Twentyeight Health has a positive mission, but customer reviews are mixed since the company acquired The Pill Club and Simple Health.
Twentyeight Health is a telemedicine company that aims to provide affordable healthcare to women. It donates 1% of its revenue to the National Institute for Reproductive Health, an organization that fights for equitable access to nationwide reproductive care.
So what does Twentyeight Health sell exactly? Birth control, the morning-after pill, abortion medication in eligible states, prenatal vitamin subscriptions, herpes treatment, and COVID-19 tests.
Twentyeight recently acquired two other online prescription services, The Pill Club and SimpleHealth, which are now rolled into its operations.
A quick look at Twentyeight Health services
Twentyeight Health vs. similar services
| Service | Offerings | State availability |
|---|---|---|
| Twentyeight Health | • birth control • herpes treatment • prenatal vitamins • abortion medication (CA and NY only) • COVID-19 tests • morning-after pill | Alabama, Arizona, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New York, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, and Wyoming |
| Nurx | • skin care • sexual health • beauty care (eyelash/hair growth) • headache and migraine relief • mental health • COVID-19 testing • birth control • reproductive health services | Alabama, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, and Wyoming |
| Lemonaid | • sexual health • reproductive health services • skin care • hair care • mental health • smoking cessation • other health conditions | all 50 states |
| Hers | • sexual health • skin care • hair care • weight loss • mental health • supplements | all 50 states, but some treatments are limited to certain states |
| Wisp | • sexual health • COVID-19 testing • mental health • other health conditions | all 50 states |
| Pandia Health | • birth control • acne treatment • menopause symptoms | all 50 states for prescriptions renewal; Alabama, Arizona, California, Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, New York, Ohio, Oregon, Pennsylvania, Texas, Tennessee, and Wyoming for new prescriptions |
Twentyeight Health pros and cons
Pros
- accepts insurance, including Medicaid
- relatively low yearly fee ($26)
- copays for medications are usually $0 with insurance
- provides birth control services to those under age 18 (parental consent is state dependent)
- ability to refill existing birth control prescription
- variety of birth control options available, including pills, the patch, ring, shot, and emergency contraception
- accept payments through flexible spending accounts (FSAs) and health savings accounts (HSAs) for eligible healthcare-related products and services
Cons
- not available in all 50 states
- poor user reviews through Better Business Bureau (BBB)
- not as many services as other online competitors
- rocky transition for former SimpleHealth and The Pill Club users, according to customer reviews
How does Twentyeight Health work?
After you choose the prescription or service you’re interested in, you’ll sign up for Twentyeight Health by filling out a short medical questionnaire and providing identification and insurance information. You can upload an image of your pharmacy insurance card or type the info into an online form.
There is a $26 annual evaluation fee per medication, which isn’t covered by insurance. It includes review of your medical questionnaire by a licensed professional and unlimited direct messaging with the professional through Twentyeight Health’s dashboard.
You also have the option of scheduling an audio consultation with your professional if you have additional questions or concerns. If you live in Kansas or Mississippi, you’re required to have an audio consultation with a professional to confirm your eligibility. If you live in Oklahoma, you’re required to have a video consultation.
As soon as they confirm your eligibility, they’ll write you a prescription or renew your existing prescription, typically within 3–5 business days. Most copays with insurance are $0. But if yours is over $0, Twentyeight Health will contact you and let you know so you can decide if you want to proceed.
Your prescription will then be delivered directly to your home in 3–5 business days for free. If you prefer, you can also transfer your prescription to a local pharmacy for you to pick up instead.
Twentyeight Health services
Birth control
- Accepts insurance: yes
- Consultation fee: $26 per year
- Options offered: pills, patch, shot, internal condoms, and ring from over 100 different brands, including Alyacen, Apri, Aviane, Gianvi, Junel 1/20, Junel 1/20 FE, Loestrin, Loryna, NuvaRing, Sprintec, Zafemy (patch), Yasmin, and Yaz
- Delivery time: within 3–5 business days
- States available: Alabama, Arizona, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New York, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, and Wyoming
If you use Twentyeight Health for birth control, you’ll have a wide variety of modalities to choose from, including birth control pills, patches, ring, shot, and internal condoms. However, if you choose the Depo shot, Twentyeight Health only accepts specific insurance plans.
In most other cases, with insurance, you can expect to pay $0 for your prescription. If you don’t have insurance, you can pay out of pocket for your prescription. This starts at $18 per pack if you opt for the multipack option.
Your eligibility to get 3, 6, or 12 months’ worth of birth control pills depends on what your insurance allows. If you don’t have insurance, you can buy up to a year’s supply.
If you don’t see the birth control brand you want, you can contact the company via email and it’ll try to source the brand for you. See all brands and pricing that Twentyeight offers.
Emergency contraception
- Accepts insurance: yes, but it may depend on your plan
- Consultation fee: $26 per year (unless you’re an existing Twentyeight Health user for other services and have already paid the fee)
- Options offered: New Day, a generic form of Plan B (the morning-after pill)
- Delivery time: within 3–5 business days
- States available: Alabama, Arizona, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New York, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, and Wyoming
Twentyeight Health also offers New Day, a generic form of Plan B, starting at $30 for one tablet for new users.
If you’re an existing Twentyeight Health customer, you may be eligible to get the morning-after pill for a $0 copay with insurance or Medicaid. You can message the doctor from your dashboard to determine your eligibility.
Existing Twentyeight Health users don’t need to pay the $26 sign-up fee to receive emergency contraception. You can simply message your professional to request a prescription.
In addition to emergency contraception, Twentyeight Health also offers abortion pills to residents in California and New York.
Prenatal vitamins
- Accepts insurance: depends on if your professional feels it’s medically appropriate to write a prescription
- Consultation fee: no annual fee for prenatal vitamins
- Delivery time: within 3–5 business days
- States available: all 50 states
You can get prenatal vitamins starting at $5.45 per month or $18 per delivery for 3 months’ worth. The company’s pricing is higher than what you would find on Amazon Prime, but the upside to using Twentyeight Health is that you know exactly what you’re going to get.
For example, many Amazon customer reviews of the same NatureMade prenatal vitamins that Twentyeight Health offers mention they received a different product or that the vitamins they received had a fishy smell.
Subscribing via Twentyeight Health also takes the guesswork out of reordering vitamins when your supply is low, giving you one less thing to think about.
However, Twentyeight Health only offers three products for prenatal vitamins, which may or may not be the right ones for you. Our dietitians have ranked the best prenatals for you to consider.
COVID-19 testing
- Accepts insurance: yes, with specific BIN number; otherwise, out-of-pocket payment required up front
- Consultation fee: none
- Collection method: nasal swab
- Delivery time: within 3–5 business days
- States available: all 50 states
Twentyeight Health offers one type of at-home COVID-19 tests, the ACON Flowflex COVID-19 Antigen Home Test.
If your BIN and insurance plan match the list provided by Twentyeight, you may be covered for up to eight COVID-19 tests per month without paying a copay up front.
If your BIN and insurance don’t match, you can order up to 10 tests at a time for $15 per test, and you can submit to your insurance for reimbursement.
Herpes treatment
- Accepts insurance: yes
- Consultation fee: $26 per year
- Treatments offered: valacyclovir, a generic form of Valtrex
- Prescription needed: no; complete 5-minute medical questionnaire to determine your medical eligibility
- Delivery time: within 3–5 business days
- States available: Alabama, Arizona, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New York, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, and Wyoming
Herpes treatment is available for people ages 18 and up who have received a herpes diagnosis from a healthcare professional or by a lab test. The company offers one medication, valacyclovir, which is an oral antiviral that can treat herpes either during an outbreak (episodic) or daily to prevent outbreaks (preventive).
Whether or not you’re already a Twentyeight Health user, you’ll need to complete a quick questionnaire to get a prescription for this medication, which will be then reviewed by a licensed healthcare professional.
Both episodic and preventive treatment starts at $0 copay with insurance, including Medicaid. Without insurance, you’ll pay $13 per month — $39 per delivery for 3 months’ worth — for episodic treatment and $23 per month — $69 per delivery for 3 months’ worth — for preventive treatment.
Twentyeight Health reputation
User reviews for Twentyeight Health are fairly poor.
On the BBB at the time of publication, the company has a 1-star rating with 9 reviews, all of which detail subpar customer service, billing issues, and delays with receiving prescriptions. Some of these issues seem to stem from the transfer of user accounts from SimpleHealth.
The company also has 26 complaints. However, these were resolved to the customers’ satisfaction.
Frequently asked questions
You can cancel your account or prescription subscription at any time by emailing [email protected] or texting 929-352-0060.
Twentyeight Health acquired SimpleHealth in 2023.
Twentyeight Health provides fewer services than Nurx, which offers skin care treatments, hair regrowth treatments, mental health treatments, menopause support, and treatments for conditions like migraine and urinary tract infections, in addition to birth control.
Lemonaid offers a variety of services that Twentyeight Health doesn’t offer, including treatment for anxiety, depression, acne, hair loss, insomnia, and erectile dysfunction.
However, when it comes to birth control, it only offers the pill, the patch, or the ring options, while Twentyeight Health provides more variety.
Yes. In fact, most copays come out to $0 for people with insurance.
Takeaway
Twentyeight Health’s mission to provide reliable reproductive healthcare for women is a worthy one. It offers a variety of birth control options for minimal to no cost.
However, the many negative reviews — particularly ones written by users who received their prescriptions late — seem to counteract the company’s stated goals. This could be because of its quick growth upon acquiring Simple Health and The Pill Club.
