Twentyeight Health gives you access to a virtual telehealth platform that can make reproductive and sexual healthcare more convenient. The service might help you navigate challenges related to access, affordability, and privacy.
Through Twentyeight Health, you can access care across several key categories, including birth control, emergency contraception, herpes and STI treatment, weight management, and skin health. You also have the option to connect with licensed healthcare providers for support and ongoing care through virtual consultations.
In this review, you’ll get a detailed breakdown of how Twentyeight Health works, including the types of services available, how easy it is to get started, the user experience, and what advantages or drawbacks you might encounter. You'll also see how it compares to other similar platforms, so you can decide which option might work for your needs.
Twentyeight Health is a women’s healthcare platform co-founded by Amy Fan and Bruno Van Tuykom. It can give you access to a wide range of birth control options and other sexual and reproductive health services. You can select from around 100+ brands of birth control, including pills, patches, rings, shots, and condoms, which can be delivered discreetly to your door.
The Twentyeight Health platform also supports other categories beyond contraception. Under Weight Care, you can book virtual consultations to explore prescription weight loss medications, including GLP-1 options like Wegovy, Saxenda, Ozempic, or Mounjaro, depending on your eligibility and fitness profile.
If you’re looking for skincare help, Twentyeight Health also provides access to prescription-based support for concerns like acne, hyperpigmentation, rosacea, and eczema.
The skincare plans start at $17.99/month, covering both the medication and virtual access to dermatology providers.
To get started, you’ll have to fill out a brief online medical form. A licensed Twentyeight Health provider will review your information and may offer a virtual consultation. If you're eligible, your prescription will be sent out and typically arrives within 3–5 business days.
Twentyeight Health offers access to multiple birth control options, including over 100 brands and multiple formats that may suit diverse preferences. For instance, the brand offers access to birth control pills, such as Junel 1/20, Alyacen, Gianvi, Apri, Loestrin, Aviane, Junel 1/20 FE, and Loryna. Birth control pills may prevent pregnancy by stopping ovulation, thickening cervical mucus, and altering your uterine lining to make it potentially unsuitable for implantation.
Beyond pills, Twentyeight Health also provides birth control patches like Xulane, which contain active ingredients like ethinyl estradiol (.35 mg) and norelgestromin (.150 mg). These patches may release a steady dose of both hormones through the skin to prevent ovulation and thicken cervical mucus.
Other options provided by Twentyeight Health include birth control rings (like Annovera and NuvaRing), injectable shots (like Depo-SubQ Provera), and emergency contraception like the Morning After Pill (Ella and New Day). The Twentyeight Health brand also provides access to internal condoms (such as FC2).
As per the official site, the pricing for birth control might vary depending on insurance coverage. If you have Medicaid or affiliated insurance plans, many birth control options may be available at no cost. Without insurance, prices start at approximately $16 per pack for pills, $321 for a month’s supply of patches, and $135 for the injection. Emergency contraception is priced at $33 per pack without insurance.
Under the Weight Care category, Twentyeight Health provides tailored weight management support through medically supervised care. The Weight Care program is entirely online, allowing you to consult with licensed, board-certified healthcare providers without in-person appointments.
After completing a short intake form, a healthcare provider reviews your information and may recommend medications, including FDA-approved GLP-1 medications. Depending on medical suitability, prescriptions may include brand-name medications such as Wegovy, Mounjaro, Saxenda, Ozempic, or Zepbound. These GLP-1 receptor agonists may help support weight management by suppressing appetite, delaying gastric emptying, and influencing insulin response.
Twentyeight Health claims to provide continuous care through monthly virtual check-ins. These sessions may help monitor your progress, modify your weight care plan, and offer general nutritional support. Between visits, you also have access to secure messaging with your care team for questions or concerns.
According to the official site, the monthly care plan is priced at $69.99, which includes ongoing provider support and communication. However, the fee excludes the cost of medications, which are paid separately through the pharmacy and may or may not be covered by your insurance.
Under the Skincare category, Twentyeight Health provides access to more than 30 prescription formulas that may help tackle multiple skincare concerns. The platform can connect you with licensed, board-certified healthcare providers online, potentially making expert skincare accessible and hassle-free.
According to the official site, Twentyeight Health’s Skincare services may help address various skincare issues. These may include prescriptions to deal with concerns like acne, eczema, Actinic keratosis, rosacea, hyperpigmentation, melasma, and hair loss. After the healthcare provider approves your prescription, it is sent to your local pharmacy and becomes ready for pickup, typically within 24–36 hours after you complete the intake form.
You may securely message your provider at any time with questions, concerns, or requests for prescription adjustments. It may ensure that your skincare routine can be fine-tuned based on how your skin responds, side effects, or changes in your condition. As per the official site, the subscription fee for Twentyeight Health’s Skincare services starts at $17.99 per month, excluding the cost of medications.
Twentyeight Health offers access to multiple sexual and reproductive health services through a single telehealth platform. It provides access to 100+ brands of birth control options, including pills, injectable shots (such as Depo-SubQ Provera), rings (like NuvaRing and Eluryng), and patches (like Xulane).
Beyond birth control, Twentyeight Health also provides access to period care support through options pain relievers (Midol), tampons, and menstrual pads. It also offers medications to manage herpes (such as Valacyclovir and Acyclovir) and supplements like prenatal multivitamins. The platform also supports online health assessments, private messaging, and audio consultations with licensed providers, streamlining both care and communication.
The scope of services provided by Twentyeight Health may help simplify access to essential healthcare needs. It could save you time and provide convenience, especially if in-person visits are difficult due to cost, distance, or scheduling.
Twentyeight Health offers structured access to no-cost care by partnering with Medicaid and select commercial insurance providers across multiple states. Under the no-cost care program, you may be eligible if you are an active member of some participating health plans, such as Buckeye Health Plan, CareSource Ohio (Medicaid), Iowa Total Care, Molina Healthcare of Illinois, Your Texas Benefits (TX Medicaid), and WellPoint Iowa, among others.
If eligible for Twentyeight Health’s no-cost care program, you can get free access to the brand’s core services, such as birth control, prenatal vitamins, and STI prescriptions. The brand’s platform enables you to check eligibility directly online to see if you qualify for $0 prescriptions, consultations, and delivery. Such a program is not tied to any one product or service but reflects the brand’s broader effort to reduce financial barriers in sexual and reproductive health care.
As per the official site, Twentyeight Health works with multiple insurance providers, including major commercial insurers like UnitedHealthcare, Aetna, Cigna, and BlueCross BlueShield. Besides, the brand accepts various state-specific Medicaid plans, such as CareSource Ohio (Medicaid), Blue Cross and Blue Shield of Texas (Medicaid), and Your Texas Benefits (TX Medicaid), among others.
It means you’re more likely to be able to use your existing insurance, whether it's through your job, marketplace, or Medicaid, to access healthcare services without navigating the hassles of extra reimbursement processes or high out-of-pocket costs. The acceptance of Medicaid plans might also minimize the financial barrier, especially if you typically struggle to find virtual care providers that accept public insurance.
Twentyeight Health also lets you check your eligibility for insurance-covered care upfront through its website. Such an upfront clarity may help you make informed decisions about whether you can access services like birth control, weight care, or primary care consultations under your current plan.
Twentyeight Health has faced repeated failure to maintain consistent and transparent customer service and billing practices. This could mean you can be exposed to unexpected charges, unclear subscription transitions, and delayed/ completely absent customer service support.
Many verified complaints on the Better Business Bureau (BBB) platform reveal a troubling pattern with Twentyeight Health’s billing practices and customer service responsiveness. A recurring issue involved unauthorized charges, as some customers were billed even after canceling their subscriptions or without signing up for a new plan.
Some BBB reviews also indicated that users experienced delays in receiving responses from Twentyeight Health customer support. Some customers noted that only after posting public complaints did they receive a response from the brand, which was often templated and vague, with no real accountability or long-term resolution.
There are also complaints about users receiving incorrect prescriptions without warning or approval. In one alarming case, the substitute medication received by one customer triggered adverse side effects, yet the brand allegedly refused to issue a replacement unless the user paid out of pocket.
As a brand, such negative customer response may show Twentyeight Health’s lack of investment in resolving the root causes of service-related issues. If you're relying on Twentyeight Health for consistent care and billing transparency, the limitation may leave you feeling unheard, overcharged, and underserved.
Both Pandia Health and Twentyeight Health operate within the women’s healthcare space, yet they differ in their approaches and core focus. Pandia Health provides access to over 150 birth control brands (pills), including Larin 1.5/30, Junel Fe, Norethindrone 0.35 mg, Estarylla, Enskyce, Sprintec, and Falmina. Beyond pills, the brand also offers other contraceptive methods such as hormonal patches (Twirla and Xulane), vaginal rings (Annovera and NuvaRing), and emergency contraception options like Ella, Plan B, and My Way.
On the other hand, Twentyeight Health offers access to 100+ birth control brands of pills (like Gianvi, Apri, Loestrin, Aviane), patches (like Zafemy and Twirla), rings (like Eluryng and NuvaRing), and emergency contraception (like Ella and My Way). Beyond these, the brand also provides an injectable shot (Depo SubQ Provera) and internal condoms (like FC2).
Both brands also have differences in their pricing structures. Pandia Health charges a $30 telehealth consultation fee if you are uninsured. Birth control prescriptions from Pandia Health start at $15 per pack, and delivery is included at no extra cost. Meanwhile, Twentyeight Health provides a Basic Plan for $2.99/month and a Standard Plan for $12.99/month, which includes benefits like unlimited messaging with providers and discounts on over-the-counter products. Their self-pay pricing is transparent, with birth control pills beginning at $16 per pack and the birth control shot priced at $135 per pack.
Neither Pandia Health nor Twentyeight Health discloses any information on refund policies, which is common in telehealth services involving prescription medications due to safety and regulatory constraints.
When comparing Nurx and Twentyeight Health, the brands diverge in the scope of their offerings, pricing structure for services, and core focus. Nurx provides access to over 50 types of contraception, including pills, rings, patches, and emergency contraception (such as the Morning After).
Twentyeight Health, on the other hand, lists over 100 brands of birth control options, including injectable shots, pills, rings, emergency contraception, and condoms.
In terms of consultation costs, both brands adopt a subscription-style model with almost similar pricing. Nurx charges a $28 annual consultation fee for birth control and a $39 initial consultation fee for its weight management category. On the other hand, Twentyeight Health does not provide details about the pricing of its online consultation fees. The brand provides subscription plans, such as a Basic Plan for $2.99/month and a Standard Plan for $12.99/month.
Nurx claims to serve all customer segments but does not specifically prioritize Medicaid or social-determinant-driven care. Meanwhile, Twentyeight Health was built with Medicaid-enrolled patients in mind, and the brand partners with Medicaid-registered physicians and pharmacies.
In terms of categories covered beyond birth control, the brands show a point of contrast. Nurx provides access to anti-aging formulas (such as Tretinoin 0.1% and Revive Rx cream) and weight management care, under which the brand provides access to GLP-1 prescriptions, such as Wegovy, Victoza, and Zepbound. The brand also provides access to at-home test kits for STI testing and HPV screening.
On the other hand, Twentyeight Health covers other aspects beyond birth control, like Skin Care and Weight Care. Under the Skin Care category, the brand provides 30+ prescription formulas that may help tackle skin concerns like rosacea, melasma, hyperpigmentation, acne, and hair loss. For the Weight Care category, Twentyeight Health offers prescription access to some FDA-approved GLP-1 medications, such as Mounjaro, Zepbound, and Saxenda.
For assessing Twentyeight Health’s brand credibility, we looked at its company background, mission, and its perception across independent review platforms. For evaluation, we analyzed Twentyeight Health’s ratings on genuine review forums, such as Trustpilot, Better Business Bureau, Reviews.io, and TenereTeam.
On Trustpilot, Twentyeight Health holds a 4.5 out of 5 rating based on 800+ reviews, with most consumers praising the convenience, affordability, and supportive customer care. However, Twentyeight Health received a “B” rating on the BBB platform due to complaints. It may suggest that some customers have experienced issues around prescription delays or communication lapses with the brand.
Meanwhile, on Reviews.io, Twentyeight Health scores a moderate 3.7 out of 5 rating from 155+ reviews. These ratings may indicate room for improvement in reliability or user experience for certain segments of Twentyeight Health’s customer base.
It’s also worth noting that Twentyeight Health does not have an active presence on the TenereTeam platform. This may not directly impact credibility but may reflect Twentyeight Health’s more limited online reach across some review ecosystems.
As part of our evaluation of Twentyeight Health, we closely examined verified user reviews received by the brand on the Trustpilot website. Many reviews highlight a strong appreciation for Twentyeight Health’s ease of use, reliable access to birth control, and responsive customer support.
Many consumers appreciated how simple it is to get started with the Twentyeight Health service, manage prescriptions online, and receive medications discreetly at home. Some reviewers also shared positive experiences with the support team of Twentyeight Health, particularly for their professional behavior and prompt query redressal services.
That said, we also took into account the less favorable reviews of Twentyeight Health across Trustpilot, which revealed some operational gaps. Some users expressed frustrations around delays in prescription fulfillment, lack of timely communication, and confusion related to insurance changes or medication switches. Such isolated complaints around service delays and communication lapses suggest the need for improved internal coordination.
Twentyeight Health positions itself as a telehealth provider, which provides access to services like online birth control consultations, prescription fulfillment, and support for skincare and weight care needs. Its digital-first approach emphasizes accessibility and convenience, especially if you don’t have regular access to in-person healthcare providers.
However, some functional limitations may impact your experience with Twentyeight Health’s services. For example, a stable internet connection is required to complete consultations and maintain communication with healthcare providers, potentially excluding service responsiveness in areas with poor internet connectivity.
As Twentyeight Health operates entirely online, its services may be insufficient for comprehensive care, especially if you require physical examinations or in-person diagnostics. Moreover, consumer feedback indicates ongoing concerns regarding billing transparency and customer service responsiveness.
State-by-state variability in service offerings and provider availability may also influence your experience with Twentyeight Health’s services. As with any telehealth platform, outcomes depend on specific health needs, communication preferences, and the complexity of medical concerns being addressed.
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