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Evolve Telemedicine vs Paloma Health: Which Is Better?

Head-to-head comparison of Evolve Telemedicine 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

Paloma Health scores higher overall in our independent evaluation (57.7/100 vs 55.3/100), leading on trust & safety, value, reputation. Evolve Telemedicine comes out ahead on experience, product range.

55

A small concierge-style telehealth operator selling compounded hormone, weight-loss, and wellness therapies through a paid membership.

Visit Evolve Telemedicine
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

DimensionEvolve TelemedicinePaloma Health
Overall Score55.3/10057.7/100 ✓
Trust & Safety30%55/10058/100 ✓
Value25%48/10062/100 ✓
Experience20%60/100 ✓55/100
Product Range15%65/100 ✓55/100
Reputation10%50/10055/100 ✓

At a Glance

Founded—2018
HeadquartersBloomfield Hills, MINew York, NY
Publicly tradedNoNo
Treatment categories32
Treatments listed53
Starting price$149.99/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.

CategoryEvolve TelemedicinePaloma Health
Hormone Therapy$149.99
Baseline Labs
$20
Thyroid Care Membership

Evolve Telemedicine

+Broad concierge-style hormone and wellness menu (BHRT, TRT, thyroid support, peptide therapy, GLP-1 weight loss, sexual wellness, hair) under one membership with a free initial consult.
+Reports (per prior research, not independently verified on-site) shipping compounded medications to patients in all 50 states.
+A majority of Trustpilot reviewers (78% five-star) describe knowledgeable, thorough clinical staff.
−Reviewers report medication price increases of 200-300% within a few months of enrolling, with claims that comparable prescriptions cost significantly less elsewhere.
−Trustpilot sample is small (54 reviews) — too limited to draw strong reputational conclusions despite the 4.1 average.
−Lab result and refill turnaround delays are a recurring complaint, with patients told to request refills 20-25 days in advance to avoid running out.
Read the full Evolve Telemedicine 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 →

Evolve Telemedicine vs Paloma Health — FAQ

Is Evolve Telemedicine better than Paloma Health?

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Paloma Health scores higher overall in our independent evaluation (57.7/100 vs 55.3/100), leading on trust & safety, value, reputation. Evolve Telemedicine comes out ahead on experience, product range.

Is Evolve Telemedicine or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $149.99/mo for Evolve Telemedicine). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Evolve Telemedicine and Paloma Health both offer?

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Both platforms treat Hormone Therapy. Evolve Telemedicine covers 3 treatment categories total and Paloma Health covers 2.

Still deciding?

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