Midi vs Alloy vs Evernow: menopause telehealth compared

Name: Midi vs Alloy vs Evernow: menopause telehealth compared
Creator: MenoWoman

Midi, Alloy and Evernow are US online menopause services that can prescribe hormone therapy and other treatments. According to their own websites, Midi bills many insurers, Alloy is cash-pay, and Evernow offers pay-per-visit or membership care.

Researched by the MenoWoman team. Edited by Marcela Sat. Updated 7 November 2026. We may earn from links.

Call emergency services for chest pain or pressure, pain spreading to the arm, back, neck or jaw, or sudden breathlessness. Get urgent in-person care for a painful, swollen leg, sudden severe headache, bleeding after menopause, very heavy bleeding, a new breast lump or thoughts of self-harm; an online visit cannot replace an exam.

What menopause telehealth offers

Menopause telehealth means seeing a clinician online, by video, messaging or an intake form. Many women use it when local doctors have little menopause training or long waits.

These services can prescribe the main treatments. That includes hormone therapy, which the Australasian Menopause Society says works better than any complementary therapy.⁶ Non-hormonal medicines and CBT also have strong support.⁵

This page covers US services only. It does not cover services in the UK, Australia or elsewhere. The details below come from each company's own website in November 2026.

Midi Health

Midi says it is available in all 50 US states and is in-network with most major insurers. Coverage depends on your plan, and copays or deductibles may apply. It also offers self-pay.¹

Its clinicians include doctors, such as OB/GYNs, and nurse practitioners. Care is virtual, with lab testing such as thyroid and hormone tests.¹

Midi lists care for over 30 menopause-related symptoms. Examples include hot flashes, poor sleep, brain fog, vaginal dryness, hair loss and joint pain.¹

Sample care plans include hormone patches, vaginal estrogen and weight medicines. Midi's outcome figures come from reviews of its own patient records, so treat them as brand data.¹

Alloy

Alloy describes itself as cash-pay, with no insurance billing. It accepts health savings and flexible spending cards.²

You start with an online intake form. Alloy says a treatment plan arrives within 12 hours and offers ongoing messaging with a doctor. Its site does not say whether video visits are standard.²

Alloy says its doctors are board-certified and focus on midlife. It lists estradiol pills, gels and patches, vaginal estrogen cream, prescription skincare, hair loss and weight medicines.² Its homepage did not say which states it serves.²

Evernow

Evernow says it serves all 50 states and Washington, DC. Its clinicians are trained in menopause and licensed in your state, but the FAQ does not list credential types.³

It offers two models: pay-per-visit with video visits, or a membership with messaging, optional video visits and refills.³

Evernow says its video visits can be billed to major commercial insurance plans. It says it does not currently support Medicare or Medicaid plans. Some medicines are cash-pay only through partner pharmacies. Labs are ordered when a medicine needs them.³ It says its providers follow guidelines from ACOG and The Menopause Society.³

Treatments listed include hormone therapy, non-hormonal options, weight, hair, skin, vaginal and anxiety medicines.³

Choosing a service, and what telehealth cannot do

Prices and plans change often, so check the current price on each site before you sign up. Useful questions to ask:

Is the visit covered by my insurance, or is it self-pay?
Will I see a doctor, a nurse practitioner or either?
Is there a video visit, or only an online form?
Can medicines go to my local pharmacy?
How do follow-ups and refills work, and what do they cost?

Prepare as you would for any visit. Mayo Clinic suggests bringing a list of symptoms, medicines and supplements.⁴ Mention any history of breast cancer, blood clots, stroke or heart disease, which affect hormone therapy choices.⁴

Telehealth cannot do a pelvic or breast exam. Keep a local doctor for screening and for red-flag symptoms. Pregnancy is still possible in perimenopause, so mention it if relevant.

See our tests, apps and services page for these and other services, described with the brands' own claims.

What it is used for: evidence rated

Option	Evidence	What the research shows
Hormone therapy prescribed after assessment	Strong evidence	No complementary therapy matches estrogen-based hormone therapy for hot flashes, says the Australasian Menopause Society.⁶
Non-hormonal prescriptions and CBT	Strong evidence	Recommended for hot flashes by The Menopause Society in 2023.⁵
Midi Health: insurance-billed virtual menopause care	Weak evidence	Outcome figures come from Midi's own patient record reviews; no independent comparison is cited.¹
Alloy: cash-pay online prescriptions	Weak evidence	Speed and quality claims are the brand's own; no independent outcome data are cited.²
Evernow: pay-per-visit or membership care	Weak evidence	Service claims are the brand's own; no independent outcome data are cited.³

Ratings explained: how we rate. Always talk to a doctor or pharmacist before starting a medicine or supplement.