1Best Overall
- All-Inclusive HRT From $97, $100 Off
- Up to 4 bioidentical therapies bundled
- At-home blood work and nurse team included
9.52ExcellentEditorial score
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Get Started from $97
Editor's pick · Reviewed October 2026
Updated on
HRT Cost Guide
- Licensed clinicians only
- 9 providers compared
2
- Menopause Care From a Trusted Brand
- Insurance and HSA/FSA accepted
- Available in all 50 states
9.34GreatEditorial score
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Get Started from $30
3
- Bioidentical HRT Cream, $199/mo
- Drops to $99.50/mo after 6 months
- Unlimited clinical support, free shipping
9.21GreatEditorial score
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Get Started from $199
4
- Insurance-Covered Hormone Care
- Doctors, dietitians and testing
- Personalized care plans
9.07GreatEditorial score
5
- Lab-Guided HRT From $65/mo
- Treatment built on your biomarkers
- Doctor consult and prescriptions included
8.86Very GoodEditorial score
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Get Started from $65
6
- Hormone Optimization, $29 to Start
- At-home testing with virtual care
- Unlimited follow-ups
8.63Very GoodEditorial score
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Get Started from $29
7
- Bioidentical HRT From $55/mo
- Progesterone included free when prescribed
- No membership fee, free shipping
8.54Very GoodEditorial score
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Get Started from $55
8
- Personalized HRT for $79/mo
- Board-certified providers prescribe online
- Ongoing support included
8.32GoodEditorial score
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Get Started from $79
Our Top Choice
All-Inclusive HRT From $97, $100 Off
9.52ExcellentEditorial score
Visit Site
Get Started from $97
Editor's pick · Reviewed October 2026
What to expect to pay for telehealth HRT, and how to make the most of insurance and HSA/FSA funds.
Consultation
$0-$200
Initial visit with provider
Monthly Medication
$20-$150
Generic to bioidentical hormones
Annual Monitoring
$100-$500
Follow-up visits & lab work
Provider Pricing
- Nuvella by Direct Meds
- From $97 (90-day all-inclusive plan, $100 off). Consultation included.
- Hers
- $30-$100/month. Consultation $99, insurance accepted, HSA/FSA eligible.
- Inner Balance
- $199/month (first 6 months), then $99.50/month. Consultation included, HSA/FSA eligible.
- Allara Health
- Varies by insurance. Consultation included, insurance accepted, HSA/FSA eligible.
- Hone Health
- $65+/month. Consultation included in testing, HSA/FSA eligible.
- Fem Excel
- Included in membership. Consultation $29, HSA/FSA eligible.
- Effecty
- $55-$105/month. Consultation included, HSA/FSA eligible.
- Gala
- $79/month. Consultation included, HSA/FSA eligible.
- Winona
- $20-$80/month. Consultation free, HSA/FSA eligible.
How to Get HRT Covered by Insurance
Step 1
Check if your insurance covers telehealth menopause care in your state
Step 2
Verify if your chosen provider is in-network with your plan
Step 3
Get a prescription from your primary care doctor first (required by some plans)
Step 4
Ask about prior authorization requirements for specific hormone types
Step 5
Use a pharmacy that accepts your insurance for filled prescriptions
✓HSA & FSA Eligibility
Both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used for HRT:
- ✓ Telehealth consultations
- ✓ Prescription medications
- ✓ Lab testing and blood work
- ✓ Follow-up monitoring visits
Ready to Find an Affordable Option?
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Compare by CostHRT cost: frequently asked questions
BestMenopauseCare Editorial Team
Independent provider research and pricing analysis
Non-clinical editorial team, see our disclosure
Last Updated
October 2, 2026
This page is independent editorial research, not medical advice, and has not been reviewed by a licensed clinician. Hormone therapy requires evaluation by a licensed healthcare professional, and a prescription is not guaranteed. Discuss your health history, medications and treatment goals with a qualified clinician before starting any treatment.
Medical Disclaimer
The information on BestMenopauseCare.com is provided for educational and comparison purposes only. It is not medical advice and does not replace consultation with a qualified healthcare professional. Hormone therapy requires evaluation by a licensed clinician, and a prescription is not guaranteed. Compounded medications are not FDA-approved, and treatment availability varies by state and provider.
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