Sesame HRT vs Midi Health: One Cash Subscription, One Insurance-Billed Clinic — Which Fits You?

Affiliate disclosure, up front: Sesame and Midi Health may pay us a commission if you use a labeled link on this page. So we did the opposite of picking a favorite. We checked each company against its own current pages, kept the dealbreakers in, and tell several groups of readers to leave both options. Compensation does not change the facts, the fit criteria, or the order below.

The short answer

Sesame HRT vs Midi Health is a cash subscription versus an insurance-billed clinic. Midi is usually cheaper when your PPO plan is in-network. Sesame publishes $59/month, a separate “from $54/month” display without public term details, and $49 for eligible Costco members. Medicaid/Medi-Cal patients can use neither; Medicare beneficiaries can use Midi only as self-pay. ^{[2] [3] [5]}

Best for you / not for you

Sesame is likely your answer if: you are paying cash, want a fixed monthly care fee, value included basic labs, want to choose from a visible clinician roster, or want to see a named medication list before paying.

Midi Health is likely your answer if: your exact PPO plan is in-network, you prefer per-visit billing with no recurring visit membership, want a menopause-focused clinic, value same-clinician follow-ups by default, or want testosterone evaluated where Midi offers it.

Neither one is for you if: you have Medicaid or Medi-Cal. Sesame’s terms also require users to certify that they are not Medicare, Medicaid, or TRICARE beneficiaries. Midi can see Medicare beneficiaries only as self-pay patients, with no claims submitted to Medicare. ^{[4] [7]}

Four things can overturn the default answer before price even matters:

• On Medicare? Midi can see you as self-pay. Sesame’s terms say you must certify that you are not a Medicare beneficiary.
• Want testosterone evaluated? Sesame’s online providers cannot prescribe controlled substances. Midi has a clinician-supervised compounded testosterone pathway in 25 states.
• Live in New York, New Jersey, Rhode Island, or North Dakota? Sesame may order the included panel, but you pay the laboratory directly.
• Have Medicaid or Medi-Cal? Close both tabs. Neither company can treat you under its current published policy.

Sesame HRT vs Midi Health at a glance: what are you actually buying?

Sesame sells recurring cash-pay care; Midi sells individual clinical visits and can bill many PPO plans. That single difference changes the care fee, lab bill, cancellation risk, Medicare eligibility, and what happens when insurance denies a claim. The table below separates provider-published facts from our editorial conclusion instead of turning them into a fake score.

Decision factor	Sesame menopause subscription	Midi Health	Evidence status
Care fee, cash	Provider pages show $59/month, a separate “from $54/month” display without accessible term details, and $49/month for eligible Costco members; checkout controls	$250 initial visit; $150 continued-care visit	Verified on provider-owned pages, August 13, 2026
Insurance for visits	Sesame does not bill health insurance	In-network with most PPO plans; exact plan, state, deductible, copay, and coinsurance control the bill	Verified / provider-stated
What recurs	Monthly subscription until canceled	No recurring visit membership; each visit is billed separately	Verified
Medication included	No	No	Verified
Standard prescriptions	Sent to the patient’s preferred pharmacy	Commonly sent to the patient’s pharmacy; Midi Custom Rx is shipped directly	Verified
Labs included	Five tests if the clinician orders them, except direct-pay state rules	No; labs are separate	Verified
Published medication list	Yes, by name	No comparable product-level public formulary	Verified
Compounded pathway	A clinician may prescribe compounded hormone therapy when judged appropriate	Midi Custom Rx includes compounded products shipped directly	Verified
Testosterone	No online prescribing because testosterone is controlled	Compounded cream pathway in 25 states; labs and usually two visits before prescribing	Verified
Medicare	Terms require certification that the user is not a beneficiary	Self-pay permitted; no claims to Medicare	Verified
Medicaid / Medi-Cal	Terms require certification that the user is not a beneficiary	Cannot treat, even as self-pay	Verified
HSA / FSA	Provider pages conflict; confirm with plan administrator	Midi says copays and services can be paid with HSA/FSA funds	Verified conflict / provider-stated
Clinician choice	Patient chooses from a named roster	Midi matches the patient	Verified
Follow-up continuity	Markets ongoing care from a dedicated provider; no explicit every-follow-up guarantee found	Same clinician by default, with stated exceptions	Provider-stated / verified
Cancellation	First month refundable only if canceled at least 3 hours before the first visit; terms require 48 hours before renewal	No visit subscription; change or cancel an appointment at least 24 hours ahead to avoid a fee	Verified
State reach	Confirm the menopause program in live intake; lab rules vary by state	Virtual care in all 50 states; insurance and testosterone access still vary	Provider-stated / verified

A blank, “confirm at intake,” or “plan-specific” answer is deliberate. We do not turn missing data into a confident estimate. Where a company’s own pages create a real conflict, we leave the conflict visible instead of choosing the sentence that converts better.

The HRT Index is the independent decision resource for online menopause and HRT care — comparing telehealth providers on clinical legitimacy, care quality, medication fit, price transparency, and access, with every claim verified and dated, so women can choose the path that fits their situation before their first consult.

The right online HRT provider isn't the same for every woman — it depends on your symptoms, your age and whether you have a uterus, your medication route preference (patch, pill, gel, or vaginal estrogen), your risk history, your insurance or cash-pay situation, and your state. Some situations belong with an in-person clinician first. Because a general answer can't resolve those for you, use The HRT Index's Find My HRT Path tool to match your situation to the right provider — and to flag when online care isn't the right starting point — before your first consult.

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What’s actually different between Sesame HRT and Midi Health?

Sesame bundles care into a monthly cash subscription: video visits as needed, unlimited messaging, and five basic tests when ordered. Midi charges by visit, bills many PPO plans, and excludes laboratory and medication costs from the visit price. You are choosing which parts of the bill are fixed, separate, or exposed to insurance. ^{[1] [6]}

Part of the bill	Sesame	Midi Health
Clinical care	Monthly cash subscription	Insurance-billed or self-pay visit
Standard medication	Separate pharmacy cost	Separate pharmacy cost
Basic ordered labs	Included, subject to state exceptions	Separate laboratory or insurance claim
Ongoing messaging	Included	Available through the care model, but not priced as a separate public line item
Recurring care charge	Yes	No recurring visit membership

Read that table again and you will spot the thing other comparisons keep getting backward: the cash-only subscription includes the five-test panel; the insurance-billing clinic does not include labs in its visit price. Midi says that directly. Sesame says the panel is included only when the provider orders it, and four states still require direct payment to the lab. ^{[1] [6]}

That is not a knock on Midi. It is a different business shape. Midi is closer to a conventional specialty clinic. Sesame is a subscription built to keep the care fee predictable.

When does the money leave your account?

• Sesame charges the subscription up front. Cancel at least three hours before the first visit for a full first-month refund. Once that visit occurs, month one is not refundable.
• Midi requires a card on file but does not charge at booking. For self-pay visits booked on or after May 5, 2026, Midi says the card is charged only after the completed visit. Insured patients are billed after the claim is processed. ^{[1] [8]}

So at Sesame, money moves first. At Midi, the visit happens first. Neither structure is automatically wrong. But if the sentence “I paid and then learned I was not eligible or would not be prescribed what I expected” is what is keeping you up, that difference matters before you enter a card.

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Which is cheaper, Sesame HRT or Midi Health?

Midi is usually cheaper when your exact PPO plan is in-network and your patient responsibility is low. Cash pay is closer: Midi costs $250 for one visit or $550 for three visits. Sesame’s modeled rates are $59 monthly and $49 Costco; a separate “from $54” display lacks public term details, so it is not treated as a quote. Medication is separate under both models. ^{[2] [3] [5]}

Before the math, one house rule: a care fee is not the total cost of treatment. Anyone who hands you one monthly number for online HRT is leaving out at least one of these: medication, labs, follow-ups, deductible exposure, or a subscription term.

What does each company publish?

Midi publishes $250 initial and $150 continued-care prices in one place. Sesame publishes $59/month in program content, “from $54/month” in current site displays, and $49/month for eligible Costco members. Because Sesame does not publicly explain the $54 term on the accessible page, the cost tables model $59 and $49 and tell readers to confirm checkout.

Published figure	Where it appears	How we use it
Midi initial visit: $250	Midi Pricing & Insurance	Cash-pay model
Midi continued-care visit: $150	Midi Pricing & Insurance	Cash-pay model
Midi insured average: about $50 out of pocket per visit	Midi help center	Clearly labeled provider-stated illustration, never a quote
Sesame menopause subscription: $59/month	Sesame menopause articles and provider content	Published monthly model
Sesame service display: from $54/month	Current Sesame service cards/navigation	Term not publicly explained; confirm checkout; not modeled below
Sesame Costco women’s health rate: $49/month	Sesame Costco member page	Eligible-member model

The damaging admission for Sesame is not that the subscription is secretly expensive. It is that the price story is scattered and internally unclear. Sesame-owned pages simultaneously show $59 and “from $54,” without exposing the $54 term on the accessible page, while the Costco rate lives on a separate member-benefit page. Your checkout screen controls. Screenshot the price and term before you pay.

What does the first 90 days cost?

For care fees alone, Sesame costs $177 over 90 days at $59 monthly or $147 at the eligible Costco rate. Midi costs $250 for one self-pay visit or $400 for an initial visit plus one follow-up. An insured two-visit Midi illustration is about $100 only because Midi publishes a roughly $50 average; your plan can produce a very different bill.

First 90 days, care fees only	Midi Health	Sesame
Cash, one Midi visit	$250	$177 standard / $147 Costco
Cash, two Midi visits	$400	$177 standard / $147 Costco
Insured Midi, two visits at provider-stated average	About $100	Not applicable; Sesame does not bill insurance
Medication	Separate	Separate
Labs	Separate	Included if ordered, subject to state exceptions

The separate “from $54/month” Sesame display is not modeled because the accessible page does not explain whether that figure is promotional, tied to a multi-month term, or otherwise conditional.

What does the first 12 months cost?

The annual break-even depends on visit count. Three self-pay Midi visits total $550; four total $700; six total $1,000. Sesame stays at $708 for 12 standard monthly payments or $588 for eligible Costco members. That makes Midi cheaper in a light cash-pay year, while Sesame can win when the year requires frequent clinical contact and ordered labs.

First 12 months, care fees only	Midi Health	Sesame
Cash, 3 visits	$550	$708 standard / $588 Costco
Cash, 4 visits	$700	$708 standard / $588 Costco
Cash, 6 visits	$1,000	$708 standard / $588 Costco
Insured Midi, 3 visits at provider-stated average	About $150	Not applicable
Deductible not met, 3 Midi visits	Up to $550 may be patient responsibility before other plan rules	Not applicable

The separate “from $54/month” Sesame display is not modeled because the accessible page does not disclose the qualifying term.

We are not telling you how many visits you will need. Nobody can know that from a comparison page. Pick the row that sounds closest to your likely year, then add your real medication quote and any lab cost your plan assigns.

Why we removed the draft medication-price table

The original draft used discount-card cash prices captured on specific days and converted them into annual totals. That looked useful, but it was not stable enough to survive publication: price changes by product, strength, quantity, pharmacy, ZIP code, coupon network, and insurance status. A live pharmacy quote is better than a precise-looking number that is wrong for you.

Use this total-cost formula instead:

12-month total = care fees + actual pharmacy quote + actual lab responsibility + any cancellation fee or nonrefundable subscription amount.

That is less flashy. It is also the number you can defend.

Ready to narrow it to one?

Have PPO coverage? Check Midi coverage for your exact state and plan → (Affiliate link.) Do not assume a logo on a page means your specific product is in-network.

Paying cash or carrying a deductible you will not reach? See Sesame’s current menopause price, clinician roster, and included care → (Affiliate link.) Screenshot the price and renewal date before you submit payment.

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Does Sesame or Midi Health take insurance?

Midi is in-network with most PPO plans, but “in-network” is not a price: deductibles, copays, and coinsurance still apply. Sesame does not bill health insurance for its care subscription. Insurance may still affect what you pay for a standard prescription or a separately billed laboratory service, so the real comparison is care billing—not whether insurance disappears from the rest of treatment. ^{[1] [5]}

“Covered” and “free” are not the same word

• Copay: a fixed amount owed for a covered visit.
• Deductible: the amount you pay before the plan begins paying under its rules.
• Coinsurance: a percentage owed after the deductible is met.

Midi says most insured patients average around $50 out of pocket per visit, but it also says a new-patient visit can place up to $250 toward the deductible and a follow-up up to $150. That is why “Midi takes my carrier” is not the same as “this visit will cost me $50.” ^[6]

The four questions to ask your insurer

Call the number on your card. Write down the representative’s name, date, and reference number.

1. Is the specific Midi medical group and telehealth service in-network for my exact plan in my state?
2. What specialist copay, deductible, and coinsurance apply to the first and follow-up visits?
3. Which laboratory is in-network for tests ordered by Midi?
4. Are the exact medications I may discuss on my formulary, and is prior authorization required?

One quirk worth knowing: Midi says in-network Blue Cross Blue Shield PPO billing for Minnesota residents is handled by Herself Health. That can explain an unfamiliar name on a statement. ^[8]

Can you use an HSA or FSA?

Midi’s answer is direct: it says HSA or FSA funds may be used for Midi copays and services. Sesame’s own pages conflict. The menopause FAQ says most subscription services may be eligible for reimbursement with an itemized bill; the terms say subscription fees are not a covered benefit under most HSA or FSA plans. ^{[10] [1] [4]}

The usable answer is: Midi says yes. Sesame says “may be eligible,” and your plan administrator gets the final word. Do not let a comparison page upgrade “may” into “covered.”

Insurance is the swing factor on this entire page. Confirm Midi’s network status for your exact plan before you use the $250 self-pay price → (Affiliate link.)

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Who can Sesame and Midi Health not treat?

Midi cannot treat Medicaid or Medi-Cal patients, even as self-pay, and it is not covered by Medicare, although Medicare beneficiaries may pay cash. Sesame’s terms require users to certify that they are not Medicare, Medicaid, or TRICARE beneficiaries. Those exclusions can end the comparison before price, labs, medication routes, or clinician preference matter. ^{[4] [7]}

Your situation	Midi Health	Sesame	Practical answer
Medicaid / Medi-Cal	Cannot treat, even self-pay	Terms require non-beneficiary certification	Neither; use an in-network benefit
Medicare / Medicare Advantage	Self-pay allowed; no claims	Terms require non-beneficiary certification	Midi self-pay only
TRICARE	Not clearly established in the reviewed public policy	Named in Sesame’s certification	Confirm Midi; Sesame excluded under current terms
Commercial PPO, in-network	Insurance may be billed	Care subscription is cash-only	Midi usually wins on care fees once actual responsibility is known
Uninsured	$250 initial / $150 follow-up	$59 published / “from $54” display / $49 Costco	Genuine fit-and-use comparison; confirm Sesame term at checkout
Wants testosterone evaluated	Available through a controlled, compounded pathway in 25 states	Online providers cannot prescribe controlled substances	Midi only, where available and clinically appropriate

If you have Medicaid or Medi-Cal

We are going to lose the click here, and that is fine.

Neither company can treat you under its current published policy. Call your plan and ask for an in-network clinician who treats menopause, or ask your primary care practice for the correct referral. We earn nothing from that answer. It is still the answer.

If you have Medicare

A Medicare beneficiary can pay cash at Midi and cannot submit a claim to Medicare. Sesame’s terms ask the user to certify that she is not a Medicare beneficiary at all. If you are 65 or older, that single clause may decide this before you look at price.

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Are labs included, and do you need hormone bloodwork?

Sesame includes five basic tests when its provider orders them: CBC, hemoglobin A1c, thyroid function, lipid panel, and comprehensive metabolic panel. Midi excludes labs from the visit price and orders them when clinically needed. Sesame’s included panel contains no FSH, estradiol, progesterone, or testosterone test, which is not automatically a flaw. ^{[1] [6]}

What is in Sesame’s five-test panel?

The panel is designed around general health and common look-alikes, not a hormone snapshot. It can identify findings related to anemia, blood sugar, thyroid function, cholesterol, kidney function, liver function, and electrolytes. Whether those tests are useful for you depends on your history, recent results, symptoms, and the clinician’s judgment—not the fact that they are bundled.

Included test	What it can help assess
Complete blood count	Red and white cells, anemia, infection, and platelets
Hemoglobin A1c	Average blood glucose over roughly two to three months
Thyroid function	Evidence of underactive or overactive thyroid function
Lipid panel	Cholesterol and triglycerides
Comprehensive metabolic panel	Glucose, kidney and liver markers, and electrolytes

No FSH. No estradiol. No testosterone. Not one hormone level in the bundled panel.

Do you usually need a hormone test to identify perimenopause?

For people 45 or older with typical symptoms and menstrual changes, major guidance does not recommend routine laboratory testing to identify perimenopause or menopause. FDA estrogen labeling also states that serum FSH and estradiol levels have not been shown useful for managing moderate-to-severe vasomotor symptoms. Testing can still matter in younger patients, suspected primary ovarian insufficiency, atypical presentations, or when another diagnosis is being considered. ^{[18] [19]}

That is why the absence of a hormone panel is not the gotcha it first appears to be. A single perimenopausal hormone value can be hard to interpret because levels fluctuate. The more useful question is whether a test changes the diagnosis or treatment plan in your case.

Where does Sesame send the lab order?

Sesame routes most orders to Quest, uses LabCorp in Arizona, Oklahoma, South Dakota, and Wisconsin, and uses Clinical Labs of Hawaii in Hawaii. New York, New Jersey, Rhode Island, and North Dakota are the money exception: the order may be provided, but the patient pays the laboratory directly.

State group	Laboratory route	Who pays the lab
Most states	Quest Diagnostics	Included if ordered under the subscription
AZ, OK, SD, WI	LabCorp	Included if ordered under the subscription
HI	Clinical Labs of Hawaii	Included if ordered under the subscription
NY, NJ, RI	Quest Diagnostics	Patient pays Quest directly
ND	Any laboratory	Patient pays the laboratory directly

If you had a recent panel, Sesame says you can upload it and the provider decides whether it is recent and relevant enough to use. ^[1]

If it has been years since anyone checked your thyroid, blood count, glucose, or lipids, Sesame’s included panel is a real differentiator. See the current subscription terms and included care → (Affiliate link.)

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What medications can Sesame and Midi prescribe, and are they FDA-approved or compounded?

Sesame publishes a named medication list that includes FDA-approved brand and generic options, plus a separate statement that a clinician may use compounded hormone therapy. Midi publishes FDA-approved hormonal routes but not a comparable product-level formulary; its separate Midi Custom Rx line is compounded and cash-pay. Prescription availability is always clinician- and patient-specific. ^{[1] [13] [14]}

FDA-approved, generic, and compounded are not synonyms

• FDA-approved: the specific product has been reviewed and approved for its labeled use.
• Generic: an FDA-approved product that met the applicable requirements for approval and equivalence.
• Compounded: a medication prepared for an individual patient under compounding law. It is not FDA-approved, and FDA does not verify its safety, effectiveness, or quality before marketing. ^[15]

A compounded drug is not a generic. A telehealth company is not “FDA-approved.” Approval belongs to a specific drug product.

What does Sesame name in writing?

Sesame’s current menopause page names multiple hormonal, nonhormonal, vaginal, bone, skin, and hair options. The list is useful because it lets a patient ask about an exact route or product before paying. It is not a promise of a prescription: the independent clinician decides what is appropriate after reviewing history, risks, symptoms, and state rules.

Category	Examples named by Sesame
Estradiol	Estrace, Climara, Divigel and generic estradiol options
Estrogen plus progestogen	Prempro, Bijuva, Mimvey
Progesterone	Prometrium and Crinone-related options
Vaginal treatment	Prasterone / Intrarosa
Nonhormonal	Gabapentin, clonidine, ospemifene, paroxetine, sertraline, trazodone
Bone, skin, hair	Vitamin D, calcium, minoxidil, alendronate, risedronate

Sesame also states that a provider may prescribe compounded hormone therapy when judged appropriate. Its disclaimer gets the core regulatory distinction right: compounded treatment sits outside FDA approval and standardization, and studies have not shown it to be safer or more effective than conventional hormone therapy. ^[1]

What does Midi publish?

Midi discusses FDA-approved hormonal prescriptions across pill, patch, vaginal ring, cream, and gel routes, but it does not publish a complete product-level menopause formulary before booking. That is missing data, not proof that Midi has fewer options. ^[13]

Midi also operates Midi Custom Rx, a cash-pay line of compounded products prescribed by a Midi clinician and shipped directly. Current examples include compounded testosterone cream, DHEA/estradiol cream, and estriol skin products. Those products are not FDA-approved and should never be presented as interchangeable with an FDA-approved product. ^{[14] [15]}

Two product details worth catching before the pharmacy does

• Bijuva is an FDA-approved fixed-dose estradiol/progesterone capsule. The original draft called it the only FDA-approved capsule of its kind, but FDA has also approved a generic equivalent; the accurate distinction is the fixed-dose estradiol/progesterone formulation, not brand exclusivity. ^{[20] [21]}
• Prometrium contains peanut oil and is contraindicated for people allergic to peanuts. Some generic progesterone capsules also contain peanut oil. Check the exact label dispensed rather than assuming every progesterone product uses the same inactive ingredients. ^[22]

Your route matters more than the logo

If you specifically want a patch instead of a pill, vaginal estrogen for genitourinary symptoms, or oral micronized progesterone rather than a synthetic progestin, ask about that route by name. Do not ask only, “Do you prescribe HRT?” Both companies can answer yes while meaning very different products.

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Can Sesame or Midi Health prescribe testosterone?

Sesame’s online providers cannot prescribe controlled substances, which rules out testosterone. Midi offers a clinician-supervised compounded testosterone cream pathway in 25 states, usually requiring a first visit, laboratory review, and a second visit before treatment. There is no FDA-approved testosterone product specifically indicated for women in the United States, and testosterone is a Schedule III controlled substance. ^{[1] [12] [16]}

Midi’s current pathway needs five facts sitting together:

1. The medication is compounded. It is not FDA-approved and has no FDA-reviewed product label.
2. The program is in 25 states. That is the live number on Midi’s testosterone page as of August 13, 2026.
3. It is not an instant-prescription flow. Midi describes an initial evaluation, laboratory testing and review, then a second visit if treatment is recommended.
4. The current published product price starts at $100 for a 90-day supply. That is medication only; visits and labs are separate.
5. It is controlled. Testosterone is Schedule III, requires a prescription, and must comply with federal and state controlled-substance rules. ^{[12] [14] [16]}

The evidence boundary is narrower than the marketing

The international consensus statement says the only evidence-based indication for testosterone therapy in women is hypoactive sexual desire disorder in postmenopausal women after formal assessment. Its recommendations do not apply to compounded preparations, pellets, or injections that produce supraphysiologic concentrations. ^[17]

Midi’s page discusses possible support for libido, energy, mood, strength, cognition, and other symptoms. The consensus evidence is narrower. That does not make a clinician-supervised prescription automatically improper. It means the assessment, indication, consent, dose, bloodwork, and follow-up are not optional details.

Testosterone is the one treatment path only Midi publishes here. Check whether Midi’s testosterone program is live in your state → (Affiliate link.) Availability is not eligibility; a licensed prescriber still decides.

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Who treats you, and will it be the same clinician next time?

Sesame displays named independent clinicians, lets you choose, and markets ongoing care from a dedicated provider, but we found no explicit promise that every follow-up stays with that clinician. Midi matches you, then publishes same-clinician follow-ups by default unless you request a change, a specialist is recommended, or insurance changes coverage. ^{[2] [1] [11]}

Sesame: you choose

Sesame’s menopause page shows a roster containing physicians, nurse practitioners, physician assistants, and other licensed clinicians. Its program content also promises ongoing care from a dedicated provider. That control is useful if you care deeply about credentials, specialty background, identity, or appointment time.

The missing piece is an explicit published rule for what happens if that clinician becomes unavailable. It also puts the filtering job on you. Read the profile. A five-star interface is not a menopause credential, and the roster is not one uniform clinical team.

Midi: they match, then default to continuity

Midi presents itself as a midlife women’s health clinic and matches the patient rather than showing a shopper-style roster. Its help center now states that follow-ups are scheduled with the same clinician by default, with three exceptions: patient request, specialist referral, or an insurance change affecting coverage. ^[11]

That changes the original conclusion. The honest trade is no longer “Sesame lets you choose, while neither guarantees continuity.” It is:

• Sesame gives you control over the first clinician selection and markets dedicated ongoing care, without publishing the same explicit continuity exceptions.
• Midi publishes the clearer same-clinician default and exception process after the first match.

Before paying either company, ask one sentence in writing:

“Can I keep the same clinician for future visits, and what happens if that clinician becomes unavailable or leaves?”

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Is Sesame or Midi Health available in your state?

Midi says its virtual care is available in all 50 states. Sesame operates nationally, but the menopause subscription should still be confirmed through live intake. A state-level “yes” does not settle insurance, laboratory routing, pharmacy dispensing, controlled-substance authority, or testosterone availability, so a one-column state map would give a false sense of certainty. ^{[5] [1]}

“Available in my state” can mean six different things:

1. A clinician is licensed and bookable there.
2. The menopause program is offered there.
3. The medication route you want can be prescribed there.
4. A pharmacy can dispense it there.
5. Your insurance product is in-network there.
6. The relevant laboratory route works there.

Those answers split apart. Sesame’s laboratory arrangement changes in eight states and moves to patient-paid testing in four. Midi’s virtual care is nationwide, but its insurance network is plan-specific and its testosterone program is limited to 25 states.

The right check sequence is simple:

• Confirm the program through the provider’s live intake.
• Confirm the exact insurance product with the insurer.
• Confirm the medication route with the clinician.
• Confirm the pharmacy and laboratory before assuming the process is complete.

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How fast can you be seen and get a prescription?

Sesame advertises a provider visit as soon as the same day and says standard prescriptions can be sent to a preferred pharmacy. Midi does not publish a universal appointment guarantee, although it features patient accounts of same-day or next-day access. At both companies, a clinician must first decide whether a prescription is appropriate, and “sent” is not the same as “ready.” ^{[1] [5]}

The sequence is the same:

1. The appointment happens.
2. The clinician decides whether treatment is appropriate.
3. A standard prescription is transmitted to a pharmacy, or a Midi Custom Rx order enters direct fulfillment.
4. The pharmacy processes stock, insurance, prior authorization, and dispensing.
5. The medication becomes ready for pickup or shipment.

Steps four and five are not controlled entirely by either telehealth company. If speed is your deciding factor, check the live scheduler first and call the pharmacy about the exact product rather than relying on a general “same-day” promise.

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How do you cancel, and what money is at risk?

Sesame’s first month is fully refundable only when canceled at least three hours before the initial visit; after the visit, month one is not refundable. Its terms separately require cancellation at least 48 hours before renewal and contain a multi-month repricing rule. Midi has no recurring visit membership, but an appointment needs at least 24 hours’ notice to avoid a cancellation fee. ^{[1] [4] [9]}

Sesame

Sesame publishes two clocks:

• First visit clock: cancel at least three hours before the initial visit for a full first-month refund.
• Renewal clock: terms require cancellation at least 48 hours before renewal.

The safe move is to cancel in writing at least 72 hours before renewal and save the confirmation. That is not Sesame’s official deadline; it is our buffer against timing, support, and processing mistakes.

The more damaging clause is the multi-month subscription rule contained in Sesame’s terms dated August 11, 2026. If a discounted multi-month plan is canceled early, Sesame may reprice the months already used at the standard month-to-month rate, including a partial month, and refund only the remainder. The terms say that in some cases the adjusted value can equal or exceed the amount paid, leaving no refund. ^[4]

Plain English: an early exit from a prepaid discount can return less than the simple unused-month math suggests—and possibly nothing. Read the term before taking a lower monthly rate.

Midi

Midi has no recurring visit membership to cancel. It asks patients to change or cancel an appointment at least 24 hours ahead to avoid a fee, but the amount is not published on the help-center page. Confirm it while booking. ^[9]

The house rule

Cancel early, do it in writing, and screenshot the confirmation. Every subscription. Every time.

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What is the biggest drawback of Midi Health?

Midi’s biggest practical weakness is not its self-pay price; it is insurance uncertainty. The company can verify eligibility and still cannot promise what a carrier will ultimately assign to deductible, copay, coinsurance, or out-of-network responsibility. Its current BBB profile also shows a substantial complaint volume, with billing and service complaints visible among the records, although complaint totals are not complaint rates. ^{[5] [24]}

That is the damaging admission. Midi does not give an insured patient one predictable number before the claim runs. A plan logo, eligibility result, and “in-network with most PPO plans” statement are not a binding explanation of benefits.

But because Midi bills a visit rather than selling a recurring visit subscription, three things follow:

• Nothing renews every month for the visit service.
• Self-pay patients are charged after the completed visit, not at booking.
• Same-clinician follow-ups are the published default.

If predictability is the thing that lets you finally say yes, Sesame’s flat subscription may fit better. If avoiding a recurring care fee and using an in-network benefit matters more, Midi may still be the stronger route.

Does that sound like your situation? Check your exact Midi coverage before you book → (Affiliate link.) Or, if one fixed care fee matters more than insurance billing, see Sesame’s current subscription terms → (Affiliate link.)

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What is the biggest drawback of Sesame HRT?

Sesame’s biggest weakness is the risk of paying first for a recurring service that may not fit, combined with a price and cancellation story spread across multiple pages. Provider-owned pages show $59, a separate unexplained “from $54,” and $49 for eligible Costco members; month one becomes nonrefundable after the first visit, and multi-month discounts can be repriced after early cancellation. ^{[2] [3] [4]}

Sesame does not bill insurance for care, cannot prescribe controlled substances online, and its Medicare/Medicaid/TRICARE certification excludes a large group of women who might otherwise prefer cash pay. Those are not footnotes. They are eligibility gates.

The pivot is why the subscription still makes sense for the right reader: it bundles ordered basic labs, video care, ongoing messaging, a visible clinician roster, and a published medication list into one care fee. The reader who wants those things and is not blocked by the exclusions is buying predictability, not merely a cheap first appointment.

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Does Sesame’s own comparison chart hold up against Midi?

Sesame publishes an eight-row chart comparing itself with “traditional menopause care.” We tested those rows against Midi specifically. Provider choice and unlimited messaging remain real differentiators; virtual scheduling and convenience do not separate the two; “insurance required” overstates the contrast because Midi offers self-pay; and “flexible care for any situation” is too broad for either company’s published exclusions. ^{[1] [5]}

Sesame chart row	Applied to Midi	Our finding
Choose any provider	Sesame shows a roster; Midi matches patients	Real difference
See a provider as soon as today	Sesame publishes same-day availability; Midi has no universal public wait guarantee	Not established against Midi
Easy scheduling	Both are virtual and self-scheduled	Does not distinguish
Transparent, upfront pricing	Midi publishes $250/$150; Sesame’s $59, unexplained “from $54,” and Costco $49 figures are split across provider-owned surfaces	Mixed; Midi is clearer for cash visits
Unlimited communication	Sesame explicitly includes unlimited messaging	Real difference
Virtual convenience	Both are virtual	Does not distinguish
No insurance required	True for Sesame, but Midi also offers self-pay	Overstated against Midi
Flexible care for any situation	Both have meaningful exclusions	Overstated for both

Two real differences. Two rows that do not distinguish. Two overstatements. One unestablished claim. One mixed pricing result.

Sesame pays us a commission. We are publishing that result anyway. A comparison chart written by the company being compared is marketing; the useful move is not to sneer at it, but to test each row against the actual alternative.

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What do other Sesame HRT vs Midi Health comparisons get wrong?

The exact head-to-head comparison reverses the laboratory facts, lists Sesame at $16 monthly, treats Midi as a $0 monthly product, says Midi is in only “most states,” and says both require bloodwork. Each conflicts with current provider-owned pages. The problem is not one typo; it is a decision model built on the wrong product definitions. ^{[27] [1] [6]}

Third-party claim	Current primary-source fact	Why it matters
Sesame costs $16/month	Sesame-owned pages currently show $59/month, a separate “from $54/month” display, and $49 for eligible Costco members	Produces a fake annual total
Midi costs $0/month	Midi publishes $250/$150 self-pay; insured patients can owe copay, deductible, or coinsurance	Erases real patient responsibility
Midi labs are included	Midi says visit prices exclude labs	Reverses a central buying difference
Sesame labs are extra	Five listed tests are included if ordered, subject to state exceptions	Reverses a central buying difference
Midi is in “most states”	Midi says virtual care is available in all 50 states	Confuses geographic reach with insurance reach
Both require bloodwork before treatment	Sesame’s panel is ordered if the clinician judges it necessary; Midi’s general care does not publish a universal bloodwork requirement	Invents a blanket gate
Numeric scores decide the winner	Neither provider publishes those scores, and The HRT Index does not use invented provider scores	Hides tradeoffs behind false precision

Pages go stale. Templates create confident nonsense. That is why every price and policy on this page carries a date and a source, and why a numeric score will never replace the question “Which constraint disqualifies the other option for me?”

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What do patients and public accountability records show?

Provider-published testimonials show that some patients value speed, local pharmacy pickup, insurance access, and feeling heard. They do not prove typical results or clinical effectiveness. Current BBB profiles show Sesame accredited with an A+ rating and Midi accredited with a B rating; Midi also holds NCQA Credentialing Accreditation. BBB ratings and complaint totals measure business-response factors, not clinical quality. ^{[23] [24] [25]}

Short provider-published patient accounts

“I was able to pick them up from my local Costco in a few hours.” — Patient quote published by Sesame ^[1]

“I got a same day appointment and they took my insurance.” — Victoria W., quote published by Midi ^[5]

Those quotes are curated by the companies. They describe individual access experiences, not expected treatment outcomes. We did not independently authenticate them, and we do not use them to support efficacy or safety claims.

Current business records

The records below are snapshots, not quality scores. BBB complaint totals change, company size differs, and a complaint is not proof that every allegation is true. The useful signal is the type of friction visible in the record and whether the company responds—not a simplistic A+ versus B clinical ranking.

Record checked August 13, 2026	Sesame	Midi Health
BBB accreditation	Yes, since December 27, 2022	Yes, since March 27, 2024
BBB rating	A+	B
Complaints shown in prior three years	117	161
Additional credentialing evidence	Not used as a comparative clinical score	NCQA Credentialing Accreditation

The 2026 advertising case Midi should not get to hide

In February 2026, the National Advertising Division challenged a Midi social-media symptom-relief claim. Midi permanently discontinued the challenged claims during the inquiry, so NAD did not review them on the merits. This was an advertising-substantiation matter, not a safety finding and not a ruling that Midi care does not work. ^[26]

We do not repeat the discontinued percentage. The important fact is the action: the claim came down, and the merits were never decided. That belongs on a serious comparison page in proportion—not buried, and not inflated into a clinical scandal.

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Which should you choose for your situation?

Choose by the constraint most likely to disqualify the other option, not by a universal winner. An exact in-network PPO result points toward Midi. Cash pay plus a need for bundled basic labs points toward Sesame. Medicare, Medicaid/Medi-Cal, testosterone, clinician-choice preference, and four direct-pay laboratory states can override those defaults immediately.

Your situation	Start with	What could flip it
Exact PPO plan in-network, deductible met	Midi	Specialist copay or coinsurance is unexpectedly high
PPO, deductible not met	Model both	You expect to hit the deductible anyway this year
Uninsured, no recent basic labs	Sesame	You live in NY, NJ, RI, or ND and must pay the lab directly
Uninsured, recent labs, likely 1–3 visits	Midi self-pay	You expect frequent follow-ups or need bundled messaging
Eligible Costco member	Sesame	Checkout does not show the $49 rate or adds an unacceptable term
Medicare beneficiary	Midi self-pay	Nothing makes Sesame eligible under its current terms
Medicaid / Medi-Cal	Neither	Use the plan’s in-network path
Wants testosterone evaluated	Midi in a live state	The assigned clinician or state pathway cannot provide it
Wants to choose the first clinician	Sesame	You prefer a menopause clinic to match you
Wants same-clinician follow-ups by default	Midi	Insurance or specialist referral changes the clinician
Wants a product list before paying	Sesame	Midi confirms the exact route/product in writing before booking

If you are insured

Your next action is not “book Midi.” It is confirm the exact medical group, plan, state, and patient responsibility. Check Midi coverage, then verify it with your insurer → (Affiliate link.)

If you are paying cash

A flat monthly care fee with ordered labs inside it is a genuinely different product. See Sesame’s current price, term, and clinician roster → (Affiliate link.) Screenshot the checkout screen.

If neither is right

• On Medicaid or Medi-Cal: use the plan’s in-network route.
• Need an in-person exam, imaging, or procedure now: start with a local clinician or facility.
• Want a service that bundles medication into one fee: use our best online HRT providers comparison instead.
• Still unsure whether online care is the right starting point: use Find My HRT Path.

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What should you ask before you pay?

Both companies leave questions that only intake, checkout, the assigned clinician, or the insurer can settle. These twelve determine whether you can be treated, what you will owe, whether the route you want is available, and what happens if the clinician says no. Ask in writing, save the answer, and do not let urgency push you past an unresolved dealbreaker.

Ask either company

1. If the clinician decides not to prescribe, what am I charged and what is refunded?
2. Is the clinician licensed in my state, and what menopause experience is listed?
3. Will future visits be with the same clinician?
4. Is the exact product being considered FDA-approved or compounded, and which pharmacy dispenses it?
5. Is my preferred route available if clinically appropriate—patch, pill, gel, cream, or vaginal treatment?
6. Are labs required in my case, and what will I owe?
7. What happens if telehealth is not the right fit after the first visit?
8. How do I obtain or transfer my records?

Ask Sesame

1. Which subscription rate applies today, and is there a minimum or multi-month term?
2. What is my exact renewal date and cancel-by date?

Ask Midi

1. Is the specific Midi medical group in-network with my exact plan in my state?
2. Can the clinician assigned to me evaluate and prescribe the treatment I am coming to discuss, including controlled medication where applicable?

Want your own numbers instead of ours? Use Find My HRT Path to compare your plan type, state, Costco status, expected visit count, lab rule, and 12-month care-fee model. It should show every assumption instead of hiding them inside a “best provider” result.

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What did The HRT Index actually verify?

We reviewed provider service pages, pricing pages, help-center policies, terms, current product pages, public business records, FDA materials, DEA scheduling information, and peer-reviewed consensus guidance on August 13, 2026. We did not enroll, pay, complete checkout, call support, submit an insurance claim, fill a prescription, or test cancellation. This is document verification, not firsthand patient experience.

Verified directly

• Sesame’s current $59 program statement, separate “from $54” site display, and $49 eligible Costco rate
• Sesame’s included care, five-test panel, laboratory routing, medication list, compounded-treatment disclosure, insurance stance, refund policy, and controlled-substance restriction
• Sesame’s August 11, 2026 terms, including federal-program certification, HSA/FSA wording, renewal deadline, and multi-month repricing clause
• Midi’s $250/$150 self-pay rates, insurer language, Medicaid/Medi-Cal exclusion, Medicare self-pay policy, and all-50-state statement
• Midi’s provider-stated roughly $50 insured average and explicit exclusion of labs and medication from visit pricing
• Midi’s post-visit billing, card-on-file timing, Minnesota billing partner, appointment-change rule, HSA/FSA statement, and same-clinician follow-up policy
• Midi’s 25-state testosterone pathway, required evaluation sequence, compounded status, and current $100-per-90-day starting medication price
• FDA’s compounded-drug distinction, DEA’s Schedule III classification for testosterone, current Bijuva and Prometrium labeling, menopause-testing guidance, BBB profiles, NCQA evidence, and the NAD decision summary
• The exact-match third-party comparison claims corrected above

Not verified firsthand

• The exact price and term each reader sees at checkout
• Live appointment availability in a specific ZIP code
• Whether a particular insurer will pay a specific Midi claim
• Whether a specific clinician will prescribe a requested route or product
• Pharmacy stock, prior authorization, and final medication cost
• Support-response time
• Whether cancellation works as written in a real account
• Complete Sesame menopause-program availability tested state by state

The HRT Index Verification Standard

Everything above follows The HRT Index Verification Standard: read every published price, separate FDA-approved from compounded, verify state availability and insurance, and re-check on a fixed schedule—top providers monthly, the full roster quarterly.

We evaluate providers on five pillars, in this order: clinical legitimacy, care quality, medication fit, price transparency, access. We do not assign numeric provider scores because one number hides the exact tradeoffs this page exists to expose.

Applied here, the weakness is clear:

• Sesame’s weakest pillar is price transparency: $59 and “from $54” appear on provider-owned surfaces without an accessible explanation of the lower figure’s term, while the $49 Costco rate lives elsewhere and cancellation economics depend on checkout.
• Midi’s weakest pillar is access: not geographic access, but cost predictability and payer access, because “in-network” is not a patient price until the exact plan answers.

This page is on a monthly re-verification schedule.

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When is online HRT not the right starting point?

Telehealth can evaluate, prescribe, order tests, and coordinate care, but it cannot perform a pelvic examination, imaging study, biopsy, procedure, or emergency assessment through a screen. New postmenopausal bleeding, emergency symptoms, and situations requiring immediate physical evaluation should not be routed through a provider comparison. Complex histories may require coordinated specialist input before or alongside online care. ^{[28] [29]}

Start with prompt in-person or emergency care when appropriate for:

• Bleeding after menopause or new unexplained bleeding. This needs evaluation; depending on the case, workup may include transvaginal ultrasound or endometrial sampling.
• Heavy bleeding, chest pain, sudden severe headache, one-sided weakness, severe shortness of breath, or another emergency symptom. Use emergency services.
• A needed examination, imaging study, biopsy, or procedure. Telehealth may coordinate it but cannot perform it.
• Pregnancy, postpartum, or breastfeeding. Disclose it before any treatment discussion.
• A history that materially changes hormone-therapy risk, including certain cancers or thromboembolic conditions. That does not mean every online visit is forbidden; it means the history must be disclosed and may require specialist coordination.

If you are unsure which side of that line you are on, resolve that uncertainty before you pay anyone.

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Related HRT provider comparisons

Compare care models, insurance exposure, medication routes, and eligibility before you choose:

• Read the full Sesame HRT review
• Read the full Midi Health review
• Compare Inner Balance and Midi Health
• See whether Midi Health takes insurance
• Review Midi Health costs
• Review the best online HRT providers
• See which providers prescribe which HRT products
• Find your best-fit HRT path

Frequently asked questions

Is Sesame’s menopause subscription $54, $59, or $49?

Sesame-owned pages currently show $59/month and a separate “from $54/month” display; the accessible page does not explain the $54 term. Eligible Costco members have a published $49/month rate after membership verification. The checkout price and term control. Screenshot both before payment. ^{[2] [3]}

Does Midi Health take Medicare?

Midi is not enrolled with Medicare and does not submit Medicare claims. It says Medicare beneficiaries may use Midi as self-pay patients, but all visits, labs, medications, and related services remain out of pocket and cannot be submitted to Medicare by the patient or Midi. ^[7]

Can I use Sesame if I have Medicare, Medicaid, or TRICARE?

Sesame’s current terms require the user to certify that she is not a beneficiary of a federal healthcare program such as Medicare, Medicaid, or TRICARE. Read that certification before creating an account or paying. ^[4]

Does Sesame include hormone testing?

No. Its included panel lists CBC, A1c, thyroid function, lipid panel, and comprehensive metabolic panel. None is an FSH, estradiol, progesterone, or testosterone test. The clinician decides whether the panel is ordered. ^[1]

Do I need a hormone test before starting menopause treatment?

Not routinely to identify typical perimenopause or menopause in people 45 or older. Testing may still be relevant for younger patients, suspected primary ovarian insufficiency, atypical symptoms, another possible diagnosis, or a specific treatment pathway such as testosterone monitoring. ^{[18] [12]}

Can I use an HSA or FSA?

Midi says HSA or FSA funds can pay for copays and services. Sesame’s FAQ says most subscription services may be eligible for reimbursement, while its terms say subscription fees are not covered under most HSA or FSA plans. Confirm Sesame with the plan administrator before assuming reimbursement. ^{[10] [4]}

Does either provider prescribe Bijuva?

Sesame names Bijuva on its public medication list. Midi does not publish a comparable product-level formulary, so ask before booking. Bijuva is an FDA-approved estradiol/progesterone capsule, and FDA has also approved a generic equivalent. ^{[1] [20] [21]}

Can Sesame or Midi prescribe testosterone?

Sesame’s online providers cannot prescribe controlled substances. Midi offers a compounded testosterone cream pathway in 25 states with clinician evaluation, labs, and usually two visits before prescribing. Testosterone is Schedule III, requires a prescription, and has no FDA-approved product specifically indicated for women in the United States. ^{[1] [12] [16]}

Are Sesame and Midi FDA-approved?

No telehealth platform is “FDA-approved” in that sense. FDA approval applies to specific drug products. Both companies describe FDA-approved medication options and separate compounded pathways. Compounded drugs are not FDA-approved and must not be presented as generic or equivalent to an approved product. ^{[1] [13] [14] [15]}

How do I cancel Sesame?

Cancel before the next billing cycle and at least 48 hours before renewal under the terms. A 72-hour buffer is safer. The first month is fully refundable only if cancellation occurs at least three hours before the initial visit. Multi-month plans may be repriced after early cancellation. ^{[1] [4]}

Will Midi charge me before the visit?

Midi requires a card on file, but says it does not charge at booking. For self-pay visits booked on or after May 5, 2026, it charges the card after the visit is completed. Insured patients are billed after the claim is processed. ^[8]

Can I switch providers and keep an existing prescription?

A prescription already transmitted to a pharmacy does not disappear merely because you stop using a telehealth service. But remaining refills, expiration, controlled-substance rules, pharmacy policy, and the need for future clinical follow-up still apply. Midi Custom Rx is a direct-shipped exception rather than a standard outside-pharmacy prescription.

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The bottom line

Two companies. Two completely different shapes.

Sesame is a subscription. Provider-owned pages show a $59 monthly figure, a separate “from $54” display whose term must be confirmed, and $49 for eligible Costco members. The program includes five ordered basic tests, ongoing messaging, a clinician roster you can choose from, and a medication list you can read before you pay. It does not bill insurance for care, cannot prescribe controlled substances online, and its terms exclude Medicare, Medicaid, and TRICARE beneficiaries.

Midi is a clinic. Visits are $250 first and $150 after for self-pay, or billed to many PPO plans with plan-specific patient responsibility. There is no recurring visit membership. Midi publishes same-clinician follow-ups by default, operates virtual care in all 50 states, and has a controlled, compounded testosterone pathway in 25 states. Labs and medication are separate.

If your exact PPO plan is in-network and the patient responsibility is low, Midi is usually the obvious financial path. If you are paying cash and want a flat care fee with ordered basic labs inside it, Sesame may be the cleaner choice. If you have Medicaid or Medi-Cal, neither is available. If you have Medicare, Midi is self-pay only and Sesame’s terms exclude you.

You do not need another generic comparison. You need two facts confirmed: your exact insurance responsibility, and what you will be charged if the clinician decides not to prescribe the route or product you came to discuss. Then choose.

If you are insured: check Midi coverage and available appointments → (Affiliate link.)

If you are paying cash: see Sesame’s current menopause price and clinician roster → (Affiliate link.)

Still not sure which HRT program is right for you? Take our free 60-second matching quiz. → The HRT Index's Find My HRT Path tool

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This page is editorial research, not medical advice, and has not been medically reviewed by a clinician. The HRT Index may earn commission through labeled links to Sesame and Midi Health. Prices, formularies, policies, state availability, and insurance networks change; this page is re-verified monthly. Last verified August 13, 2026.

¹ Sesame — Online Menopause Treatment, verified August 13, 2026.

² Sesame — When Does Menopause Start?, provider-published $59 subscription statement; Sesame — Online Menopause Treatment, current site display includes “From $54/month”; verified August 13, 2026.

³ Sesame + Costco Member Pricing, verified August 13, 2026.

⁴ Sesame Terms of Service, updated August 11, 2026; verified August 13, 2026.

⁵ Midi — Pricing & Insurance, verified August 13, 2026.

⁶ Midi Help Center — How Much Will My Appointment Cost?, updated May 5, 2026; verified August 13, 2026.

⁷ Midi Help Center — Medicare and Medicaid Self-Pay Policy, updated May 5, 2026; verified August 13, 2026.

⁸ Midi Help Center — How Will I Be Billed?, updated May 5, 2026; verified August 13, 2026.

⁹ Midi Help Center — Cancel or Reschedule a Visit, updated May 5, 2026; verified August 13, 2026.

¹⁰ Midi Help Center — HSA/FSA, verified August 13, 2026.

¹¹ Midi Help Center — Booking the Same Clinician, updated February 18, 2026; verified August 13, 2026.

¹² Midi — Testosterone for Women, verified August 13, 2026.

¹³ Midi — Insurance-Covered Hormone Replacement Therapy, verified August 13, 2026.

¹⁴ Midi Custom Rx Store, verified August 13, 2026.

¹⁵ FDA — Compounding and the FDA: Questions and Answers, verified August 13, 2026.

¹⁶ DEA — Drug Scheduling, verified August 13, 2026.

¹⁷ Global Consensus Position Statement on the Use of Testosterone Therapy for Women, 2019.

¹⁸ NICE — Menopause: Identification and Management, current guidance reviewed August 13, 2026.

¹⁹ FDA — Vivelle-Dot Prescribing Information, laboratory-testing section reviewed August 13, 2026.

²⁰ DailyMed — Bijuva Label, current label reviewed August 13, 2026.

²¹ FDA — Estradiol and Progesterone Capsules Generic Approval, reviewed August 13, 2026.

²² DailyMed — Prometrium Label, current label reviewed August 13, 2026.

²³ BBB — Sesame, Inc. Business Profile, checked August 13, 2026.

²⁴ BBB — Midi Business Profile, checked August 13, 2026.

²⁵ NCQA — Midi Health Credentialing, checked August 13, 2026.

²⁶ BBB National Programs — Midi Health NAD Decision Summary, February 25, 2026.

²⁷ Clinic Layer — Midi Health vs Sesame Care, checked August 13, 2026.

²⁸ ACOG — The Role of Transvaginal Ultrasonography in Evaluating Postmenopausal Bleeding, reviewed August 13, 2026.

²⁹ The Menopause Society — Hormone Therapy, reviewed August 13, 2026.