Midi Health review

Midi Health is a virtual women's health clinic built around perimenopause and menopause. You book a video visit, see a nurse practitioner or certified nurse-midwife trained in midlife hormone care, and leave with a Care Plan that can include hormone therapy, non-hormone prescriptions, lab work, supplements and, if it fits, a GLP-1. It works more like a specialist practice than a weight-loss subscription: there is no membership, most PPO insurance plans cover the visits, and you pay for each visit and each prescription separately. Everything below comes from Midi's own pages, read in October 2026.

How much does Midi Health cost?

There are two separate bills, one for the visit and one for the medication.

Visits: the first visit runs 30 minutes and follow-ups run 15. If Midi is in-network with your plan, your insurer sets what you owe, usually a specialist copay or whatever is left on your deductible. Midi says insured patients pay around $50 a visit on average, and that a deductible can reach $250 for the first visit and $150 for a follow-up. Paying yourself, the first visit is $250 and each follow-up is $150. HSA and FSA cards are accepted. There is no membership fee.

Compounded GLP-1s: Midi publishes a full price list, each price covering a 4-week supply with shipping and supplies included. It labels the medications "GLP-1" and "Dual-Action GLP-1/GIP" rather than naming the drug. The injectable GLP-1 is $165.90 at the starting doses up to 0.5 mg, $270.90 from 0.75 to 1.5 mg, $340 at 1.75 and 2 mg, and $355 at 2.5 mg. The dual-action GLP-1/GIP injectable is $210 at 1.25 and 2.5 mg, $285 from 3.75 to 6.25 mg, $375 from 7.5 to 12.5 mg, and $434 at the top doses. Sublingual versions of both run from $164 to $460 depending on dose. For women who want a lower dose, Midi also builds microdosing plans, with weekly doses starting at $34 for eligible patients.

Brand-name GLP-1s: Midi's clinicians also prescribe brand-name GLP-1s, sent to the pharmacy you choose. Midi does not set that price. What you pay depends on the drug and your insurance coverage.

Put together, a self-pay patient on the starting compounded injectable pays $250 for the first visit plus $165.90 for four weeks of medication, then $150 for each follow-up on top of refills. Insurance makes the visits much cheaper, but the compounded medication stays a cash purchase, and labs are billed separately.

What do you get for the money?

The visit is the product. Your clinician reviews a health questionnaire before you meet, spends the first 30 minutes on your symptoms, history and goals, and builds a Care Plan from five kinds of tools: labs and testing, lifestyle coaching, hormone prescriptions, non-hormone prescriptions and supplements. Midi says its plans cover more than 30 menopause-related symptoms, from hot flashes and sleep to brain fog, joint pain and vaginal dryness.

The clinicians are nurse practitioners and certified nurse-midwives, with their credentials listed in Midi's clinician directory. Their protocols are written by a physician team led by a named chief medical officer and a medical director who is an OB/GYN certified in both menopause care and obesity medicine, with advisors in cardiology, hematology, psychiatry and gynecology. The care itself is delivered by medical groups named in Midi's terms.

Labs are ordered and reviewed by your clinician and drawn at a Labcorp location near you; for weight care that can mean blood sugar, cholesterol, thyroid and insulin markers. Between visits you can message your clinician through the patient portal, and billing questions go to a ticket form or phone line. Anything that can't happen on video, like a mammogram, is referred to someone local.

Does Midi Health prescribe GLP-1s?

Yes, both kinds. Midi states plainly that its clinicians can prescribe brand-name or compounded GLP-1 options, in injectable and oral forms, when appropriate. Booking a visit does not mean you will get one. The clinician weighs your history, medications and risk factors first, and your plan may lean on hormone therapy, other medication or lifestyle support instead.

Midi also says hormone therapy is not prescribed as a weight-loss treatment on its own, though it may ease symptoms like poor sleep that make weight harder to manage. Its compounded medications carry a notice that they are not FDA-approved, and come from licensed, 503A-accredited compounding pharmacies.

How does starting work?

You check your coverage by entering your state and insurance carrier, then register online. At registration Midi asks for a photo of your insurance card and tells you right away whether you are in-network. If you aren't, you can book a self-pay visit instead. A card on file is required to hold the appointment. Self-pay visits are charged after the visit is completed, not when you book.

You complete the health questionnaire at least 24 hours ahead, and you must reply "YES" to the confirmation text or the appointment is canceled automatically. You need to be in your home state at the time of the visit. After the first visit, follow-ups are booked as often as you and your clinician decide.

Who can use it?

Midi says it is available in all 50 states, and it lists clinic cities from Arizona to Washington. The fine print on its own GLP-1 article, though, says the compounded medication is not available in all 50 states, and its pharmacy partners exclude Arkansas, South Carolina and Alabama for custom prescriptions. If you live in one of those states, ask about options before you book.

Insurance is the bigger limit. Midi is out of network with Medicare: Medicare patients can pay out of pocket but cannot submit any claims for visits, medications or related services. Medicaid and Medi-Cal patients cannot be seen at all right now, even if they offer to pay cash.

Can you cancel, and do you get a refund?

There is no membership to cancel. Visits can be moved or canceled in the patient portal, but you need to give at least 24 hours' notice to avoid a cancellation fee, and Midi does not publish how much that fee is.

Anything sold as a subscription can be canceled at any time by phone, email or your account, taking effect at the end of the current period, as long as you cancel at least two days before it renews. Partial periods are not refunded. Prescription treatments cannot be returned or refunded, and once a visit has happened or a product has shipped, fees are generally final. Disputes go to individual arbitration unless you opt out.

Is Midi Health a good fit for PCOS, perimenopause or menopause?

For perimenopause and menopause, it is one of the closest fits we review. Hormone therapy is the core of the service. Patches, estradiol cream, progesterone and vaginal estrogen all appear in its example Care Plans, alongside hormone testing, thyroid panels and bone density screening, and non-hormone options for women who can't or don't want to take hormones.

PCOS is on Midi's list of conditions it treats, along with irregular periods, fibroids, PMDD and contraception. Its clinicians may order blood tests or a pelvic ultrasound to check for PCOS, and options for cycle problems include micronized progesterone and hormonal birth control. The site's language and training are aimed at midlife, though, so a woman in her twenties with PCOS may find the focus less tailored to her than a PCOS-specific clinic.

Who is Midi Health best for?

Midi suits a woman in perimenopause or menopause who has PPO insurance, wants hormone therapy and weight care handled together, and values regular follow-ups with a clinician who knows midlife health. It also works for women who want a brand-name GLP-1 billed through their own insurance and pharmacy. It fits poorly if you are on Medicaid or want one flat monthly price that includes the clinician.

The bottom line

Midi Health is a full women's health practice that happens to prescribe GLP-1s, not a GLP-1 seller with a hormone add-on. You get menopause-trained clinicians, real hormone therapy, labs and both brand-name and compounded GLP-1 options, with every price published and no membership. The trade-off is the per-visit billing: if insurance covers your visits it is good value, and if you pay yourself, budget $250 to start and $150 for each check-in on top of the medication.