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Cove vs TeleDirectMD: Which Is Better?

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

Our Verdict

TeleDirectMD scores higher overall in our independent evaluation (66.5/100 vs 60.8/100), leading on trust & safety, value, experience, reputation. Cove comes out ahead on product range. Cove has the lower entry price (from $15/mo vs $79/mo), so the better value depends on which treatment you need.

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
67

TeleDirectMD is a solo-physician virtual practice offering $79 flat-fee video visits for urgent care, sexual health, skin, women's health and chronic-medication refills in 44 states plus DC.

Visit TeleDirectMD

Score Breakdown

DimensionCoveTeleDirectMD
Overall Score60.8/10066.5/100 ✓
Trust & Safety30%62/10070/100 ✓
Value25%72/10076/100 ✓
Experience20%45/10066/100 ✓
Product Range15%68/100 ✓54/100
Reputation10%50/10052/100 ✓

At a Glance

Founded2018—
HeadquartersNew York, NY—
Publicly tradedNoNo
Treatment categories15
Treatments listed35
Starting price$15/mo$79/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.

CategoryCoveTeleDirectMD
Primary Care$15–$25
Generic Triptans (sumatriptan, rizatriptan, naratriptan, eletriptan, zolmitriptan)
$79
Virtual Visit (urgent care, UTI, STI, skin)

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 →

TeleDirectMD

+One all-in $79 cash price per visit, published up front and HSA/FSA eligible
+Every visit is a live video consult with a named, board-certified physician, never a mid-level provider or a questionnaire-only review
+Fast access: visits typically start within 1–2 hours of booking, 7 days a week, and prescriptions go to the patient's own pharmacy
−A single physician handles all visits, which limits capacity and continuity of care
−No GLP-1, weight-loss or controlled-substance prescribing
−Not available in AR, MA, NM, NY, OR or RI
Read the full TeleDirectMD review →

Cove vs TeleDirectMD — FAQ

Is Cove better than TeleDirectMD?

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TeleDirectMD scores higher overall in our independent evaluation (66.5/100 vs 60.8/100), leading on trust & safety, value, experience, reputation. Cove comes out ahead on product range. Cove has the lower entry price (from $15/mo vs $79/mo), so the better value depends on which treatment you need.

Is Cove or TeleDirectMD cheaper?

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Cove has the lower starting price (from $15/mo vs $79/mo for TeleDirectMD). 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 TeleDirectMD both offer?

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Both platforms treat Primary Care. Cove covers 1 treatment category total and TeleDirectMD covers 5.

Still deciding?

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