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Cove vs Paloma Health: Which Is Better?

Head-to-head comparison of Cove and Paloma Health 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 57.7/100), leading on trust & safety, value, product range. Paloma Health comes out ahead on experience, reputation.

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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

A niche telehealth brand built specifically around hypothyroidism and Hashimoto's care, pairing at-home lab testing with endocrinology-informed treatment.

Visit Paloma Health

Score Breakdown

DimensionCovePaloma Health
Overall Score60.8/100 ✓57.7/100
Trust & Safety30%62/100 ✓58/100
Value25%72/100 ✓62/100
Experience20%45/10055/100 ✓
Product Range15%68/100 ✓55/100
Reputation10%50/10055/100 ✓

At a Glance

Founded20182018
HeadquartersNew York, NYNew York, NY
Publicly tradedNoNo
Treatment categories12
Treatments listed33
Starting price$15/mo$20/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.

CategoryCovePaloma Health
Primary Care$15–$25
Generic Triptans (sumatriptan, rizatriptan, naratriptan, eletriptan, zolmitriptan)
$75–$99
At-Home Thyroid Test Kit

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 →

Paloma Health

+Narrow clinical focus on hypothyroidism/Hashimoto's with endocrinologist-informed care teams and integrated at-home lab testing, nutritionist visits, and medication management in one program.
+Transparent flat membership pricing ($20/mo billed $240/yr) that bundles two test kits and two visits per year.
+One of the only brands to specialize specifically in DTC thyroid care rather than treating it as one line item among many.
−Trustpilot rating is weak (2.6/5, though based on a very small sample of 4 reviews) with recurring complaints of care that didn't match advertised 'integrative'/'holistic' positioning.
−At least one reported case of a patient with clearly abnormal labs (TSH of 58) alleging the prescribing clinician disregarded their reported symptoms before prescribing a medication that caused adverse reactions — a serious quality-of-care concern for a specialty-clinical brand.
−Reviewers report membership fees and per-visit charges stacking in ways that felt like hidden costs.
Read the full Paloma Health review →

Cove vs Paloma Health — FAQ

Is Cove better than Paloma Health?

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Cove scores higher overall in our independent evaluation (60.8/100 vs 57.7/100), leading on trust & safety, value, product range. Paloma Health comes out ahead on experience, reputation.

Is Cove or Paloma Health cheaper?

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Cove has the lower starting price (from $15/mo vs $20/mo for Paloma Health). 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 Paloma Health both offer?

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

Still deciding?

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