Can't Find a Menopause Doctor? Here Are 7 Telehealth Options to Know About

Key takeaways

• Menopause telehealth means video or messaging visits with a clinician who can assess your symptoms, order labs and prescribe treatment, including hormone therapy, without an office visit.
• It's a real option if you can't find a menopause-trained doctor nearby, but it doesn't replace your in-person checkups, pelvic exams, Pap tests or mammograms.
• Cost depends on the model. Some companies bill your insurance like an office visit, others charge a cash membership, and prescriptions and labs are often billed separately.
• Before you book, check that the clinician is licensed in your state, ask about menopause training (look for MSCP certification) and confirm exactly what's covered.

Finding a good menopause provider can feel like searching for a unicorn. They exist, but they're not always easy to find. So many of you have told me you were dismissed, told you were too young, or sent home because your labs looked "normal." That's a big reason telehealth has changed menopause care. You can talk to someone who truly understands this stage of life from your kitchen table.

But not every service is the same, and the right fit depends on your symptoms, your insurance and how much hand-holding you want. Here's my honest guide to how it works, what to ask and how to choose, so you can make the call that's right for you.

How does menopause telehealth work?

Most services follow a similar path:

1. Intake. You fill out a detailed questionnaire about your symptoms, periods, health history, medications and family history (things like breast cancer, blood clots, heart disease and stroke).
2. A video visit. You meet a physician, nurse practitioner or physician assistant who reviews your history and talks through your options.
3. Labs, if needed. Hormone levels swing day to day in perimenopause, so blood tests usually aren't needed to diagnose it. Your clinician may still order labs like thyroid, iron, lipids or blood sugar to rule out other causes and check your overall health.
4. A treatment plan. That can include hormone therapy, non-hormonal prescriptions, vaginal estrogen, sleep and mental health support, and lifestyle changes.
5. Follow-up. Good care isn't one and done. Expect check-ins after you start or change treatment, and messaging between visits.

When I sat down with Joanna Strober, CEO and co-founder of Midi Health, she explained that two things made this model possible: insurers began paying for virtual care during the pandemic, and prescriptions could be sent straight to your pharmacy or your door. "We're so used to telehealth now," I told her, but it really was unheard of just a few years ago.

Is menopause telehealth covered by insurance?

Sometimes. There are two basic models:

• Insurance-based. Some providers are in-network with major insurers and bill your visit like an office visit, so you pay your usual copay or toward your deductible.
• Cash-pay or membership. Others charge a flat visit fee or a monthly membership that doesn't go through insurance. Many accept HSA or FSA funds.

Either way, prescriptions and lab work are often billed separately, and your pharmacy coverage may differ from your visit coverage. If you're on Medicare, Medicare currently covers telehealth visits from your home through December 31, 2027, but the provider still has to accept Medicare. Before you book, call your insurer or the company and ask: Are you in-network for my plan? What will I pay per visit? Is there a membership fee? Where do my prescriptions get filled, and are they covered?

What should I ask a menopause telehealth provider?

• Is the clinician licensed in my state? (They must be licensed where you are during the visit.)
• What menopause training do your clinicians have? Are any Menopause Society Certified Practitioners (MSCP)?
• Do you prescribe FDA-approved hormone therapy? When, if ever, do you use custom-compounded hormones, and why?
• What non-hormonal options do you offer if hormones aren't right for me?
• How do you screen for risks like breast cancer, blood clots, heart disease and migraine with aura?
• Will I see the same clinician each time? How fast do you answer messages?
• Will you share my records with my primary care doctor or OB-GYN?
• What does it cost, what's included, and how do I cancel?

For more, I put together 10 Questions to Ask Before You Pick a Menopause Specialist.

How do I choose a menopause telehealth provider?

Look for clinicians with real menopause training, clear and upfront pricing, a full menu of treatment options (not just one product), and a plan for follow-up. Be cautious with any service that pushes one treatment for everyone, promises to "balance" your hormones with saliva tests, or makes it hard to cancel. If medications are shipped to you, the FDA's BeSafeRx guide explains how to make sure an online pharmacy is legitimate and licensed.

Telehealth isn't your only route. You can search The Menopause Society's directory of certified menopause practitioners, which includes clinicians who offer video visits, or use my Find a Doctor directory. Many OB-GYNs and primary care doctors offer video visits too.

Menopause telehealth companies to know about

These are companies women ask me about most. This isn't an endorsement or a ranking, and coverage, prices and the states they serve change often, so always confirm directly with the company before you start care.

Disclosure: I am an ambassador for and an investor in Midi Health. Midi is listed first because it was first on my original list, not as a ranking. Always compare and choose what fits your life.

Midi Health. Accepts insurance.

Midi specializes in women's midlife health, with virtual visits with clinicians trained in perimenopause and menopause care. Midi says it is in-network with most major insurance providers and offers care in all 50 states. Copays, deductibles and coinsurance still apply. Find out more: joinmidi.com

Alloy. Does not bill insurance.

Alloy offers hormonal and non-hormonal menopause treatment online, with prescriptions shipped to your door. It doesn't take insurance, but payments are HSA/FSA eligible. Find out more: myalloy.com

Maven. Covered through employers and health plans.

Maven is a digital health platform for women and families with a menopause and midlife program. If your employer or health plan offers Maven, access is free; there is also a self-pay option. Find out more: mavenclinic.com

Gennev. Accepts insurance.

Gennev connects you with menopause-trained doctors and registered dietitian nutritionists by video, in all 50 states. Find out more: gennev.com

MyMenopauseRx. Accepts insurance.

MyMenopauseRx is an online practice devoted to menopause care. It takes insurance, and self-pay visits are $150. Its clinicians prescribe FDA-approved options, including bioidentical estradiol and progesterone, plus non-hormonal treatments. Find out more: mymenopauserx.com

Elektra Health. Accepts insurance, in select states.

Elektra offers telemedicine care from board-certified clinicians, 1:1 coaching, education and community. It is in-network with most major plans and licensed in 16 states. Out-of-network cash price is $249 for the first visit and $149 for follow-ups. HSA/FSA accepted. Find out more: elektrahealth.com

Evernow. Accepts insurance for video visits.

Evernow offers personalized menopause care, with insurance accepted for video visits from plans including Blue Cross Blue Shield, Anthem, UnitedHealthcare and Aetna. Plans start at $35 a month. Find out more: evernow.com

This list is provided for informational purposes only and is not intended to serve as medical advice or an endorsement of any specific provider. Please consult with a healthcare professional to determine the best options for your individual needs. Always confirm insurance coverage, services, and qualifications directly with the provider before beginning care.

In the spirit of full transparency: Midi Health's CEO, Joanna Strober, has been a guest on my show, and my free Men's Guide to Menopause was created with Midi. Dr. Sharon Malone, whom I've interviewed, is Chief Medical Advisor at Alloy.

If there's a telehealth provider you think should be on this list, email me at info@tamsenfadal.com. I'd love to hear from you.

When to see a doctor in person

Telehealth is great for many menopause symptoms, but some things need an in-person visit or urgent care:

• Any bleeding after you've gone 12 months without a period, or very heavy or unusual bleeding
• A new breast lump, or breast or pelvic pain that won't go away
• Chest pain, shortness of breath, fainting, sudden severe headache or weakness on one side (call 911)
• Your annual well-woman exam, Pap test and mammogram, which telehealth can't replace
• Thoughts of self-harm. In the U.S., call or text 988.

Sources

• Telehealth coverage, Medicare.gov
• BeSafeRx: Your Source for Online Pharmacy Information, U.S. Food and Drug Administration
• Hormone Therapy, The Menopause Society
• Find a Menopause Practitioner, The Menopause Society
• The Menopause Years, ACOG
• Kling JM, et al. Menopause Management Knowledge in Postgraduate Family Medicine, Internal Medicine, and Obstetrics and Gynecology Residents. Mayo Clinic Proceedings, 2019

Keep learning

Listen: Joanna Strober: She Was Told "No" Over and Over, Then Built A $1 Billion Company (Midi Health), Episode 60.

Related articles:

• 10 Questions to Ask Before You Pick a Menopause Specialist
• Why Midlife Women Have Every Right to Be Angry About Healthcare
• What to Do When Hormone Therapy Isn't an Option

Updated: November 13, 2026