Inner Balance vs Midi Health
They are close on both price and score; pick on the treatment you want and what is included.
By Julian Caraulani · prices checked
Quick verdict
Inner Balance and Midi Health score the same on our published scale (6.2/10). Inner Balance is best for women set on a single compounded cream who want one monthly price; Midi Health is best for women with PPO insurance who want a menopause clinician and a covered video visit.
Side by side
| Inner Balance | Midi Health | |
|---|---|---|
| Lowest price | $199/mo (billed monthly; a 3-month supply ships every 90 days) | Not published |
| Our score | 6.2/10 | 6.2/10 |
| Treatments | Compounded bioidentical (BHRT), Vaginal estrogen | Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen |
| Medication in price | Included | Extra |
| Drugs dispensed | Compounded | FDA-approved + compounded |
| Labs | Not required; lab review included | Offered, including hormone, thyroid and metabolic labs; price not published |
| Membership | None stated | Not stated |
| Insurance | No; its FAQ says Oestra is not covered. HSA and FSA eligible | 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; refund requests on monthly and quarterly plans run from 90 to 180 days after the original order | Not stated |
| FDA warning letters | None found (October 26, 2026) | None found (November 7, 2026) |
| Trustpilot | 2.8/5 (52 reviews) | 4.1/5 (1,808 reviews) |
| Best for | Women set on a single compounded cream who want one 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 | Inner Balance | Midi Health |
|---|---|---|
| Vaginal estrogen | No all-in price published | No all-in price published |
Inner Balance: a closer look
One compounded estradiol and progesterone vaginal cream (Oestra), billed monthly and shipped as a 3-month supply. We searched the FDA warning-letter database on October 26, 2026 and found no letter naming Inner Balance.
In its favour
- Unlimited clinical follow-up included
- Free shipping
- A money-back window on monthly and quarterly plans
To weigh
- $199 a month, and insurance does not cover it
- One menopause product, and it is compounded
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 Inner Balance
Best for women set on a single compounded cream who want one monthly price. Its lowest all-in plan is $199/mo (billed monthly; a 3-month supply ships every 90 days).
Check Inner Balance's priceChoose Midi Health
Best for women with PPO insurance who want a menopause clinician and a covered video visit.
Check Midi Health's priceInner Balance vs Midi Health: questions people ask
Which is better, Inner Balance or Midi Health?
On our published score Inner Balance rates 6.2 and Midi Health rates 6.2. Inner Balance is best for women set on a single compounded cream who want one monthly price; Midi Health is best for women with PPO insurance who want a menopause clinician and a covered video visit.
Do Inner Balance and Midi Health offer the same treatments?
Inner Balance: Compounded bioidentical (BHRT), Vaginal estrogen. Midi Health: Estrogen (patch, gel or pill), Progesterone, Vaginal estrogen.
Does either include the medication in the price?
Inner Balance: 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.