Gala Health vs Midi Health
Gala Health scores higher overall (8.5 vs 6.2).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Gala Health
Gala Health scores 8.5/10 against 6.2 for Midi Health, ahead on price, price transparency, clinical care 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
| Gala Health | Midi Health | |
|---|---|---|
| Lowest price | $69/mo (monthly subscription) | Not published |
| Our score | 8.5/10 | 6.2/10 |
| Treatments | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen, Non-hormonal options | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen |
| Medication in price | Included | Extra |
| Drugs dispensed | FDA-approved | FDA-approved + compounded |
| Labs | Ordered only when clinically useful; cost not stated | Offered, including hormone, thyroid and metabolic labs; price not published |
| Membership | None; one monthly price | Not stated |
| Insurance | No (cash pay) | Yes, in-network with most PPO plans; Medicare out of network; Medicaid and Medi-Cal not accepted |
| States | Not confirmed: no state list found on its own site (2026-10-29) | All 50 states, per its own site (2026-11-07) |
| Cancellation | Cancel anytime with 72 hours' notice before billing; no refunds after cancelling | Not stated |
| FDA warning letters | None found (October 26, 2026) | None found (November 7, 2026) |
| Trustpilot | 4.6/5 (4,269 reviews) | 4.1/5 (1,808 reviews) |
| Best for | Women who want FDA-approved hormones at one simple, low monthly price. | 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 | Gala Health | Midi Health |
|---|---|---|
| Estrogen (patch, gel or pill) | $69/mo (monthly subscription) source, 2026-11-07 | 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 |
Gala Health: a closer look
One flat monthly price with FDA-approved estrogen, progesterone and the medication included. We searched the FDA warning-letter database on October 26, 2026 and found no letter naming Gala Health.
In its favour
- Medication, review and shipping included in one price
- FDA-approved estradiol and progesterone
- Non-hormonal options too
To weigh
- No refund once you cancel
- Needs 72 hours' notice before the billing date
- Per-medication prices not broken out; $69 is a 'from' price
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 Gala Health
Best for women who want FDA-approved hormones at one simple, low monthly price. Its lowest all-in plan is $69/mo (monthly subscription).
Check Gala Health's priceChoose Midi Health
Best for women with PPO insurance who want a menopause clinician and a covered video visit.
Check Midi Health's priceGala Health vs Midi Health: questions people ask
Which is better, Gala Health or Midi Health?
On our published score Gala Health rates 8.5 and Midi Health rates 6.2. Gala Health is best for women who want FDA-approved hormones at one simple, low monthly price; Midi Health is best for women with PPO insurance who want a menopause clinician and a covered video visit.
Do Gala Health and Midi Health offer the same treatments?
Gala Health: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen, Non-hormonal options. Midi Health: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen.
Does either include the medication in the price?
Gala Health: 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.