Elektra Health menopause review: cost, care and alternatives

At a glance

		Elektra Health
Starting price	Cream from $95/mo, progesterone from $85/mo	$249 first visit, $149 after, cash
Medication	Included in the price, shipped	Sent to your pharmacy, paid there
Insurance	Cash price, no insurance billing	In-network with select plans
States	Broad multi state coverage, checked in the intake	16 states for clinical care
Membership fee	Membership included in the price	None

Based on publicly available information as of 2026-10-30. Confirm current details on each company's own site.

What Elektra Health is

Elektra Health pairs menopause care with a free education platform and community. Clinicians see you by video, prescribe hormonal and non-hormonal FDA-approved medications, and send prescriptions to your preferred pharmacy. Elektra does not sell medication itself. Coaching is available in every state.

Elektra sees patients for clinical care in New York, Connecticut, Massachusetts, Florida, Pennsylvania, New Jersey, Illinois, Arizona, Georgia, Iowa, Missouri, Nebraska, Ohio, Oklahoma, Tennessee, and Texas. Its clinicians also prescribe GLP-1 medications for menopause-related weight gain, and some prescribe testosterone in New York.

Elektra Health pricing in 2026

Elektra has no membership fee. If it is in-network with your plan, you pay your copay or coinsurance. Out of network, the cash price is $249 for a 30 minute first visit and $149 for each 15 minute follow-up. Medication is paid at your pharmacy, and Elektra says its clinicians try to prescribe drugs your insurance covers.

Its insurance list is long in some states and short in others. In New York it lists plans including Aetna, Cigna, UnitedHealthcare, Medicare, and Medicaid. In several of its newer states it lists Oscar only.

Sipra builds care into each product's price. The HRT cream (Bi-Est, estradiol and estriol) starts at $95/mo, estradiol tablets with progesterone at $190/mo, the brand Dotti patch with progesterone at $390/mo, progesterone alone at $85/mo, and vaginal estradiol at $99/mo, with membership included in each price.

If Elektra is in-network for you, it can cost little. If it is not, add every visit and every pharmacy fill before you compare.

Where each one falls short

Elektra serves 16 states for clinical care, cash visits are priced per visit, and medication is a second cost at the pharmacy. A year with several dose adjustments can mean several billed visits.

Sipra's HRT cream is compounded. Compounded medications are not FDA-approved and are not the same as, or equivalent to, any branded product. Sipra does not bill insurance, including Medicare, and testosterone for women is Coming Soon. Sipra backs longer plans with the Sipra Promise, which refunds medication not yet sent to the pharmacy on 6 and 12 month plans if you stop partway through. Sipra is LegitScript certified, certificate 50053943.

Elektra Health pros and cons

sipra vs Elektra Health, side by side

		Elektra Health
Billing model	One price per product, medication included	Per visit, plus pharmacy cost
Insurance	None, cash pricing	Select plans, varies by state
Medicare	Not accepted	Accepted in several states
Estradiol forms	Bi-Est cream, tablets, or the brand Dotti patch	FDA-approved options at your pharmacy
Where you get medication	Shipped to your door	Your preferred pharmacy
States	Broad multi state coverage, checked in the intake	16 states for clinical care
Labs	Quarterly protocol labs at $65/mo, optional	Ordered by your clinician
Satisfaction policy	Sipra Promise refunds medication not yet sent to the pharmacy if you stop a 6 or 12 month plan	Verify their current policy

As of 2026-10-30. Sipra's HRT cream is compounded and is not FDA-approved. It is not the same as, or equivalent to, any branded medication. Elektra prescribes FDA-approved medications filled at your pharmacy. A clinician decides what is appropriate for you. Individual results vary.

Who should choose which