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Clinics · Comparison

Alloy vs Midi Health

Both are primarily women’s HRT & menopause providers, so the differences are in consult model, what is bundled, who prescribes, and price.

Alloy logo Alloy From $49 one-time consult Read the Alloy review →
vs
Midi Health logo Midi Health From $250 first visit self-pay Read the Midi Health review →

Side-by-side comparison

Alloy logoAlloyMidi Health logoMidi Health
Our score10.0 / 108.5* / 10
Starting price$49 one-time consult$250 first visit self-pay
Primary serviceWomen’s HRT & menopauseWomen’s HRT & menopause
All servicesHRTHRT
Consult modelAsynchronous (questionnaire + messaging)Live video consult
PrescriberMD/DOMD/DO + NP/PA
LabsNot neededUnconfirmed
InsuranceCash payAccepted
Availability50 states + DC50 states
CancellationSelf-serve onlineNo subscription to cancel
Trustpilot4.3 / 5 (4,061 reviews)4.1 / 5 (1,740 reviews)
Regulatory / legal recordNone foundNone found
Visit ↗Visit ↗

* Provisional score: one or two criteria could not be verified.

Which one is right for you

Choose Alloy if…

Cash-pay women who want FDA-approved estradiol and progesterone prescribed by a physician through messaging, with prices visible up front.

  • Full per-product prices and the $49 consult fee are published before sign-up
  • Physician-only prescribing (menopause-trained, board-certified doctors)
  • Available in all 50 states and DC

Choose Midi Health if…

Women with commercial PPO insurance seeking menopause or perimenopause care, including hormone therapy, through video visits.

  • In-network with most major PPO insurance plans
  • No membership fee; transparent self-pay visit prices ($250 / $150)
  • Available in all 50 states

Price: what you actually pay

Alloy

Seen 2026-10-17: one-time $49 doctor consultation fee, then per-product pricing: estradiol pill from $39.99/mo, gel or Evamist spray $69.99/mo, patch $100/mo, progesterone from $23/mo; ongoing messaging and delivery included. Weight Care is $99/mo plus medication.

Midi Health

Seen 2026-10-17: self-pay first visit (30 min) $250, returning visit (15 min) $150, no membership fee; in-network with most PPO plans where deductibles, coinsurance and copays apply. Medications are billed separately; compounded GLP-1s start at $164 per 4-week supply.

What happens after you sign up

Alloy

Treatments offered: Estradiol (oral), Estradiol gel, Estradiol spray (Evamist), Estradiol patch, Estradiol vaginal cream, Progesterone, Low-dose oral contraceptive, Paroxetine, Estriol face cream (M4, Rx), Compounded tretinoin cream, Azelaic acid / tretinoin / niacinamide cream (Rx), Azelaic acid / metronidazole / ivermectin cream (Rx), GHK-Cu copper peptide cream (Rx), Low-dose oral minoxidil, Spironolactone, Bimatoprost (generic Latisse), Tirzepatide (Zepbound), Semaglutide (Wegovy), Oral semaglutide (Wegovy pill), Orforglipron (Foundayo), Compounded semaglutide, Compounded tirzepatide, Compounded liraglutide. Prescribers: MD/DO.

Midi Health

Treatments offered: Estradiol (patch), Estradiol cream, Vaginal estrogen, Progesterone, Compounded GLP-1 (unspecified), Compounded GLP-1/GIP (unspecified), Brand-name GLP-1s (unspecified). Prescribers: MD/DO + NP/PA.

Cancelling and refunds

Alloy

Terms: cancel via account dashboard or by emailing support@myalloy.com at least 7 days before the end of the current subscription period; shipments can be paused or cancelled in the account 5 business days before processing. Consultation and subscription fees non-refundable; only the first shipment of each physical product is refundable within 30 days; dispensed prescriptions cannot be returned.

Midi Health

No membership or subscription for visits (pay per visit). Midi's own patient-reviews page says to cancel or reschedule with at least 24 hours notice to avoid a cancellation fee (amount not stated); card-on-file policy lists cancellation fees as chargeable.

Where each is available

Alloy

All 50 US states and DC for menopause care. Compounded GLP-1 weight care not available in AL, AR, CA, NV, LA, MS or DC.

Midi Health

Available in all 50 states (DC not mentioned). Not in-network with HMO plans; Medicare and Medicaid/Medi-Cal not accepted (Medicare patients may self-pay; Medicaid patients cannot be treated).

Full breakdown of each

#1 Alloy logo

Alloy

Cash-pay women who want FDA-approved estradiol and progesterone prescribed by a physician through messaging, with prices visible up front.

Alloy homepage
Alloy homepage
Alloy pricing page
Alloy pricing page
Starting price
$49 one-time consult
Consult model
Asynchronous (questionnaire + messaging)
Prescriber
MD/DO
Labs
Not needed
Insurance
Cash pay
Availability
50 states + DC
Cancellation
Self-serve online
Founded
New York, NY

Pricing

Seen 2026-10-17: one-time $49 doctor consultation fee, then per-product pricing: estradiol pill from $39.99/mo, gel or Evamist spray $69.99/mo, patch $100/mo, progesterone from $23/mo; ongoing messaging and delivery included. Weight Care is $99/mo plus medication.

Prices as listed on October 17, 2026. They change often; confirm at checkout.

What we like

  • Full per-product prices and the $49 consult fee are published before sign-up
  • Physician-only prescribing (menopause-trained, board-certified doctors)
  • Available in all 50 states and DC
  • Cancel via account dashboard or email

Watch out for

  • No insurance accepted (cash-pay; FSA/HSA accepted)
  • Consultation and subscription fees are non-refundable
  • Cancellation must be made 7 days before the end of the billing period
  • No live video visits; care is via intake form and messaging
Treatments offered
Estradiol (oral)Estradiol gelEstradiol spray (Evamist)Estradiol patchEstradiol vaginal creamProgesteroneLow-dose oral contraceptiveParoxetineEstriol face cream (M4, Rx)Compounded tretinoin creamAzelaic acid / tretinoin / niacinamide cream (Rx)Azelaic acid / metronidazole / ivermectin cream (Rx)GHK-Cu copper peptide cream (Rx)Low-dose oral minoxidilSpironolactoneBimatoprost (generic Latisse)Tirzepatide (Zepbound)Semaglutide (Wegovy)Oral semaglutide (Wegovy pill)Orforglipron (Foundayo)Compounded semaglutideCompounded tirzepatideCompounded liraglutide
Cancelling

Terms: cancel via account dashboard or by emailing support@myalloy.com at least 7 days before the end of the current subscription period; shipments can be paused or cancelled in the account 5 business days before processing. Consultation and subscription fees non-refundable; only the first shipment of each physical product is refundable within 30 days; dispensed prescriptions cannot be returned.

Where it is available

All 50 US states and DC for menopause care. Compounded GLP-1 weight care not available in AL, AR, CA, NV, LA, MS or DC.

#2 Midi Health logo

Midi Health

Women with commercial PPO insurance seeking menopause or perimenopause care, including hormone therapy, through video visits.

Midi Health homepage
Midi Health homepage
Midi Health pricing page
Midi Health pricing page
Starting price
$250 first visit self-pay
Consult model
Live video consult
Prescriber
MD/DO + NP/PA
Labs
Unconfirmed
Insurance
Accepted
Availability
50 states
Cancellation
No subscription to cancel
Founded
2021 · Palo Alto, CA

Pricing

Seen 2026-10-17: self-pay first visit (30 min) $250, returning visit (15 min) $150, no membership fee; in-network with most PPO plans where deductibles, coinsurance and copays apply. Medications are billed separately; compounded GLP-1s start at $164 per 4-week supply.

Prices as listed on October 17, 2026. They change often; confirm at checkout.

What we like

  • In-network with most major PPO insurance plans
  • No membership fee; transparent self-pay visit prices ($250 / $150)
  • Available in all 50 states
  • Clinicians include NPs, nurse midwives and MD/DO physicians trained in midlife care

Watch out for

  • Medicare not covered and Medicaid/Medi-Cal patients cannot be treated
  • Medications and labs are not priced in the visit fee
  • BBB rating B, with 101 complaints in the last 12 months (mostly insurance and billing)
  • Short 15-minute follow-up visits
Treatments offered
Estradiol (patch)Estradiol creamVaginal estrogenProgesteroneCompounded GLP-1 (unspecified)Compounded GLP-1/GIP (unspecified)Brand-name GLP-1s (unspecified)
Cancelling

No membership or subscription for visits (pay per visit). Midi's own patient-reviews page says to cancel or reschedule with at least 24 hours notice to avoid a cancellation fee (amount not stated); card-on-file policy lists cancellation fees as chargeable.

Where it is available

Available in all 50 states (DC not mentioned). Not in-network with HMO plans; Medicare and Medicaid/Medi-Cal not accepted (Medicare patients may self-pay; Medicaid patients cannot be treated).

Alloy vs EvernowMidi Health vs Evernow

Alloy vs Midi Health: common questions

Is Alloy or Midi Health better?

Alloy ranks higher on our rubric (10.0 vs 8.5* out of 10; * means provisional, and fully verified scores rank first). That reflects price transparency, labs, availability, cancellation terms and treatment range, not clinical outcomes. Alloy: Cash-pay women who want FDA-approved estradiol and progesterone prescribed by a physician through messaging, with prices visible up front. Midi Health: Women with commercial PPO insurance seeking menopause or perimenopause care, including hormone therapy, through video visits.

Which is cheaper, Alloy or Midi Health?

Alloy starts at $49 one-time consult + estradiol pill from $39.99/mo. Midi Health starts at $250 first visit self-pay ($150 follow-ups); insurance copays vary. Compare what each price includes, especially labs and medication.

Do Alloy and Midi Health include lab work?

Alloy: not needed. Midi Health: unconfirmed.

Which is easier to cancel?

Alloy: Terms: cancel via account dashboard or by emailing support@myalloy.com at least 7 days before the end of the current subscription period; shipments can be paused or cancelled in the account 5 business days before processing. Consultation and subscription fees non-refundable; only the first shipment of each physical product is refundable within 30 days; dispensed prescriptions cannot be returned. Midi Health: No membership or subscription for visits (pay per visit). Midi's own patient-reviews page says to cancel or reschedule with at least 24 hours notice to avoid a cancellation fee (amount not stated); card-on-file policy lists cancellation fees as chargeable.

Can Alloy or Midi Health prescribe treatment?

Alloy: yes (Estradiol (oral), Estradiol gel, Estradiol spray (Evamist), Estradiol patch). Midi Health: yes (Estradiol (patch), Estradiol cream, Vaginal estrogen, Progesterone).

Which is available in more states?

Alloy: all 50 states and DC. Midi Health: 50 states.

Sources

Regulatory and primary sources

  1. Alloy: Alloy homepage ↗
  2. Alloy: Alloy Menopause Hormone Therapy Online ↗
  3. Alloy: Alloy Estradiol Products / Solutions ↗
  4. Alloy: Alloy Terms of Use ↗
  5. Alloy: Alloy FAQ (search snippet: all 50 states and DC) ↗
  6. Alloy: Alloy: Hormone Testing During Perimenopause and Menopause (search snippet) ↗
  7. Alloy: How is Alloy different from traditional telemedicine? (search snippet) ↗
  8. Alloy: Alloy Health on Trustpilot ↗
  9. Alloy: Alloy Health, Inc. BBB profile ↗
  10. Midi Health: Midi Health homepage ↗
  11. Midi Health: Midi Pricing & Insurance ↗
  12. Midi Health: Midi Menopause Weight Loss Program & GLP-1s ↗
  13. Midi Health: Midi Health Reviews: What Real Patients Are Saying ↗
  14. Midi Health: How Midi Works ↗
  15. Midi Health: Midi patient brochure (PDF) ↗
  16. Midi Health: Midi card-on-file policy (search snippet) ↗
  17. Midi Health: Midi on Trustpilot ↗
  18. Midi Health: Midi BBB profile ↗
  19. Midi Health: Midi BBB complaints (search snippet) ↗
  20. Midi Health: Midi Health raises $100M Series D (FemTech Insider) ↗
  21. Lindy Health clinic scoring rubric ↗