HRT › Head-to-head comparison
Sesame Care vs Midi Health
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated June 2026.
★
Our pick: Midi Health — 9.1/10 vs 8.3/10, labs included
Sesame Care
Direct-to-patient marketplace — GLP-1, ED, HRT, mental health from $16/appt
8.3/10
Monthly
$16/mo
True Annual
$192/yr
Labs
✗ Extra
States
All 50
Pros
✓Available in all 50 states
✓No insurance required — transparent cash pricing
✓Same-day telehealth or in-person appointments
Cons
✗Marketplace model — quality varies by provider
✗Lower recurring revenue than subscription clinics
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 | Sesame Care | Midi Health |
|---|---|---|
| Monthly price | $16/mo | Insurance |
| True annual cost | $192/yr | Varies |
| Labs included | ✗ No | ✓ Yes |
| Delivery options | oral, injection, topical | patch, cream, pill, gel |
| Editorial score | 8.3/10 | 9.1/10 |
| Trustpilot | 4.5★ | 4.8★ |
| State availability | All 50 states | Most US states |
Our verdict
Midi Health (9.1/10) is our pick over Sesame Care (8.3/10) for most patients. Labs are included in Midi Health's monthly price — Sesame Care charges separately, adding $150–300/yr to the true annual cost.
Sesame Care may be a better fit if you prefer Sesame Care's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
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