8 Places Where You Can Buy HRT Online Safely and Easily

During your perimenopause journey, you’re going to have questions. At Winona, you can skip Dr. Google and go straight to the experts. That’s because Winona offers unlimited messaging with your clinician. After taking a brief quiz designed to pinpoint your needs and understand your medical history, you’ll be connected with a clinician who will create a personalized treatment plan for you. Once your plan is in place, you can chat with your clinician via the patient portal 24/7 at no extra cost. The portal is also where you can view your treatment plan and access monthly live Q&As with physicians.

The initial appointment is free, and there are no subscription fees; you simply pay the monthly cost of your prescription, which starts at $27. If your provider determines that you can safely benefit from treatment, they’ll submit your prescription through the patient portal, and it will be shipped free and discreetly to the address you specify. Winona is in network with some private and employer insurance plans. If your plan isn’t in network, you can use a healthcare savings account (HSA) or flexible spending account (FSA) at checkout.

If you don’t have insurance, it may seem cost-prohibitive to get specialized prescriptions such as HRT, but Sesame is bridging the affordability gap. The service offers telemedicine for a wide range of needs, including online therapy, urgent care, and various women’s health concerns, including menopause, but it does not work with insurance. The menopause program, which includes lab work, unlimited messaging with providers, and ongoing care via telehealth appointments, costs $59 a month. When you factor in the ongoing care and prescription deals (you get a savings card that can lower the cost to below copay rates), this represents a good value for those who are uninsured or underinsured.

We love that you can schedule an appointment on the same day you complete a simple questionnaire to help determine a personalized treatment plan. Our research has found that Sesame’s clinicians are attentive; however, it’s not always possible to rebook with your preferred provider. Also, while we appreciate that you can often make same-day appointments, we found that patients sometimes feel like their visit is rushed.

Unlike other telemedicine services that offer HRT, Hone has its patients undergo a comprehensive lab test ($65) before providing treatment. Once those labs are in, you have a 30- to 45-minute consultation with a clinician who will go over your results, medical history, symptoms, and concerns. Then they’ll outline a customized treatment plan for you.

If you’re interested in both HRT and weight loss medication, you’ll need to subscribe to each plan individually, which could get expensive (the basic HRT plan costs $99 a month). For GLP-1 medications, you get $80 off the first month ($129), then $209 per month after that.

While there’s no opportunity to bundle care, the prices include the cost of medication, so you may end up with a better deal than a membership that includes elements you may not need. This is another service that doesn’t accept insurance, but you can pay with HSA or FSA accounts

Treating the mosaic of symptoms that can result from midlife hormone changes can involve visits to multiple doctors and specialists. Midi aims to reduce those visits by giving you access to numerous specialists from the comfort of your home. And it’s all covered by insurance — no membership fees of any kind. If your insurance provider is accepted (most major ones are), you’ll likely just pay a copay; the most you’ll pay is a $250 deductible for your initial consultation. And you can pay with your HSA or FSA account.

Midi supports its patients with the help of a multidisciplinary care team, including dermatologists, naturopaths, clotting experts, and gynecologists well versed in hormone therapy. If you’re recovering from breast cancer, for example, they have specialists who can create a safe and effective treatment plan for you. Not many telehealth services offering HRT can say that.

No labs are required to make an appointment with a clinician; you just fill out a survey about your medical history and symptoms. During your consultation, your clinician will determine if you require lab tests to proceed with your treatment plan. You can have prescriptions sent to your local pharmacy or even a mail-order pharmacy. After you begin taking medication, you can have virtual follow-ups with your clinician as often as you need to track your progress and adjust dosages. Out-of-pocket costs can vary if you don’t have insurance; however, the initial consultation is $250.

When you’re struggling with hormone-related symptoms, receiving fast relief is key. Wisp offers same-day appointments and fast, free shipping for medications (or pickup at your local pharmacy, often within 24 hours). In some cases, you may not even need to have a video consult with a provider; you can simply answer questions about your medical history and symptoms via messaging on the website to receive your prescription. What could be easier?

Aside from hormone therapy, Wisp is a one-stop shop for sexual and reproductive health. You can get STI testing and treatments, birth control prescriptions, and intimacy products such as vaginal lubricant. Subscription prices vary by product and treatment program. The menopause program is a one-time fee of $99, which includes an initial consultation and three months’ access to a care team (medication costs are separate, and insurance may apply).

We love the comprehensive approach to treatment but wish the HRT treatments were more inclusive. By only providing HRT care to people over 40 (unless you’ve had a hysterectomy), the current plan feels exclusive of those who may be dealing with hormone fluctuations at an earlier age.

Thanks to telehealth services like PlushCare, there are so many health-related concerns you can address from home. Aside from offering HRT, PlushCare has a comprehensive care system in place for everything from mental health support to urgent care to weight loss prescriptions. Its membership makes it easy to get your entire family the healthcare they need, all in one place.

Membership costs $19.99 per month (the first month is free) or $99 per year. That said, the benefit is mainly for those with insurance; without insurance, each visit is $129. You can also add up to five family members to your plan. You can book a same-day appointment and choose from a list of available practitioners (their profiles and patient ratings are available). Unlike other services on this list, there is no medical background questionnaire to fill out. While that certainly gets you on the books with a clinician faster, it may mean your appointment won’t be as comprehensive.

If your doctor thinks HRT will work for you, they’ll prescribe it and have it sent to your local pharmacy. There’s not much information about how clinicians treat perimenopause and menopause, other than the HRT landing page, which is basically just an FAQ outlining how HRT works. Based on that, we recommend PlushCare more as a one-stop health shop rather than a service that specializes in HRT.

Unlike similar telemedicine services, Alloy has a dedicated landing page for perimenopause outlining the symptoms you can experience and options for treating them. When you click Start Now, you reach a short questionnaire designed to help your clinician learn about you and your symptoms. During your appointment, your provider will discuss treatment options (they can prescribe hormonal and nonhormonal medications, including those for hair and weight loss, as well as sexual, gut, and skin health). Meds are sent with free shipping right to your door.

Alloy isn’t covered by insurance, but the initial consultation ($49) and prescription costs (starting at $90 per three-month supply) are relatively low compared with similar services that don’t accept insurance. The only thing that gives us pause is Alloy’s lack of reliance on lab work. The clinicians don’t send you for blood work, nor do they ask you for recent blood work. This puts the responsibility of prescription safety and accuracy more on the patient.