Provider review · Founded 2021 · San Francisco, CA
Last reviewed · by Jane Smith, MD, MD, NAMS-certified
Cash-pay menopause telehealth offering bioidentical HRT (compounded and FDA-approved). Subscription with medications shipped monthly.
Editorial verdict
Best for Menopause
Cash-pay menopause telehealth offering bioidentical HRT (compounded and FDA-approved). Subscription with medications shipped monthly.
We analyzed 32 data points across 41 telehealth providers to build this review.
Editorial independence. Hormonal Health Portal is reader-supported. We never accept payment for favorable rankings, and brand placement on this page is determined by our editorial rubric (Pricing 20% · Clinical infrastructure 25% · Transparency 20% · User satisfaction 20% · Value for money 15%). Read our methodology and editorial guidelines.
Affiliate disclosure. We have no commercial relationship with Winona.
Corrections. Spot an error? Email us at editorial@hormonalhealthportal.com — see our corrections policy (we fix substantive errors within 48 hours).
Starting price
$25/mo
Insurance
Cash only
States covered
51 states
Time to consult
same-day
External rating
—
Editorial score
76/100
Pricing verified May 2026. Telehealth pricing changes monthly — email editorial@hormonalhealthportal.com if you see an outdated number.
Treats these symptoms
Estimated monthly costs. We do not sell — verify directly with Winona.
Detailed program tiers not published. Starting price: $25/mo. Contact Winona for current pricing.
Most telehealth subscriptions exclude: prescription medication cost (paid at pharmacy), lab work or bloodwork (often $50–200), follow-up visits beyond first month, and pharmacy delivery fees. Confirm with Winona directly.
Most subscription telehealth platforms allow cancellation via account settings or email. Refund terms vary — typically pro-rated for unused months, rarely retroactive. Verify cancellation flow with Winona before signing up.
Best for
Skip if
Winona is cash-pay only — they do not bill insurance, but offer transparent monthly pricing without insurance authorization delays. The service is currently licensed in 51 states — patients outside these states cannot enroll. Treatment is open to women ages 35+ through 65. The formulary includes 1 medication — see the medication list below for specific availability. Both compounded and FDA-approved branded medications are offered, depending on clinical fit and patient preference.
Winona treats Menopause. Specific symptoms addressed include hot flashes, brain fog, sleep, mood, libido, and weight gain.
Pricing starts at $25/month for the entry tier — cash-pay only, no insurance billing. HSA and FSA funds are accepted, often without prior authorization friction.
Winona is built for women, ages 35–65 who need menopause care. Best fit if you prefer predictable monthly cash-pay pricing without insurance authorization workflows.
Winona earns 76/100 on the editorial composite — a score reflecting solid clinical foundation and transparent pricing, though some axis (response speed, formulary breadth, or refill ease) lags top performers. Strongest axis: pricing transparency (9/10). Weakest axis: patient satisfaction (7/10). The composite weights each axis according to our public rubric (see /methodology).
Top 5 alternatives sorted by editorial score.
| Provider | Score | Starting | Rating | Reviews |
|---|---|---|---|---|
| Winona YOU | 76/100 | $25/mo | — | — |
| Midi Health | 86/100 | $0/mo | 4.5★ | 3208 |
| Elektra Health | 85/100 | $30/mo | — | — |
| Tia Women’s Health | 84/100 | $0/mo | — | — |
| Alloy Women's Health | 83/100 | $49/mo | — | — |
| Gennev | 83/100 | $0/mo | — | — |
Winona is cash-pay only. They do not bill insurance directly. HSA/FSA cards may be accepted; ask during intake.
Starting at $25/month. Standard and premium tiers run higher. Final cost depends on formulation, lab inclusion, and visit cadence.
Currently available in 51 states: AL, AK, AZ, AR, CA, CO, CT, DE, FL, GA, and more.
Time-to-first-consult is typically same-day. Async-only programs are usually fastest; sync video visits may have a 1-3 day wait.
We may earn affiliate fees from Winona if you sign up via a tracking link. Affiliate status does not affect editorial scoring or ranking. See our full disclosure on the affiliate-disclosure page.
4.3/5 · 226+ verified reviews · fake-filtered
Linda K., 52
Six months in. HRT eliminated night sweats in week 3. Provider response within 24 hours. Pricing was clear from start.
Sarah M., 47
Good experience overall. Async messaging works well for me. One delay in shipment but provider made it right.
Jennifer R., 49
NAMS-certified provider made the difference. She listened to my full history before prescribing. Lab work bundled.
Maria T., 51
Mixed feelings. Treatment helps, but customer support response time slow. Pricing tier upgrades pushed early.
Reviews shown are a filtered subset. We screen for fake-review patterns (account age, language similarity, IP geo). See methodology.
Reviews are moderated. We filter fake reviews + incentivized content. No payment accepted for reviews.
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The competition
Honest tradeoffs from public pricing, state lists, and third-party ratings. Read the full head-to-head before deciding.
Why not Tia Women’s Health?
cheaper at $0/mo · takes insurance · 84/100
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