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Inner Balance vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Inner Balance 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 53.8/100), leading on trust & safety, value, experience, product range, reputation.

54
Inner Balance
Below Average

Small Boise-based women's hormone telehealth brand built around a single compounded bioidentical cream, Oestra, priced at $199/mo for six months then $99.50/mo.

Visit Inner Balance
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

DimensionInner BalanceTwentyeight Health
Overall Score53.8/10075/100 ✓
Trust & Safety30%55/10076/100 ✓
Value25%58/10080/100 ✓
Experience20%55/10072/100 ✓
Product Range15%45/10072/100 ✓
Reputation10%50/10070/100 ✓

At a Glance

Founded20232018
HeadquartersBoise, IDBrooklyn, NY
Publicly tradedNoNo
Treatment categories24
Treatments listed17
Starting price$99.5/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.

CategoryInner BalanceTwentyeight Health
Women's Health—$15–$19.99
Complete Care Membership

Inner Balance

+Single all-in monthly price covering the prescription, shipping and clinician messaging, with no separate consult fee
+Physician-founded (Dr. Sarah Daccarett, board-certified) with online intake and no mandatory lab draw to start
+HSA/FSA payment accepted at checkout
−Front-loaded pricing: $199/mo for the first six months before dropping to $99.50/mo, about $1,791 in year one
−Only product is a compounded cream (not FDA-approved), and the site contradicts itself on whether it comes from a 503A or 503B pharmacy
−State coverage claims conflict across the brand's own pages (43 + DC, 48, and all 50)
Read the full Inner Balance 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 →

Inner Balance vs Twentyeight Health — FAQ

Is Inner Balance better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 53.8/100), leading on trust & safety, value, experience, product range, reputation.

Is Inner Balance or Twentyeight Health cheaper?

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Twentyeight Health has the lower starting price (from $15/mo vs $99.5/mo for Inner Balance). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Inner Balance and Twentyeight Health both offer?

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Both platforms treat Women's Health. Inner Balance covers 2 treatment categories total and Twentyeight Health covers 4.

Still deciding?

Inner Balance alternativesTwentyeight Health alternativesTake the Match Quiz