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Lofta vs Paloma Health: Which Is Better?

Head-to-head comparison of Lofta 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

Lofta scores higher overall in our independent evaluation (57.9/100 vs 57.7/100), leading on trust & safety, value. Paloma Health comes out ahead on experience, reputation. Paloma Health has the lower entry price (from $20/mo vs $35/mo), so the better value depends on which treatment you need.

Lofta

Fair

Lofta is a cash-pay sleep-apnea e-commerce platform selling a $139 home sleep test with physician interpretation, CPAP prescriptions and ResMed equipment.

Visit Lofta

Paloma Health

Fair

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

Dimension	Lofta	Paloma Health
Overall Score	57.9/100 ✓	57.7/100
Trust & Safety30%	62/100 ✓	58/100
Value25%	68/100 ✓	62/100
Experience20%	45/100	55/100 ✓
Product Range15%	55/100	55/100
Reputation10%	50/100	55/100 ✓

At a Glance

Founded	—	2018
Headquarters	—	New York, NY
Publicly traded	No	No
Treatment categories	1	2
Treatments listed	2	3
Starting price	$35/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.

Category	Lofta	Paloma Health
Primary Care	$35 RxExpress CPAP Prescription Renewal	$75–$99 At-Home Thyroid Test Kit

Lofta

+Home sleep test price ($139) published, including telemedicine approval, physician interpretation and CPAP prescription

+Uses the FDA-cleared, disposable WatchPAT One (also DOT-accepted for commercial drivers)

+End-to-end path from test to prescription to equipment, plus $35 online prescription renewal

−No insurance or Medicare/Medicaid billing; CPAP machines cost about $900–$1,800 cash

−Trustpilot 2.6/5 on 33 reviews (61% 1-star), citing lost shipments and refund disputes

−Complaints of weak warranty and technical support after device purchase

Read the full Lofta 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 →

Lofta vs Paloma Health — FAQ

Is Lofta better than Paloma Health?

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Is Lofta or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $35/mo for Lofta). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Lofta and Paloma Health both offer?

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Both platforms treat Primary Care. Lofta covers 1 treatment category total and Paloma Health covers 2.

Still deciding?

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