TLDR
Elektra Health is the first menopause telehealth platform to accept Medicare and Medicaid, with a $0 copay ACA plan in 11 states. Midi Health operates in all 50 states but uses a cash-pay model at $99/month. Neither is a self-tracking tool. For day-to-day symptom monitoring, pair either with a dedicated tracker like Horiva.
| Feature | Elektra Health | Midi Health | Horiva |
|---|---|---|---|
| Monthly cost | $199 initial + insurance | $150 initial + $99/mo | $9/mo |
| Privacy model | Varies by app | Varies by app | On-device only |
| Perimenopause focus | General | General | Perimenopause-first |
| Doctor reports | Varies by app | Varies by app | Yes - PDF export |
| Feature | Elektra Health | Midi Health | Notes |
|---|---|---|---|
| Initial cost | $199 | $150 | Both charge for first visit |
| Ongoing cost | Insurance-based | $99/mo | Elektra cheaper with insurance |
| Insurance accepted | Yes - Medicare, Medicaid, ACA | Limited | Major Elektra differentiator |
| State availability | 11 states (ACA plan) | All 50 states | Midi has broader reach |
| Prescribing | Yes | Yes | Both can prescribe HRT |
| Daily symptom tracking | No | No | Use a dedicated tracker |
Two Approaches to Menopause Telehealth
Elektra Health and Midi Health both provide menopause-specialized telehealth. They differ on who pays. Elektra bets on insurance. Midi bets on cash-pay subscriptions. That single choice shapes everything: cost, access, and where you can use them.
The Insurance Question
Elektra is the first menopause telehealth platform to accept Medicare and Medicaid. Their HelloMeno plan offers $0 copay ACA coverage in 11 states. For women with qualifying insurance, this reduces menopause care from a $1,300+ annual expense to a standard copay.
Midi Health charges $150 for an initial visit and $99/month ongoing. Some insurance may apply, but the primary model is cash-pay. This gives Midi more flexibility on geographic coverage (all 50 states) but puts the full cost on the patient.
Geographic Availability
Midi Health’s cash-pay model lets them operate in all 50 states without navigating insurance networks state by state. Elektra’s ACA plan is limited to 11 states, though their non-ACA services may be available more broadly.
If you live outside Elektra’s ACA states, Midi is likely your option unless you want to pay Elektra’s standard rates.
What Neither Platform Does
Neither Elektra nor Midi Health is a daily symptom tracker. Both are visit-based clinical services. Between appointments, there is no built-in way to log symptoms, track patterns, or monitor changes.
A dedicated tracker fills that gap. Horiva tracks 40+ symptoms daily and generates PDF reports you can bring to either platform. Walking into a telehealth appointment with three months of documented symptom data changes the conversation from “I think I’ve been having hot flashes” to “here are the frequency, severity, and timing patterns.”
The 5% Problem
Only 5% of US women aged 45-64 received menopause-specific care in one national survey. Platforms like Elektra and Midi Health exist because the traditional healthcare system fails most women during this transition. Clinical care works better when paired with consistent tracking. The Andrews RCT found that structured symptom tracking alone produced a 42% symptom reduction. Starting with tracking before adding clinical care makes sense.
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Switch to Horiva freeVerdict
Elektra is the better option if you have insurance coverage in one of their available states. Midi Health offers broader geographic access. Neither platform handles daily symptom tracking. Pairing either with Horiva gives you a day-to-day record that makes telehealth appointments more productive.
PROS & CONS
Elektra Health
Pros
- Insurance acceptance dramatically reduces cost for covered patients
- HelloMeno ACA plan at $0 copay is the most affordable menopause telehealth option
- Medicare/Medicaid coverage opens access for underserved populations
Cons
- ACA plan only available in 11 states as of 2026
- Smaller provider network than Midi Health
- No daily tracking means limited visibility between appointments
PROS & CONS
Midi Health
Pros
- Nationwide availability solves the access problem for all US states
- Larger clinical team with more scheduling flexibility
- Established track record with significant patient volume
Cons
- Cash-pay model means $1,338+ per year minimum
- No insurance pathway for most patients
- Visit-based model provides no tools for between-appointment monitoring
Q&A
Is Elektra or Midi Health better for menopause?
Elektra is better if you have insurance coverage in their available states. The $0 copay ACA plan makes it the most affordable option. Midi Health is better if you need care outside those 11 states or prefer a larger provider network. Both are clinical services, not tracking tools.
Q&A
Does Elektra accept insurance?
Yes. Elektra Health is the first menopause telehealth platform to accept Medicare and Medicaid. Their HelloMeno plan is available as a $0 copay ACA option in 11 states. This is a significant departure from the cash-pay model used by most menopause telehealth platforms including Midi Health.
Frequently asked