How to Get HRT Online for Menopause
How online menopause care works, who it suits, what the first visit and the first 90 days cost with or without insurance, and the five highest-scoring providers. Prices checked Oct 7, 2026. For the full ranking of every provider, see the best online HRT for menopause.
How it works, step by step
- Intake: an online questionnaire about symptoms, periods, medical and family history, and medications.
- Clinician review: a licensed clinician reviews it, by message or video depending on the service and your state.
- Labs if needed: many services start without labs; some (Hone) require a panel first.
- Prescription: sent to your own pharmacy (Midi, PlushCare) or shipped by the service (Winona, Hone).
- Follow-up: dose checks and renewals, often about every 3 months in the first year.
Who it suits, and who should start in person
Online HRT suits people with typical perimenopause or menopause symptoms and a straightforward history. Hormone therapy labels and The Menopause Society describe situations that usually rule out or complicate systemic HRT, such as a history of breast or endometrial cancer, blood clots or stroke, active liver disease, or unexplained vaginal bleeding; people in these groups are better served by an in-person specialist. Some services set age limits (Winona: 35–59).
What it costs, with or without insurance
| Provider | Plan | Monthly | First charge | First 90 days | 12-month | Minimum term | Not included / assumptions | Checked |
|---|---|---|---|---|---|---|---|---|
| PlushCare | Membership + first visit (no insurance)Care fee only; medication paid separately | $19.99 | $129 | $168.98 | $348.89 | not published | Follow-up visits (frequency not published) Medication and labs | Prices checked Oct 7, 2026 · source |
| Winona | Estrogen tablets (billed every 28 days) | $58.66 | $54 | $216 | $703.93 | 4 weeks | Price is 'from'; dose can change it | Prices checked Oct 7, 2026 · source |
| Winona | Estrogen tablets + progesterone capsules (every 28 days) | $101.03 | $93 | $372 | $1,212.32 | 4 weeks | Prices are 'from'; dose can change them | Prices checked Oct 7, 2026 · source |
| Hone Health | Premium membership + estradiol patch or gelIncludes: Consults and labs every 3 months (Premium) | $213 | $278 | $704 | $2,621 | 1 month | - | Prices checked Oct 7, 2026 · source |
| Hone Health | Premium + estradiol patch/gel + progesteroneIncludes: Consults and labs every 3 months (Premium) | $262 | $327 | $851 | $3,209 | 1 month | - | Prices checked Oct 7, 2026 · source |
| Midi Health | Self-pay visitsCare fee only; medication paid separately | not published | $250 | not published | not published | not published | Returning visits $150 each (how often is not published) Prescriptions and labs (billed separately) | Prices checked Oct 7, 2026 · source |
First charge = one-time fees plus the first billing block. First 90 days = cash paid on the provider's billing calendar. 12-month = one-time fees + 12 months of the plan price + scheduled extras (like follow-up labs). "not published" means the provider's own pages don't say; we never fill the gap with a guess. Full math: methodology.
Top 5 providers by our score
| Provider | Best for | Score | Plan priced | Monthly | First charge | 12-month | Labs | The catch | Checked | Next step |
|---|---|---|---|---|---|---|---|---|---|---|
| Hone Health | Lab-heavy care with testosterone for women on the menu | Premium membership + estradiol patch or gel | $213 | $278 | $2,621 | $65 initial test, 50+ biomarkers, at 2,000+ Quest locations, or a free at-home draw where available. Premium retests every 3 months. | Treatment needs the $155/mo Premium membership on top of medication. | Prices checked Oct 7, 2026 · source | Check Hone Health's plans and pricing on its site → | |
| Winona | Compounded bioidentical creams and pills without a lab visit | Estrogen tablets (billed every 28 days) | $58.66 | $54 | $703.93 | Not required. Prescribed on symptoms. | Compounded hormones (not FDA-approved), ages 35 to 59 only. | Prices checked Oct 7, 2026 · source | Check Winona's plans and pricing on its site → | |
| PlushCare | A primary-care doctor who can handle simple HRT | Membership + first visit (no insurance) | $19.99 | $129 | $348.89 | Discounted lab tests for members. | Primary care, not menopause-specialized. | Prices checked Oct 7, 2026 · source | Check PlushCare's plans and pricing on its site → | |
| Midi Health | Using insurance for menopause-specialist visits | Self-pay visits | not published | $250 | not published | Targeted labs when recommended, billed separately (insurance may cover). | Self-pay visits are $250 first and $150 after, with medication extra. | Prices checked Oct 7, 2026 · source | Check Midi Health's plans and pricing on its site → | |
| Hers | A simple big-brand route to estradiol and progesterone | no complete price published | not published | not published | not published | Not mentioned for menopause. | No public price; it appears only inside the intake. | Prices checked Oct 7, 2026 · source | Check Hers's plans and pricing on its site → |
FDA-approved vs compounded HRT
FDA-approved estradiol and progesterone come as pills, patches, gels, sprays and vaginal forms. Compounded "bioidentical" hormones are not FDA-approved. In November 2025 FDA began removing most boxed-warning language from menopausal hormone therapy labels; the endometrial-cancer warning stays on systemic estrogen-alone products.
Winona sells compounded bioidentical hormones; services that send the prescription to your own pharmacy (Midi, PlushCare) can prescribe FDA-approved generics. If you want insurance to help with medication cost, FDA-approved generics at your own pharmacy are usually the route.
FAQ
Can I get HRT prescribed online?
Yes. Telehealth clinicians licensed in your state can prescribe estrogen and progesterone after an online intake and visit. Availability varies by state: Midi says it covers all 50 states; Winona lists fewer, so check yours at intake.
How much does online HRT cost without insurance?
Cash prices checked Oct 7, 2026 include Winona's compounded estrogen from $54 every 28 days with medication included, and Midi's self-pay visits at $250 for the first and $150 after, medication extra. Midi and PlushCare also bill many insurance plans, with medication paid at your pharmacy.
Will insurance cover online HRT?
Visits often are at Midi and PlushCare, which are in-network with many plans. Medication sent to your own pharmacy can go through your pharmacy benefit. Compounded hormones are usually not covered.
Do I need blood work?
Often not for menopause HRT. Several providers start on symptoms and history; a clinician may order labs in specific situations.
FDA-approved or compounded?
FDA-approved estradiol and progesterone come as pills, patches, gels, sprays and vaginal forms. Compounded "bioidentical" hormones are not FDA-approved. In November 2025 FDA began removing most boxed-warning language from menopausal hormone therapy labels; the endometrial-cancer warning stays on systemic estrogen-alone products.
Related
Sources
Provider facts come from each provider's own pages, read Oct 7, 2026. Regulatory lines link to the primary source.
- Midi Health: joinmidi.com, joinmidi.com/pricing-insurance, joinmidi.com/menopause
- Winona: bywinona.com/product, bywinona.com/faq, bywinona.com
- PlushCare: plushcare.com/get-menopause-treatment-online, plushcare.com/membership
- Hone Health: honehealth.com, honehealth.com/how-it-works, honehealth.com/mens/testosterone-replacement-therapy, honehealth.com/womens/menopause-treatment, honehealth.com/terms
- FDA (Nov 10, 2025): initiating removal of boxed warnings from menopausal HRT labels
- FDA (Feb 12, 2026): first approved HRT labeling changes
- The Menopause Society: 2022 hormone therapy position statement
- ACOG: The menopause years