Best for lab-heavy care with testosterone for women on the menu: Hone Health
Our score 8.5/10 (rubric)- Cost transparency and value (25%)
- 10.0
- Clinical process and monitoring (25%)
- 10.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 6.7
- Patient sentiment (10%)
- 9.6
- Support and cancellation (10%)
- 5.0
Plan priced: Premium membership + estradiol patch or gel. Prices checked Oct 7, 2026 · source
What they offer: TRT injections; Testosterone cream; Testosterone troches; Enclomiphene; Clomiphene; Anastrozole; Menopause HRT: estradiol patch/gel, bi-est cream, progesterone (oral and cream), vaginal estradiol/estriol; Testosterone for women (injection, cream); Weight-loss medications; Lab testing (50+ biomarkers).
How care works: $65 initial test, 50+ biomarkers, at 2,000+ Quest locations, or a free at-home draw where available. Premium retests every 3 months. Prescribers: Physicians through Broad Health, an independent physician-owned medical group. Does not accept insurance. FSA/HSA may apply.
The catch: Treatment needs the $155/mo Premium membership on top of medication.
Pros
- Low-cost $65 entry test with physician consult
- Broad hormone menu for men and women
- Trustpilot 4.8 (12,371 reviews)
Cons
- Treatment needs the $155/mo Premium membership on top of medication
- Recent Trustpilot reviews mention membership costs as a surprise
Best for compounded bioidentical creams and pills without a lab visit: Winona
Our score 8.2/10 (rubric)- Cost transparency and value (25%)
- 10.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 10.0
- Access (15%)
- 6.7
- Patient sentiment (10%)
- 9.2
- Support and cancellation (10%)
- 10.0
Plan priced: Estrogen tablets (billed every 28 days). Prices checked Oct 7, 2026 · source
What they offer: Compounded bioidentical HRT: estrogen body cream, patch, tablets, vaginal cream; progesterone capsules and cream; DHEA; Non-hormonal: sildenafil arousal cream, minoxidil serum, estriol face cream.
How care works: Not required. Prescribed on symptoms. Prescribers: 30+ board-certified physicians. No insurance. HSA/FSA accepted.
The catch: Compounded hormones (not FDA-approved), ages 35 to 59 only.
Pros
- No labs needed
- Owns its compounding pharmacies
- Trustpilot 4.6 (8,666 reviews)
Cons
- Compounded hormones (not FDA-approved)
- No testosterone or GLP-1
- Age 35–59 only
Best for a menopause specialist billed like a normal visit: MyMenopauseRx
Our score 7.9/10 (rubric)- Cost transparency and value (25%)
- 7.5
- Clinical process and monitoring (25%)
- 10.0
- Disclosure (15%)
- 10.0
- Access (15%)
- 6.7
- Patient sentiment (10%)
- 5.1
- Support and cancellation (10%)
- 5.0
Minimum term
not published
Plan priced: Self-pay virtual visit. Prices checked Oct 7, 2026 · source
What they offer: Bioidentical HRT (estradiol, progesterone, DHEA); Non-hormonal options; GLP-1 (Saxenda, Wegovy, Zepbound); Labs.
How care works: Quest. Use insurance, or discounted self-pay bundles. Prescribers: Board-certified menopause specialists. Takes most major health insurance. FSA/HSA eligible.
The catch: $99 late-cancel fee; 39 states plus DC.
Pros
- Insurance-covered visits
- Same specialist each visit
Cons
- $99 late-cancel fee
- Trustpilot 3.3 (4 reviews)
Best for guideline-based HRT through your own pharmacy: Stella
Our score 7.9/10 (rubric)- Cost transparency and value (25%)
- 7.5
- Clinical process and monitoring (25%)
- 10.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 10.0
- Patient sentiment (10%)
- 5.0
- Support and cancellation (10%)
- 5.0
Minimum term
not published
Plan priced: Self-pay visits. Prices checked Oct 7, 2026 · source
What they offer: FDA-approved HRT: estrogen (gel, patch, spray, vaginal), progesterone; Non-hormonal options; Health coaching app.
How care works: Usually not needed (NAMS guidance). Prescribers: Board-certified menopause clinicians (Vira Health). Ages 35–70. In-network with hundreds of plans. Superbills for out-of-network. HSA/FSA eligible.
The catch: No testosterone yet; medication is paid at your pharmacy.
Pros
- Takes insurance
- FDA-approved medications only
- Coaching app included
Cons
- No testosterone yet (waitlist)
- Trustpilot 2.7 (4 reviews)
Best for one monthly price with medication included: Kindr Health
Our score 6.8/10 (rubric)- Cost transparency and value (25%)
- 10.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 10.0
- Patient sentiment (10%)
- 5.0
- Support and cancellation (10%)
- 0.0
Minimum term
not published
Plan priced: Core plan ($79 first month). Prices checked Oct 7, 2026 · source
What they offer: HRT: estradiol (patch, gel, pill), progesterone; FDA-approved and compounded; Testosterone for women; Non-hormonal options; GLP-1 (semaglutide/tirzepatide); Hormone lab testing.
How care works: No labs required to start. Lab testing offered. Prescribers: Board-certified doctors (NAMS-aligned protocols). Compounded HRT not covered by insurance. HSA/FSA accepted.
The catch: New brand: no Trustpilot reviews yet and LegitScript certification listed as pending.
Cons
- New brand: Trustpilot profile has 0 reviews
- Site says 'LegitScript certification pending'
Best for a primary-care doctor who can handle simple HRT: PlushCare
Our score 6.7/10 (rubric)- Cost transparency and value (25%)
- 5.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 10.0
- Access (15%)
- 6.7
- Patient sentiment (10%)
- 7.0
- Support and cancellation (10%)
- 10.0
Minimum term
not published
Plan priced: Membership + first visit (no insurance). Prices checked Oct 7, 2026 · source
What they offer: Primary-care telehealth; doctors can prescribe estrogen/progesterone for menopause at their discretion; Labs at a discount.
How care works: Discounted lab tests for members. Prescribers: Board-certified primary-care physicians (may refer complex menopause cases to a specialist). In-network with most major plans.
The catch: Primary care, not menopause-specialized.
Pros
- Takes insurance
- General primary care too
Cons
- Not menopause-specialized
- Trustpilot 3.5 (2,784 reviews)
Best for FDA-approved estradiol at a low cash price: Alloy
Our score 6.6/10 (rubric)- Cost transparency and value (25%)
- 10.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 3.3
- Access (15%)
- 10.0
- Patient sentiment (10%)
- 8.6
- Support and cancellation (10%)
- 0.0
Plan priced: Estradiol pill (shipped and billed every 3 months). Prices checked Oct 7, 2026 · source
What they offer: FDA-approved estradiol: pill, gel, patch, vaginal cream, Evamist spray; Progesterone; GLP-1 weight care.
How care works: Not required on the pages read. Prescribers: Board-certified, menopause-trained medical doctors (Menopause Society/ACOG protocols). Does not accept insurance. HSA/FSA accepted.
The catch: Billed quarterly, and the patch price conflicts on Alloy's own page ($100 vs $74.99).
Pros
- FDA-approved products
- Low entry price
- All 50 states
- Trustpilot 4.3 (4,007 reviews)
Cons
- Patch price conflict on page ($100 vs $74.99)
- Billed quarterly
Best for one flat monthly price for any HRT form: Henry Meds
Our score 6.6/10 (rubric)- Cost transparency and value (25%)
- 10.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 3.3
- Patient sentiment (10%)
- 8.8
- Support and cancellation (10%)
- 5.0
Plan priced: Women's HRT, any option. Prices checked Oct 7, 2026 · source
What they offer: TRT: compounded injection, cream or pill; Kyzatrex oral TRT (FDA-approved); Aromatase inhibitor (no extra cost if prescribed); Menopause HRT: compounded body cream, vaginal cream; FDA-approved patch, tablets; Testosterone for women (add-on); GLP-1.
How care works: Labs included in TRT pricing. Collection method not stated on the pages read. Prescribers: Licensed healthcare providers through independent professional entities. No insurance needed (cash-pay).
The catch: HRT is for ages 35 to under 60 only.
Pros
- One flat price including labs and visits
- Covers men's and women's hormones
- Trustpilot 4.4 (12,532 reviews)
Cons
- Testosterone age limits: men 35–65, women 35–60; HRT 35 to under 60
- Multi-month plans may require paying the remaining balance
- Kyzatrex not available in California
- Ages 35 to under 60 for HRT
Best for a low monthly care fee with pharmacy-paid medication: Wisp
Our score 6.3/10 (rubric)- Cost transparency and value (25%)
- 5.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 10.0
- Patient sentiment (10%)
- 8.2
- Support and cancellation (10%)
- 5.0
Minimum term
not published
Plan priced: Menopause Consult. Prices checked Oct 7, 2026 · source
What they offer: Menopause consult: estradiol patch/gel/oral, micronized progesterone, Provera; Estradiol vaginal cream.
How care works: Not mentioned. Prescribers: Independent physicians / certified menopause experts. Consult not billed to insurance; insurance can apply to meds at the pharmacy. HSA/FSA eligible.
The catch: $33/mo covers care only; medication is extra.
Pros
- Low monthly care fee
- All 50 states
- Trustpilot 4.1 (11,560 reviews, all Wisp services)
Cons
- Medication cost extra
- Trustpilot rating covers all Wisp services, not just menopause
Best for using insurance for menopause-specialist visits: Midi Health
Our score 6.0/10 (rubric)- Cost transparency and value (25%)
- 5.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 6.7
- Access (15%)
- 10.0
- Patient sentiment (10%)
- 5.0
- Support and cancellation (10%)
- 5.0
Minimum term
not published
Plan priced: Self-pay visits. Prices checked Oct 7, 2026 · source
What they offer: Menopause/perimenopause care: estradiol, progesterone, estradiol cream, non-hormonal options; GLP-1s; Metabolic, thyroid and B12 labs.
How care works: Targeted labs when recommended, billed separately (insurance may cover). Prescribers: Board-certified clinicians trained in women's health (NPs, MDs, NAMS-certified). In-network with most major insurance (mostly PPO). HSA/FSA OK. Medicare is out-of-network (self-pay allowed).
The catch: Self-pay visits are $250 first and $150 after, with medication extra.
Pros
- Takes insurance
- All 50 states
- Menopause-trained clinicians
Cons
- Self-pay visits are expensive ($250 first)
- Trustpilot 4.1 (~2K reviews, seen in Trustpilot related box)
Best for insurance-billed video visits plus a membership: Evernow
Our score 5.5/10 (rubric)- Cost transparency and value (25%)
- 5.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 3.3
- Access (15%)
- 10.0
- Patient sentiment (10%)
- 4.9
- Support and cancellation (10%)
- 5.0
First charge
not published
Plan priced: Membership, 12-month ($420). Prices checked Oct 7, 2026 · source
What they offer: HRT: estradiol patch/pill, progesterone, norethindrone; Non-hormonal options; GLP-1 (e.g., Mounjaro); Hair, skin, vaginal health.
How care works: Only for some medications. Prescribers: Menopause-trained clinicians (ACOG / Menopause Society guidelines). Video visits in-network with UHC, Aetna, Anthem, BCBS (not Medicare/Medicaid). Medications can use insurance at a local pharmacy. Membership fees HSA/FSA eligible.
The catch: Medication cost is not published.
Pros
- Insurance for visits and meds
- All 50 states
Cons
- Medication cost not published
- Trustpilot 2.0 (15 reviews)
Best for a simple big-brand route to estradiol and progesterone: Hers
Our score 2.4/10 (rubric)- Cost transparency and value (25%)
- 0.0
- Clinical process and monitoring (25%)
- 5.0
- Disclosure (15%)
- 0.0
- Access (15%)
- 3.3
- Patient sentiment (10%)
- 6.6
- Support and cancellation (10%)
- 0.0
First charge
not published
Minimum term
not published
What they offer: Menopause/perimenopause HRT: estradiol pill or patch, progesterone pill, estradiol vaginal cream.
How care works: Not mentioned for menopause. Prescribers: Licensed providers trained in women's health. Medical expert: Dr. Jessica Shepherd, board-certified OB/GYN. Insurance not required. Hims & Hers does not take FSA/HSA.
The catch: No public price; it appears only inside the intake.
Pros
- Big brand, LegitScript-certified
- Unlimited provider messaging
Cons
- No public pricing
- Trustpilot 3.3 (10,546 reviews)
Listed but not ranked (the pages we read don't show both a licensed prescriber and an evaluation before prescribing): Eden, Joi + Blokes.