Hone Health vs. Midi for Menopause Care & Longevity

Hone Health and Midi both treat women for perimenopause and menopause, including hormone therapy. But the two telehealth platforms have different approaches to midlife care.

Midi is primarily a menopause and women’s midlife clinic focused on addressing symptoms like hot flashes, sleep, sexual health, mood, and weight. Hone treats those same menopause concerns, but as part of an ongoing, physician-directed health program. Hone monitors and manages what’s happening across your body as you age — including your hormones, thyroid, metabolic health, heart health, weight, sexual health, and more.

In short: If you only want menopause-focused care that can run through insurance, Midi may appeal to you. If you want comprehensive care that includes menopause care as well as other treatments to improve overall health and longevity, Hone’s physician-guided testing and optimization model is a better fit. 

Hone vs. Midi Patient Experience

At Hone, every woman starts with comprehensive blood testing before her first physician visit, so your physician can rule out other conditions that may cause menopause-like symptoms and establish a baseline across multiple areas of your health. Your physician reviews those results alongside your symptoms and goals during your initial consultation, then continues to track your health over time as part of your membership.

Midi starts with a clinician visit; testing isn’t built into every patient’s care. Instead of a membership, Midi charges by the visit and accepts many major insurance plans.^{1 2}

Hone appointment

• Sequence: Receive comprehensive biomarker testing before your first physician visit. Your physician reviews your results, symptoms, health history, and goals and builds a personalized treatment plan to address menopause and other concerns.³
• Who provides care: Every provider is a licensed physician (M.D. or D.O.)^{4 5}
• Visit length: 30 minutes for the initial visit; 20 minutes for your first follow-up; 10–20 minutes for follow-ups after that.⁶

Midi appointment

• Sequence: Meet with a clinician first; they order labs if needed and discusses results at a subsequent visit.^{7 8}
• Who provides care: Nurse practitioners (N.P.), CNMs (nurse midwives), doctors (M.D.), and naturopathic doctors (N.D.).⁹
• Visit length: 30 minutes for initial visit; 15 minutes follow-up.¹⁰

Does Midi Offer Blood Testing?

Yes. Midi Health can order blood tests, but comprehensive blood work and follow-up tests are not automatically part of every patient’s care. Discussing your results with a Midi clinician may require a follow-up appointment, which incurs an additional $150 fee.^{11 12}

At Hone, lab work happens before your first appointment for a one-time cost of $65. You’ll complete a panel of 50+ biomarkers that measure hormone, heart, metabolic, thyroid, liver, kidney, and immune health, allowing your doctor to see what might need to be addressed beyond menopause symptoms. Your physician compares those baseline levels against follow-up labs (included with an active membership) and adjusts your treatment plan as needed.^{13 14}

Testing costs

Hone:

• Lab partner: Quest Diagnostics¹⁵
• Initial cost: $65
• Ongoing includes: 50+ biomarkers, four times a year, included at no additional fees in Premium membership^{16 17}

Midi:

• Lab partner: Labcorp¹⁸
• Cost: Billed separately through Labcorp; not included in your visit fee. Labcorp’s women’s testing ranges from ~$139 for a basic menopause panel to ~$600 for a comprehensive women’s health workup. With insurance you may owe only a copay, though you’ll still receive a bill for anything your plan doesn’t cover.¹⁹ Midi doesn’t publish a flat lab fee, so your total will depend on what your clinician orders.^{20 21 22}

Why does Hone require blood work before your first appointment?

Hone does not use blood work to diagnose perimenopause or menopause. Instead, baseline testing gives your physician more information before making treatment decisions.^{23 24}

Symptoms commonly associated with menopause, such as fatigue, weight changes, low libido, sleep problems, and brain fog, can overlap with thyroid problems, anemia, metabolic issues, and other health conditions. Blood work can help identify or rule out other contributors while also establishing baseline values that may be important for treatments like testosterone therapy.

The broader panel also supports Hone’s approach to care: your physician isn’t looking only at reproductive hormones, but at markers tied to your cardiovascular, metabolic, thyroid, and overall health, which they can monitor over time.

Hone vs. Midi Treatment Costs

Hone’s membership model includes ongoing physician care and regular biomarker testing under one predictable fee. Midi charges by the visit and accepts many major insurance plans.

Hone: Membership structure

Hone Health bundles your care into one transparent monthly fee.

• Premium membership: $155/month, which covers regular lab testing and telehealth visits with a licensed physician^{25 26}
• Initial test and physician visit: $65 
• Ongoing 50+ biomarker tests: Included in membership²⁷
• Physician visits: Included in membership
• Medications: $28–$80/month for menopause and HRT treatments, billed separately²⁸

A typical first month runs $220 ($65 one-time lab fee plus $155 membership), plus the cost of any medications you’re prescribed, which varies by individual prescription. All of your care, including labs, physician visits, and medications, is packaged into a predictable monthly cost.

Midi: Appointment structure

Midi Health charges for each visit, with medications and labs billed separately.

• Initial appointment: $250 self-pay or standard co-pay/deductible²⁹
• Follow-up appointments: $150 each 
• Medications: $28–$100/mo for menopause and HRT treatments, billed separately^{30 31 32}
• Labs: $139 and up, depending which tests your clinician orders.^{33 34} Labs are billed separately through Labcorp

Insurance coverage

With Midi, insurance may lower your costs depending on your prescription and treatment needs. Hone does not accept insurance. Instead, Premium members pay a predictable monthly fee for ongoing testing and physician care that isn’t constrained by insurance coverage rules, with medications billed separately.

• Hone: Does not accept insurance; accepts HSA/FSA³⁵
• Midi: Accepts insurance and HSA/FSA; works with many major plans but not Medicare, Medicaid, or Medi-Cal³⁶

There can be a downside to using insurance — coverage often dictates the treatments and labs that are approved, which can limit your options for care. Insurance doesn’t usually cover compounded hormones (such as testosterone) or longevity-focused care (such as peptides). Because Hone works outside of insurance, physicians aren’t constrained by what a plan will reimburse. They can spend more time with you and tailor care to your labs and symptoms rather than a billing code.³⁷

Which Treatments Do Hone and Midi Offer?

Midi and Hone both provide menopause hormone replacement therapy (HRT). They differ in the breadth of care available beyond menopause.

Midi’s treatment offerings center largely on menopause and skincare with a few longevity offerings. Hone’s catalog extends further into health optimization and chronic-disease risk management, addressing hormones alongside thyroid, heart health, weight, sexual health, and longevity-related health — all under the same, physician-directed longevity plan. Because every result flows into one longitudinal record your physician manages, your care  evolves as your health does.³⁸

Hone medications

Hone members have access to 40+ medications, with prescriptions shipped directly to your door.^{39 40} For women, these include:

• Menopause & HRT: Estradiol patches, estradiol gel, Bi-est cream, progesterone capsules, progesterone cream, testosterone cream, testosterone injections
• Vaginal & sexual health: Estradiol (Estrace®) vaginal cream, estriol vaginal cream, DHEA vaginal cream, Vagifem® (estradiol) vaginal tablet, arousal cream, PT-141
• Weight loss: Compounded liraglutide, tirzepatide (Zepbound® via Lilly Direct), phentermine/topiramate, naltrexone/bupropion, sermorelin
• Thyroid: T3 (liothyronine), T4 (levothyroxine), natural desiccated thyroid
• Heart health: Rosuvastatin, ezetimibe, colchicine
• Longevity: Low-dose naltrexone (LDN), NAD+, vitamin B12, glutathione, metformin, omega-3
• Hair loss: Finasteride/minoxidil topical

Hone Health members can also add advanced imaging. A Prenuvo whole-body MRI is a radiation-free scan covering 30+ organs that may help detect tumors, aneurysms, cysts, organ abnormalities, and other structural changes before they cause symptoms. BodySpec DEXA scans measure body composition and bone density.⁴¹ Your Hone physician reviews the results from these tests alongside your other lab data.⁴²

Midi medications

Midi members can fill prescriptions at a local pharmacy or through Midi’s compounding pharmacy, Midi Custom Rx.⁴³

Midi providers can prescribe medications filled by your local pharmacy, including GLP-1s for weight loss, as well as medications to support sexual health, longevity, mood, and sleep.⁴⁴

Local pharmacy fills may be covered by insurance but Custom Rx prescriptions are not. Custom Rx options include:

• Menopause: Estradiol cream, estradiol gel, progesterone capsules, testosterone cream
• Skincare: Estriol+ face cream, estriol+ eye cream, copper peptide repair cream, hydroquinone even-tone cream, tretinoin renewal cream
• Longevity: Low-dose naltrexone, NAD+ nasal spray, sermorelin

Hone vs. Midi Reviews

Hone Health is rated higher than Midi on Trustpilot across a significantly larger review base:

• Hone: 4.8 out of 5 stars, from 12,000+ reviews⁴⁵
• Midi: 4.0 out of 5 stars, from roughly 1,500 reviews⁴⁶

Hone reviewers frequently mention their physician’s knowledge and the relief they felt when their concerns were taken seriously. Midi’s reviews on Trustpilot are more mixed — many patients praise the specialized care and convenience of virtual visits, but lower ratings frequently cite billing confusion and unexpected costs.⁴⁷

Women discussing Midi in online menopause communities report similar experiences to reviews shared on TrustPilot. 

• Most common praise: low copays when insurance is accepted and prescriptions sent directly to a pharmacy. 
• Most common complaints: insurance rejections, surprise out-of-network bills, short appointments, and having to book and pay for a separate visit just to adjust or refill a prescription. Some women also note they were seen by a nurse practitioner rather than a physician.^{48 49 50 51 52 53}

Hone Health vs. Midi: Which Is Better for Menopause and Longevity Care?

Hone and Midi both treat women in menopause, but Hone approaches women’s midlife care from a broader, testing-driven perspective.

• Midi may be a good fit if your primary goal is only menopause symptom treatment. It offers both hormonal and non-hormonal medications, and many patients can use insurance.
  
• Hone is built for women in midlife who want ongoing, physician-directed menopause care that’s part of a whole-body longevity plan. Because every provider is a licensed physician (M.D. or a D.O.), you’ll get a high level of expertise across menopause, metabolic health, heart health, and more as your needs evolve.^{54 55} Every membership starts with comprehensive lab testing of 50+ biomarkers, with ongoing lab work so your physician can adjust your treatment plan based on your test results and symptoms.⁵⁶

Hone’s 4.8-star rating across more than 11,000 reviews reflects what patients consistently report: knowledgeable physicians, clear expectations, and the feeling of having their concerns taken seriously.⁵⁷

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