Alloy vs Evernow
Updated October 19, 2026
Many women in perimenopause and menopause struggle to find a doctor trained to treat it, and online clinics now prescribe hormone therapy and other treatments remotely. Alloy and Evernow look alike from the outside, but the split most patients miss is insurance: Alloy keeps every price in cash and in public, while Evernow bills commercial insurance for video visits on top of a membership. That difference changes what each patient pays, so we compared the two side by side.
Our analysts compared Alloy and Evernow on price, insurance, how care is delivered, treatment range, and pharmacy options, using the HIR review of each company and each clinic's own price pages checked this month. In the following sections, we compare them in one table and describe the patient each one suits.
Alloy vs Evernow at a glance, October 2026
| What buyers weigh | Alloy | Evernow |
|---|---|---|
| Published price | A $49 one-time consult fee, which includes unlimited doctor messaging. The estradiol pill starts at $39.99 for a one-month supply. | Membership costs $49 per month on a monthly plan, $129 for three months, or $420 for twelve months, about $35 per month. Self-pay video visits cost $150. |
| Pricing model | Alloy charges a one-time consult fee, then a cash price for each prescription. | Evernow sells a membership with unlimited messaging, or pay-per-visit care. |
| What drives cost | For Alloy, cost depends on which treatments you are prescribed, the supply length you choose, and whether you add skin, hair, or sexual health products. | For Evernow, cost depends on the membership length you choose, whether your insurance covers video visits, and which medications you take and where you fill them. |
| How care works | A menopause-trained doctor reviews an online intake and writes a plan, usually with no video visit, then messaging is unlimited. | You are matched with a menopause-trained clinician licensed in your state, with unlimited messaging and optional video visits. |
| Insurance | Does not take insurance; HSA and FSA cards work. | Takes major commercial plans for video visits, though not Medicare or Medicaid, and membership fees are not covered. Clear edge |
| Where prescriptions are filled | Medications ship to your door at its listed cash prices. | Sent to your local pharmacy, where insurance often applies, or shipped from partner pharmacies for cash. |
| Treatment range | Scores 7.0; hormone therapy in several forms plus skin, hair, and sexual health products. | Scores 7.8; hormone therapy, non-hormonal medications, vaginal estrogen cream, and weight care. Higher score |
| Symptom relief | Scores 7.2 on symptom relief and patient results. | Scores 7.5 on symptom relief and patient results. Higher score |
| Pricing clarity score | 7.9 Clearer pricing | 7.2 |
| HIR overall score | 7.4, Recommend. | 7.6, Recommend. |
| Best for | Women in perimenopause or menopause who want hormone therapy online. | Women in perimenopause or menopause who want to use insurance for visits. |
| Not a fit for | Patients who want insurance to cover visits. | Medicare and Medicaid patients who need coverage. |
Which fits which buyer
Check your insurance card before you pick.
Choose Alloy if
- You would rather pay one consult fee and cash prices than a membership.
- You prefer messaging a doctor to scheduling video visits.
- You want medications shipped to your door at a listed price.
Choose Evernow if
- You have commercial insurance and want it to cover video visits.
- You want non-hormonal options or weight care in the same plan.
- You want prescriptions sent to your local pharmacy, where coverage may apply.
Verdict
Evernow scores slightly higher and fits insured women who want ongoing care with video visits. Alloy fits women who want a simple cash price and care mostly by message.
Patients on Medicare or Medicaid cannot use that coverage at either clinic.
Methodology
Each row comes from the HIR reviews of Alloy and Evernow, scored under the HIR method, and from each vendor's public pricing where it exists. Any published price for Alloy or Evernow was checked on that vendor's own site on October 19, 2026.
A green check marks a clear edge for Alloy or Evernow only where their review scores differ by at least 0.3 points or the two reviews show a plain difference. Rows with nothing published for either Alloy or Evernow are left out, and time to full value for each adds up the rollout stages in its review.
Sources
- HIR review of Alloy and HIR review of Evernow
- Alloy pricing, checked October 19, 2026
- Evernow pricing, checked October 19, 2026
- Alloy estradiol pill and consult fee, checked October 19, 2026
- Evernow membership and visit prices, checked October 19, 2026