Home›Compare›Fay vs Paloma Health

Fay vs Paloma Health: Which Is Better?

Head-to-head comparison of Fay 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

Fay scores higher overall in our independent evaluation (61.9/100 vs 57.7/100), leading on trust & safety, value, experience, reputation. Paloma Health comes out ahead on product range.

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
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

DimensionFayPaloma Health
Overall Score61.9/100 ✓57.7/100
Trust & Safety30%66/100 ✓58/100
Value25%70/100 ✓62/100
Experience20%62/100 ✓55/100
Product Range15%40/10055/100 ✓
Reputation10%62/100 ✓55/100

At a Glance

Founded20222018
HeadquartersSchaumburg, ILNew York, NY
Publicly tradedNoNo
Treatment categories22
Treatments listed13
Starting price$0/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.

CategoryFayPaloma Health
Primary Care—$75–$99
At-Home Thyroid Test Kit

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 →

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 →

Fay vs Paloma Health — FAQ

Is Fay better than Paloma Health?

▾

Fay scores higher overall in our independent evaluation (61.9/100 vs 57.7/100), leading on trust & safety, value, experience, reputation. Paloma Health comes out ahead on product range.

Is Fay or Paloma Health cheaper?

▾

Fay has the lower starting price (from $0/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 Fay and Paloma Health both offer?

▾

Both platforms treat Primary Care. Fay covers 2 treatment categories total and Paloma Health covers 2.

Still deciding?

Fay alternativesPaloma Health alternativesTake the Match Quiz