Frequently asked questions
We’ve curated a list of our most common questions to help you find the answers you need.
Top Questions
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top questions

Which states does Midi support?

Visit our pricing & insurance page to view states where Midi is currently open for patient visits, as well as accepted insurance providers accepted in each state. Don’t see your state? Please sign up today and we’ll send you an update when we launch where you are. We’re working hard to expand quickly, and expect to add 25 new states in 2023.

What is Midi?

Midi is a virtual clinic that provides specialty care for women 40+. In our video visits, you meet with a clinician trained specifically in perimenopause, menopause, and other aspects of female midlife health. We collaborate with you to improve your symptoms with a Care Plan personalized to your medical history, genetics, and approach to health. Midi care is holistic, and may include prescription drugs, supplements and botanical remedies, wellness therapies, and lifestyle coaching. Midi orders any blood work and/or imaging needed to track and treat your unique hormonal transition, and we refer you to your regular doctors or specialists for any necessary in-person care.

What kinds of care does Midi provide?

Midi offers specialized treatment for the common symptoms of perimenopause and menopause, as well as preventative care to help you strengthen your long term health. All Midi patients start with a Midi Essential Visit, a deep-dive that focuses on the symptoms that bother you most. From there, we follow up with you regularly to check in on your progress and keep you on track. If a new symptom or issue crops up, you can schedule a new visit to deal with it at any time.

Can I schedule with a specific clinician?

If you would like to see one clinician in particular, go ahead and book a visit, then reach out to our care coordinators at care@joinmidi and we will reschedule your visit, doing our best to pair you with the person you request. But we want you to know that Midi trains all of our clinicians in perimenopause and menopause, and every one of them has deep experience in female midlife health. Our process ensures consistently excellent care and our clinical leaders oversee everything we recommend to patients. So you should feel confident booking your visit with any of our clinicians.

Does Midi offer both hormonal and non-hormonal treatments?

Yes! Midi believes in individualized care, so we recommend treatments based on your symptoms, your unique medical history, and your personal approach to health. Not every woman should take hormone replacement therapy (HRT), or wants to, so we draw from the full range of alternative solutions. We may recommend non-hormonal medications, supplements and botanicals, and/or wellness therapies (eg, acupuncture, cognitive behavior therapy, yoga), instead of HRT or alongside it. We also coach you on simple but effective lifestyle shifts around sleep, mindfulness, nutrition, and exercise. Finally, we consider a variety of safe and effective non-hormonal prescription medications which can bring relief without HRT.

Does Midi offer bioidentical hormones?

Yes, the hormones Midi prescribes are bioidentical, which means they have the same chemical and molecular structure as hormones that are produced in the human body. We choose from a range of FDA-approved preparations that are “bioidentical” including pills, patches, and vaginal formulations.

How does Midi handle in-person care, such as labs, Pap tests, and mammograms?

Your Midi clinician will work with you to make sure you’re up to date on your in-person care, including Paps and mammograms. If you need testing, we’ll direct you to a facility that’s convenient for you. For bloodwork, Midi generally uses Labcorp because it has a vast network of drop-in locations, but we can order tests elsewhere if you prefer. Just let us know in your health questionnaire if there’s a specific facility you’d like us to use.

Once your tests are completed, your clinician will review your results and make changes to your Care Plan if needed. We will reach out to you if it’s necessary to talk through your results in a follow-up visit.

visits & care

Can I schedule with a specific clinician?

If you would like to see one clinician in particular, go ahead and book a visit, then reach out to our care coordinators at care@joinmidi and we will reschedule your visit, doing our best to pair you with the person you request. But we want you to know that Midi trains all of our clinicians in perimenopause and menopause, and every one of them has deep experience in female midlife health. Our process ensures consistently excellent care and our clinical leaders oversee everything we recommend to patients. So you should feel confident booking your visit with any of our clinicians.

Does Midi offer bioidentical hormones?

Yes, the hormones Midi prescribes are bioidentical, which means they have the same chemical and molecular structure as hormones that are produced in the human body. We choose from a range of FDA-approved preparations that are “bioidentical” including pills, patches, and vaginal formulations.

How does Midi handle in-person care, such as labs, Pap tests, and mammograms?

Your Midi clinician will work with you to make sure you’re up to date on your in-person care, including Paps and mammograms. If you need testing, we’ll direct you to a facility that’s convenient for you. For bloodwork, Midi generally uses Labcorp because it has a vast network of drop-in locations, but we can order tests elsewhere if you prefer. Just let us know in your health questionnaire if there’s a specific facility you’d like us to use.

Once your tests are completed, your clinician will review your results and make changes to your Care Plan if needed. We will reach out to you if it’s necessary to talk through your results in a follow-up visit.

Can I get an in-person exam with a Midi clinician?

Care at Midi is entirely virtual. While we do not perform any physical exams, we can refer you to a clinician in your area if you need an in-person exam, or if you are due for your Pap smear.

Does Midi replace my regular doctor or practitioner?

Midi is a virtual clinic, so you'll still need to get in-person care from time to time (for vaccinations, Pap smears, etc.) from a primary care physician and/or a gynecologist in your local area.

How does Midi communicate with my other doctors?

Midi provides you with a personalized Care Plan that summarizes your visit, recommended treatments, and advice. This can be shared with any other doctors you see now or in the future. Your doctors can also learn about our clinical principles and care philosophy by viewing our position papers for clinicians. Your doctor can also request a copy of your records—just ask our care coordinators and they’ll complete the process.

What should I expect on my first visit with a Midi clinician?

We refer to your first visit with a Midi clinician as the Midi Essential Visit, because we use it to get to know you, your symptoms, and your full health history. We also take time to discuss your preventative care, reviewing any health screenings you might need and pinpointing steps you can take to strengthen your long term health. 

Following your Midi Essential Visit, we may recommend that you see another provider if you could benefit from more specialized care. We may also suggest a specialist visit with a Midi clinician who focuses on a specific area.

How should I prepare for my first visit?

We ask that you complete all sections of your health questionnaire 24 hours before your appointment, to give your clinician time to review it and prepare for you. Expect reminders from us to keep you on track with this important pre-visit step.

Who are Midi clinicians? How are they trained?

Our clinicians are licensed nurse practitioners (NPs), CNMs (nurse midwives), doctors (MDs), and naturopathic doctors (NDs) who specialize in women’s midlife health. In addition to their invaluable clinical experience, they receive intensive training from nationally-recognized experts in perimenopause and menopause. All Midi treatment is overseen by menopause doctors who work closely with clinicians to create a Care Plan personalized to every patient.

Why is Midi virtual, not in person?

Midlife care is uniquely suited to telehealth, because what women require at this stage, more than anything, is in-depth conversation with a clinician who has the time to listen to her experience and explore personalized solutions. In-person exams reveal very little that you can’t tell us yourself. In fact, after age 45, the only routine in-person Ob/Gyn care you need is a Pap smear, and for most women, it’s recommended every five years, not annually. We order any labs or screening needed to inform and guide your treatment. While we encourage you to keep up your relationships with your regular doctors (and we will refer you to one if necessary), we think our virtual care is the key to strong support at midlife. Here’s why:

  • Expertise: Specialists in perimenopause, menopause, and other areas of women’s midlife health are in short supply. Most have long waiting lists. Midi gives you access to expert guidance immediately.
  • Convenience: Telehealth allows you to connect with a Midi clinician from anywhere, with no travel time or sitting in a waiting room. Our care coordinators send you to local labs and imaging centers to make the testing you need easy. 
  • Comfort: Virtual visits from your own private space help you to feel relaxed so you can better connect with your clinician.
  • Communication: Our digital platform supports messaging that lets you reach us anytime, and get a prompt response.
  • Frequent check-ins: The ease of virtual visits allows us to stay in touch with you, scheduling check-ins throughout the year instead of annually, to track your progress and get ahead of any new symptoms. That approach helps you stay healthy and well through this chapter of change.

Pricing & insurance

How much will my appointment cost?

It depends on how you choose to pay for your visit.

  • Using health insurance? The cost or “patient responsibility” can vary depending on your plan. A Midi care coordinator will review your insurance coverage details to confirm that you are in-network (this is why we ask you to upload an image of your insurance card). If we find any issues with your coverage, we will reach out within 24 hours of your visit. However this is not a guarantee of coverage and we recommend checking with your insurance provider directly if you are concerned about your exact benefits. 

    Depending on your coverage, your responsibility will be a copay or co-insurance. We will bill your insurance and notify you by invoice if there is any remaining balance for you to pay after your claim has been reviewed. Again, that balance may vary depending on your coverage, but it will not exceed $300.

  • Self-paying for Midi care? The cost will depend on the visit type. For your first visit, the Midi Essential Visit, the cash price is $250. For ongoing visits, the cash price will range from $120-$250, depending on visit length and complexity of care.

Does Midi take my insurance?

Currently we are “in-network” with many major PPO plans. For a list of currently accepted plans check our pricing & insurance page

When you make your first appointment, a Midi care coordinator will review your insurance coverage details to confirm that you are in-network (this is why we ask you to upload an image of your insurance card). If we find any issues with your coverage, we will reach out within 24 hours of your visit. However, this is not a guarantee of coverage and we recommend checking with your insurance provider directly if you are concerned about your exact benefits.

Note that Midi is only in-network with PPO plans. If your plan is an HMO, Midi is not in-network and your visit will be self-pay. Regulations prevent Midi from serving Medi-Cal, Medicaid, or Medicare patients at this time. (We're working on it!)

How do I provide my insurance card so you can verify my eligibility?

When you first register, we ask for an image of your insurance card, which is then added to your patient profile. Our care coordinators use these images to verify your eligibility and will reach out to you if there are any questions.

If you need to provide a new image, or our care coordinators are asking you to upload an image, you can do so from the Account section of your Midi scheduler, under “insurance details.”

Will I have a copay?

Certain Midi visits may have a copay. Most insurance companies list the different copay amounts right on your card, and they may be different depending on whether you’re seeing a primary care doctor or a specialist. Midi clinicians are considered specialists by your insurance. Feel free to contact the Midi care coordinators (care@joinmidi.com) who can help you determine if you will have a copay for the visit and an estimate for how much you may be charged.

Can I use my HSA or FSA to pay for care at Midi?

Yes, you can use your HSA or FSA to pay for Midi copays and services.

Can I use my HSA or FSA to pay for supplements purchased with Midi?

Yes, supplements and botanicals recommended as part of your Midi Care Plan are HSA-eligible.

How will I be billed?

If you are using insurance: We will bill your insurance for your visit once it’s complete. When the claim is processed we will send you an invoice for any outstanding amount that insurance does not cover. These charges fall under “patient responsibility” and might include a co-pay, co-insurance, or payment towards meeting your deductible. 

If you are using cash payment (self-pay): We will send you an invoice for the cost of your visit, based on the visit length and complexity of care. You can view our current cash pay rates on our pricing & insurance page.

You will receive your invoice by email from our partner Athenahealth which will direct you to view and pay your outstanding balance online. If you have any questions along the way, reach out to our care coordination team at care@joinmidi. We’re always happy to help.

rx, supplements, & labs

Does Midi prescribe medications?

Yes, Midi clinicians prescribe any new medications included in your Care Plan, and may also provide refills of some medications you already take for ongoing conditions. Midi clinicians are unable to prescribe certain controlled medications and narcotic pain medications at this time.

What is the return & refund policy?

Prescription treatments cannot be refunded or returned. If an error occurred please reach out to care@joinmidi.com.

Can Midi clinicians order blood tests?

Yes, and labs may be needed to give us a full picture of your current health and to personalize your Care Plan. Your Midi clinician will explain which labs she’s ordering, and why, at your visit. Midi generally uses Labcorp because it has a vast network of drop-in locations, but we can order tests elsewhere if you prefer. Just let us know in your health questionnaire if there’s a specific facility you’d like us to use.

Does Midi prescribe hormone replacement therapy (HRT)?

Midi clinicians are highly trained in the use of all treatments for the symptoms of perimenopause and menopause, including HRT. We determine if you are a good candidate for hormones based on your symptoms, health history, genetics, and general approach to health. We also order any labs and/or screening tests needed to prescribe HRT safely. If hormones aren’t right for you, your Midi clinician will recommend other evidence-based therapies that are highly effective in providing relief, including non-hormonal medications, supplements, botanical treatments, and wellness therapies (eg, acupuncture, healing movement).

Don't see your question?
  • FAQs for current patients can be found here.
  • For any additional questions, please email us at care@joinmidi.com