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Paloma Health vs TeleDirectMD: Which Is Better?

Head-to-head comparison of Paloma Health and TeleDirectMD based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

TeleDirectMD scores higher overall in our independent evaluation (66.5/100 vs 57.7/100), leading on trust & safety, value, experience. Paloma Health comes out ahead on product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $79/mo), so the better value depends on which treatment you need.

A niche telehealth brand built specifically around hypothyroidism and Hashimoto's care, pairing at-home lab testing with endocrinology-informed treatment.

Visit Paloma Health

TeleDirectMD is a solo-physician virtual practice offering $79 flat-fee video visits for urgent care, sexual health, skin, women's health and chronic-medication refills in 44 states plus DC.

Visit TeleDirectMD

Score Breakdown

DimensionPaloma HealthTeleDirectMD
Overall Score57.7/10066.5/100 ✓
Trust & Safety30%58/10070/100 ✓
Value25%62/10076/100 ✓
Experience20%55/10066/100 ✓
Product Range15%55/100 ✓54/100
Reputation10%55/100 ✓52/100

At a Glance

Founded2018—
HeadquartersNew York, NY—
Publicly tradedNoNo
Treatment categories25
Treatments listed35
Starting price$20/mo$79/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.

CategoryPaloma HealthTeleDirectMD
Primary Care$75–$99
At-Home Thyroid Test Kit
$79
Virtual Visit (urgent care, UTI, STI, skin)

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 →

TeleDirectMD

+One all-in $79 cash price per visit, published up front and HSA/FSA eligible
+Every visit is a live video consult with a named, board-certified physician, never a mid-level provider or a questionnaire-only review
+Fast access: visits typically start within 1–2 hours of booking, 7 days a week, and prescriptions go to the patient's own pharmacy
−A single physician handles all visits, which limits capacity and continuity of care
−No GLP-1, weight-loss or controlled-substance prescribing
−Not available in AR, MA, NM, NY, OR or RI
Read the full TeleDirectMD review →

Paloma Health vs TeleDirectMD — FAQ

Is Paloma Health better than TeleDirectMD?

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TeleDirectMD scores higher overall in our independent evaluation (66.5/100 vs 57.7/100), leading on trust & safety, value, experience. Paloma Health comes out ahead on product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $79/mo), so the better value depends on which treatment you need.

Is Paloma Health or TeleDirectMD cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $79/mo for TeleDirectMD). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Paloma Health and TeleDirectMD both offer?

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Both platforms treat Primary Care. Paloma Health covers 2 treatment categories total and TeleDirectMD covers 5.

Still deciding?