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Clinic reviews · Updated September 2026

Online Menopause Care Compared

Three routes to menopause and perimenopause care online: billed to insurance, a monthly cash plan from $39, or paying per visit. Each is checked against the same six criteria, with the source behind every fact.

3clinics reviewed
6review criteria
3guides

Compare clinics How we review

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Every review checks

Recurring price and billing
Prescriber and pharmacy
Refund and cancellation terms

Menopause care moved online quickly, and the three services on this page take three different routes to it. One bills major insurers directly and publishes its self-pay prices. One skips labs and video visits for most patients and ships FDA-approved and compounded hormones on a monthly plan. One is a marketplace where you book a licensed clinician at a price shown before you book, and the prescription goes to your own pharmacy.

In November 2025 the FDA began removing parts of the boxed warning carried by menopausal hormone therapy products; the change is rolling out product by product. Our guide to the approved options and the new label explains what changed, and compounded versus FDA-approved hormones explains how to tell which kind you are being prescribed. This page is general information, not medical advice.

Menopause compared

What each company publishes about price, prescribing and cancellation. Figures are the ones on its site when we checked; confirm them before you pay.

Menopause clinics compared
Clinic	Best for	Price	Who prescribes	Cancel & refund	Review
Midi Health	Care billed to major insurers	$250 first visit, $150 follow-up, or copay	Board-certified NPs, midwives, MDs and NDs	Cancel 2 days before a renewal	Read review of Midi Health
Winona	No labs and no video visit to start	From $39/mo, free standard shipping	Winona physicians; two 503A pharmacies	Full refund inside 24 hours of ordering	Read review of Winona
Sesame	Paying per visit, price shown first	Visits from $34; no membership needed	Independent clinicians in their own practices	Free cancellation 3 hours before a visit	Read review of Sesame

Listed in order of our overall assessment against the six criteria, including public records such as BBB and Trustpilot. The order is an editorial judgment and is never paid for.

Every menopause clinic we reviewed

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Menopause

Midi Health review

Best forMenopause care billed to major insurers, with self-pay prices published up front

A nationwide perimenopause and menopause practice that bills major insurers directly and publishes its self-pay prices. Care runs through live video visits, and a prescription can go to your own pharmacy.

Woman sitting cross-legged on a mat in a bright room

Menopause

Winona review

Best forStarting without lab work or a video visit, at a published monthly price

Winona publishes a monthly price for every hormone product it sells, starting at $39, and asks for no blood work and no video appointment before a physician reviews your intake. It fits a woman aged 35 to 59 paying cash.

Woman at a desk with a computer monitor and a coffee cup

Menopause

Sesame review

Best forPaying per visit, with the price shown before you book

A marketplace where you book a licensed clinician directly, see the visit price before you pay, and pick the pharmacy that fills it. Menopause care runs on video, in all 50 states.

Guides for this category

Woman in an office chair beside a desk with a laptop, looking out a window

Guide · Menopause

Menopause Hormone Therapy: FDA-Approved Options and the New Label

FDA-approved menopause hormone therapy options, what the November 2025 boxed-warning change did and did not do, and how to check your product's label.

Woman in a blazer typing at an office computer

Guide · Menopause

Compounded vs FDA-Approved Hormones: How to Tell What You're Getting

One is reviewed by FDA before marketing; the other is mixed for you. How to tell which your online menopause program prescribes, and what to ask.

Woman at a desk with two monitors, resting her chin on her hand

Guide · Menopause

What Online Menopause Care Costs — and When Insurance Pays

Midi bills insurance and publishes $250/$150 self-pay; Winona is cash from $39 a month. Prices, labs, HSA/FSA and what a year costs.

Our methodology

How we review every clinic

We check every program against the same six criteria, using only information we can cite. We do not test treatments, so we look at what a company tells you before you pay and what public records say about how it behaves after.

How we review

The six criteria

Clinical oversight & pharmacy transparencyA named prescriber and pharmacy, 503A/503B status, compounding and FDA disclosures, a physical address
Pricing clarityA recurring price and billing interval you can find before paying, extra fees, price by dose
Medication optionsA range of clearly described treatment options
Access & logisticsA published state list, lab requirements, review time, shipping and follow-up
Cancellation & refund termsRefunds if a clinician declines you, refund windows, cancellation timing, arbitration clauses
Reputation signalsBBB and Trustpilot records, complaint volume and the themes that recur