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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 Tia Women’s Health: Prices, Programs & Reviews

Quick Verdict

Tia Women’s Health wins on 3 of 8 measurable dimensions, including stronger editorial score (84/100), lower starting price ($0/mo), insurance acceptance. 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
TW

Tia Women’s Health

Editorial score 84/100

Hybrid in-person and virtual clinic for women with full-spectrum care including perimenopause and HRT.

1st Optimal vs Tia Women’s Health: Full Comparison(8)

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

Head-to-head comparison: 1st Optimal versus Tia Women’s Health across pricing, clinical, transparency, and satisfaction criteria.
Criterion1st OptimalTia Women’s Health
Editorial score71/10084/100
Starting price$89/mo$0/mo
Insurance acceptedNoYes
States available30 states5 states
Visit modelsync-videohybrid
Time to first consult
Published outcomesNoneNone
External rating

Editorial score

1st Optimal

71/100

Tia Women’s Health

84/100

Starting price

1st Optimal

$89/mo

Tia Women’s Health

$0/mo

Insurance accepted

1st Optimal

No

Tia Women’s Health

Yes

States available

1st Optimal

30 states

Tia Women’s Health

5 states

Visit model

1st Optimal

sync-video

Tia Women’s Health

hybrid

Time to first consult

1st Optimal

Tia Women’s Health

Published outcomes

1st Optimal

None

Tia Women’s Health

None

External rating

1st Optimal

Tia Women’s Health

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

The Bottom Line

Tia Women’s Health edges out 1st Optimal on 3 of 8 dimensions. Tia Women’s 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 ReviewTia Women’s Health Full ReviewTake the Matcher