Midi Health vs Winona
Updated October 28, 2026
Midi Health and Winona both treat perimenopause and menopause online, but they are built differently. Midi bills insurance for video visits with its clinicians and sends prescriptions to your pharmacy, while Winona is cash-pay, starts with a free online visit, and ships treatments compounded in its own pharmacies.
Our analysts compared Midi Health and Winona on price, insurance, how care is delivered, treatment range, and pharmacy options, using the HIR review of each company and each company's own price pages checked October 28, 2026. In the following sections, we compare them in one table, share what patients say, and describe the patient each one suits.
Midi Health vs Winona at a glance, October 2026
| What buyers weigh | Midi Health | Winona |
|---|---|---|
| Published price | Visits are billed to insurance. Self-pay visits cost $250 for a 30-minute first visit and $150 for a 15-minute return visit. | The first visit is free. Estrogen body cream starts at $89 a month, the estrogen patch is $149 a month, and estrogen tablets are $54 a month. |
| Pricing model | Midi bills your insurance for each visit, or charges a self-pay price per visit. | Winona charges a monthly cash price for each prescription, after a free first visit. |
| What drives cost | For Midi, cost depends on your plan's copay and deductible, how many follow-up visits you need, and whether your pharmacy coverage pays for your medications. | For Winona, cost depends on which treatments you are prescribed, how many you combine, and the shipping speed you choose. |
| How care works | Video visits with a clinician trained in menopause care, who sends prescriptions to your pharmacy. | A Winona physician reviews an online visit and writes a plan with no lab test required, with free follow-up messages and a check-in after 10 weeks. |
| Insurance | In-network with most PPO plans; Medicare is out of network and Medicaid is not accepted. Clear edge | Does not bill insurance; provides HSA and FSA receipts. |
| Where prescriptions are filled | Sent to your local pharmacy, where your prescription coverage applies. | Compounded in Winona's own pharmacies and shipped to you. |
| Treatment range | Scores 8.2; hormone therapy, testosterone, GLP-1 weight care, supplements, and treatment for UTIs, bacterial vaginosis, and yeast infections. Higher score | Scores 6.9; bioidentical estrogen and progesterone as creams, patches, and pills, plus DHEA and skin and sexual health products, with no testosterone. |
| Symptom relief | Scores 7.8 on symptom relief and patient results. Higher score | Scores 7.2 on symptom relief and patient results. |
| Pricing clarity score | 6.8 | 7.5 Clearer pricing |
| HIR overall score | 7.6, Recommend. | 7.3, Recommend. |
| Best for | Insured women in perimenopause or menopause who want visits billed to their plan. | Women who want to start hormone therapy without a lab test or video visit. |
| Not a fit for | Medicare and Medicaid patients who need coverage. | Patients who want insurance to pay for care. |
Which fits which buyer
Your insurance and the form of treatment you want decide most cases.
Choose Midi Health if
- You have a PPO plan that covers Midi.
- You want testosterone, which Winona does not prescribe.
- You want a video visit and lab work ordered by your clinician.
Choose Winona if
- Your plan does not cover menopause care, or you have no insurance.
- You want to start without booking or confirming an appointment.
- You want a monthly price for each treatment posted online.
What buyers say
“Finally by 40 my brain fog, night sweats and fatigue were better but after 6 months symptoms were coming back and Winona was sending the cream before checking in so I was getting stockpiled. I finally tried out Midi for more individualized care.” Trustpilot, source
“Helped with hot flashes but nothing else. When you try to complain they block you. This is a joke. Use MIDI they accept insurance!” Trustpilot, source
“I’ve tried Winona and Midi. I like both. Midi takes insurance and can prescribe testosterone but only prescribes estrogen in patch form for insurance.” Reddit, source
Verdict
Midi Health scores higher and fits insured women who want video visits, lab work, and the widest treatment menu, including testosterone. Winona fits cash-pay women who want to start fast with a free visit and compounded creams.
Medicare does not cover Midi visits, and Winona bills no insurance, so Medicare patients pay cash at either clinic.
Methodology
Each row comes from the HIR reviews of Midi Health and Winona, scored under the HIR method, and from each company's public pricing where it exists. Any published price for Midi Health or Winona was checked on that company's own site on October 28, 2026.
A green check marks a clear edge for Midi Health or Winona only where their review scores differ by at least 0.3 points or the two reviews show a plain difference. Rows with nothing published for either company are left out. Patient lines come from public reviews and forum posts that mention both companies.
Sources
- HIR review of Midi Health and HIR review of Winona
- Midi insurance and self-pay prices, checked October 28, 2026
- Winona treatment prices, checked October 28, 2026
- Winona FAQ, checked October 28, 2026