Midi Health Reviews: Menopause Experts, Priced Per Visit

The short version

Midi Health is a virtual clinic for women in perimenopause, menopause and midlife, and it is the most clinically specialized hormone service we grade. Its clinicians are trained in menopause care, it takes most major PPO insurance plans, and it runs an AgeWell visit: a longevity consult covering heart, brain, bone and cancer risk, with prescriptions such as metformin or rapamycin where a clinician finds them appropriate.

What it does not do is sell treatment at one price. Midi bills per visit: $250 for a first 30-minute visit and $150 for each 15-minute follow-up if you pay cash, or your normal copay and deductible if you use insurance. Labs and every prescription are billed separately, and Midi publishes no price for its compounded estrogen or progesterone.

On our rubric it earns Grade B, 9 out of 14, which is 9 points out of 14. It loses all four price-transparency points because no all-in figure exists for the hormone therapy you would be buying, and one pharmacy point because it names its compounding pharmacies without stating a compounding standard. If your insurance covers Midi, that grade undersells how affordable it can be. If you are paying cash, it is the right warning.

What it is, and who it's for

Midi Health, Inc. is based in Los Angeles and says more than 500,000 women have used it. Care is delivered by clinicians from affiliated medical groups, over video, in all 50 states. Its Chief Medical Officer and its Medical Director are both named on the homepage, along with medical advisors in cardiology, hematology, psychiatry and gynecology.

After your first visit, your clinician builds a Care Plan. Midi says the plan "includes options for over 30 menopause-related symptoms, including hormone solutions, non-hormonal alternatives, and lifestyle interventions." In practice that can mean:

• •Hormone therapy: FDA-approved estradiol patches, pills and vaginal estrogen sent to your own pharmacy, or compounded estradiol cream, estradiol gel and micronized progesterone through Midi Custom Rx
• •Testosterone cream for women, in 24 states and the District of Columbia
• •Non-hormonal prescriptions, supplements and lifestyle coaching
• •Labs and screening, ordered by your clinician and usually drawn at Labcorp
• •The AgeWell visit, a separate longevity consult (covered in its own section below)

It suits a woman with menopause symptoms who wants a specialist rather than a general telehealth doctor, and especially one with PPO insurance. Our guide to menopause HRT and longevity covers what HRT does for long-term health. It suits a man very little: Midi says it is "unable to support cisgender men seeking hormone evaluation or testosterone therapy."

What it actually costs

The visit price is published and simple. From Midi's help center: "For your first visit, the cash price is $250. For ongoing visits, the cash price will be $150." There is no membership. With insurance, Midi says "most patients, on average, pay around $50 out-of-pocket per visit," though a new-patient visit may count against a deductible of up to $250 and a follow-up up to $150. Midi is in network with most PPO plans; HMO members pay cash.

Everything else is separate. The same help article is explicit: "The visit price does not include the cost of labs or any prescription medications." That leaves three more bills to plan for:

• •Medication. FDA-approved prescriptions go to the pharmacy you choose and are paid there, often through your insurance. Midi's own compounded products are paid through Midi. It publishes a price for only a few of them: testosterone cream from $100 for a 90-day supply, the Estriol+ face cream at $149 for 90 days, and compounded GLP-1s from $164 per four weeks. No price is published for compounded estradiol or progesterone.
• •Labs. Ordered by your clinician and billed by the lab or your insurer. Midi's testosterone page tells you to "check with your insurance provider to see if the cost of these labs will be covered."
• •Follow-ups. Each check-in is a billed visit. Testosterone, Midi says, "often requires lab testing and more than one visit."

So the first-year cost for a cash-paying patient on HRT is at least $250 plus a few $150 follow-ups, plus medication and labs at prices you will learn along the way. That is normal for a medical practice. It is less predictable than the one-price hormone programs elsewhere in our rankings.

The AgeWell visit: Midi's longevity offer

AgeWell is the part of Midi that most resembles a longevity clinic. Midi describes it as "Test, Treat, Thrive": a consult with a clinician "trained in female longevity," advanced screening, a Care Plan aimed at risk factors, and lifestyle coaching. The page groups it into four areas:

• •Brain health: cognitive screening, with prescriptions it names as examples such as omega-3, metformin, low-dose naltrexone or a GLP-1
• •Cardiovascular protection: lipid panels, fasting insulin and calcium scoring, with HRT, statins or metformin where appropriate
• •Cancer prevention: standard screenings plus optional advanced tests it names, such as the Galleri blood test or a full-body MRI, and medications including metformin, rapamycin and "NAD+ boosters"
• •Bone and muscle strength: vitamin D, bone density and muscle mass testing such as DEXA scans

Two things to know. First, Midi does not price AgeWell separately; it is booked and billed as a visit, and the screenings it recommends are billed by whoever performs them. Second, it is a consult, not a product line. Midi does not sell NAD+ injections or peptides; it may recommend or prescribe interventions, and many of the advanced tests it mentions are paid out of pocket elsewhere. Read our guides to rapamycin, metformin and longevity biomarker panels before you book, so you know which of those suggestions has evidence behind it.

Who prescribes, and who fills it

Midi's clinicians are named and credentialed on its site, which is better disclosure than most telehealth brands manage. Its help center says Midi "clinicians are highly trained in the use of all treatments for the symptoms of perimenopause and menopause, including HRT," and that they order "any labs and/or screening tests needed to prescribe HRT safely."

On the pharmacy, Midi names names. FDA-approved prescriptions go to "the preferred pharmacy you provide." Compounded products go through Midi Custom Rx, and its help center names the two pharmacies that ship them: "Our pharmacy partner, Precision Compounding Pharmacy, can ship Midi Custom Rx, which is available in all states except: South Carolina and Arkansas," and Belmar Pharmacy, which does not ship to Arkansas or Alabama. It does not say whether either works under 503A or 503B rules, which is why it takes one pharmacy point rather than two.

Midi is clear that compounded products are not FDA-approved, and so is FDA: compounded drugs are not reviewed for safety, effectiveness or quality before they are sold¹. For most HRT, an FDA-approved patch or pill is available and Midi will prescribe it.

Signing up, refunds and canceling

You book a video visit online and pick a time from your clinician's live calendar. Before your first visit you complete a health questionnaire, and between visits you can message your care team through Midi's patient portal, which Midi says supports "messaging that lets you reach us anytime, and get a prompt response."

The money rules are short:

• •Prescriptions are not refundable. "Prescription treatments cannot be refunded or returned."
• •Fees are non-refundable once a service is provided. Midi's terms say charges are non-refundable "once services are provided, products are shipped, prescriptions are processed, or a subscription period begins," with refund requests reviewed case by case.
• •Cancel visits 24 hours ahead. Midi charges a cancellation fee for later changes, and does not publish its amount on the pages we read.
• •Medicare and Medicaid. Midi does not take Medicaid. Its pricing page says Medicare patients "are welcome as self-pay patients," while an older Midi article says it cannot treat Medicare patients even as self-pay. Treat the pricing page as current, and confirm before you book.
• •Disputes go to arbitration, with a 30-day window to opt out by mail.

Where it's weak, and who should skip it

• •Skip it if you want a single price. You will pay per visit, then for labs, then for medication, and only some of those prices are published.
• •Skip it for NAD+ or peptides. AgeWell is a consult, not a supply of longevity medication.
• •Check your state for testosterone. It is prescribed in 24 states and the District of Columbia only.
• •Budget for follow-ups. At $150 cash each, several dose adjustments add up.
• •Men should look elsewhere for hormone therapy.

The verdict, against the rubric

Our rubric scores five things, out of 14: price transparency (4), a genuine longevity line (4), clinical oversight (2), pharmacy disclosure (2) and human support (2). Midi takes zero for price transparency, because no all-in figure exists for the hormone therapy a reader comes to buy; the visit price is published, but labs and medication are billed on top and its compounded HRT is unpriced in public. It takes all four for its longevity line, with menopause HRT, testosterone for women and the AgeWell consult. It takes two for clinical oversight, since what you pay for is the clinician's time, one for pharmacy, for naming Precision Compounding Pharmacy and Belmar Pharmacy without a compounding standard, and two for human support, with portal messaging between visits. Nine out of fourteen: a B.

The B is about the bill, not the medicine. Midi's clinical side is as strong as anything we grade for women's hormone care. If you have PPO coverage, your real cost may be a copay. If you are paying cash and want to know the total before you start, compare our Winona review, which prices each HRT product, and our Henry Meds review, which bundles visits, labs and medication into one monthly price. The scoring is explained in how we grade.