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Winona vs Midi Health for menopause care

The main difference is insurance: Midi Health bills most PPO plans and charges $250 for a first visit and $150 for a return visit if you pay yourself, with no membership fee [1], while Winona does not work with insurance and ships hormones, including compounded creams, from its own 503A pharmacies [3] [4].

Updated By the Wellchosen Health editorial team

Winona does not post prices on its public pages, so we could not compare costs directly (checked Oct 24 2026).

Winona and Midi Health are online menopause care services; Midi is an insurance-billed clinic that sends prescriptions to a pharmacy, and Winona is a cash-pay service that fills its own prescriptions.

Products
Winona compoundsWinona's creams are compounded and not FDA-approved [4]
States
50 vs 37Winona's FAQ lists the states it serves [4]
Our ratings
Both CleanBBB records not checked for either; see our reviews

The short answer

If you have a PPO plan and want visits billed to it, Midi is built for that [1]. If you want a cash service that ships from its own pharmacy, including compounded creams, that is Winona [3] [4]. Both are rated Clean on a provisional basis; read our Midi Health review and Winona review.

An opened shipping box with a foam liner and cold packs on a kitchen counter

Winona vs Midi side by side

Winona vs Midi Health, checked Oct 24 2026
Midi HealthWinona
ModelTelehealth clinic; prescriptions go to a pharmacy [2]Telehealth plus its own two 503A compounding pharmacies [4]
InsuranceIn network with most PPO plans; Medicare out of network (self-pay only); no Medicaid or Medi-Cal [1]"We do not currently work directly with insurance companies"; HSA/FSA receipts may be submitted [3]
Self-pay price$250 first visit (30 min), $150 return visit (15 min); no membership [1]Not posted on public pages; first visit is free [3] [5]
BillingPer visit [1]30-day supplies charged every 28 days, 90-day supplies every 84 days [4]
FDA-approved productsHRT patch, estradiol cream, vaginal estrogen, progesterone [2]Estrogen tablets, progesterone capsules and estrogen patches [4]
Compounded productsNot mentioned [2]Body and vaginal creams, and other creams, are compounded and not FDA-approved [4] [5]
Other careNon-hormonal options, GLP-1 prescriptions, labs [2]Product categories: body, vaginal, oral and patch [3]
StatesAll 50 [2]37 states plus Puerto Rico [4]
HSA/FSAAccepted for visits [1]Receipts for reimbursement [3]
Winona's treatments page labels its pills as compounded and plant-derived, while its FAQ says its estrogen tablets and progesterone capsules are FDA-approved [4] [5]. Ask which product you are getting.

Compounded or FDA-approved hormones

This matters more than the logo on the box. FDA-approved estradiol and progesterone have been reviewed for safety, strength and purity. Compounded hormone creams have not. A National Academies report advised limiting compounded bioidentical hormones to patients who "cannot benefit from an FDA-approved hormone therapy product" [6]. Winona says its creams are compounded and not FDA-approved, while its tablets, capsules and patches are approved [4]. Midi's care plans list standard products such as the patch and vaginal estrogen [2]. More on bioidentical hormones.

What it costs

With a PPO plan, Midi visits cost your plan's copay, deductible or coinsurance [1]. Without insurance, a first visit is $250 and a return visit $150, and medicine is extra [1]. For retail prices of generic estradiol, see hormone therapy cost. Winona's visit is free, but its product prices sit behind its sign-up flow, which we could not see [3] [5]. That is why this page is marked as not fully checked.

Who each fits

  • Midi: people with a PPO plan who want visits billed to insurance and prescriptions filled at their own pharmacy, in any state [1] [2]. Not for people who need Medicare to pay or have Medicaid [1].
  • Winona: people in its 37 states plus Puerto Rico who want to pay cash and have medicine shipped from one place, and who have asked whether each product is compounded [3] [4].

Switching between them

You can move from one to the other with your records. A new clinician decides whether to keep the same product and dose. If you switch from a compounded cream to an FDA-approved product, the strengths are not interchangeable, so expect a new prescription. Other services are compared on online HRT and find a menopause specialist.

Clean-rated online menopause care

  1. Midi Health

    Clean

    Good fit for: menopause care billed to a PPO plan

    PriceSelf-pay $250 first visit, $150 return visit; no membership (checked Oct 24 2026) [1]
    What you get
    Insurance-billed menopause care, HRT and non-hormonal options
    FDA record
    No warning letter on our tracker
    BBB
    Not yet checked
    Note
    See our Midi Health review.

    Visit Midi Healthon the Midi Health website

  2. Winona

    Clean
    PricePrices not posted on public pages; free first visit (checked Oct 24 2026) [3]
    What you get
    Cash-pay HRT shipped from its own 503A pharmacies
    FDA record
    No warning letter on our tracker
    BBB
    Not yet checked
    Note
    Some products are compounded. See our Winona review.

    Visit Winonaon the Winona website

See Midi Health priceson the Midi Health website

Hormone therapy safety

On Feb 12 2026 FDA approved labeling changes for six menopausal hormone therapy products that removed heart disease, breast cancer and probable dementia statements from the boxed warning [7]. Hormone therapy still carries risks that depend on your age, health history and product. Tell your clinician about unusual vaginal bleeding, and get care right away for chest pain, sudden shortness of breath, leg swelling or stroke symptoms. Call 911 in an emergency.

Questions people ask

Is Winona or Midi better?

They suit different people. Midi bills most PPO plans and charges $250 and $150 per visit if you pay yourself, with no membership [1]. Winona does not work with insurance and fills prescriptions, including compounded creams, from its own 503A pharmacies [3] [4]. We rate both Clean on a provisional basis.

Does Midi take insurance?

Yes. Midi says it is in network with most PPO plans. Medicare is out of network, so Medicare members can only self-pay, and it does not accept Medicaid or Medi-Cal [1].

Does Winona take insurance?

No. Winona says "We do not currently work directly with insurance companies" and suggests submitting HSA or FSA receipts for reimbursement [3].

Are Winona's hormones compounded?

Some are. Winona's FAQ says its estrogen tablets, progesterone capsules and estrogen patches are FDA-approved, and its compounded creams are not FDA-approved [4]. Its treatments page also labels its pills as compounded, so ask about each product [5].

How much does Midi cost without insurance?

On Oct 24 2026 Midi listed $250 for a 30-minute first visit and $150 for a 15-minute return visit, with no membership fee. Medicine and labs are not included [1].

What states do Winona and Midi serve?

Midi says it is available in all 50 states [2]. Winona's FAQ lists 37 states plus Puerto Rico, including California, Florida, New York and Texas [4].

Medical review: pending. A licensed clinician has not yet reviewed this page.

Sources

7 cited
  1. Midi Health pricing and insurance. Midi Health, Oct 24, 2026.
  2. Midi Health home page. Midi Health, Oct 24, 2026.
  3. Winona home page. Winona, Oct 24, 2026.
  4. Winona FAQ. Winona, Oct 24, 2026.
  5. Winona treatments. Winona, Oct 24, 2026.
  6. Prescribers should restrict the use of non-FDA-approved compounded bioidentical hormones. National Academies of Sciences, Engineering, and Medicine, Jul 1, 2020.
  7. FDA approves labeling changes for menopausal hormone therapy products. U.S. Food and Drug Administration, Feb 12, 2026.

This page is general information, not medical advice. Talk with a licensed clinician about your own care.

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