Temi vs. Midi: menopause specialists or general refills

Midi publishes its self-pay rates: $250 for a 30-minute first visit and $150 for a 15-minute returning visit [2]. Labs and medication are separate, and the page notes "additional cost may apply" [2]. There is no membership. Temi's refill review is $15 with nothing recurring, but it covers only unchanged maintenance medication, not a menopause consultation [1].

Yes. Midi is "in-network with most PPO plans" and names Blue Cross Blue Shield, UnitedHealthcare, Cigna, Aetna and Health Net [2]. It says "Medicare is out of network" and it cannot currently accept Medicaid or Medi-Cal [2]. Deductibles and copays still apply [3]. Temi does not bill insurance, though your plan still covers the drug at your pharmacy [4].

Yes. It is a virtual clinic staffed by MDs and advanced practice nurses, including menopause-certified clinicians, operating in all 50 states [3]. On Trustpilot it held a 4.1 TrustScore from 1,678 reviews when we checked [7]. The practical advice is to confirm your plan's coverage before the first visit, since the self-pay rate is $250 [2].

Not in network. Midi's pricing page states "Medicare is out of network", and says it is not able to accept Medicaid or Medi-Cal patients at this time [2]. Medicare patients would pay Midi's self-pay rates: $250 for a first visit and $150 for a returning one [2]. Temi is cash-pay for everyone, at $15 per refill [1].

Temi's refill page names generic maintenance medication for blood pressure, cholesterol, thyroid and blood sugar, and excludes controlled substances and new prescriptions [1]. It does not list hormone therapy. Estradiol and progesterone regimens usually need a clinician tracking symptoms and dose over time, which is what Midi's returning visits are for [2].

Midi lists "GLP-1 Prescriptions" within its weight-management care [3]. It does not publish a medication price, and the visit fee applies [2]. Temi prescribes compounded semaglutide from $59.99 per 7.5 mg vial and compounded tirzepatide from $104.99 per 8.5 mg vial, each plus a $39 prescription service [5] [8]. Compounded medications are not FDA-approved.

Yes. Midi's pricing page says "Your HSA or FSA can be used to pay for Midi visits and services" [2]. That can soften the $250 self-pay first visit if your plan does not cover it. Temi's refill page does not address HSA or FSA payment either way [1], so check with your plan administrator before relying on it.

Yes, for different medications. Midi would manage menopause treatment and the follow-up it needs [3], while Temi refilled an unrelated, stable prescription such as a blood pressure or cholesterol tablet at $15 [1]. Tell each prescriber everything you take, so interactions are checked on both sides.