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Fay vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Fay and Twentyeight 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

Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 61.9/100), leading on trust & safety, value, experience, product range, reputation. Fay has the lower entry price (from $0/mo vs $15/mo), so the better value depends on which treatment you need.

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
75

Brooklyn-based women's telehealth service covering birth control, emergency contraception, UTI/BV/yeast and herpes treatment, prescription skincare and branded GLP-1s under a $19.99/mo membership ($0 in-network).

Visit Twentyeight Health

Score Breakdown

DimensionFayTwentyeight Health
Overall Score61.9/10075/100 ✓
Trust & Safety30%66/10076/100 ✓
Value25%70/10080/100 ✓
Experience20%62/10072/100 ✓
Product Range15%40/10072/100 ✓
Reputation10%62/10070/100 ✓

At a Glance

Founded20222018
HeadquartersSchaumburg, ILBrooklyn, NY
Publicly tradedNoNo
Treatment categories24
Treatments listed17
Starting price$0/mo$15/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.

CategoryFayTwentyeight Health
Weight Loss / GLP-1Free–$150
Registered Dietitian Sessions
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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 →

Twentyeight Health

+Low entry cost: $19.99/mo membership ($0 when in-network), birth control from $16/pack cash and often $0 with insurance
+Accepts most commercial insurance and Medicaid in multiple states, which few D2C telehealth brands do
+One membership covers contraception, EC, UTI/BV/yeast, herpes, skincare and weight care, and urgent-care prescriptions are ready for pickup in 4–6 hours
−Medications are billed separately from the membership, which some reviewers say caused unexpected charges
−Weight care (branded Wegovy/Zepbound only) is limited to about 22 states, and skincare to a subset of states
−21% of Trustpilot reviews are 1-star, citing billing discrepancies and support communication problems
Read the full Twentyeight Health review →

Fay vs Twentyeight Health — FAQ

Is Fay better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 61.9/100), leading on trust & safety, value, experience, product range, reputation. Fay has the lower entry price (from $0/mo vs $15/mo), so the better value depends on which treatment you need.

Is Fay or Twentyeight Health cheaper?

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Fay has the lower starting price (from $0/mo vs $15/mo for Twentyeight 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 Twentyeight Health both offer?

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Both platforms treat Weight Loss / GLP-1. Fay covers 2 treatment categories total and Twentyeight Health covers 4.

Still deciding?

Fay alternativesTwentyeight Health alternativesTake the Match Quiz