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Cove vs Lofta: Which Is Better?

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

Our Verdict

Cove scores higher overall in our independent evaluation (60.8/100 vs 57.9/100), leading 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
58
Lofta
Fair

Lofta is a cash-pay sleep-apnea e-commerce platform selling a $139 home sleep test with physician interpretation, CPAP prescriptions and ResMed equipment.

Visit Lofta

Score Breakdown

DimensionCoveLofta
Overall Score60.8/100 ✓57.9/100
Trust & Safety30%62/10062/100
Value25%72/100 ✓68/100
Experience20%45/10045/100
Product Range15%68/100 ✓55/100
Reputation10%50/10050/100

At a Glance

Founded2018—
HeadquartersNew York, NY—
Publicly tradedNoNo
Treatment categories11
Treatments listed32
Starting price$15/mo$35/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.

CategoryCoveLofta
Primary Care$15–$25
Generic Triptans (sumatriptan, rizatriptan, naratriptan, eletriptan, zolmitriptan)
$35
RxExpress CPAP Prescription Renewal

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 →

Lofta

+Home sleep test price ($139) published, including telemedicine approval, physician interpretation and CPAP prescription
+Uses the FDA-cleared, disposable WatchPAT One (also DOT-accepted for commercial drivers)
+End-to-end path from test to prescription to equipment, plus $35 online prescription renewal
−No insurance or Medicare/Medicaid billing; CPAP machines cost about $900–$1,800 cash
−Trustpilot 2.6/5 on 33 reviews (61% 1-star), citing lost shipments and refund disputes
−Complaints of weak warranty and technical support after device purchase
Read the full Lofta review →

Cove vs Lofta — FAQ

Is Cove better than Lofta?

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Cove scores higher overall in our independent evaluation (60.8/100 vs 57.9/100), leading on value, product range.

Is Cove or Lofta cheaper?

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Cove has the lower starting price (from $15/mo vs $35/mo for Lofta). 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 Lofta both offer?

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

Still deciding?

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