Home›Compare›Cove vs Fay

Cove vs Fay: Which Is Better?

Head-to-head comparison of Cove and Fay based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Fay scores higher overall in our independent evaluation (61.9/100 vs 60.8/100), leading on trust & safety, experience, reputation. Cove comes out ahead on value, product range.

61
Cove
Fair

Cove is Thirty Madison's migraine telehealth brand, prescribing generic triptans, preventives and anti-nausea drugs from $45 per quarter, and handling branded CGRP drugs through insurance.

Visit Cove
62
Fay
Fair

Insurance-billed marketplace for virtual registered-dietitian care (weight management, diabetes, GLP-1 support, PCOS); it does not prescribe medication.

Visit Fay

Score Breakdown

DimensionCoveFay
Overall Score60.8/10061.9/100 ✓
Trust & Safety30%62/10066/100 ✓
Value25%72/100 ✓70/100
Experience20%45/10062/100 ✓
Product Range15%68/100 ✓40/100
Reputation10%50/10062/100 ✓

At a Glance

Founded20182022
HeadquartersNew York, NYSchaumburg, IL
Publicly tradedNoNo
Treatment categories12
Treatments listed31
Starting price$15/mo$0/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryCoveFay
Primary Care$15–$25
Generic Triptans (sumatriptan, rizatriptan, naratriptan, eletriptan, zolmitriptan)
—

Cove

+Per-drug prices published for generic triptans, preventives and anti-nausea medication ($45–$75 per 3 months)
+Covers acute, preventive and anti-nausea therapy, plus branded gepants/CGRP drugs via insurance
+Initial consult can be billed to insurance (about $30 average copay) instead of $99 cash
−Trustpilot 1.7/5 across 45 reviews (91% 1-star), unclaimed profile
−Recurring reports of being charged for consults that ended in denial of treatment
−Ongoing $10/month membership on top of medication cost, billed quarterly
Read the full Cove review →

Fay

+Registered dietitians only, in-network with 700+ plans; many members pay $0 per session
+Pre-booking price estimator based on the member's insurance benefits
+Large clinician bench (3,400+ RDs) covering 30+ specialties including diabetes, PCOS and GLP-1 nutrition support
−No prescribers: Fay cannot prescribe or supply GLP-1s or any other medication
−Insurance estimates are unreliable per reviewers, with '$0 copay' visits later billed at $230 up to $1,400
−Reports of unexpected recurring charges and charges continuing after cancellation
Read the full Fay review →

Cove vs Fay — FAQ

Is Cove better than Fay?

▾

Fay scores higher overall in our independent evaluation (61.9/100 vs 60.8/100), leading on trust & safety, experience, reputation. Cove comes out ahead on value, product range.

Is Cove or Fay cheaper?

▾

Fay has the lower starting price (from $0/mo vs $15/mo for Cove). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Cove and Fay both offer?

▾

Both platforms treat Primary Care. Cove covers 1 treatment category total and Fay covers 2.

Still deciding?

Cove alternativesFay alternativesTake the Match Quiz