TLDR
Evernow and Midi Health are telehealth services that provide remote access to menopause-specialist providers. Both are clinical programs, not tracking apps. If you are not yet ready to enroll in a clinical program and need to first document your symptoms, a tracking app like Horiva at $9/month is the better starting point.
| Feature | Evernow | Midi Health | Horiva |
|---|---|---|---|
| Monthly cost | $49/mo | Insurance-based + membership fees | $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 | Evernow | Midi Health | Horiva | Notes |
|---|---|---|---|---|
| Model | Direct-pay telehealth | Insurance + membership | Self-tracking app | Horiva is not a clinical service |
| Monthly cost | $49/mo | Varies by insurance | $9/mo | Horiva is tracking-only, not telehealth |
| Provider type | Menopause specialists | Menopause specialists | N/A (self-directed) | Horiva does not provide clinical care |
| Prescriptions | Yes | Yes | No | Horiva is a tracker, not a prescriber |
| Self-tracking | No | No | Yes (40+ symptoms) | Horiva's primary function |
| Doctor report export | No | No | Yes (PDF) | Horiva generates structured reports for appointments |
| Data storage | Provider servers | Provider servers | On-device only | Horiva stores nothing on external servers |
Two Telehealth Services in the Same Space
Evernow and Midi Health have both positioned themselves around the underserved menopause care market. The premise is the same: women need access to menopause-competent providers, local options are often unavailable or dismissive, and telehealth can close that gap.
Both are worth considering if you are at the stage of seeking treatment through a specialist provider.
The Key Difference: Payment Model
Evernow is straightforward: $49/month for provider access and prescription management. You pay directly, no insurance involved.
Midi Health works with insurance. For women with qualifying coverage, this can reduce out-of-pocket costs. The trade-off is the complexity of insurance verification, coverage variation by plan and state, and the friction that comes with insurance-mediated healthcare.
What Neither Service Does
Both are clinical programs. Neither produces a self-tracking report you can bring to an appointment with your own existing doctors. Neither is designed for women who are not yet at the treatment decision stage.
If you are still trying to understand whether what you are experiencing is perimenopause, trying to build a documented symptom history, or trying to prepare for a conversation with a skeptical primary care doctor, a clinical enrollment is premature.
The Pre-Clinical Stage
Many women search for perimenopause services because they are in the stage before a diagnosis - experiencing symptoms, not yet getting answers, trying to build a case. That stage needs documentation tools, not treatment programs.
A tracking app that logs 40+ symptoms, identifies patterns over weeks and months, and exports a structured PDF for any provider - including existing doctors - serves that stage better than a telehealth enrollment.
Where Horiva Fits
We built Horiva for the pre-clinical stage that Evernow and Midi Health don’t cover. At $9/month, it tracks 40+ perimenopause symptoms, stores everything on your device, and generates doctor-ready PDF reports you can bring to any appointment - whether that’s with your existing GP, a telehealth provider like Evernow or Midi, or a local specialist. No clinical enrollment required. No data leaving your phone.
Switch to a tracker built for this stage
Private by design. No ads. No data selling.
If you switch, you will have a cleaner record ready to review or export later.
Switch to Horiva freeVerdict
Evernow and Midi Health serve women who are ready to start treatment with a specialist. For women still trying to document what is happening, understand the pattern, or build a case to bring to an existing doctor, a tracking app is the more appropriate first step. Horiva fills that gap at $9/month with 40+ symptom tracking, on-device storage, and doctor-ready PDF exports designed for exactly that pre-clinical stage.
PROS & CONS
Evernow
Pros
- Simple pricing - $49/month covers provider access without insurance navigation
- Designed specifically around menopause care
- Remote access for women in areas without local specialists
Cons
- Clinical service model - requires enrolling in a treatment program
- $49/month is a significant ongoing cost
- Less useful for women whose goal is documentation, not treatment enrollment
PROS & CONS
Midi Health
Pros
- Insurance integration can reduce costs for women with qualifying coverage
- Broader care coordination model
- Menopause-specialist focus
Cons
- Insurance navigation adds friction and unpredictability in cost
- Visit availability and wait times vary
- Not a self-tracking tool
Q&A
Should I use Evernow or Midi Health for menopause care?
Evernow offers simpler direct-pay pricing at $49/month. Midi Health works with insurance and may cost less if you have qualifying coverage. Both provide remote access to menopause specialists and can manage prescriptions. The right choice depends on your insurance situation and preference for direct-pay versus insurance billing.
Q&A
Is there a menopause telehealth service that also provides tracking?
Neither Evernow nor Midi Health is a symptom tracking app. They are clinical services. If you want to track symptoms yourself and generate documentation for any provider - including existing doctors - Horiva is a tracking-only app at $9/month designed for that purpose.
Q&A
What should I do before choosing a menopause telehealth service?
Tracking your symptoms for several weeks before an initial appointment gives any provider - telehealth or in-person - a better starting point. A structured symptom log with frequency, intensity, and patterns makes the intake process more productive. Horiva generates a PDF export formatted for that kind of clinical intake, and at $9/month with on-device storage, it works as a standalone tracker or as a companion to either Evernow or Midi Health.
Frequently asked