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Editorial reviews. Affiliate fees from some providers don't affect rankings. Disclosure

No advertiser influenceAffiliate fees disclosedReviewed by board-certified clinicians

Side-by-Side · 2026

1st Optimal vs Elektra Health: Prices, Programs & Reviews

Quick Verdict

Elektra Health wins on 2 of 8 measurable dimensions, including stronger editorial score (85/100), lower starting price ($30/mo). 1st Optimal stays competitive on visit model and formulation breadth.

1O

1st Optimal

Editorial score 71/100

Optimization-focused telehealth offering HRT, TRT, and peptide therapy. Comprehensive lab work upfront.

OVERALL PICK
EH

Elektra Health

Editorial score 85/100

Comprehensive midlife women's health platform. Care team includes menopause-trained clinicians plus a community membership component.

1st Optimal vs Elektra Health: Full Comparison(8)

Criteria sorted editorial-curated. Winner of each dimension highlighted.

Head-to-head comparison: 1st Optimal versus Elektra Health across pricing, clinical, transparency, and satisfaction criteria.
Criterion1st OptimalElektra Health
Editorial score71/10085/100
Starting price$89/mo$30/mo
Insurance acceptedNoNo
States available30 states30 states
Visit modelsync-videosync-video
Time to first consult
Published outcomesNoneNone
External rating

Editorial score

1st Optimal

71/100

Elektra Health

85/100

Starting price

1st Optimal

$89/mo

Elektra Health

$30/mo

Insurance accepted

1st Optimal

No

Elektra Health

No

States available

1st Optimal

30 states

Elektra Health

30 states

Visit model

1st Optimal

sync-video

Elektra Health

sync-video

Time to first consult

1st Optimal

Elektra Health

Published outcomes

1st Optimal

None

Elektra Health

None

External rating

1st Optimal

Elektra Health

= wins this dimension. Comparison data refreshed quarterly from editorial review + provider data.

The Bottom Line

Elektra Health edges out 1st Optimal on 2 of 8 dimensions. Elektra Health is the stronger pick if you weight editorial scoring, pricing transparency, and state coverage equally. 1st Optimal may still be right if you prefer its specific medication formulation or visit cadence.

Decision shortcut: take the matcher quiz to factor in your symptoms, insurance, and location.

1st Optimal Full ReviewElektra Health Full ReviewTake the Matcher