Some providers featured on this site may compensate us. This may affect the order and placement of listings but does not influence our editorial ratings or reviews.
Treatments Hub

Gala vs Midi Health

A flat-fee HRT plan vs an insurance-based menopause clinic

By The Treatments Hub Research Team·

Last updated: Sep 26, 2026

Medically reviewed · How we review

We may earn a commission from links on this page - it never affects our rankings (how we stay objective).

Our top choice

Gala is our top choice for most people: One flat monthly price, clinician included. Full reasoning, pricing and the cases where Midi Health wins are below.

At a glanceGalaMidi Health
MedicationsShipped freeSent to your pharmacy
PrescriptionRequired - online provider reviewRequired - online provider review

Prices are the providers’ published rates at our last verification - confirm the final figure at checkout, as offers change. How we verify prices

Gala logo
4,212 reviews onTrustpilot
Licensed US telehealth

Doctor-prescribed hormone therapy at a flat $69/month - no membership, no insurance, no price rise at dose changes

  • Flat $69/month - no price rise when your dose changes
  • Estradiol pill or patch, progesterone, vaginal estradiol, non-hormonal options
  • Free discreet shipping in 1-2 days; FSA/HSA accepted; cancel anytime
Visit Gala
VS
Midi Health logo
1,707 reviews onTrustpilot
Licensed US telehealth

Virtual perimenopause and menopause care, often covered by insurance

  • Clinicians trained in midlife women's health
  • Hormonal and non-hormonal treatment paths
  • Works with many major insurance plans
Visit Midi Health

The full breakdown

Gala vs Midi Health: a closer look at each

Both are credible providers in this category, and the right pick comes down to fit. So instead of crowning a “winner,” here’s the real rundown on each - what you get, what it actually costs, and what real customers are saying - so you can pick the one that fits you.

Gala logo
4,212 reviews onTrustpilot
Licensed US telehealth
Visit Gala

What is Gala?

Gala Health runs a straightforward telehealth model for hormone care: an online evaluation reviewed by a licensed provider, prescription treatment shipped to your door if appropriate, and ongoing management through its app. The HRT line is priced as simply as it gets: $69/month, described on Gala's hormone-therapy page as flat for as long as you stay - no membership fee, no insurance, no price rise when your dose changes, free discreet shipping in 1-2 days, FSA/HSA accepted, cancel anytime - with estradiol as a pill or patch, progesterone, vaginal estradiol and non-hormonal options on the menu.

Read the full Gala breakdown▾

Its claimed Trustpilot profile averages 4.6 across 4,212 reviews - a large record, with one honest caveat: the profile covers the whole Gala platform, and most recent reviewers are GLP-1 weight-loss customers rather than menopause patients. The recent page splits the way a high-volume telehealth service often does: praise for a quick intake, an easy app and responsive support, next to a cluster of 1- and 2-star reviews about fulfillment delays, a wrong-address shipment and a disputed annual prepayment refund - all quoted in full below.

Gala doesn't publish a per-product price list the way Winona does; its promise is one flat number, with the exact plan shown before you pay.

Flat $69/month4.6 across 4,212 Trustpilot reviewsLicensed US providers

What you get with Gala

  • Flat $69/month - no membership fee, no price rise when your dose changes
  • Estradiol pill or patch, progesterone, vaginal estradiol, non-hormonal options
  • 100% online: telehealth visit, prescription and free discreet 1-2 day shipping
  • No insurance needed; FSA/HSA accepted; cancel anytime

Who Gala is best for

  • Women who want an all-included monthly price without insurance paperwork
  • Those who want hormonal and non-hormonal options from one online provider

How much does Gala cost?

Gala prices hormone therapy at $69/month and describes it as flat for as long as you stay: no membership fee, no insurance to deal with, and no price rise when your dose changes, with the exact plan and price shown before you pay.

Full pricing details▾

Shipping is free and discreet in 1-2 days; purchases are FSA/HSA eligible and you can cancel anytime. Gala's main site phrases it as 'from $69/month', its hormone-therapy page as a flat $69 - we quote both.

It does not publish per-product prices the way Winona does. Prices as published in October 2026; confirm current rates on Gala's site.

Menopause treatment

Estradiol (pill or patch), progesterone, vaginal estradiol or non-hormonal options, as prescribed

$69/month

flat - no price rise at dose changes

  • No membership fee, no insurance
  • Free discreet shipping in 1-2 days
  • FSA/HSA accepted; cancel anytime

What we like about Gala

  • Flat $69/month with no price rise at dose changes - no membership, no insurance
  • Full menu: estradiol pill or patch, progesterone, vaginal estradiol and non-hormonal options
  • 4.6 Trustpilot average across 4,212 reviews (platform-wide)
  • Fully online, provider-led process; free 1-2 day shipping; FSA/HSA accepted; cancel anytime

Worth keeping in mind

  • No per-product price list like Winona's - one flat number, plan shown at checkout
  • Recent 1- and 2-star reviews cite fulfillment delays and a disputed annual-prepay refund
  • Trustpilot record covers all of Gala, mostly GLP-1 customers - not menopause care specifically

What real Gala customers are saying

Gala logo

Gala reviews on

Trustpilot
(4,212 reviews)

All 35 reviews we captured, including every 1-star one.

Sort
Oct 7, 2026

Easy process to start the program.

“Easy process to start the program.”

J

Jo Anne O.

US

Oct 7, 2026

Can't wait to try, and I hope it works

“Can't wait to try it. I hope it works. Will provide results from beginning to end. Just doing a three month trial”

L

Loth

US

Oct 7, 2026

Perfect help

“Perfect help”

L

Lori B.

US

Oct 5, 2026

Helpful

“I like the Dr review!”

L

Lynda

US

Oct 5, 2026

Very well

“Very well, also easy app, that real result”

C

Consumer

CR

Oct 4, 2026

I thought managing everything would be...

“I thought managing everything would be a hassle, but the app is simple to use and my meds arrived really fast. Just what I needed to stay on track.”

F

Faye

US

Oct 4, 2026

Real results that only took about 3...

“Real results that only took about 3 weeks! I was having hot flashes all day long, night sweats, acne and irritability before I started. Now all symptoms have sunsided and may get only 1 or 2 short hot flashes a day. Life changing! Great customer service.”

S

Shannon H.

US

Oct 4, 2026

Super easy

“Super easy and I'm excited to start”

P

Peanut

US

Oct 3, 2026

So far has been seamless

“So far has been seamless”

S

Sue

US

Oct 3, 2026

The new patient intake process was...

“The new patient intake process was quick. The price was very competitive. And communication with the team was excellent.”

K

Kennetito

US

Oct 2, 2026

Easy to use and very productive

“Easy to use and very productive”

B

Betsy K.

US

Oct 2, 2026

Great 😊 pricing good

“Great 😊 pricing good Easy to complete Covered everything we wanted”

A

Anna B.

US

Oct 2, 2026

I try today

“I star today I happy and excited”

S

Silvia A.

US

Oct 2, 2026

I was skeptical about trying another...

“I was skeptical about trying another program, but the app is actually easy to use. It's made keeping track of everything a lot smoother than I expected.”

S

Szaiffa T.

PH

Oct 1, 2026

Dropped a dress size and feel great in...

“Dropped a dress size and feel great in my clothes. The value I'm getting from this program is honestly impressive.”

F

Francisco C.

US

Oct 1, 2026

Wasn't expecting the app to be so user-friendly...

“Wasn't expecting the app to be so user-friendly. Plus, my medication showed up right on time and the care feels super personalized. I haven't even gotten approved yet. Just super excited!”

A

Alan

US

Sep 30, 2026

Great start

“Great start”

C

Carmen

US

Sep 29, 2026

give it a try

“It was easy to understand and gave the best personal care”

a

anonymous

US

Sep 28, 2026

Fast service and quality products.

“Fast service and quality products.”

M

Mary

US

Sep 28, 2026

I've already lost 8 lbs in a month

“I've already lost 8 lbs in a month. The app is easy to use, and the support from the team feels really personal.”

M

Martha

US

Sep 25, 2026

Lost 8 lbs in just a month

“Lost 8 lbs in just a month. The app is straightforward, and delivery was super quick every time.”

J

JMLM

US

Sep 5, 2026

Quick and easy process and seeing...

“Quick and easy process and seeing results at a steady pace”

A

Amanda

US

Oct 4, 2026

I just started

“I just started. I haven't received my medication yet”

S

Serena E.

US

Oct 3, 2026

Continued live support

“Continued live support. Price an results.”

J

Jorge

US

Oct 3, 2026

Nice app user friendly

“Nice app user friendly”

T

Theresa

US

Oct 1, 2026

I like the product

“I like the product”

T

Tony

US

Oct 1, 2026

Going good losing weights

“Going good losing weights”

A

Amy L.

US

Sep 28, 2026

Great value

“Great value”

N

Nicole

US

Oct 4, 2026

Packaging

“The shipping method needs to be rethought. It is very easy to throw away the medication due to an unsatisfactory packing method. Don't hide the vial in wrapper paper, please.”

V

Vanessa T.

US

Oct 1, 2026

The oil a long time to ship

“The oil a long time to ship”

J

Jennifer

US

Oct 5, 2026

Frustrated

“Frustrated”

L

Lesleigh H.

US

Oct 2, 2026

Buyer BEWARE

“Buyer BEWARE. Order shipment has been postponed 4 times. They took money from my acct IMMEDIATELY (Sept 21) butorder has not been filled and each time I contact them, they say they're in their fulfillment window.NO THEY'RE NOT Not what's published on their website. Guess they've silently change fulfillment window, getting further and further out each time I call them. Now, instead of medication being shipped Sept 23-28th, it changed to Sept 30th, then Oct 2nd NOW Oct 9th Can we say scammed. If you can't ship in published timeframe, don't debit my acct UNTIL ORDER IS SHIPPED. Will be contacting my bank and refute this charge.”

B

Becky W.

US

Oct 6, 2026

If I could provide Zero stars I would

“If I could provide Zero stars I would. If you have sought treatment with another provider or clinic, DO NOT contact GALA. Payment for services unfilled are not refundable and they will mess up your dosage. Anyone who's been on a glp1 understands the importance of maintaining your scheduled dosage. The contact team will waste valuable time. This company is not worth investing your time, money, or energy into. Please learn from my experience and continue your search for a GLP-1 solution.”

P

Patricia V.

US

Oct 6, 2026

Incorrect addresses, long processing times, incorrect dosage/blends.

“All of these positive reviews must be bots or new customers. I had no issues the first two shipments and then things went downhill from there. I've been a customer for 6 months now and every single shipment I have to call in to fix one issue or another. My medication has been delivered to the incorrect address twice now. (I'm pretty sure that's a violation of some sort.) I have wait times of 2 weeks or longer when submitting a new order - this is almost double the time they promise. Their customer service team is among the worst I've seen. I called to change an address on file, the girl said she did, she tried to get off the call with me and I asked her to repeat the address, she froze and didn't say anything for a long time. Turns out she did not update the address. I gave her the correct address again, she repeats it and we end the call. The shipment notification I receive the next day says the incorrect address. This is just one interaction out of several I could share. These are people's medications and they need to be taken seriously. I will be reporting Gala GLP1 and the compounding pharmacy to the Florida Board of Pharmacy, Florida Attorney General, and FDA.”

L

Lindsey

US

Sep 1, 2026

Mickey Mouse

“WARNING: DO NOT PREPAY ANNUALLY. A Complete Mickey Mouse Operation Run by AI Bots. If I could give this company a 0, I would. I paid for a full year in advance, which has turned out to be a massive mistake. Like many others, my medication schedule was completely disrupted by their fulfillment delays, causing dangerous gaps in my medical treatment. This isnt just a generic scam; its a completely Mickey Mouse amateur operation masquerading as a professional medical service. The entire customer service department is an AI bot loop that just echoes back whatever you want to hear to pacify you, without actually solving a single problem. You are promised escalations and resolutions by automated scripts, but there are no real human beings taking accountability. Because I paid a year upfront, they are attempting to hold thousands of my dollars hostage. Their standard defense that the prescription is already at the pharmacy only covers a single shipment - it cannot justify withholding a refund for the remaining unfulfilled months of an annual contract. Worse yet, they have completely ignored my official credit card dispute, completely abandoning their obligations the moment they got my money. Save your money, save your health, and do not trust this amateur setup.”

D

Debby

US

1 / 35

Reviews are individual experiences quoted verbatim from public Trustpilot profiles, names shortened; any weight-loss result mentioned is one person’s and is not typical - results vary. Trustpilot is a trademark of Trustpilot A/S and is not affiliated with this site.

Get started with Gala
Midi Health logo
1,707 reviews onTrustpilot
Licensed US telehealth
Visit Midi Health

What is Midi Health?

Midi Health is a virtual clinic built specifically around perimenopause and menopause - "Insurance-Covered Hormone Replacement Therapy" is literally its headline. Care starts with an in-depth virtual visit where a clinician reviews your symptoms, health history and genetics before deciding whether HRT is appropriate; Midi itself notes HRT "is not appropriate for all", which is the right posture.

Read the full Midi Health breakdown▾

Treatment paths span estradiol gels, creams, patches and pills, micronized progesterone, testosterone where clinically appropriate, and non-hormonal prescriptions when hormones aren't the answer. Midi says more than 230,000 women use its midlife care, and its claimed Trustpilot profile averages 4.1 across 1,707 reviews (re-verified October 8, 2026).

The October page explains both the 4.1 and the loyalty: most reviews are women saying a Midi clinician was the first to listen after years of being dismissed, and a steady minority describe the other side - an unexpected $250 visit charge after being told insurance covered it, an insurance-billed assessment not listed in the fees, a no-show appointment, a back-ordered prescription with no portal reply. All of it is quoted below.

This review covers the model and who it fits.

Menopause-trained cliniciansLicensed US providersInsurance-friendly

What you get with Midi Health

  • Clinicians trained in midlife women's health
  • Hormonal and non-hormonal treatment paths
  • Works with many major insurance plans
  • Ongoing virtual follow-up; labs ordered when needed
  • Optional Midi supplement line, $31.99-$43.99 per product (sale prices, Oct 2026)

Who Midi Health is best for

  • Women who want specialist menopause care online
  • Anyone who wants to use insurance rather than pay cash

How much does Midi Health cost?

Two different price questions.

Full pricing details▾

The clinic: Midi works with many major insurance plans, so for most patients the visit cost is a copay set by their plan; we haven't verified Midi's cash price for a visit, and one recent reviewer reports a $250 charge for a telehealth visit she believed was covered - ask what you'll owe before the appointment. The shop: Midi also sells its own supplement line separately from clinic care, with published prices we verified in October 2026 - Daily GLP-1 Support $31.99 (regularly $39.99), Daily Omega-3+ and Daily Cortisol Support $39.99 each (regularly $49.99), Daily Fiber+ and Berberine+ $43.99 each (regularly $54.99), with free shipping on orders above $65.

Supplements are optional and are not hormone therapy. Prices as published in October 2026; confirm current rates on Midi's site.

Daily GLP-1 Support

Supplement - Midi shop (optional, not HRT)

$31.99$39.99

sale price, Oct 2026

Daily Omega-3+

Supplement - Midi shop (optional, not HRT)

$39.99$49.99

sale price, Oct 2026

Daily Cortisol Support

Supplement - Midi shop (optional, not HRT)

$39.99$49.99

sale price, Oct 2026

Daily Fiber+

Supplement - Midi shop (optional, not HRT)

$43.99$54.99

sale price, Oct 2026

Berberine+

Supplement - Midi shop (optional, not HRT)

$43.99$54.99

sale price, Oct 2026

What we like about Midi Health

  • Menopause-specialist care, not general telehealth
  • Insurance accepted in many cases - rare in this space
  • Both hormonal and non-hormonal paths after review
  • 4.1 Trustpilot average across 1,707 reviews

Worth keeping in mind

  • We haven't verified the cash price of a visit - only the supplement shop prices are verified
  • Availability and insurance participation vary by state and plan
  • Recent 1-star reviews cite surprise billing (a $250 visit, an unlisted assessment charge), a no-show clinician and unanswered portal messages
  • 15-minute slots feel short to some reviewers; you don't choose your clinician

What real Midi Health customers are saying

Midi Health logo

Midi Health reviews on

Trustpilot
(1,707 reviews)

All 37 reviews we captured, including every 1-star one.

Sort
Oct 6, 2026

Understanding an knowledgeable

“Understanding an knowledgeable”

F

Felicia M.

US

Oct 6, 2026

Midi Health has been life changing

“Midi Health has been life changing. I can't recommend them enough. The staff is great and their portal is easy to use.”

L

Lisa

US

Oct 5, 2026

Visit-Bloodwork-Visit= results. Worth the wait.

“Between my first visit, all the blood work and my second visit to get the results was a bit lengthy. BUT all worth it. I felt my clinician was knowledgeable. She came up with a health care plan that I was very pleased with. I have high hopes. Anxious to start my Journey to feeling better..”

K

Kathy F.

US

Oct 5, 2026

I was looking for a doctor who could...

“I was looking for a doctor who could prescribe the estrogen I had always used since I had a hysterectomy at 16 years old due to ovarian cancer. My oncologist of 30 years went "concierge" and I could no longer afford her. I was having such bad night sweats and hot flashes that life became unbearable! My new GYN was too afraid to give me hormones due to my age. Somehow- a google search I think- I came across Midi and it has changed my life!! The PAs are amazing and they care about your quality of life!! I feel so much better and like my old self again!”

D

Debbie B.

US

Oct 5, 2026

I am so happy

“I am so happy, I'm 47 years old and this is the first time I have felt heard. This is the first time people actually cared how I felt and wanted to help me. And not just gaslight me and make me feel like I was crazy. I would 100% recommend and do recommend all the women in my life to use midi”

N

Nirvana L.

US

Oct 5, 2026

quick, fast very convenient and very friendly

“I love the flexibility. I had my appointment telehealth in my car. I was going from one place to another place and could not make the meeting on time so I pulled over and had my meeting via telehealth from my car. It was quick, to the point and got everything i needed addressed. No need to go in and wait at a doctor's office.”

M

Mariana M.

US

Oct 2, 2026

The clinicians are great

“The clinicians are great. Highly recommend MIDI Health.”

D

Donna C.

US

Oct 2, 2026

Top tier care

“Midi was extremely quick and easy to set up an appointment and the care given was excellent. I felt heard for the first time in my menopause journey.”

J

Jane

US

Oct 2, 2026

Kind, Caring and Compassionate Care

“My primary turned me down on helping me with some issues because it was "old age" and I needed to learn to cope with it. After research, I found this place with an NP and decided to try it. I love my NP and highly would recommend her to anyone. The video teleahealth is wonderful and I'm on the road to getting back to where I hoped to be. She is kind, compassionate and listens to everything before making the decision for my plan.”

M

Michael C.

US

Oct 2, 2026

Amazing !!

“My provider was friendly , understanding and thorough . She made sure I understood everything she recommended and how/why she recommended it .”

C

Carmen

US

Oct 1, 2026

Convenience and Excellent Provider and Care

“The provider has been amazing with listening and changing my treatment plan as needed. She has been friendly, kind, and clearly knowledgeable. She has been careful to make sure my medications are safe, monitor side effects, ensure they are working as they should, and make sure I have refills as needed. The convenience has just been amazing too!”

E

Erin W.

US

Oct 1, 2026

What made my experience great is that...I feel heard and seen!

“What made my experience great is that they listened to me! I felt heard and seen! My concerns were not dismissed. I was suffering in silence for five years and no one would listen or believe me. The treatment plan put in place for me is changing my life! I am now mending relationships and getting my life back thanks to MIDI Health.”

T

Terri W.

US

Sep 30, 2026

I feel incredibly fortunate to have a...

“I feel incredibly fortunate to have a knowledgeable, thorough, compassionate clinician who listens to me, takes my concerns seriously, and has helped me become much more proactive and up-to-date with my overall health - not just my peri-menopause symptoms!”

J

Jane A.

US

Sep 29, 2026

My health care provider (Holly)...

“My health care provider (Holly) listened to my issues and took the time to explain them and address them. She made sure to provide a treatment that my insurance covers, and I am so happy to have received help. I am already feeling the effects of my treatment and I appreciate it a lot.”

J

Julie H.

US

Sep 29, 2026

My provider

“My provider, Jayne Fortenberry, was kind and very informative! She listened to me and made me feel at ease with the process of starting HRT. I feel so grateful for her! The whole process was seamless!”

C

Candita S.

US

Sep 29, 2026

I was a Person and not just a Patient

“Since going to the doctor on my own as a young adult until 40+, I have never spent more time with a doctor who saw me as a person and who truly heard me. From scheduling to logging off of the appointment was done with ease. My provider got to know me more in my 30 minute visit than my own PCP. She was very thorough, patient, knowledgeable and willing to see me as person and not just the next patient. I know it's crazy to say but I'm actually excited for my next appointment.”

H

Holman

US

Sep 28, 2026

No BS

“There is no re-explaining, no over justifying. My clinician listened, she educated, we discussed, then there was a clear plan with clear check-ins. No BS, just women getting healthcare.”

E

Erin O.

US

Sep 28, 2026

Feeling great!

“My provider was very attentive, listening to my concerns and explaining different treatment options thoroughly, including possible side effects. She is personable and remembers me from one visit to the next. My treatment plan has already alleviated so many of my symptoms. The system is easy to access and use.”

K

Karen M.

US

Sep 28, 2026

Recommend Midi 100%

“Extremely happy with their service, in the short period I have been with them they have helped me substantially recommend them.”

C

Carmen

US

Sep 26, 2026

I was falling apart and was suspicious...

“I was falling apart and was suspicious it was perimenopause- hearing that my horrible dizziness was actually low estrogen was such a relief about a year ago. Since then this journey hasn't been easy but if not for Midi I would have fallen apart. There are so few clinicians caught up about perimenopause. I hope Midi continues the important work it is doing but doesn't let their clinicians get burned out- an army is needed to help the huge gap in care for women!!”

N

Natalie

US

Sep 25, 2026

Midi Health gets it. Highly recommend.

“I recommend Midi Health to anyone I meet that is dealing with symptoms of perimenopause. Tried several other women's health virtual clinics- this is far superior both on ease to work with and their clinical support.”

C

Crosky C.

US

Sep 24, 2026

Finally Heard, Finally Hopeful: My Midi Experience

“For the first time in years - maybe even decades - I finally felt like I was truly being heard by a healthcare provider. My experience with my Midi provider was exceptional. She listened, validated my concerns, and communicated with such authenticity, compassion, and understanding. I never felt rushed, dismissed, or like I had to convince someone that what I was experiencing was real. I left my appointment feeling something I haven't felt in a very long time: hope. Hope that I finally have someone partnering with me to help me feel like myself again. I am so grateful for this experience. Sometimes, simply being heard and knowing someone genuinely cares makes all the difference. For the first time in a long time, I truly believe I'm on the path to getting back to me.”

J

Jennifer B.

US

Sep 24, 2026

Easy to access

“Easy to access, great clinicians and same day prescriptions for my needs.”

J

J. C.

US

Sep 23, 2026

Beyond Grateful

“I was diagnosed with Premature Ovarian Insufficiency (POI) in my mid-30s, but no one ever explained what that meant for my long-term health. Every provider has treated my condition as if POI was just early menopause, and I've spent years feeling exhausted, foggy, and unlike myself. My Midi provider, Tracy Pozar, NP, was the first person to connect all the dots, explain POI as an endocrine condition, and start me on a treatment plan that actually addresses the root cause. For the first time, in a long time, I feel hopeful and truly supported.”

m

mrsdsmith

US

Sep 22, 2026

Ahhhhhhmazing!

“Good goddess, I should have done this years ago! The knowledge, patience, and understanding that my clinician offered was bar none. They were incredibly thorough, patient, kind, fun, treated me like a human, and knew exactly how to get to the bottom of the struggles that I was having. It's only been a handful of days and I already feel like a new person. Thank you, thank you thank you!!”

J

JC

US

Aug 24, 2026

Scheduling a telehealth appointment was refreshingly simple

“The process was straightforward and quick - I was able to book a visit without any hassle or long waits. The clinician I met with was wonderful. She was kind, compassionate, and really took the time to listen and understand what I needed. She clearly knew the issues women face in midlife and approached everything with empathy and practical solutions.”

G

Gina

US

Aug 24, 2026

I have had an exceptional experience

“I would highly recommend their care to any woman navigating peri/menopause. My clinician is knowledgeable, compassionate, thoughtful, and truly takes the time to listen and understand. I felt heard and supported and she took the time to answer my questions and develop a personalized treatment. I never felt rushed or dismissed, which can unfortunately be difficult to find when seeking menopause care.”

S

SD

US

Aug 20, 2026

Highly recommend

“My PA was professional and very thorough. She took time to listen and clearly explained options. She verified my medical history. She answered all my questions demonstrating knowledge and understanding.”

K

Kristyn S.

US

Aug 19, 2026

I felt heard and understood

“I felt heard. My doctor understood my concerns. She was kind and patient and demonstrated real care - I had not felt this from any other outside, local clinician. My exams were ordered within minutes enabling me to have these done same day. Unheard of! Honestly. Best experience ever!”

B

B. J.

US

Aug 19, 2026

My provider is amazing and supportive

“She listens to me and addresses my concerns. She tells me the truth and discusses the pros and cons. I appreciate her so much!”

E

Elizabeth B.

US

May 29, 2026

Heard, Understood and Supported

“As a woman in my early 50s who was surgically induced into menopause more than 10 years ago, I had become exhausted from constantly having to advocate for myself just to get and maintain hormone replacement therapy. Making an appointment with Midi was honestly one of the best decisions I've made for my health. They ordered an extensive panel of bloodwork that helped validate the concerns I had been trying to communicate for years. Instead of dismissing my symptoms, they listened, explained my options, and worked with me to determine what needed to be addressed and how. The follow-up care has also been wonderful. After years of feeling dismissed and, at times, gaslit by clinicians, I finally feel heard, understood, and supported. I'm so grateful to have found a provider that truly listens and takes my concerns seriously. I only wish I had found Midi sooner!”

J

Jessica P.

US

Oct 4, 2026

It's hard to get really personal about...

“It's hard to get really personal about our most intimate health issues over a computer camera. Without the in-person care, it can only be so specific. And the 15-minute time slot constraint can really be felt, especially when one has detailed questions. I often feel I'm not getting all the info or guidance I could get.”

A

Angel D.

US

Sep 25, 2026

Disappointed

“I loved the actual clinical visit. The APRN was warm, friendly, and knowledgeable. My complaint? The communication via the portal. I came to Midi at the end of my rope. I couldn't have made it any clearer about how I was feeling. To write a script that is on back order...Shameful. To basically dangle a carrot in front of a menopausal woman is unkind. I requested an alternative med via the portal. No response. I updated my pharmacy information in my message... That was reviewed and updated. My actual concern? Not so much. I called Midi. I was told by another provider that she would elevate my concerns and make sure the provider reached out. It didn't happen. Very frustrating to know that 2 miles from house, sitting on a pharmacy counter, there's a medication that could help me, but because my provider only wrote for brand name, I couldn't get the generic. I feel very deflated and unheard. I messaged 3 times, called 3 times. Nada. If this relationship is to continue, you all need to do better with your communication.”

L

Laura B.

US

Oct 6, 2026

What a disappointment

“What a disappointment. Stephanie, my provider, listened to my history, then suggested a course of treatment that I said I had already done with low results. I have PMDD and progesterone gives me anxiety, so asked what the thinking is to put me back on it. "That's what we do" and she shut down and stopped talking. The whole expressive tone on her face shifted. I tried to open the conversation back up, but she became defensive and quiet. "Sorry, I don't have an answer for you. I wish you luck on your journey." And that was it. No offer to consult with someone else, refer me to someone more versed in my needs, or get back to me after doing some exploring. Just total shut down. I was not expecting to feel so dismissed by a company started by women for women. But, I have been left feeling rather abandoned. I wish there was a way to contact the company prior to making an appointment to ask if my case is something they have experience with. But there is no availability for that, and no way to choose which provider you see. The only positive is having a virtual visit, and being covered under insurance.”

c

customer

US

Oct 2, 2026

Hidden costs and misleading offers that...

“Hidden costs and misleading offers that this service is covered and in services with my insurance plan. Months later they charged me $250 for a very short Telehealth visit! I believe this is a deliberate attempt to make an apt with them. Higher than a regular Dr visit. STAY AWAY”

E

Esther K.

US

Sep 23, 2026

Avoid like the plague

“Avoid like the plague! They assigned me a Clinician, with zero personality, communication skills or empathy, then charged my insurance company for a "mental health" assessment on top of the cost for the virtual visit. The "mental health" assessment was not mentioned in any of their fees. Also, the Clinician assigned wasn't even credentialed to prescribe BHRT. Convenience does not equal quality!”

D

Debbie C.

US

Sep 21, 2026

No-show clinician, no follow-up, and forced to redo all my paperwork

“I was logged in five minutes before my scheduled appointment with everything completed. No one joined. I emailed support while waiting, and their answer was to refresh my browser and check my camera settings. I called as they suggested, and the person I spoke with couldn't help and said the scheduling team would get back to me. No one ever did. Instead, a new appointment was scheduled for me without anyone checking my availability. When I tried to pick a time that worked, the system made me redo all of my intake paperwork, even though I had already completed it for the original appointment. Midi sent an apology and offered to help me reschedule, but when I tried again, it still required me to redo all of the forms. At that point I decided not to move forward. I was excited to talk to menopause experts, but the missed appointment, lack of follow-through, and repeated paperwork made this a very poor first experience. I'll be finding another provider”

J

Jennifer K.

US

1 / 37

Reviews are individual experiences quoted verbatim from public Trustpilot profiles, names shortened; any weight-loss result mentioned is one person’s and is not typical - results vary. Trustpilot is a trademark of Trustpilot A/S and is not affiliated with this site.

Get started with Midi Health

Gala vs Midi Health: products & prices

Both providers' HRT products with published prices and what each price includes.

Prescription required: a licensed clinician reviews your health history first. Prices as published in October 2026; confirm at checkout.

Gala vs. Midi Health: What’s the Difference?

The key differences to consider when comparing the two providers.

GalaMidi Health
Visit styleOnline assessment + messagingVideo visit
InsuranceSelf-payMost major commercial plans
PricingFlat monthly (approx.)Copay / plan-dependent
MedicationShipped freeSent to your pharmacy
Non-hormonal optionsSee siteYes

So which one should you pick?

Find the line that sounds like you - that’s your answer.

One flat monthly price, clinician includedGala
Estradiol (pill or patch) and progesteroneGala
Medication shipped free to your doorGala
In-network with most major commercial insuranceMidi Health
Live video visitsMidi Health
Broader hormonal and non-hormonal careMidi Health

Here’s the short version

Gala and Midi Health both offer clinician-led menopause care online, but they are built for different women. Gala is a flat-fee, self-pay plan with estradiol and progesterone shipped to your door.

Midi is a virtual specialist clinic that bills most major insurance and meets you by video. Here's how they compare.

The quick answer

Go with Gala if you want

  • One flat monthly price, clinician included
  • Estradiol (pill or patch) and progesterone
  • Medication shipped free to your door

Midi Health makes more sense if you want

  • In-network with most major commercial insurance
  • Live video visits
  • Broader hormonal and non-hormonal care

Had to pick one for most people? Gala. The numbers and customer feedback below are why - and where Midi Health wins instead.

Gala vs Midi Health: FAQs

Which is better, Gala vs Midi Health?

Gala edges this matchup on simplicity: one predictable price, no appointments to schedule and medication delivered. Midi Health wins clearly if you have commercial insurance you want to use or want a longer live consultation. Confirm current pricing and your coverage on each provider's site.

Is Gala cheaper than Midi Health?

Gala's single monthly price is easy to budget; Midi's cost depends on your plan, deductible and pharmacy benefit.

Insurance coverage: Gala or Midi Health?

Midi bills most major commercial insurance; Gala is self-pay only.

Which has better medical support, Gala or Midi Health?

Midi's Care Plans can include non-hormonal prescriptions and wider midlife care alongside HRT.

Clinical oversight: Gala or Midi Health?

Both rely on licensed clinicians to decide whether HRT is appropriate and to adjust it over time.

Sources & methodology

We built this comparison of Gala and Midi Health from each provider'sown published pricing, plans and policies, cross-checked against regulatory and peer-reviewed medical references, and read alongside real customer feedback. Prices and plan details were verified against the provider's published information; we do not take providers' word for their own claims without checking.

Provider information

Pricing, plans, shipping and policies, checked against each provider's own site.

  • Gala - full pricing & plan breakdown
  • Midi Health - full pricing & plan breakdown

Provider data checked September 2026

Customer & community feedback

Third-party signals shown on this page and in our full reviews: verified Trustpilot ratings, public Reddit discussions, and independent YouTube reviews. We report what these sources say - we never fold their ratings into our own scores.

Medical & regulatory references

  1. 1.FDA Approves Labeling Changes to Menopausal Hormone Therapy Products - U.S. Food & Drug Administration - February 2026
  2. 2.FDA Requests Labeling Changes to Clarify the Benefit/Risk Considerations for Menopausal Hormone Therapies - U.S. Food & Drug Administration - November 2025
  3. 3.The Women's Health Initiative Randomized Trials and Clinical Practice: A Review - Manson JE et al., JAMA - 2024;331(20):1748-1760
  4. 4.The 2022 hormone therapy position statement of The North American Menopause Society - Menopause (journal), The Menopause Society - 2022;29(7):767-794
  5. 5.The 2023 nonhormone therapy position statement of The North American Menopause Society - Menopause (journal), The Menopause Society - 2023
  6. 6.Menopause: identification and management (NG23, updated November 2024) - National Institute for Health and Care Excellence (NICE)
  7. 7.FDA Update on Estradiol Transdermal Patch Availability - U.S. Food & Drug Administration - 2026
  8. 8.Hormone Therapy for Menopause - patient FAQ - American College of Obstetricians and Gynecologists (ACOG)
  9. 9.Menopause - overview - National Institute on Aging (NIA), NIH

Last reviewed September 2026. We revisit comparisons when providers change their pricing or policies. This page is information only and is not medical advice - always consult a licensed clinician before starting treatment.