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Paloma Health vs ZipHealth: Which Is Better?

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

Our Verdict

ZipHealth scores higher overall in our independent evaluation (59/100 vs 57.7/100), leading on experience, product range, reputation. Paloma Health comes out ahead on trust & safety, value.

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
59

A high-volume, low-cost generalist telehealth pharmacy platform covering hair loss, ED, and other common prescription needs.

Visit ZipHealth

Score Breakdown

DimensionPaloma HealthZipHealth
Overall Score57.7/10059/100 ✓
Trust & Safety30%58/100 ✓55/100
Value25%62/100 ✓55/100
Experience20%55/10062/100 ✓
Product Range15%55/10070/100 ✓
Reputation10%55/10058/100 ✓

At a Glance

Founded2018—
HeadquartersNew York, NYDelray Beach, FL
Publicly tradedNoNo
Treatment categories24
Treatments listed34
Starting price$20/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.

CategoryPaloma HealthZipHealth
Primary Care$75–$99
At-Home Thyroid Test Kit
$20–$50
Migraine Treatment (Sumatriptan/Rizatriptan)

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 →

ZipHealth

+Large scale for a generalist telehealth pharmacy platform: 560,000+ customers claimed and one of the higher Trustpilot review volumes in the category (3,700+ reviews, 4.2 average).
+Broad prescription menu spanning hair loss (finasteride), ED, migraine, antiviral, UTI, and other common conditions through a single flat consultation fee.
+Fast, self-service intake flow praised by many reviewers as easy to navigate.
−Reviewers describe automatic subscription renewals with insufficient warning and difficulty canceling — a billing-friction issue distinct from having a subscription model at all.
−Individual medication pricing (including finasteride) is not shown until after intake is completed, limiting upfront price transparency.
−Multiple reviewers report multi-day waits for provider consultations despite marketing an 'express' service.
Read the full ZipHealth review →

Paloma Health vs ZipHealth — FAQ

Is Paloma Health better than ZipHealth?

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ZipHealth scores higher overall in our independent evaluation (59/100 vs 57.7/100), leading on experience, product range, reputation. Paloma Health comes out ahead on trust & safety, value.

Is Paloma Health or ZipHealth cheaper?

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Their entry prices are similar — both start around $20/mo. Real cost depends on the specific treatment: compare the pricing tables on each review, since inclusions like consults, labs, and shipping differ.

What do Paloma Health and ZipHealth both offer?

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Both platforms treat Primary Care. Paloma Health covers 2 treatment categories total and ZipHealth covers 4.

Still deciding?

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