Midi vs Winona: Cost, Insurance and How Each One Bills

Every figure below comes from each program's own pages, which we last read on 7 November 2026 and re-checked on 9 November 2026. Both are described in more detail in our Midi Health cost guide and Winona cost guide.

Midi vs Winona side by side

Where Midi does well on cost

Midi works like a doctor's office, and that suits people with PPO coverage. When Midi is in-network, its pricing page says your insurer determines what you owe, typically a copay or a deductible (Midi). Its menopause page says self-pay visits carry no membership fee (Midi), so there is no monthly charge to cancel.

Midi also says many FDA-approved forms, including generics, are covered by insurance (Midi). If your plan covers both the visit and a generic, the total can be low.

Where Winona does well on cost

Winona puts the price of the product and the care in one line. It says "your online menopause care is included in the cost of your treatment" (Winona), and free standard shipping is listed on its FAQ. There is no separate visit fee on the pages we read.

That suits people who pay cash. A 30-day supply is billed every 28 days, which makes 13 charges a year (Winona FAQ). Our arithmetic for common starting prices is in the Winona cost guide.

A cash-pay example, using only published prices

The table is our arithmetic on published self-pay prices and covers one year. Midi's row is visits only, because Midi bills medication and labs separately and does not publish prices for them on the pages we read. Winona's row is the starting price of estrogen tablets across 13 charges.

These are not like for like. Midi's rows leave out the drug, so compare them only after adding a pharmacy price. For cash prices of the drug itself, see our estradiol cost guide. How many follow-ups you need, and which product, is a decision for you and a prescriber.

Which products each one offers

Winona's pages list FDA-approved estrogen tablets, an estrogen patch and progesterone capsules, plus compounded creams. The FDA says "Compounded drugs are not FDA-approved." (FDA) Midi describes prescribing FDA-approved forms and says the price depends on the medication and formulation (Midi). Read compounded vs FDA-approved HRT before choosing.

What reviewers say

Trustpilot shows Winona at 4.6 out of 5 from 9,054 reviews and Midi Health at 4.1 out of 5 from 1,808 reviews, both read on 7 November 2026 (Winona, Midi). Winona's score covers its menopause care. Midi's covers the whole brand, including its weight care, so the two are not a clean match. Scores shift and reflect who chooses to post. Full records are in the Winona review and Midi Health review.

Who each one suits

Midi suits people with PPO coverage who want in-person-style visits billed to insurance. It does not accept Medicare claims, Medicaid or Medi-Cal (Midi). Winona suits people paying cash who want a fixed product price and no visit fee. Check availability in your state on each program's page, or in our state guide.

The lowest all-in plan on our table is Winona at $39 a month (Progesterone capsules, auto-refill, 30 or 90-day supply). See the best online HRT programs for the scored list, or what online HRT costs.

FAQ

Midi vs Winona: which costs less?

It depends on how you pay. With PPO coverage that includes Midi, you may owe only a copay or deductible. Paying cash, Winona's published starting prices are visible per product, while Midi's visit fees exclude medication and labs. Add the drug's pharmacy price before comparing.

Winona vs Midi cost: is the doctor visit included?

At Winona, yes. Its pages say online care is included in the cost of treatment. At Midi, no: the visit is the charge, with a higher self-pay price for the first visit than for returning ones, and medication billed separately.

Does Winona or Midi take insurance?

Midi says it is in-network with most PPO plans. Winona says it is not able to bill your insurance provider on your behalf, though you can file a claim for possible reimbursement. Both accept HSA or FSA payment per their own pages.

Does Midi or Winona require bloodwork?

Winona says it does not require bloodwork or hormone testing to prescribe a plan. Midi bills labs separately from the visit, and its pages we read give no lab price. Whether you need testing is a decision for you and your clinician.

Which has better reviews, Midi or Winona?

On Trustpilot, Winona shows 4.6 from 9,054 reviews and Midi Health 4.1 from 1,808 as of 7 November 2026. Midi's score includes its weight care. Read both reviews for the wider record before choosing.

Is Winona or Midi available in my state?

Winona's specialists page lists 37 states plus Puerto Rico. Midi asks you to enter your state and carrier to check coverage. Our state guide shows which programs ship where, and the live price table shows current plans.