Alloy vs Midi Health
Alloy scores higher overall (6.7 vs 6.2).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Alloy
Alloy scores 6.7/10 against 6.2 for Midi Health, ahead on price transparency and reputation. Midi Health can still be the better fit: it is best for women with PPO insurance who want a menopause clinician and a covered video visit.
Side by side
| Alloy | Midi Health | |
|---|---|---|
| Lowest price | Not published | Not published |
| Our score | 6.7/10 | 6.2/10 |
| Treatments | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen |
| Medication in price | Included | Extra |
| Drugs dispensed | FDA-approved | FDA-approved + compounded |
| Labs | Not ordered through Alloy | Offered, including hormone, thyroid and metabolic labs; price not published |
| Membership | None stated | Not stated |
| Insurance | No; cash-pay, FSA and HSA cards accepted | Yes, in-network with most PPO plans; Medicare out of network; Medicaid and Medi-Cal not accepted |
| States | All 50 states plus DC, per its own site (2026-11-07) | All 50 states, per its own site (2026-11-07) |
| Cancellation | Auto-renews; cancel 7 days before the period ends. Consult and service fees are non-refundable | Not stated |
| FDA warning letters | None found (November 7, 2026) | None found (November 7, 2026) |
| Trustpilot | 4.3/5 (4,195 reviews) | 4.1/5 (1,808 reviews) |
| Best for | Women who want to see each product's price up front and pay cash. | Women with PPO insurance who want a menopause clinician and a covered video visit. |
Price by treatment
The lowest all-in plan each publishes for the treatments both offer, with the page we read it on.
| Treatment | Alloy | Midi Health |
|---|---|---|
| Estrogen (patch, gel or pill) | No all-in price published | No all-in price published |
| Progesterone | No all-in price published | No all-in price published |
| Vaginal estrogen | No all-in price published | No all-in price published |
Alloy: a closer look
FDA-approved estradiol and progesterone priced per product, plus a required one-time $49 doctor consult. We searched the FDA warning-letter database on November 7, 2026 and found no letter naming Alloy.
In its favour
- Every hormone product priced on its site
- Sold in all 50 states and DC
- FDA-approved estradiol
To weigh
- A $49 one-time consult is required on top of the product price
- Does not bill insurance
- Medication ships and bills every 3 months
- Starting prices can vary by product strength
Midi Health: a closer look
Menopause clinicians by video visit, billed to most major insurance plans, or $250 then $150 a visit if you pay yourself. We searched the FDA warning-letter database on November 7, 2026 and found no letter naming Midi Health.
In its favour
- In-network with most major insurance plans
- All 50 states
- Menopause is its core service
To weigh
- Self-pay visits are $250, then $150
- FDA-approved medication prices and lab prices are not published
- HMO plans are not in-network
Which should you choose?
Choose Alloy
Best for women who want to see each product's price up front and pay cash.
Check Alloy's priceChoose Midi Health
Best for women with PPO insurance who want a menopause clinician and a covered video visit.
Check Midi Health's priceAlloy vs Midi Health: questions people ask
Which is better, Alloy or Midi Health?
On our published score Alloy rates 6.7 and Midi Health rates 6.2. Alloy is best for women who want to see each product's price up front and pay cash; Midi Health is best for women with PPO insurance who want a menopause clinician and a covered video visit.
Do Alloy and Midi Health offer the same treatments?
Alloy: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen. Midi Health: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen.
Does either include the medication in the price?
Alloy: included. Midi Health: extra.
HRT Watchdog is for information only and is not medical advice. Hormone therapy has benefits and risks; talk to a licensed clinician about whether it is right for you. Partner links may earn us a commission; our score never depends on it. Compare other programs.