Midi Health Menopause
A new(er) telehealth Hormone Replacement Therapy company has hit the scenes, Midi. Their tag line reads, "Midi puts specialized midlife healthcare within reach for more women than ever before." My social media accounts have been seeing more and more of this provider's ads over the past several months, so I decided to check them out.
The website is not super transparent on exactly what they offer in the way of prescriptions, but they do allude to a few of them. They appear to offer both conventional and bioidentical hormone replacement therapy. They also specialize in non-hormonal therapies if you are trying to avoid hormones or if you are someone who would be better served with supplements and botanicals.
Midi Women's Health
They are licensed to practice in all 50 states and promote that they specialize in 40+ Age Group.
What they treat; moodiness, anxiety + depression, Weight + body changes, Hot Flashes + Night sweats, Trouble sleeping, period problems, painful sex, vaginal dryness + libido change, brain fog + memory lapses, hair + skin changes, joint pain, bone loss + fracture risk, breast + gynecological cancel effects.
Can I take Hormone Replacement if I've had Breast Cancer or have a history?
In my research of HRT providers, this is the first one to specifically indicate that they'll work with you if you have had breast cancer or have a history of breast cancer in your family. "Cancer survivors and at-risk women deserve expert menopause care. Midi is the only virtual care clinic dedicated to giving ALL women- cancer survivors included -- personalized treatment so they can feel their best" I've seen many social media posts where breast cancer survivors continue to be turned down by HRT companies when they need them the most, Midi seems to be doing things a bit different.
Midi Review
Midi also seems to be very, very insurance friendly. They name larger networks like Blue Cross, Aetna, Anthem and Cigna as just a few of the PPO's that they work with. Most insurance companies don't cover or pay for Bioidentical Hormone Replacement Therapy (plant derived) but do typically cover conventional HRT which can be animal based, so do your homework on the different types and understand your insurance company will likely have the final say if you want them to cover the cost of your Midi meds. Midi does accept and take HSA credit cards.
They prescribe the traditional, pills, patches and vaginal formulations.
Midi, How they Work
To get started you'll want to book your virtual visit. Complete the needed medical history and provide your insurance information. The first appointment is 30-minute in duration and allows you and your clinician to get to know each other and discuss your medical history and symptoms you are experiencing. Meds may or may not be prescribed after first appointment.
They may ask for blood tests at end of initial call and have partner relationships with companies like LabCorp where you can stop in during regular hours for a blood draw. Upon receipt of the blood tests, you'll have a follow up with your specialist to review results and discuss med options.
Out of pocket costs for initial appointment if not using insurance is $250 with each follow-up being anywhere from $120 to $250 depending on the length of the appointment. With insurance, it's up to your coverage, co-pay and deductible that will determine your personal out of pocket. They encourage you to contact them to discuss the out-of-pocket costs you can expect.
Midi Custom Rx for skin, hair & sexual health
Midi has a line of products for skin, hair and sexual health. These products appear to also require a prescription and can be paid for with your HSA card like other prescribed products.
Join Midi Reviews
I would like to see more transparency on their website on pricing of products for people who are paying out of pocket or for women who don't have insurance. I wasn't able to locate any product pricing or even any plans that they may offer.
However, I am impressed with their commitment to helping women who have had breast cancer or have a family history as so many women get turned away when this fact is brought into the conversation. I commend them for being a leader in the industry and understanding that cancer brings its own set of menopause issues that need to be addressed.
All in all, if you really want to use your insurance and you are okay with conventional Hormone Replacement Therapy or if you have had breast cancer and have yet to find a provider who will even discuss HRT with you, then Midi may be just the right fit for you.