TLDR
Evernow is a clinical service at $49/month that includes provider access and prescription management. Self-tracking apps like Horiva cost $9/month and produce documentation for any provider. If you are in the pre-diagnosis stage - trying to understand your symptoms before or alongside provider conversations - self-tracking is the appropriate cost.
Evernow
$49/moper month
Horiva
$9/moper month, no data selling
Evernow Pricing Tiers
| Feature | Evernow ($49/mo) | Horiva ($9/mo) | Notes |
|---|---|---|---|
| Provider access | Yes - menopause specialist | No | Evernow is a clinical service |
| Prescriptions | Yes (managed) | No | Horiva is tracking only |
| Symptom tracking | Intake-focused | Daily - 40+ symptoms | Horiva built for ongoing tracking |
| Doctor report export | No | Yes - PDF export | Horiva generates clinical export for any provider |
| Data privacy | Server-based | On-device | Horiva data never sent to servers |
| Flexibility | Program enrollment | Self-directed | Horiva works with any doctor |
| Annual cost | $588/yr | $108/yr | Significant difference over time |
Hidden Costs You Won't See on the Pricing Page
- ⚠ Evernow is a clinical program - there is an ongoing commitment to a care relationship, not just a subscription
- ⚠ Prescription costs are separate from the Evernow membership fee
- ⚠ Insurance typically does not cover Evernow's membership fee
What $49/Month Buys With Evernow
Evernow is a telehealth service, not an app subscription. The $49/month covers access to menopause-specialist providers who can assess your symptoms, discuss treatment options, and write prescriptions. It is a clinical program.
This is genuinely valuable for women who cannot access menopause-specialist care locally - which describes many women in the US. Local gynecologists with current menopause training are not universally available, and primary care providers often have not received dedicated menopause education.
What $9/Month Buys With Self-Tracking
A self-tracking app like Horiva does not provide provider access. It provides tools to document your experience: 40+ symptom categories, pattern tracking over time, and a PDF export formatted for doctor appointments.
The output is documentation - something you can bring to any provider, whether that is a primary care doctor, a gynecologist, a naturopath, or an Evernow clinician.
The Stage Question
These two products serve different stages in the perimenopause navigation process.
Self-tracking is appropriate when you are still building a picture of what you are experiencing - what symptoms you have, how frequent they are, whether they are worsening, and what pattern they follow. This is the pre-clinical documentation stage. Many women spend months or years here before getting a clear diagnosis or treatment pathway.
A clinical service is appropriate when you have enough clarity about your symptoms to pursue treatment, and you need provider access to do that.
The Annual Cost Difference
$49/month is $588/year. $9/month is $108/year.
Perimenopause typically spans several years. For the portion of that time when you are tracking and documenting rather than actively in treatment, the cost difference is substantial.
Many women use self-tracking during the documentation phase, then consider telehealth services when they are ready to pursue treatment.
Source: Evernow pricing page
Source: Horiva pricing page
Q&A
How much does Evernow cost per year?
Evernow costs $49/month, which is $588 per year. This covers menopause-specialist provider access and prescription management. Horiva, a self-tracking app with doctor report export, costs $9/month ($108/year).
Q&A
Is Evernow worth $49/month for perimenopause?
Evernow is worth the cost if you need remote menopause-specialist access and prescription management that you cannot get locally. It is not the right product if you are in the pre-clinical documentation stage - trying to understand your symptoms and build a record for existing providers.
Q&A
Can I use a tracking app instead of Evernow?
They serve different purposes. A tracking app documents your symptoms. Evernow provides clinical care. If you do not yet have clarity on your symptoms, starting with a tracking app is a reasonable first step. Tracking apps can also complement clinical care - ongoing logs between Evernow appointments create a useful record.
You do not need a long commitment to test this
Private by design. No ads. No data selling.
A free month gives you time to build a cleaner record before deciding whether to keep it.
Try Horiva free| Evernow | Horiva | |
|---|---|---|
| Monthly cost | $49/mo | $9/mo |
| Free entry path | Varies by app | Plan-first access |
| Annual option | Varies | Yes - save 27% |
| Data privacy model | Varies by app | On-device only - we never see it |
Frequently asked