Midi vs Alloy vs Gennev — 2026 Telehealth Comparison
Complete comparison of the top 3 telehealth menopause services: pricing, insurance coverage, wait times, prescribing practices, and which is best for your needs.
Midi Health ($99-$149/month, 45+ states) is the largest with fastest access (1-2 week wait) but doesn't accept insurance. Alloy ($99-$199/month, 40+ states) accepts some insurance plans and offers both provider-led and self-guided programs. Gennev ($129-$199/month, 35+ states) includes wellness coaching and has the most comprehensive supplement recommendations. For uninsured patients, all three are cost-effective vs hunting for local specialists. For insured patients, check if your plan covers Alloy first.
Quick Comparison Table
| Feature | Midi Health | Alloy | Gennev |
|---|---|---|---|
| Monthly cost | $99-$149 | $99-$199 | $129-$199 |
| Insurance accepted | No | Some plans | Some plans |
| States served | 45+ states | 40+ states | 35+ states |
| Wait time | 1-2 weeks | 1-3 weeks | 2-3 weeks |
| Prescriptions included | Yes | Yes | Yes |
| Wellness coaching | No | Yes (higher tier) | Yes (included) |
| Supplement recommendations | Basic | Moderate | Comprehensive |
| Unlimited messaging | Yes | Yes | Yes |
Midi Health — Best for Fast Access
- Cost: $99/month (basic), $149/month (premium with extra support)
- Availability: 45+ states (largest coverage)
- Wait time: 1-2 weeks (fastest)
- Best for: Uninsured patients, women who want quick access, those in rural areas
- Limitations: No insurance acceptance, limited wellness coaching
Alloy — Best for Insurance Coverage
- Cost: $99/month (self-guided), $149/month (provider-led), $199/month (premium)
- Availability: 40+ states
- Wait time: 1-3 weeks
- Best for: Women with insurance that covers telehealth, those who want flexible program tiers
- Limitations: Insurance coverage varies widely by plan
Gennev — Best for Holistic Care
- Cost: $129/month (basic), $199/month (with wellness coaching)
- Availability: 35+ states
- Wait time: 2-3 weeks
- Best for: Women who want comprehensive wellness support, supplement guidance, lifestyle coaching
- Limitations: Smaller provider network, longer wait times
Not Sure Which Is Right?
Take the Treatment Match Quiz — get personalized telehealth recommendations based on your location, insurance, and budget
Find My MatchCost Comparison: Telehealth vs In-Person
$1,200-$2,400/year
Telehealth (all-inclusive)
$1,500-$3,000+/year
In-person (uninsured: visits + prescriptions)
For uninsured patients: Telehealth is often cheaper than paying out-of-pocket for specialist visits ($200-$500 each) plus separate prescription costs.
For insured patients: Compare your copays. If specialist copays are $30-$50 and HRT is covered, in-person may be cheaper. If high-deductible or out-of-network, telehealth wins.
How to Choose
- Uninsured or high-deductible: Midi or Alloy (self-guided)
- Insurance covers telehealth: Check Alloy first, then Gennev
- Need fast access: Midi (1-2 week wait)
- Want wellness coaching: Gennev (included) or Alloy (higher tier)
- Live in rural area: Midi (45+ states, best coverage)
- Want supplement guidance: Gennev (most comprehensive)
Sources: Company websites (January 2026), user reviews, telehealth comparison studies