Alloy, Evernow, and FutureClinic take three distinct approaches to perimenopause and menopause care online. Alloy bundles hormone medicines into a 3-month subscription and sells its own midlife skincare, while Evernow offers insurance-billed video visits alongside monthly text memberships. FutureClinic lets you message an expert physician directly per visit with no subscription required.

On FutureClinic, a specific doctor reads your whole case and answers you personally, with a Human Signature: a short video or voice note recorded live for you. No form is approved in bulk. After your first visit, you can message the same doctor time after time, in the same chat, however long in between. In menopause care, where lower-dose estradiol patches or pills may take 6 to 8 weeks to relieve symptoms well and ACOG's October 2026 guideline recommends checking progress at 3 months and then yearly, staying with the same doctor lets you build trust, try treatments together, adjust a dose, swap a patch for a gel or tablet if irritation or a pharmacy shortage happens, and track your progress.

Your FutureClinic doctor can also help with other problems in their specialty, such as a family or internal medicine doctor managing blood pressure or thyroid levels alongside hormone therapy. You can also see FutureClinic specialists in other fields, and every FutureClinic doctor you see works from one medical record.

How Alloy, Evernow, and FutureClinic compare side by side

What does a year of menopause care and hormone therapy cost?

A monthly price only shows the full picture when you count what is required to keep getting your medicine. At Alloy, only 3-month supplies are sold, and refills "bill and ship automatically every 3 months". As of October 2026, oral estradiol starts at $39.99 a month ($479.88 a year), estradiol gel or Evamist spray is $69.99 a month ($839.88 a year), and a patch is $100.00 a month ($1,200 a year), with a $49 consult option or $99 a month for weight care plus medicine. With a uterus, ACOG's October 2026 guideline recommends adding a progestogen, a second medicine. Alloy does not take insurance and cannot send a new prescription to a local pharmacy.

At Evernow, as of October 2026, video visits take UnitedHealthcare, Aetna, Anthem, and Blue Cross Blue Shield (no Medicare or Medicaid), or cost $150 self-pay with 90-day portal access. Cash memberships cost $49 a month ($588 a year), $129 for 3 months, or $420 a year ($35 a month), plus medicine.

On FutureClinic, there is no subscription required: pay $40 for the best-fit doctor, or pick a chosen doctor at their listed price, typically $20 to $100. FutureClinic sells no medicine, and your doctor earns nothing extra for any prescription or test. Their only incentive is to help you: they never upsell a medicine or lab panel, you never have to stay subscribed to keep your medicine, and they can prescribe whichever medicine fits you, any brand or generic, to the pharmacy you choose, including mail-order pharmacies that deliver to your door, if your doctor decides it's right for you. For a stable medicine, your doctor can prescribe several months at once when they judge it safe, and you can use insurance or a cash discount coupon sent by text. As of October 2026, 90 tablets of 1 mg generic estradiol cost $10.28 and 90 capsules of 100 mg micronized progesterone cost $18.35 at Cost Plus Drugs (plus shipping and tax), while 8 twice-weekly estradiol patches are $33.81 to $36.24 on GoodRx. Two $40 visits a year for 6-month oral scripts plus four 90-day fills at Cost Plus Drugs cost $194.52 before shipping. Most doctors also offer an optional membership, typically $25 to $100 a month, for unlimited care with that doctor, cancel any time.

Who treats you, and how far does their care reach?

Alloy states that "every healthcare provider is a board-certified physician and menopause expert," and does not offer or facilitate lab testing. Evernow calls its providers "board-certified menopause specialists," and its listed clinicians are mostly nurse practitioners, with one DO.

FutureClinic has over 300 doctors caring for patients by message. They practice across more than 60 specialties, and every doctor is a physician with an MD, DO or MBBS degree, never a nurse practitioner or physician assistant.

Under ACOG's October 2026 guideline, systemic hormone therapy is strongly recommended for vasomotor symptoms in people without contraindications, started before age 60 or within 10 years of menopause; The Menopause Society's 2022 position statement calls the benefit-risk ratio favorable in that window. Hormone blood tests are rarely needed, though a doctor may order labs when periods stop early (National Institute on Aging) or before fezolinetant (Veozah) and elinzanetant (Lynkuet), which require liver tests. FutureClinic doctors can order discounted lab tests, and FutureClinic helps get a prior authorization when insurance needs one. Neither Alloy nor FutureClinic prescribes testosterone, a controlled medicine.