These two get compared on price, which is the least useful way to choose between them. They are built for different problems. Pick the wrong one and you either overpay for something narrow or underpay for something that cannot do what you need.

Where we stand: Menova is an independent publication. We sell no hormones, we are not a medical provider, and we do not take payment for placement. Menova may earn a commission if you use a clearly marked provider link, at no extra cost to you. This is editorial analysis and general education, not a recommendation, diagnosis, or medical advice. We have not used either service as a patient and do not imply personal testing.

The short version

Wisp is a sexual and vaginal health service. Its published menopause consult is $99, which Wisp says includes the consult, follow-ups and three months of care team access. Cash-pay, largely asynchronous, medication separate at your pharmacy.

Midi Health is a midlife health clinic. Its published self-pay prices are $250 initial and $150 continued-care. Live video visits, and Midi says it is in network with many PPO plans.

Choose by problem, not by price. One specific genitourinary symptom → Wisp is faster and cheaper. A whole symptom picture, or systemic hormone therapy you will be on for years → Midi is the one built for it.

Prices were checked against each company's official pages in August 2026 and can change.

Side by side

| | Wisp | Midi Health | |---|---|---| | Published price | $99 consult | $250 initial / $150 continued | | What that includes | Consult, follow-ups, 3 months care team access | The visit | | Medication | Separate, at your pharmacy | Separate | | Insurance for the visit | No — cash-pay | Many PPO plans, per Midi | | Visit format | Largely asynchronous, follow-up by phone or chat | Live video | | States | All 50 | All 50 | | Scope | Sexual and vaginal health | Perimenopause, menopause and wider midlife health | | If nothing is prescribed | Fee of up to $25, per Wisp | Standard visit fee applies | | Medicaid / Medi-Cal | — | Not treated, per Midi, even self-pay | | Medicare | — | Not a participating provider; self-pay only, no claims |

The price comparison is misleading

$99 against $250 looks decisive until you notice they are buying different things.

Wisp's $99 covers a narrow, well-defined problem. If what you need is vaginal estrogen for dryness, or treatment for recurrent thrush, that is genuinely what the price is for and it is good value.

Midi's $250 covers an assessment. Symptoms across sleep, mood, joints, periods and cognition, considered together, in a live conversation, by someone who can also order labs.

If you take a whole symptom picture to a $99 product-led intake, the money is not saved — it is spent on the wrong thing. And if you pay $250 for a prescription you had already reasoned your way to, you overpaid for a conversation you did not need.

The insurance question changes it again. If Midi is in network with your specific PPO plan, your actual cost may be a specialist copay rather than $250 — which can put it below Wisp. Coverage is plan-specific and an insurer's logo on a provider page does not guarantee your plan is in network. Check before you book. See HRT cost and insurance.

Choose Wisp if

  • You have one specific genitourinary problem — dryness, painful sex, recurrent UTIs, recurrent thrush or BV
  • You have already had the assessment and want a straightforward continuation
  • You want it fast and cheap, and a live conversation is not what you are missing
  • You are comfortable with an asynchronous process

The strongest case is genitourinary symptoms, because they progress without treatment — unlike hot flashes, which fluctuate. Waiting months for a general appointment to get local vaginal estrogen is a bad trade. See how to use vaginal estrogen, GSM and urinary changes and recurrent UTIs.

Our fuller assessment is the Wisp review.

Choose Midi if

  • You have a whole symptom picture rather than one complaint
  • You want systemic hormone therapy assessed and then managed over time
  • You have a PPO plan you want to use
  • You want a live clinical conversation, not an intake form
  • You want labs ordered as part of the visit

Titration takes several visits and someone who remembers the last one — that is the part a product-led service is worst at. See is my dose too high or too low.

Our fuller assessment is the Midi Health review.

Where neither is the answer

Anything needing examination. Abnormal or postmenopausal bleeding must be assessed in person — see bleeding after menopause. So should a lump, a persistent vulval skin change, or pelvic pain.

Medicaid or Medi-Cal patients, whom Midi says it cannot treat even on a self-pay basis. Wisp's cash-pay model has no such restriction, but its scope is still narrow.

Long-term ownership. Blood pressure, screening, bone density and your full medication list need a continuing clinician. Neither service replaces that — see building a relationship with a clinician.

Before either, the bloods. Ferritin, thyroid, B12, HbA1c and vitamin D rule out the conditions that imitate the transition, and missing one means treating the wrong thing for years — see which tests to ask for and our free blood test sheet.

Using both

Not unreasonable, and worth naming because it is what several people end up doing: Midi or a regular clinician for the assessment and systemic treatment, Wisp for a cheap local vaginal estrogen refill.

If you do, tell your regular clinician what you are on, from both. Fragmented prescribing is the real risk of cash-pay telehealth, and nobody else will assemble the list — see keeping your own health record.

Frequently asked questions

Is Wisp cheaper than Midi?

Its published consult price is lower — $99 against Midi's $250 self-pay initial visit. But medication is separate for both, Wisp charges up to $25 if nothing can be prescribed, and if Midi is in network with your PPO plan your actual cost may be a copay rather than the self-pay price. Compare the first year, not the first appointment.

Can Wisp prescribe HRT?

Wisp's scope is sexual and vaginal health, which includes local vaginal estrogen. It is not built to assess and manage systemic hormone therapy across a full symptom picture. Confirm current scope with Wisp directly.

Does either take insurance?

Midi says it is in network with many PPO plans, though coverage is plan-specific, and it does not participate in Medicare or treat Medicaid patients. Wisp's consult is cash-pay; Wisp says eligible insurance can be applied to pharmacy costs and that most products are FSA/HSA eligible.

Which is better for hot flashes and sleep?

Midi, of the two. That is a whole-picture assessment rather than a single-symptom prescription, and it may also need bloods and non-hormonal options considered — see non-hormonal prescription options.

Our full ranking of the options, including Alloy, Evernow and Gennev, is the best menopause telehealth guide, and how to judge a telehealth service lists the red flags that apply to all of them.

The free 2-minute Menova self-check organizes your symptom picture before you choose — no account, not a diagnosis, and your answers never leave your device. The free visit prep sheet works for either service.

Educational only. Not medical advice, diagnosis, or treatment. Prices, coverage, eligibility and service scope can change. Verify directly with each provider, and make treatment decisions with a licensed clinician who knows your history. Abnormal or postmenopausal bleeding requires in-person assessment.

Sources, checked August 2026: Wisp — Menopause Consult, Wisp — How It Works, Midi Health — Pricing & Insurance, Midi Health — How Midi Works, and The Menopause Society.