HRT › Head-to-head comparison
Gennev vs Midi Health
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Midi Health — 9.1/10 vs 8/10, labs included
Gennev
OB/GYN-led menopause care with education focus
8/10
Monthly
$99/mo
True Annual
$1,388/yr
Labs
✗ Extra
States
Most states
Pros
✓OB/GYN led care
✓Menopause-specialist clinicians
✓Education-first approach
Cons
✗Labs not included
✗Higher than budget options
VS
★ Our Pick
Midi Health
Insurance-covered HRT — accepted at most major plans
9.1/10
Monthly
Insurance
True Annual
Varies
Labs
✓ Included
States
Most states
Pros
✓Accepts most major insurance
✓Menopause-specialist clinicians
✓All HRT delivery methods
Cons
✗Cash-pay pricing less transparent
✗Waitlist in some areas
Side-by-side comparison
| Feature | Gennev | Midi Health |
|---|---|---|
| Monthly price | $99/mo | Insurance |
| True annual cost | $1,388/yr | Varies |
| Labs included | ✗ No | ✓ Yes |
| Delivery options | patch, cream, pill | patch, cream, pill, gel |
| Editorial score | 8/10 | 9.1/10 |
| Trustpilot | 4.3★ | 4.8★ |
| State availability | Most US states | Most US states |
Our verdict
Midi Health (9.1/10) is our pick over Gennev (8/10) for most patients. Labs are included in Midi Health's monthly price — Gennev charges separately, adding $150–300/yr to the true annual cost.
Gennev may be a better fit if you prefer Gennev's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
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