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.
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.
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 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.
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.
You will receive a Care Plan after each Midi visit, which includes a detailed summary you can share with your regular doctor or practitioner to keep them updated on any new decisions about your health. If needed, you can also have your other doctors share your relevant medical information with our practice (eg, recent lab results, imaging, etc.).
Midi is currently seeing patients who live in California, with many more states coming soon. Sign up today and we’ll send you updates about our launch date in your state.
Currently we are “in-network” with all major California PPO plans. If you have HMO coverage, you may be out-of-network for our services. For a list of currently accepted plans check our insurance page. When you make your first appointment, Midi care coordinators will review your insurance to determine if you are “in-network” with us and notify you prior to the visit if you are not.
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 who can help you determine if you will have a copay for the visit and how much you may be charged.
Yes, you can use your HSA or FSA to pay for Midi copays and services.
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.
We will send your prescriptions to the preferred pharmacy you select at sign-up. Many of our patients use a digital pharmacy such as Capsule because they deliver directly to your home. You can change your preferred pharmacy at any time.
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).
Midi makes it simple to order any supplements and botanicals recommended in your Care Plan by sending them directly to your home from our digital pharmacy. You’ll receive a dispenser that delivers a month’s supply of your regimen in daily packets, all plastic-free and sustainably packaged. If you prefer to purchase each supplement or botanical individually, your clinician can recommend brands to look for.
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 uses Labcorp because it has a vast network of drop-in locations. Our care coordinators will help you find the most convenient one and support you with any issues that arise during the process.
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. To allow time for this deep-dive, we devote a full 40 minutes to the Midi Essential 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. Because we use Zoom for our video appointments, please have the Zoom app installed on your computer or phone prior to your appointment slot.
Our clinicians are licensed nurse practitioners (NPs), 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 clinicans to create a Care Plan personalized to every patient.
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:
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.
Our care coordinators serve as your advocates at Midi and with the broader health care system. They can handle questions and issues with payments and insurance, medication refills, referrals, and any non-urgent medical issues you’re experiencing.
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.
Once you have booked your first appointment, you will have access to our care coordinators from your patient dashboard, which will be your homebase for all your Midi care.