Insurance-covered hormone replacement therapy
Hormone replacement therapy offers the most effective relief for many menopause and perimenopause symptoms, helping women feel better within weeks, even days.
Midi’s hormone specialists prescribe HRT safely, and that starts with an in-depth virtual visit to determine if HRT is right for you.
How hormone replacement therapy works
When hormone levels drop during the menopause transition, you can experience symptoms from head to toe. HRT replenishes just enough estrogen and progesterone to bring you relief.
HRT can help with:
Midi is changing women's lives
Designed to be better in every way
Traditional
Healthcare
All clinicians trained in midlife care
Expertise in hormone replacement therapy
Protocols designed by experts in hormonal change
Midi Clinicians assigned to every patient
24/7 access to guidance & support
Flexible follow-ups & adjustments, until you feel better
Personalized treatment, prescribed by an expert
HRT is a great option for most women, but it’s not appropriate for all. At your convenient virtual visit, your Midi clinician will review your symptoms, health history, and genetics. Together, we'll determine if HRT is right for you.
There’s no “one-size-fits-all” HRT
Midi clinicians consider the following when prescribing HRT:
Safety: Midi prescribes FDA-approved bioidentical hormones, which have been tested for safety. For patients who have a uterus, progesterone or progestin is added to estrogen to reduce any risk of uterine cancer.
Form: HRT is available as a pill, patch, vaginal ring, and topical cream or gel. Your clinician will work with you to prescribe your best option.
Dosage: You'll start at the lowest effective dosage for your symptoms. If you’re not getting the relief you want, your clinician will tweak your dose or switch you to a different form of HRT.
How it works
In midlife, your body changes. Your care should, too
What are you experiencing?
Select all of your symptoms.
Cheri Barzottini, NP
Dr. Mindy goldman
Follow-up visit
Discuss how your plan is going
Transparent pricing
Midi is here to support you through your menopause journey. Say goodbye to yearly check-ins or pesky subscription fees, and say hello to your Midi clinician.
Your clinician will see you for one initial visit, then for additional continued visits to monitor your symptom improvements, prescribe refills, and make sure you're getting the highest quality care.
Service offering
Insurance
Self-pay
Initial visit
The Midi Essential Visit gives you ample time for an in-depth conversation.
Only pay standard co-pay and deductible
$250.00
Continued care visits
Follow up visits fine-tune your Care Plan and safeguard your future health.
Only pay standard co-pay and deductible
$120 - $250
depending on visit length and care complexity
Initial visit
The Midi Essential Visit allows time for an in-depth conversation with a trained clinician.
Insurance
Standard co-pay and deductible
Self-pay
$250
Continued care visits
Ongoing visits let us fine-tune your care, address new symptoms, and safeguard your future health.
Insurance
Standard co-pay and deductible
Self-pay
$120 - $250
depending on visit length and care complexity
Meet Midi’s Clinical Leaders
Our HRT protocols are defined by Midi’s medical advisors, doctors with decades of experience in women’s midlife health.
Frequently asked questions
What are the benefits of hormone replacement therapy?
HRT is the most effective treatment for relieving menopausal hot flashes, night sweats, vaginal dryness, and recurrent urinary tract infections, according to the most recent guidelines from The North American Menopause Society (NAMS). Clinically, hormone replacement therapy has also been shown to be highly effective in relieving symptoms of insomnia, mood changes, and brain fog.
Additionally, a large body of recent research shows that if women start hormone therapy within 10 years of their last period, they enjoy a significant reduction in menopausal symptoms and a lower risk of heart disease and bone loss.
Is HRT covered by insurance?
This depends on your insurance and the type of HRT prescribed. However, insurance is more likely to cover the full or partial cost of FDA-approved bioidentical hormones (the type that Midi prescribes) compared with other forms of hormone therapy, like compounded preparations, which are not regulated by the FDA.
Generally, insurance covers generic FDA-approved bioidentical hormones, and in many cases insurance will pick up some of the cost of brand-name HRT when necessary or recommended by a clinician. Midi’s care coordinators offer guidance in getting HRT covered if your clinician prescribes it as part of your holistic Care Plan.
I heard that hormone replacement therapy isn’t safe—is that true?
Hormone replacement therapy came under fire after a 2002 Women’s Health Initiative study linked it to an increased risk of breast cancer and heart disease. Women panicked and many doctors stopped prescribing HRT altogether.
That study was conducted over 20 years ago. These days, we know much more about HRT and guidelines have changed. A large body of recent research shows that if women start hormone therapy within 10 years of their last period, they experience a significant reduction in menopausal symptoms and a lower risk of heart disease and bone loss.
When should I start hormone replacement therapy?
Research shows that when patients kick off treatment within 10 years of their last period, the benefits of HRT tend to outweigh the risks. But for some women, it makes sense to start earlier: You can begin hormone replacement therapy at the first sign of menopause symptoms, even if you’re in perimenopause and still getting your period.
For women who start HRT outside of that 10-year window, there’s a null effect on cardiovascular disease risk, meaning that you won’t get the heart-bolstering benefits from HRT, but it may not increase your chance of heart trouble either.
How long can I safely be on HRT?
Doctors once believed that women should stop hormone replacement therapy by age 65, but there’s actually no science supporting that idea. Newer research and the latest guidelines state that the length of HRT treatment should be a shared decision between the patient and their provider. In other words, you and your clinician can look at your symptoms, health history, and quality of life on HRT, and figure it out together.
Some Midi patients prefer to take HRT for the shortest amount of time that it takes to get over the worst of their menopause symptoms. Others feel so fantastic on HRT that they never want to stop treatment. Both can be good options.
How can I tell if my HRT dose is right for me?
Your Midi clinician can help you figure out if you’ve landed on the appropriate dose and delivery method. First, we’ll make sure that you don’t have any breast tenderness or bleeding—those are signs that your dose might need to be lowered. Next, we’ll look at whether you’re feeling enough benefit from your current dose. If not, we can tweak your prescription until you experience relief.
Can I take hormone replacement therapy after a hysterectomy?
Yes, women who have had their uterus removed (via hysterectomy) don’t need progesterone to guard against uterine cancer, so they are prescribed estrogen-only HRT. Research shows that women 60 and younger without a uterus who take estrogen hormone replacement therapy within 10 years of menopause have a lowered risk of breast cancer, among other health benefits.
Who shouldn’t take hormone replacement therapy?
While it’s highly effective at treating menopausal symptoms, hormone replacement therapy isn’t for everyone. Your clinician may suggest other, non-hormonal menopausal treatment if you have a history of stroke or certain types of blood clots, some types of heart or liver problems, cancer that might be stimulated by hormones (including some kinds of breast and uterine cancer), or if you’re currently dealing with unexplained vaginal bleeding.
If you’re not a candidate for HRT or prefer not to take hormones, Midi will guide you toward other effective solutions, such as non-hormonal medications, supplements, lifestyle changes, and wellness therapies. Alternate options for treating hot flashes, for example, include prescription meds like selective serotonin receptor inhibitors (SSRIs), supplements including black cohosh and maca, diet changes, and acupuncture.