Last updated November 11, 2026 · Reviewed by the Gala Health team
How this comparison works
This page is published by Gala, which is one of the services compared, so it does not rank them. They are listed in alphabetical order and compared on what each company states on its own website: what you pay, whether insurance applies, how you see a clinician, which hormone forms it lists, and one real drawback.
Every price and term below was copied from the company's own website on November 11, 2026, and each source is linked at the end of the page. Prices and state availability change, so confirm them before you sign up.
Alloy, Evernow, Hers, Midi and Winona are trademarks of their respective owners. Gala is not affiliated with or endorsed by any of them.
Comparison table
| Service | What you pay (from its website) | Insurance | How you see a clinician | Hormone forms listed | One drawback |
|---|---|---|---|---|---|
| Alloy | One-time $49 doctor consultation; estradiol pill from $39.99/mo, gel $69.99/mo, Evamist spray $69.99/mo, patch $100/mo | Does not bill or accept insurance directly; FSA/HSA cards accepted | Online assessment reviewed by a doctor, then unlimited messaging | Estradiol pill, gel, spray and patch | No insurance billing, so you pay the full price yourself |
| Evernow | Membership $49/mo, $129 for 3 months or $420 for 12 months; self-pay video visit $150 | Video visits covered by major commercial plans (UnitedHealthcare, Aetna, Anthem, Blue Cross Blue Shield); not Medicare or Medicaid | Video visits plus 24/7 messaging for members; available in all 50 states and D.C. | Hormone therapy (forms not listed on the page checked) | Membership fees are not covered by insurance |
| Gala | One self-pay monthly price that includes medication, provider review and ongoing care ("all included", per Gala's hormone health page); cancel anytime | Not required (self-pay); FSA and HSA accepted | Provider-led online assessment reviewed by a licensed clinician, then messaging; licensed providers in all 50 states; a video visit may be needed depending on the patient, state law or medication | FDA-approved estradiol pill or patch, oral or vaginal progesterone, vaginal estradiol, non-hormonal options | Self-pay only; insurance is not billed |
| Hers | Not shown on the Hers menopause page checked | Not required, according to its menopause page | Online intake reviewed by a provider, then unlimited messaging | Estradiol pill or patch, progesterone pill, estradiol vaginal cream | Not available in all 50 states |
| Midi | Self-pay first visit $250 (30 minutes), returning visit $150 (15 minutes); additional costs may apply | In-network with most major insurance plans, including most PPO plans; not Medicaid or Medi-Cal | Scheduled virtual visits; available in all 50 states | Hormone and non-hormone treatments (forms not listed on the page checked) | Without in-network coverage, visits cost $250 and $150 |
| Winona | Estrogen tablets from $54/mo, estrogen patch from $149/mo, estrogen body cream from $89/mo, progesterone capsules from $39/mo; free first visit | Does not bill insurance; HSA/FSA cards accepted | Messaging through a patient portal only; no phone or video visits | Oral pills, patches, body creams and local treatments; creams compounded in its own 503A pharmacies | Serves 37 states plus Puerto Rico, not every state |
Prices checked on 2026-11-11 on each company's own website (see Sources). Medication prices are monthly unless stated; visit fees are per visit.
Insurance-based or self-pay
The six services follow two models. Midi and Evernow bill your insurance for visits, so what you pay depends on your plan's copay and deductible, and Evernow says medication filled at your local pharmacy can go through your insurance. Alloy, Winona and Gala are self-pay, and Hers says insurance is not required: you pay a published or quoted price, and most accept FSA or HSA cards.
Insurance can make visits cheaper if your plan is in-network, but neither Midi nor Evernow accepts Medicaid, and Evernow does not take Medicare. Self-pay services avoid coverage checks but you pay the full price yourself.
FDA-approved or compounded hormones
Estradiol pills and patches and oral micronized progesterone are available as FDA-approved products. Compounded hormones are different: they are prepared by a pharmacy for an individual patient, and the FDA states that compounded drugs are not FDA-approved and do not undergo FDA premarket review for safety, effectiveness or quality.
Winona says its creams are compounded in its own 503A pharmacies and are not FDA approved. If a service offers a compounded product, ask why it is recommended for you instead of an approved one. Our guide to estradiol patch vs pill explains how the approved forms differ, and HRT side effects covers what to watch for.
What to ask before you choose
- Is the service available in my state, and are its clinicians licensed there?
- Will a clinician review my full health history, including blood clots, stroke and breast cancer history, before prescribing?
- Can I see a clinician by video if I want to, or is care by message only?
- What will I pay each month for the medication and the care, and is anything billed separately?
- If I have a uterus and take estrogen, will progesterone be included in my plan?
To understand where you are in the transition first, read perimenopause vs menopause.
How it works at Gala
Gala is a telehealth service. You fill out an online intake and a licensed provider reviews it, prescribing only if treatment is appropriate for you. Options include estradiol as a pill or patch, progesterone, vaginal estradiol, and non-hormonal options. No insurance is required, your care team is available by message to adjust your dose, and medication ships to your home.
Explore the hormone health hub or start your online menopause assessment.
This article is for information only and is not medical advice. Talk to your healthcare provider about what is right for you.
Frequently asked questions
Does insurance cover online menopause care?
Some services bill insurance. Midi says it is in-network with most major plans, and Evernow covers video visits with major commercial plans but not Medicare or Medicaid. Alloy, Winona and Gala are self-pay, and Hers says insurance is not required.
Do I need a video visit to get HRT online?
Not always. Winona says it offers no phone or video visits, Alloy and Hers start with an online assessment and messaging, Midi and Evernow use video visits, and Gala says a video visit may be needed depending on the patient, state law or medication.
Are compounded bioidentical hormones FDA-approved?
No. Compounded drugs are not FDA-approved. Some bioidentical hormones, such as estradiol pills and patches and oral micronized progesterone, are available as FDA-approved products.
How much does online HRT cost without insurance?
On the websites checked, estradiol pills started at $39.99 a month at Alloy and $54 a month at Winona, and patches at $100 a month at Alloy and $149 a month at Winona. Visit or membership fees vary: Alloy charges a one-time $49 consultation, Evernow's membership is $35 to $49 a month, and Midi's self-pay visits are $250 and $150.
Ready to talk to a provider?
Your answers go to a licensed provider, who decides whether treatment is right for you. Learn more about Hormone Health.
More Hormone Health guides
Sources
- Alloy. Menopause hormone therapy (prices and consultation fee). Checked 2026-11-11.
- Alloy. Home page (cash pay, FSA/HSA). Checked 2026-11-11.
- Alloy Help Center. Does Alloy accept insurance? Checked 2026-11-11.
- Evernow. Frequently asked questions (membership, visits, insurance, states). Checked 2026-11-11.
- Hers. Menopause. Checked 2026-11-11.
- Midi Health. Pricing and insurance. Checked 2026-11-11.
- Midi Health. Home page (availability). Checked 2026-11-11.
- Winona. All products (prices). Checked 2026-11-11.
- Winona. Frequently asked questions (insurance, visits, states, pharmacy). Checked 2026-11-11.
- U.S. FDA. Compounding and the FDA: questions and answers.
- Bayer HealthCare. Climara (estradiol transdermal system) prescribing information. NLM DailyMed.
- ANI Pharmaceuticals. Estradiol Tablets, USP prescribing information (Northwind Health listing). NLM DailyMed.
- Acertis Pharmaceuticals. Prometrium (progesterone) capsules prescribing information. NLM DailyMed.
This article is for general information and is not medical advice. Talk to a licensed provider about your own health.