Midi Health and Evernow both offer insurance-eligible video visits; compare visit fees, membership, follow-up care, and medication costs before choosing.
Where we stand: Menova is independent. We do not sell hormones or take payment for placement. We may earn a commission if you use a clearly marked provider link, at no extra cost to you. That does not change our comparison. This is editorial analysis and general education, not medical advice. We have not used either service as a patient.
Quick verdict
Midi Health is the cleaner pay-per-visit choice. Live video is the standard model, there is no membership, and published self-pay prices are $250 initially and $150 for continued care.
Evernow offers two routes: a $150 self-pay video visit with 90 days of platform access, or ongoing clinician messaging through a membership costing $49 month-to-month, $129 for three months, or $420 for 12 months. Optional video visits under membership are billed separately to insurance or at the self-pay rate.
Choose Midi if you want structured visits without a subscription or your exact PPO coverage works there. Choose Evernow if ongoing secure messaging is valuable enough to justify a recurring fee. Medication is separate with both, so neither headline is an all-in price.
Prices and terms were checked on official pages in August 2026 and can change.
How the care models differ
Midi starts with a live video visit. Its clinician reviews symptoms, history, and goals, then may prescribe, order testing, or recommend non-medication care when appropriate. Continued care is another visit rather than a bundled monthly membership.
Evernow now has two distinct products:
- Pay per visit: one video consultation, insurance-eligible, with access to prescriptions and its care platform for 90 days
- Membership: ongoing clinician access and 24/7 secure messaging, with prescriptions, refills, and platform access while the membership remains active; video visits are optional and separately billable
That update matters because older comparisons describe Evernow as message-only. It is no longer accurate to choose between these services on “video versus messaging” alone. The real choice is episodic visits versus continuous access.
Price comparison
Midi Health
- Initial self-pay visit: $250
- Continued-care self-pay visit: $150
- Membership: none
- Medication and labs: separate
Evernow
- Pay-per-visit self-pay: $150 per video visit
- Month-to-month membership: $49/month
- Three-month membership: $129 total ($43/month)
- Twelve-month membership: $420 total ($35/month)
- Medication: separate
- Optional membership video visit: insurance copay/deductible or $150 self-pay
Evernow's $35 headline requires a 12-month plan and does not include medication or video visits. Midi's $250 headline is a clinical visit, not a monthly service. Comparing $35 with $250 as though they buy the same thing produces the wrong answer.
Which is cheaper over a year?
It depends on how often you need live care and how your insurance pays.
Evernow can be efficient if most follow-up questions can be handled through membership messaging. But add the membership, any video-visit copays, medication, and labs. Do not assume “unlimited care” means unlimited video visits at no additional cost.
Midi can be efficient if your plan covers its visits or if you need only a small number of structured appointments. But a high deductible can make the insured route resemble self-pay. Ask how often follow-up is usually scheduled and whether messages between visits carry a fee.
Before booking either, call your insurer with the scheduled clinician or billing entity and ask:
- Is this clinician in network for my exact plan and state?
- Is the visit billed as primary, specialist, or another telehealth category?
- What remains on my deductible?
- Are labs and the likely medication covered separately?
- Does a prior authorization apply?
An insurer logo is not a guarantee of coverage.
Insurance and eligibility
Midi says it is in network with most PPO plans. Its official page has important exclusions: it cannot treat Medicaid or Medi-Cal patients, even self-pay, and it does not participate in Medicare. Medicare beneficiaries may use Midi's self-pay route but cannot submit Midi-related claims.
Evernow lists UnitedHealthcare, Aetna, Anthem, and Blue Cross Blue Shield among the major commercial plans it works with for video visits. It says it does not currently support Medicare or Medicaid coverage. Membership fees are not insurance-covered, though Evernow says they may be FSA/HSA eligible.
Coverage varies by plan, clinician, state, medication, and pharmacy. Verify twice: once with the service and once with the insurer.
Choose Midi Health if
- You prefer a live appointment as the default
- You do not want a recurring membership
- Your exact PPO plan is in network
- You want published self-pay visit prices
- You have several midlife concerns that benefit from a structured visit
Midi may be less suitable if you want ongoing message access bundled into one monthly fee, use Medicaid, or expect Medicare reimbursement. Read our full Midi Health review.
Choose Evernow if
- You want a $150 one-off self-pay video visit rather than a subscription
- Or you value ongoing messaging enough to pay a recurring membership
- You are comfortable choosing between a flexible monthly plan and a discounted commitment
- One of Evernow's participating commercial plans covers your exact visit
- You will actively use its care platform and refill support
Evernow may be less suitable if you need the $35 rate but are unsure about a 12-month commitment, expect medication to be included, or want regular video visits included in the membership price. Read our full Evernow review.
What neither price includes
Medication is separate with both services. So may be labs, pharmacy deductibles, prior-authorization work, and care outside the platform's scope. Get the likely first-90-day total rather than comparing the cheapest number on each page.
Also ask who owns care that telehealth cannot complete: breast and cervical screening, blood pressure, bone-health assessment, abnormal bleeding, pelvic examination, and urgent symptoms. The service should complement, not fragment, the rest of your care. See HRT cost and insurance and how to judge a menopause telehealth service.
Frequently asked questions
Is Evernow cheaper than Midi Health?
Evernow's one-off self-pay video visit is $150, compared with Midi's $250 initial self-pay visit. Evernow membership starts at a $35 monthly equivalent on a 12-month plan, but video visits and medication are separate. Insurance and follow-up frequency can change which costs less.
Does Evernow require a membership?
No. Evernow now offers a pay-per-visit video option with 90 days of platform and prescription access. Membership is the separate ongoing-care route.
Do Midi and Evernow take insurance?
Both describe commercial insurance coverage for eligible video visits, subject to the exact plan. Midi emphasizes many PPO plans. Evernow names UnitedHealthcare, Aetna, Anthem, and Blue Cross Blue Shield. Verify the scheduled clinician and expected out-of-pocket amount before the visit.
Are medications included?
No. Medication is separate from Midi's visit fees and Evernow's visit or membership fees. Pharmacy coverage depends on the drug and your plan.
For more options, see our menopause telehealth comparison and guide to getting HRT online.
Before you book, the free 2-minute Menova self-check organizes your symptom picture, the free printable visit prep sheet is what the first consultation runs on, and the free blood test sheet covers what should be checked regardless of which service you use — no account, not a diagnosis, and your answers never leave your device.
Educational only. Not medical advice, diagnosis, or treatment. Prices, coverage, eligibility, clinician availability, and service scope can change. Verify directly with each provider and insurer.
Sources, checked August 2026: Midi Health — Pricing & Insurance, Midi Health — How Midi Works, Evernow — How It Works, and Evernow — FAQ.