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Hone Health vs Hims: Which Is Best for TRT and Treating Low Testosterone?

The biggest difference: Only Hone prescribes TRT, the most effective treatment for low testosterone.

hone vs hims

30-Second Takeaway

Low testosterone is a complex hormonal condition that requires ongoing monitoring of biomarkers, physician oversight, and often medication adjustments, an approach Hone Health has offered for more than five years. Hims offers medications that support testosterone production, but doesn’t offer testosterone replacement therapy (TRT).

Not all online testosterone therapy is built the same. If you’re comparing Hims vs. Hone Health, the key differences aren’t just price or convenience. They come down to how each company approaches medical evaluation, physician involvement, lab testing, and long-term treatment management—all factors that can affect both safety and results.

The primary distinction is treatment approach. Hone offers testosterone replacement therapy (TRT)—the most evidence-backed treatment for clinically low testosterone (hypogonadism)—as well as medications like enclomiphene that help stimulate natural testosterone production. Hims currently offers enclomiphene but does not offer TRT.

Care delivery also differs significantly. Only Hone includes live telehealth appointments with licensed physicians. Hims’ testosterone support is primarily asynchronous, meaning patients and providers exchange information through messages and lab results rather than meeting live.

Below, we break down how Hims vs. Hone compare across testing, treatments, clinical oversight, cost, and overall patient experience so you can choose the option that best fits the kind of testosterone care you’re actually looking for.

Testosterone From Hone Health vs Hims

Hone physicians prescribe testosterone replacement therapy (TRT) through scheduled video appointments while Hims providers typically prescribe enclomiphene through an asynchronous, text-based model without live doctor visits.

Here are the main differences between Hone vs. Hims:

  • Medications offered: Hone Health offers multiple medications for improving testosterone levels, including TRT injections, topical creams, and oral lozenges (troches), as well as medications that support natural testosterone production including clomiphene citrate and enclomiphene. Hims offers only enclomiphene, though the company has stated plans to introduce TRT at a future date.
  • Care model: A Hone Health membership includes comprehensive labs and live telehealth appointments with a licensed physician (MD/DO), giving you dedicated time to discuss symptoms, lab results, and treatment options. For most patients, Hims uses asynchronous, text-based care in which patients and providers exchange information (messages, images, lab results) asynchronously. Hims may schedule a video visit in states where it’s required to prescribe enclomiphene.
  • Healthcare providers: Hone Health provides care through licensed physicians (MDs and DOs). Hims uses a mixed clinician model, where care is delivered by licensed healthcare providers including physicians and nurse practitioners. Patients aren’t guaranteed a consultation with an MD/DO specifically.1
  • Clinical experience: Hone Health has provided physician-guided TRT for more than five years. Hims introduced testosterone support at the end of 2025.
  • Cost structure: Hone uses a monthly subscription model with a membership fee between $129 and $149 per month, plus the cost of medications. Hims requires customers to pay for a minimum of three months membership and medication in advance.
  • Support: Hone and Hims members both have 24/7 access to a dedicated Care Team who can address medication side effects, dosing questions, and lab concerns. 

Hone vs Hims Patient Reviews

Hone Health has more patient reviews and is more highly rated than Hims. 

  • Hone Health: Rated 4.8 stars on Trustpilot, based on more than 10,000 reviews
  • Hims: Rated 3.0 stars on Trustpilot, based on approximately 7,000 reviews

Hone Health does not pay for or incentivize patient reviews on Trustpilot. Members of Hone’s Care Team actively monitor feedback on the platform and use it to identify issues, respond to concerns, and improve the patient experience over time.

Hone has treated men with low testosterone since 2020. Hims introduced testosterone support at the end of 2025. 

Hone Testimonials

TRT Before and After: Jaw-Dropping TRT Transformations
My Doctor Said My Testosterone Was Normal—So Why Did I Have Symptoms?

Testosterone Costs

The cost of testosterone care from Hims vs Hone Health differs in how the membership and medication fees are priced, billed, and canceled

Hone Health separates the costs by initial testing, monthly membership (which includes ongoing testing), and medications. The membership and medication fees are charged monthly, and patients can cancel any time. This structure allows patients to choose a plan initially and for their care to evolve over time.

  • Initial testing costs: $45–$65 
  • Membership costs: $129–$149/mo
  • TRT prescription costs: $28–$60/mo

Hims combines membership, medication, and testing costs into fixed-term plans that require payment  for several months of services upfront.2

  • 3–month plan: $597
  • 5–month plan: $695
  • 10–month plan: $990

Rather than bundling care into a fixed-term plan, Hone’s a la carte pricing for memberships and medications reflects an emphasis on individualized treatment and continued clinical monitoring, with the flexibility to change or cancel membership as care evolves.

America’s #1 TRT Clinic

Testosterone from Hone

testosterone injections vial

Testing costs

Basic hormone testing costs are comparable between Hone Health and Hims. The difference is in scope, pricing, and physician involvement.

Hone’s comprehensive lab panel (available with the Premium plan for $65) costs less than half of Hims’ “Labs by Hims” plan.3

Hone Testing

Plus plan (at-home testing, TRT, and longevity medications):

    • $50 for confirmatory in-lab testing or $80 for at-home testing (required before starting TRT)

Premium plan (lab testing, TRT, and all other medications):

    • $65 for the initial in-lab comprehensive blood test (50+ biomarkers)

    • $25 for confirmatory in-lab testing (required before starting TRT)

If after the initial test and visit the Hone physician thinks TRT might be indicated, they will order a confirmatory test for $25–$80 to validate the initial results and ensure therapy is appropriate and safe, in accordance with American Urological Association guidelines. This step helps guide dosing decisions and establishes baseline markers for ongoing monitoring.

Hims testing

    • $94 for an at-home testosterone test (9 biomarkers), credited toward treatment if you qualify for testosterone support

    • $199 for base tier lab testing (50 biomarkers)

    • $499 for advanced tier testing (120 biomarkers)

Note: Hims doesn’t offer physician appointments to discuss lab results in most cases, only asynchronous support in the app.

Membership costs

Hone Health offers two monthly membership tiers for TRT:

  • Plus plan: $129/mo, includes ongoing testing for 9 biomarkers
  • Premium plan: $149/mo, includes ongoing testing for 50+ biomarkers

Initial tests and ongoing medication costs for Hone are billed separately. Generally, men choose the Plus membership for testosterone-only care while the Premium membership is typically selected when combining TRT with weight management medications and/or thyroid support.

Hims combines testing, membership and medication costs into one non-refundable fee, available in a 3-month, 5-month, or 10-month plan, paid upfront for $597-$990.

Types of Testosterone

A core difference between Hone vs Hims is that Hone Health offers TRT directly, and Hims does not (only providing testosterone support from enclomiphene).

Hone Health offers testosterone replacement therapy in multiple forms:

Hone also offers medications such as sildenafil and tadalafil for erectile dysfunction, a common symptom of low testosterone.

Hims does not offer TRT. It prescribes enclomiphene, a medication that supports the body’s natural testosterone production. Hims has said it plans to introduce injectable and oral testosterone in 2026.

  • Enclomiphene + Tadalafil
  • Enclomiphene 

Costs for these testosterone support medications from Hims are packaged into a 3-month ($597), 5-month ($695), or 10-month ($990) plan, paid upfront.

Testosterone Monitoring from Hone vs Hims

Legally and clinically, testosterone replacement therapy requires a diagnosis of low testosterone, dose titration, and ongoing monitoring, as well as communication with a licensed physician. Without structured follow-up care, patients prescribed testosterone are at risk for under- or over-treatment.

  • Hone patients: retested every 3 months during the first year, and every 6 months thereafter
  • Hims patients: retested at 3 months and then 15 months into treatment

Note that testing cadence for Hims patients may differ based on the patient’s plan and whether they selected a premium labs option.

Testosterone Assessment

Get a Personalized Treatment Plan to Help You Feel Your Best.

Local Availability from Hone vs Hims

Testosterone replacement therapy (TRT) availability varies between Hone Health and Hims, both in terms of treatment offerings and geographic access.

  • Hone Health: Hone currently offers testosterone replacement therapy in 35 states, with treatment delivered through a physician-guided care model that includes lab testing, live consultations, and ongoing monitoring. Availability varies by state based on medical licensing and pharmacy regulations.
  • Hims: Hims does not currently offer testosterone replacement therapy. The company has stated that it plans to introduce injectable and oral testosterone options in 2026, but has not announced any state availability. Hims offers video visits in states that require live physician support, but most testosterone support is asynchronous. The company has not publicly disclosed a full state-by-state availability list for enclomiphene.

FAQs

What is the cancellation policy for Hims vs Hone?

Hims patients are charged for 3–10 months of testosterone support up front without the option for a refund. Hone Health customers can cancel their monthly membership any time, though it is not recommended that you stop TRT without physician support.

Which biomarkers are included in an at-home test for Hone vs Hims?

Hone Health tests for 9–50 biomarkers, depending on the plan

  • Hone Plus initial test (9 biomarkers):
    • Total testosterone 
    • Free testosterone (calculated)
    • Free testosterone (%)
    • Sex hormone–binding globulin (SHBG)
    • Albumin
    • Luteinizing hormone (LH)
    • Estradiol (E2)
    • Aspartate aminotransferase (AST)
    • Alanine aminotransferase (ALT)
  • Hone Plus confirmatory test for TRT (4 biomarkers):
    • Total testosterone 
    • Prolactin 
    • Prostate-specific antigen (PSA)
    • Hematocrit 
  • Hone Premium initial test (50+ biomarkers):
    • This testing is completed at a lab. If confirmatory testing is required, the Hone Premium confirmatory test focuses on total testosterone and prolactin (PRL).

Hims tests 9 biomarkers when evaluating low testosterone:

    • Total testosterone (TT)
    • Free testosterone (calculated)
    • Sex hormone–binding globulin (SHBG)
    • Albumin
    • Luteinizing hormone (LH)
    • Estradiol (E2)
    • Prostate-specific antigen (PSA)
    • Hematocrit (HCT)
    • Follicle-stimulating hormone (FSH)

While there is overlap between the two at-home panels, Hone’s initial testing includes markers of liver function, while Hims includes hematocrit, FSH, and PSA earlier in the evaluation process.

Hone laboratory testing reflects a stepwise, evidence-based approach:

  1. Initial labs establish diagnosis, physiology, and candidacy.
  2. Confirmatory labs establish safety baselines and monitoring readiness.

Certain labs are designed to monitor treatment—not diagnose it—so they’re only ordered before therapy begins, when results can meaningfully guide dosing and safety decisions. This keeps testing clinically purposeful, reduces unnecessary labs, and aligns with standard hormone-care protocols.

Are ongoing testing fees included in my Hone membership?

Ongoing lab tests (month 3 onwards) are covered by your Hone membership. Patients are retested every three months in the first year to help your doctor monitor your results, and every six months thereafter.

  1. Hims.com (n/d) Provider Information

  2. Hims.com FAQs (2026) “Pricing for low testosterone treatment with enclomiphene through Hims

  3. Rehfeldt, Courtney (2025) “Hims & Hers Enters Blood Testing Amid Preventive Health Surge

Mentioned in This Article:

testosterone injections vial

Testosterone

Testosterone provides the foundation for Hone’s testosterone replacement therapy plans, used to treat low testosterone levels and boost energy, strength, and libido. Available via injections, cream and dissolvable troches.

Testosterone (Cream)

Testosterone provides the foundation for Hone’s testosterone replacement therapy plans, used to treat low testosterone levels and boost energy, strength, and libido. As an alternative to injection, testosterone cream can be applied externally.

Testosterone (Troches)

Testosterone provides the foundation for Hone’s testosterone replacement therapy plans, used to treat low testosterone levels and boost energy, strength, and libido. Testosterone troches are taken orally as dissolvable tablets.

Enclomiphene

By stimulating your body’s natural testosterone production, enclomiphene enhances energy, mood, and focus while supporting fertility.

Clomiphene Citrate

By boosting your body’s production of testosterone, clomiphene citrate (generic Clomid®) increases energy and improves mood and focus while preserving fertility.

Anastrozole

To balance hormones and support treatment for symptoms of low testosterone in men, Anastrozole (generic Arimidex) reduces estrogen levels and the conversion of testosterone to estrogen.

Sildenafil

Sildenafil, the generic for Viagra®, effectively treats erectile dysfunction, ensuring you’re ready when the moment feels right.

Tadalafil

Tadalafil, an FDA-approved generic for Cialis®, helps you achieve and maintain an erection, empowering you to regain your confidence and intimacy.

Editorial Policy: Science-Backed, Expert-Reviewed

The Edge upholds the highest standards of health journalism. We source research from peer-reviewed medical journals, top government agencies, leading academic institutions, and respected advocacy groups. We also go beyond the research, interviewing top experts in their fields to bring you the most informed insights. Every article is rigorously reviewed by medical experts to ensure accuracy. Contact us at support@honehealth.com if you see an error.

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