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Marek Health vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Marek Health 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 62.3/100), leading on trust & safety, value, experience. Marek Health comes out ahead on product range, reputation.

62

Marek Health is a premium, coach-led hormone and performance-optimization telehealth service built on extensive diagnostics, popular with the bodybuilding community, and priced well above mass-market TRT.

Visit Marek Health
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

DimensionMarek HealthTwentyeight Health
Overall Score62.3/10075/100 ✓
Trust & Safety30%60/10076/100 ✓
Value25%45/10080/100 ✓
Experience20%68/10072/100 ✓
Product Range15%80/100 ✓72/100
Reputation10%74/100 ✓70/100

At a Glance

Founded20202018
HeadquartersPontiac, MIBrooklyn, NY
Publicly tradedNoNo
Treatment categories54
Treatments listed57
Starting price$166/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.

CategoryMarek HealthTwentyeight Health
Women's Health—$15–$19.99
Complete Care Membership

Marek Health

+Diagnostics-first model with a dedicated health coach plus partnered prescriber, rather than a questionnaire-to-script flow
+Strong aggregate sentiment: 4.8/5 on Trustpilot across about 980 reviews, and a BBB A+ rating
+Broad optimization scope covering male and female hormones, peptides, and advanced lab testing (80+ biomarker panels)
−No coaching, exam, or medication pricing is published before sign-up; reviewers report $1,000+ to get through the first visit and labs
−All web sales are final and non-refundable, including the booking deposit
−Reviewers report large markups on supplements and peptides (e.g., SS-31, MOTS-c), several of which are unapproved compounds
Read the full Marek Health 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 →

Marek Health vs Twentyeight Health — FAQ

Is Marek Health better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 62.3/100), leading on trust & safety, value, experience. Marek Health comes out ahead on product range, reputation.

Is Marek Health or Twentyeight Health cheaper?

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Twentyeight Health has the lower starting price (from $15/mo vs $166/mo for Marek Health). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Marek Health and Twentyeight Health both offer?

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Both platforms treat Women's Health. Marek Health covers 5 treatment categories total and Twentyeight Health covers 4.

Still deciding?

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