Midi Health brings menopause-specialist care to a video call and, unusually for telehealth, works with many commercial insurers. For women who have struggled to get symptoms taken seriously, it is one of the most practical routes to hormone therapy and other treatments, though Medicaid patients cannot use it and in-person exams still happen elsewhere.
What we like
- Clinicians focused specifically on perimenopause and menopause
- In-network with many major commercial insurers, which keeps visit costs down
- Available in all 50 states, with transparent self-pay pricing
- Covers hormone and non-hormonal treatments, labs, weight care and sexual health
- Longer appointments than a typical primary care check-in
Keep in mind
- Does not accept Medicaid or Medi-Cal, even for self-pay
- Labs and prescriptions are billed separately from visits
- Cannot perform physical exams, imaging or procedures
- Some patients report slow messaging and confusing billing
Menopause affects every woman who lives long enough, yet many say their symptoms were dismissed or that their doctor had little training in hormone therapy. Midi Health was set up to fill that gap. It is a virtual clinic whose clinicians focus on perimenopause and menopause, delivering care by video and building treatment plans that can include hormones, non-hormonal medications, lab work and lifestyle support.
What separates Midi from many telehealth start-ups is insurance. It is in-network with a number of large commercial plans, so for many patients a visit costs roughly what a specialist copay would. We looked at what the service covers, what it costs with and without insurance, and where its limits are.
What Midi Health actually treats
Midi's care plans address more than 30 symptoms linked to the menopause transition. The most common reasons people book include:
- Hot flashes and night sweats: treated with estrogen in patch, pill or other forms, often with progesterone, or with non-hormonal medication where hormones are not suitable.
- Sleep, mood and brain fog: addressed through a mix of medication, supplements and lifestyle guidance.
- Weight and metabolic changes: lab work such as thyroid, blood sugar and lipids, and, when appropriate, GLP-1 medications alongside diet and movement advice.
- Vaginal dryness and painful sex: including local vaginal estrogen.
- Complex cases: more cautious, individualized plans for women with cancer histories or surgical menopause, coordinated with their other providers.
How a visit works
Your first appointment is a video consultation in which a clinician reviews your symptoms, medical history, medications and lifestyle. From there they build a personalized care plan, send any prescriptions to your pharmacy and order labs if needed. Follow-up visits adjust the plan as symptoms change, which matters because finding the right hormone dose or delivery method can take a few rounds.
Midi's clinical team is led by physicians, including a chief medical officer and medical director, with nurse practitioners delivering much of the day-to-day care and a panel of outside physician advisors. Appointments are described as longer than a standard check-in, which gives room for the detailed history menopause care requires.
See Midi Health's current range
What it costs
For insured patients, Midi says it is in-network with most major insurers, with Blue Cross Blue Shield, UnitedHealthcare, Cigna, Aetna and Health Net among those it highlights. You may still owe a deductible, copay or coinsurance. Midi says insured patients pay about $50 per visit on average, though a new-patient visit could cost up to $250 and a follow-up up to $150 if your deductible has not been met.
Self-pay patients pay a flat $250 for the first visit and $150 for ongoing visits. In every case, labs and prescription medications are billed separately and depend on your coverage. Midi does not accept Medicaid or Medi-Cal patients, even on a self-pay basis, and it has been reported not to participate in Medicare, so check your eligibility before booking.
Midi's own supplements
Alongside clinical care, Midi sells a small line of products designed to complement treatment plans, including Daily Fiber+ gummies, Daily Cortisol Support, Creatine+ gummies and an Estriol+ face cream. These are optional, and your clinician may recommend them as part of a broader plan. Subscribe-and-save pricing is available, but the supplements are not necessary to use the clinical service.
Who Midi suits, and its limits
Midi is a strong choice for women with commercial insurance who want a menopause-literate clinician without a long wait or a concierge-clinic price. It also suits busy women who prefer video visits and anyone who has been told their symptoms are just aging and wants a second opinion.
The limits are real, though. Telehealth cannot replace pelvic exams, mammograms, imaging or procedures, so you will still need a local gynecologist or primary care provider. Some patients report delays in messaging and confusing bills, so keep track of what your plan covers. And if you rely on Medicaid, you will need to look elsewhere.
Before your first visit
Gather a list of symptoms with rough dates, your current medications and supplements, any recent lab results and your family history of breast cancer, blood clots or heart disease. That information helps your clinician decide quickly whether hormone therapy is appropriate.
How Midi compares with other options
Women looking for menopause help online generally choose between three routes. Cash-pay telehealth brands such as Alloy offer fast intake forms and flat monthly medication prices, but do not bill insurance. Concierge menopause clinics provide long appointments and close follow-up, usually for a substantial membership fee. Midi sits between the two: it bills insurance like a traditional practice while keeping the convenience of video visits.
That makes Midi especially good value if you have commercial coverage and have already met your deductible. If you are uninsured, compare Midi's $250 first visit plus pharmacy costs with cash-pay services that bundle the consultation into the medication price. And if you want a broader women's health service that also handles things like UTIs or birth control, a general telehealth platform may be simpler for those needs, with Midi reserved for midlife care.
Verdict
Midi Health is one of the most accessible ways to get specialist menopause care in the US, largely because it works within insurance rather than around it. The clinical scope is broad, the focus is sharp and self-pay prices are clearly stated. Pair it with a local provider for in-person screening and it can make a real difference to how you navigate midlife. Before booking, call your insurer to confirm Midi is in-network for your plan and ask how labs will be billed, which avoids most of the billing surprises patients mention.
Midi Health products at a glance
| Product | What it is | Price |
|---|---|---|
| Initial virtual visit | A video consultation reviewing symptoms, history and medications to build a care plan. | $250 self-pay; insurance costs vary |
| Follow-up visits | Ongoing appointments to adjust treatment as symptoms change. | $150 self-pay; insurance costs vary |
| Hormone therapy care plans | Estrogen and progesterone options prescribed when appropriate, plus non-hormonal alternatives. | medication billed separately |
| Daily Fiber+ gummies | A fiber supplement from Midi's line, intended to complement care plans. | — |
| Daily Cortisol Support | A daily supplement in Midi's line aimed at stress-related symptoms. | — |
Prices as listed on the brand's site at the time of our research and may change. Check the store for current pricing.
Midi Health FAQs
Is Midi Health legit?
Yes. Midi Health is a licensed US virtual clinic with a physician-led clinical team, available in all 50 states and in-network with many major insurers.
Does Midi Health take insurance?
Midi is in-network with most major commercial insurers, including Blue Cross Blue Shield, UnitedHealthcare, Cigna and Aetna. Deductibles and copays may apply. It does not accept Medicaid or Medi-Cal.
How much does Midi cost without insurance?
Self-pay visits cost $250 for the first appointment and $150 for follow-ups. Labs and prescriptions are billed separately.
Can Midi prescribe hormone therapy?
Yes, when a clinician decides it is appropriate. Midi prescribes estrogen and progesterone in various forms, as well as non-hormonal options for women who cannot or prefer not to use hormones.
Do I still need my regular gynecologist?
Yes. Midi cannot perform physical exams, imaging or procedures, so keep up with in-person screenings such as pelvic exams and mammograms.
Women in perimenopause or menopause who want specialist care covered by insurance
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