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Fem Excel vs Midi Health: Which Is Better?

Head-to-head comparison of Fem Excel and Midi 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

Midi Health scores higher overall in our independent evaluation (74.8/100 vs 63.9/100), leading on trust & safety, value, experience, product range, reputation.

64

Women's bioidentical hormone therapy arm of Excel Medical (sister brand of Male Excel), pairing a $99/mo membership with separately billed compounded estradiol, progesterone, testosterone and thyroid.

Visit Fem Excel
75

Insurance-billed virtual clinic for perimenopause and menopause, prescribing FDA-approved and compounded HRT, non-hormonal options, and GLP-1s through menopause-trained clinicians.

Visit Midi Health

Score Breakdown

DimensionFem ExcelMidi Health
Overall Score63.9/10074.8/100 ✓
Trust & Safety30%66/10078/100 ✓
Value25%60/10072/100 ✓
Experience20%72/10074/100 ✓
Product Range15%55/10072/100 ✓
Reputation10%64/10078/100 ✓

At a Glance

Founded—2021
HeadquartersCharlotte, NCMenlo Park, CA
Publicly tradedNoNo
Treatment categories23
Treatments listed53
Starting price$108/mo$50/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.

CategoryFem ExcelMidi Health
Women's Health$108–$123
PCOS Support (metformin / spironolactone)
—
Hormone Therapy$114–$149
Testosterone for Women (compounded)
$50–$250
Menopause & Perimenopause Care (HRT, non-hormonal)

Fem Excel

+Medication prices are published per drug ($50/mo core hormones, testosterone from $15/mo, metformin from $24/mo)
+Full women's hormone menu including testosterone and thyroid, plus metformin and spironolactone for PCOS
+Consistent patient sentiment (4.5/5 Trustpilot on about 820 reviews) and the company answers 95% of negative reviews
−Mandatory $99/mo membership stacks on top of medication, so a two-hormone regimen is about $199/mo before shipping
−Medications are billed every two months, doubling each charge
−Unavailable in AK, AR, CT, HI, ID, LA, MS, NH and RI
Read the full Fem Excel review →

Midi Health

+In-network with most major commercial PPO plans, which third-party reviewers put at roughly $50 out of pocket per visit
+Clinicians trained specifically in menopause care, prescribing both FDA-approved HRT and non-hormonal options and ordering labs and imaging
+No membership fee; self-pay is per visit ($250 first, $150 follow-up), which is cheaper than a monthly plan for patients on a stable regimen
−Billing is the dominant complaint: BBB logs 64 complaints in three years, mostly surprise balances after insurance confirmations
−Medicare, Medicaid and Medi-Cal are not accepted, excluding many women in the core menopause age group
−Compounded GLP-1 pricing is published only as a 'from $164 per 4-week supply' floor; dose-level prices require a visit
Read the full Midi Health review →

Fem Excel vs Midi Health — FAQ

Is Fem Excel better than Midi Health?

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Midi Health scores higher overall in our independent evaluation (74.8/100 vs 63.9/100), leading on trust & safety, value, experience, product range, reputation.

Is Fem Excel or Midi Health cheaper?

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Midi Health has the lower starting price (from $50/mo vs $108/mo for Fem Excel). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Fem Excel and Midi Health both offer?

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Both platforms treat Women's Health, Hormone Therapy. Fem Excel covers 2 treatment categories total and Midi Health covers 3.

Still deciding?

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