pharmacy fills + some compounded (verify the product) | Cash-pay only (HSA/FSA varies) | Not advertised | Flat monthly subscription, meds shipped to your door |
| Sesame | Menopause program ~$59/mo ($49 Costco-member rate has appeared); general visits from $34 | Usually separate | FDA-approved listed; compounded BHRT may also be prescribed (verify the product) | Cash-pay only; not Medicare/Medicaid/TRICARE | Not confirmed | Menopause subscription; choose your provider; video visits, messaging, basic labs if ordered |
Reading the table by what you want:
- Have your regimen, want the cheapest self-directed route, no subscription → Push Health.
- Want a flat price with your meds included → Hers.
- Want a visit billed through insurance, all-50 general care, or testosterone → Midi.
- Want a menopause subscription where you pick your own provider, with video visits and labs if ordered → Sesame.
- On Medicaid or Medicare → not Sesame, and not a Midi insurance claim → see the coverage guide.
Midi and Hers are affiliate links — we may earn a commission. Sesame and Push Health links are editorial — we earn nothing.
Is Push Health a good value for menopause HRT?
Push is a strong fit when:
- You want no monthly membership
- You'll need only a few paid requests
- You understand medication is separate
- You prefer your own pharmacy
- The live fee beats your alternatives
Push is a weaker fit when:
- You want one bundled monthly price
- You want insurance-billed visits
- You want a dedicated menopause specialist and a set follow-up schedule
- You expect frequent follow-up
- You need testosterone
- No provider is available to match in your state
- Medication and pharmacy cost make that low consult fee misleading
What should you verify before paying Push Health?
Because you authorize the fee before a clinician reviews your request, split your checks into two moments:
Before you submit (and pay):
- The exact fee shown
- What it includes
- Whether it's a hold or captured right away
- The refund cutoff (a full refund only before the provider writes the prescription)
- The cancellation window
- Which pharmacy you want
- Whether an HRT provider is currently available to match in your state
After you’re matched:
- The clinician's name, license type, and state license
- The exact drug, route, strength, and quantity
- Whether it's FDA-approved or compounded (and the manufacturer/NDC)
- Your pharmacy's stock and cash price
- How long the initial request covers you
- The refill policy and any repeat fee
- Any labs and their price
Then save:
The request-fee screenshot, your confirmation email, the provider terms, the cancellation and refund language, the prescription details, the pharmacy quote, and any lab quote.
When is online HRT not the right starting point?
Consider seeing a clinician in person when there’s a potentially urgent or severe symptom, unexplained bleeding, a history or risk factor that needs individual assessment, a need for a physical exam, a diagnostic question telehealth can’t answer, a suspected medication problem, or real uncertainty about whether your symptoms are even from menopause. ACOG’s patient guidance is a solid, non-marketing place to read about the history and risk factors that matter for systemic hormone therapy.
This page is educational and doesn’t provide emergency or individual medical advice. Seek urgent care for severe, rapidly worsening, or potentially life-threatening symptoms.
What we actually verified
We separated what we reproduced ourselves from what Push or a third party states, and dated everything to .
Verification receipt — click to expand
Live-verified (we reproduced it ourselves, ):
- ✓Push's current HRT page publishes no consultation price and says fees vary by service, shown before payment
- ✓Push does not currently prescribe testosterone
- ✓Push's estradiol page shows the "under $40" ~1-month patch example
Provider-stated (currently published by Push):
- ⓘNo monthly membership; you pay per request
- ⓘMedication is not included and is paid at your pharmacy; Push does not ship medication
- ⓘProgesterone example ~$0.80 per 100 mg capsule
- ⓘLab service: price includes the order, lab work, and electronic results, generally in four business days or less; no insurance; HSA and FSA accepted
- ⓘHSA listed as a payment option for Push services
- ⓘFull refund before the provider writes the prescription; no refund after you approve one
- ⓘOne pharmacy-change request per approved prescription; most initial requests reviewed within 24 hours
- ⓘNew requests open to the first available provider licensed in your state; support can rematch
Third-party observation ():
- •BBB: not accredited, rating C, business start date August 9, 2012
- •Trustpilot: 3.8/5 from 774 reviews, platform-wide
Not verified — confirm before you pay:
- !The exact consult fee for your state and request (provider-set; Push's older published figure was $64.99–$80, from a 2022 support page)
- !Whether FSA works for the HRT consult itself (only confirmed for Push's lab service)
- !A standard follow-up or refill price (not published; depends on your provider)
- !Which exact medication and pharmacy price you'd get
- !Whether an HRT provider is currently available to match in your state
We evaluate every provider on five things, in this order: clinical legitimacy, care quality, medication fit, price transparency, and access. We don’t publish a numeric “score.”
More on our process: Verification Standard · editorial team · corrections policy · affiliate disclosure.
For a broader market view, compare Push Health with other HRT cost models.
Push Health HRT cost: FAQ
Direct answers to the most common questions.
How much does it cost to use Push Health for HRT?
Is there a monthly fee for Push Health?
Does the Push Health fee include medication?
Does Push Health ship HRT medication?
When does Push Health charge the request fee?
Does Push Health take insurance?
Can I use HSA or FSA funds?
Do I get my money back if the clinician declines?
What happens if no provider accepts my request?
Can I choose my Push Health provider?
Can Push Health prescribe estradiol and progesterone?
Does Push Health prescribe testosterone?
Are labs required?
Can I choose my pharmacy?
Is Push Health cheaper than Hers or Midi?
Is Push Health good for ongoing menopause care?
The bottom line
Push Health can be a genuinely smart, low-cost way to get menopause HRT — if you want a pay-per-request route, you’re happy using your own pharmacy, you already have a regimen, and you don’t need testosterone or a bundled program. Just make your decision on the livefee plus medication, labs, and the visits you’ll actually need — not the four-year-old $64.99–$80 headline, and definitely not the “$60/month” software price that isn’t even a patient fee.
Still not sure which HRT program is right for you? Take our free, about-90-second matching quiz. You’ll get a personalized action plan based on your medication-route preference, your insurance or cash-pay situation, your state, and the factors that decide whether online care is the right first step.
Educational editorial research only. This page is not medical advice, a diagnosis, or a treatment plan, and it is not medically reviewed. Starting, stopping, or changing hormone therapy should happen with a licensed clinician who has reviewed your medical history. FDA-approved and compounded medications are different regulatory categories, and compounded hormones are not implied to be safer than, more natural than, or equivalent to FDA-approved therapy. The HRT Index is an independent decision resource; Push Health is not an affiliate partner. Some links on this page (Midi, Hers) may earn us a commission at no additional cost to you, which does not change our findings.