Side-by-Side · 2026
1st Optimal vs Midi Health: Prices, Programs & Reviews
Quick Verdict
Midi Health wins on 5 of 8 measurable dimensions, including stronger editorial score (86/100), lower starting price ($0/mo), insurance acceptance. 1st Optimal stays competitive on visit model and formulation breadth.
1st Optimal
Editorial score 71/100
1st Optimal vs Midi Health: Full Comparison(8)
Criteria sorted editorial-curated. Winner of each dimension highlighted.
| Criterion | 1st Optimal | Midi Health |
|---|---|---|
| Editorial score | 71/100 | 86/100 |
| Starting price | $89/mo | $0/mo |
| Insurance accepted | No | Yes |
| States available | 30 states | 10 states |
| Visit model | sync-video | sync-video |
| Time to first consult | — | under-12h |
| Published outcomes | None | 3 stats |
| External rating | — | 4.5/5 |
Editorial score
1st Optimal
71/100Midi Health
86/100Starting price
1st Optimal
$89/moMidi Health
$0/moInsurance accepted
1st Optimal
NoMidi Health
YesStates available
1st Optimal
30 statesMidi Health
10 statesVisit model
1st Optimal
sync-videoMidi Health
sync-videoTime to first consult
1st Optimal
—Midi Health
under-12hPublished outcomes
1st Optimal
NoneMidi Health
3 statsExternal rating
1st Optimal
—Midi Health
4.5/5= wins this dimension. Comparison data refreshed quarterly from editorial review + provider data.
The Bottom Line
Midi Health edges out 1st Optimal on 5 of 8 dimensions. Midi 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.