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Original research · CC-BY-4.0 · Version 1.0

2026 State of Menopause Telehealth Pricing Transparency Report

Author: ClearHormones Editorial · Published: 2026-07-02 · Data collection through: 2026-06-25 · Canonical URL: https://clearhormones.com/reports/menopause-pricing-transparency-2026

An audit of pricing disclosure across 18 US menopause telehealth providers. Cash prices, insurance acceptance, state coverage, and a proprietary 1-10 Cost Transparency Score for every brand.

Key findings

17%
3 of 18 brands hide starting price
Prospective patients cannot compare cost without booking a consult.
$50/mo
Median cash-pay starting price
Range: $19-$250/mo across 14 brands.
22%
4 of 18 bill insurance directly
The remainder are cash-pay; most without documented HSA/FSA workflows.
39%
7 of 18 operate in all 50 states + DC
Multi-state licensure is a scale moat; regional specialists dominate niches.
5.2/10
Category average Cost Transparency Score
Median brand fails half our disclosure signals: price, model, exclusions, cancellation.

Executive summary

Methodology. Between 2026-06 and 2026-06-25, we audited every US telehealth provider in our menopause coverage category (18 brands) against five publicly-checkable pricing disclosures: starting price, pricing model, excluded fees, cancellation terms, and state availability. Prices reflect the lowest publicly-listed monthly tier from the brand’s own marketing site.

Top findings. 17% of menopause telehealth brands do not publish a starting price. Among those that do, the cash-pay median is $50/month. Only 22% bill insurance directly. The mean Cost Transparency Score is 5.2/10.

Recommendations. Patients should reject any provider unwilling to publish a starting price, a written cancellation policy, and a list of costs excluded from the headline figure. Regulators and payers should note that cash-pay dispersion for identical HRT protocols has widened, not narrowed, since 2024.

Full dataset (18 brands)

Brand Starting price Accepts insurance States available Cost transparency (1-10) Pricing model
1st Optimal $89/mo No 30 states 5 Per-visit
Alloy Women's Health $49/mo No 28 states 6 Subscription
Cerebral (Menopause) $99/mo Yes All 50 + DC 5 Concierge
Defy Medical $195/mo No All 50 + DC 6 Subscription
Elektra Health $30/mo No 30 states 6 Subscription
Evernow $49/mo No All 50 + DC 6 Subscription
Gennev Not published Yes 20 states 4 Hybrid
Hims & Hers (Menopause) $50/mo No All 50 + DC 5 Hybrid
Hone Health (Women) $45/mo No All 50 + DC 6 Subscription
Interlude $175/mo No 8 states 5 Hybrid
Midi Health Not published Yes 10 states 4 Insurance-billed
Ms. Medicine $250/mo No 10 states 6 Subscription
Odela $55/mo No 30 states 6 Subscription
Stella Health $35/mo No 5 states 5 Subscription
Tia Women’s Health Not published Yes 5 states 4 Hybrid
Vira Health $19/mo No 8 states 5 Per-visit
Winona $25/mo No All 50 + DC 5 Subscription
Womaness Care $75/mo No All 50 + DC 5 Concierge

Methodology

Data collection

Universe defined as any US-licensed telehealth provider whose marketing site includes menopause or perimenopause as a named clinical service line, operating status “active” as of 2026-06-25. Five facts captured per brand from public sources: starting monthly price, insurance acceptance, US states served, pricing model, and written cancellation policy. No third-party aggregators. Ambiguous copy resolved via brand outreach for written clarification; non-responsive brands coded “not published” rather than imputed.

Cost Transparency Score

Verification

Every data point captured twice by two editors independently, then reconciled. Discrepancies resolved by re-checking source pages and archiving screenshots. Data collection closed 2026-06-25; report published 2026-07-02.

Limitations

Cite this report

APA

ClearHormones. (2026). 2026 State of Menopause Telehealth Pricing Transparency Report. Retrieved 2026-07-02 from https://clearhormones.com/reports/menopause-pricing-transparency-2026

BibTeX

@techreport{clearhormones_menopause_pricing_2026,
  title  = {2026 State of Menopause Telehealth Pricing Transparency Report},
  author = {{ClearHormones Editorial}},
  year   = {2026},
  url    = {https://clearhormones.com/reports/menopause-pricing-transparency-2026},
  note   = {Licensed CC-BY-4.0}
}