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Midi Health vs Paloma Health: Which Is Better?

Head-to-head comparison of Midi Health 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

Midi Health scores higher overall in our independent evaluation (74.8/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $50/mo), so the better value depends on which treatment you need.

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
58

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

DimensionMidi HealthPaloma Health
Overall Score74.8/100 ✓57.7/100
Trust & Safety30%78/100 ✓58/100
Value25%72/100 ✓62/100
Experience20%74/100 ✓55/100
Product Range15%72/100 ✓55/100
Reputation10%78/100 ✓55/100

At a Glance

Founded20212018
HeadquartersMenlo Park, CANew York, NY
Publicly tradedNoNo
Treatment categories32
Treatments listed33
Starting price$50/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.

CategoryMidi HealthPaloma Health
Hormone Therapy$50–$250
Menopause & Perimenopause Care (HRT, non-hormonal)
$20
Thyroid Care Membership

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 →

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 →

Midi Health vs Paloma Health — FAQ

Is Midi Health better than Paloma Health?

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Midi Health scores higher overall in our independent evaluation (74.8/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $50/mo), so the better value depends on which treatment you need.

Is Midi Health or Paloma Health cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $50/mo for Midi Health). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Midi Health and Paloma Health both offer?

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Both platforms treat Hormone Therapy. Midi Health covers 3 treatment categories total and Paloma Health covers 2.

Still deciding?

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