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Oova vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Oova 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 56/100), leading on trust & safety, value, experience, product range, reputation.

56
Oova
Fair

At-home urine hormone-tracking kit that quantifies LH, estrogen and progesterone metabolites via a phone app, for fertility and perimenopause; no in-house prescribing.

Visit Oova
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

DimensionOovaTwentyeight Health
Overall Score56/10075/100 ✓
Trust & Safety30%62/10076/100 ✓
Value25%56/10080/100 ✓
Experience20%58/10072/100 ✓
Product Range15%42/10072/100 ✓
Reputation10%55/10070/100 ✓

At a Glance

Founded20172018
HeadquartersNew York, NYBrooklyn, NY
Publicly tradedNoNo
Treatment categories14
Treatments listed37
Starting price$99/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.

CategoryOovaTwentyeight Health
Women's Health$99
Oova Membership (discounted kits + expert consults)
$15–$19.99
Complete Care Membership

Oova

+Quantitative readings of three hormones (LH, E3G, PdG) versus the yes/no results of standard ovulation strips
+Results can be shared in real time with a patient's own clinician through a HIPAA-compliant provider dashboard
+Kits are FSA/HSA eligible, with posted one-time and recurring pricing
−No prescribing or diagnosis; membership consults are with 'experts' rather than a clearly defined treating clinician
−App reportedly blocks scans outside its calculated testing window, which can leave paid strips unusable
−At roughly $129-$159 per cycle kit, ongoing tracking costs substantially more than basic ovulation strips
Read the full Oova 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 →

Oova vs Twentyeight Health — FAQ

Is Oova better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 56/100), leading on trust & safety, value, experience, product range, reputation.

Is Oova or Twentyeight Health cheaper?

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Twentyeight Health has the lower starting price (from $15/mo vs $99/mo for Oova). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Oova and Twentyeight Health both offer?

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Both platforms treat Women's Health. Oova covers 1 treatment category total and Twentyeight Health covers 4.

Still deciding?

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