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Keeps
View Full Keeps Review
9/10230 reviews
Eric GoldWritten by Eric Gold·Updated March 21, 2026

Is Keeps Legit? Inside the Dermatologist-Led Hair Loss Platform

Trust & Safety Review

Keeps has built a reputation as the affordable, dermatologist-led alternative for hair loss treatment since 2018. With a 4.6/5 Trustpilot rating from 8,500+ reviews and finasteride starting at $10/month, they claim to cost 50% less than retail pharmacies. We verified their dermatologist partnerships, pricing claims, and treatment effectiveness to determine if Keeps delivers on its focused promise.

Rating9/10
Reviews230+
Founded2018
Categories0 treatments

Keeps Pros & Cons

Pros

  • ✓Affordable pricing - claims 50% less than pharmacies
  • ✓Free initial consultation
  • ✓Clinically-proven treatments
  • ✓Flexible subscription lengths
  • ✓Progress tracking tools
  • ✓Science-backed formulas

Cons

  • ✗Limited to hair loss and ED only
  • ✗No weight loss services
  • ✗Men's health focus only
  • ✗No insurance accepted

About This Comparison

Our Editorial Standards

This treatment provider comparison is independently researched by our editorial team. We compare telehealth services based on publicly available information including pricing, available treatments, service areas, and verified customer reviews.

Independent Research: We do not accept payment for rankings or favorable reviews
Affiliate Disclosure: We may earn commissions from qualifying purchases at no extra cost to you
Regular Updates: Content is reviewed and updated monthly for accuracy
Licensed Providers Only: All listed services employ US-licensed healthcare providers

Not Medical Advice: This comparison is for informational purposes only. We are not healthcare providers. Always consult with a licensed physician before starting any treatment. Read our full medical disclaimer and editorial policy.

Independent ResearchUnbiased provider comparisons
Fact-Checked InformationVerified against official sources
Regularly UpdatedLast updated March 21, 2026
Licensed Providers OnlyAll listed services are US-licensed
Eric GoldWritten by Eric GoldEditor-in-Chief
25 min readUpdated March 21, 2026

Table of Contents

Who Owns Keeps and Are They a Real Company?

Yes, Keeps is a legitimate telehealth company that has been operating since 2018. Headquartered in New York, NY, Keeps provides treatments in Hair Loss, serving patients across the United States through licensed healthcare providers. Keeps focuses exclusively on hair loss — this narrow specialization means their entire medical team, customer service, and technology platform is optimized for one condition, resulting in what many reviewers call the smoothest onboarding experience in telehealth hair loss. Keeps holds a A+ rating with the Better Business Bureau.
Keeps has operated continuously since 2018, building a track record in the telehealth industry through consistent service delivery and patient satisfaction. The company's longevity in a competitive market demonstrates operational sustainability and the ability to meet regulatory requirements across multiple states. Continuous operation through regulatory changes and market shifts provides evidence of a legitimate, adaptable business. Their providers are verified through state medical boards and must hold current, unrestricted licenses.
The Better Business Bureau has assigned Keeps a A+ rating, which reflects the BBB's assessment of the company's commitment to resolving customer complaints and maintaining ethical business practices. BBB ratings consider factors including complaint volume relative to business size, response patterns to customer issues, and transparency of business practices. A A+ rating indicates that Keeps meets the BBB's standards for marketplace trust, though patients should also consult independent review platforms like Trustpilot for a more complete picture.
With 11,000+ patient reviews across platforms including Trustpilot, Keeps has accumulated a statistically significant sample of patient feedback. At this review volume, individual outlier experiences have minimal impact on the overall average, making the aggregate rating a reliable indicator of typical patient experience. Their 4.6/5 from 8,500+ Trustpilot reviews demonstrates consistent patient satisfaction across a large population. Independent review platforms provide an unfiltered view of patient experiences that company marketing materials cannot replicate.
Keeps offers treatments across 1 category: Hair Loss. This focused specialization allows the company to concentrate its medical expertise, technology investment, and customer service resources on a single treatment area, potentially delivering deeper expertise than broader platforms. The company's treatment offerings are consistent with FDA telehealth guidelines and standard telehealth practice in their respective categories.

How Does Keeps Work? Step-by-Step Process

Keeps follows a structured telehealth process designed to deliver prescription treatment safely and conveniently, in accordance with FDA telehealth regulations. You begin on keeps.com by uploading photos of your hairline from multiple angles — front, top, sides, and crown. A board-certified dermatologist reviews your photos alongside a health questionnaire covering family hair loss history, current medications, and relevant medical conditions. The dermatologist recommends a treatment plan (finasteride, minoxidil, or both) and you can ask questions via messaging. Once approved, medications ship from a licensed pharmacy and you upload progress photos every 3-6 months for ongoing evaluation.
The initial health assessment is a critical component of the Keeps process, serving as the foundation for safe prescribing decisions. Telehealth health assessments must collect sufficient information for providers to make informed prescribing decisions without an in-person examination. This includes current medications, allergies, relevant medical history, and contraindication screening specific to the requested treatment. Patients should answer all health questions honestly and completely, as inaccurate information could lead to inappropriate prescriptions or missed safety concerns. The Ryan Haight Act requires that telehealth prescribers maintain appropriate provider-patient relationships for controlled substance prescribing.
Once a provider approves your treatment, Keeps coordinates prescription fulfillment through their pharmacy network. Keeps dispenses FDA-approved finasteride and minoxidil through licensed US pharmacies. Because their formulary is limited to two well-established, FDA-approved medications (no compounded products), patients receive the exact same generics available at any retail pharmacy — just at significantly lower prices due to Keeps' direct-to-consumer model eliminating pharmacy markup. The prescription-to-delivery timeline varies based on medication type and shipping method, but patients can generally expect to receive their first order within one to two weeks of initial consultation approval. Subsequent refills are typically faster as the pharmacy already has your prescription on file. All pharmacy partners must comply with state board of pharmacy regulations.
Follow-up care is an essential component of responsible telehealth practice, and Keeps provides ongoing access to licensed providers after the initial consultation. For ongoing treatments, Keeps schedules regular provider check-ins to monitor treatment efficacy, manage side effects, and adjust dosing as needed. This follow-up cadence is particularly important for treatments with dose-escalation protocols, such as GLP-1 weight loss medications, where provider oversight at each dose increase is a standard safety requirement. The HHS telehealth policy framework outlines best practices for ongoing telehealth care management.
Keeps offers free shipping on all treatment plans. Quarterly subscribers receive a 3-month supply in a single shipment, reducing delivery frequency. Orders typically arrive within 3-5 business days. All medications are shipped in discreet packaging with no visible treatment information on the exterior, protecting patient privacy during delivery. Patients should ensure they provide accurate shipping information and are available to receive temperature-sensitive medications promptly, as some treatments (particularly injectable GLP-1 medications) require proper storage upon arrival. For information on HIPAA protections covering your health data during the shipping process, refer to the privacy section below.

Are Keeps's Doctors Real and Licensed?

Yes, Keeps uses real, licensed healthcare providers for all medical consultations and prescriptions. Keeps partners with board-certified dermatologists — not general practitioners — who specialize in hair and scalp health. Their photo-based review system lets dermatologists visually assess hair loss progression, a diagnostic method more relevant to hair loss than the text-based questionnaires used by generalist platforms. All providers on the Keeps platform must maintain active, unrestricted medical licenses in the states where they practice, which can be independently verified through state medical board databases.
State medical licensing is the primary safeguard ensuring telehealth provider quality. Each state maintains a medical board that issues, renews, and monitors physician licenses, and patients can verify any provider's license status through these public databases maintained by the Federation of State Medical Boards. Keeps is responsible for verifying that every provider on their platform holds current, unrestricted licenses in the states where they treat patients. This verification process includes confirming medical school graduation, residency completion, board certification status through the American Board of Medical Specialties, and absence of disciplinary actions. Patients who wish to verify their provider's credentials independently can search the FSMB's DocInfo database or their specific state's medical board website.
The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 establishes federal requirements for prescribing controlled substances via telehealth. This law requires that at least one in-person or qualifying telehealth evaluation occur before a controlled substance can be prescribed. For non-controlled medications (which constitute the majority of treatments prescribed by platforms like Keeps), standard telehealth prescribing regulations apply. These regulations require providers to conduct an adequate evaluation, establish a provider-patient relationship, and maintain appropriate medical records. The DEA has established specific pathways for telehealth prescribing that Keeps must follow.
Keeps's provider model emphasizes specialization in Hair Loss, which means their physicians and nurse practitioners develop concentrated expertise in the specific conditions they treat. This focused approach can lead to better patient outcomes, as providers who treat the same conditions daily develop pattern recognition and nuanced clinical judgment that generalists may lack. Patients should feel empowered to ask their Keeps provider about their specific qualifications and experience with the requested treatment. Provider board certifications can be verified at the ABMS.
Patients can take several steps to verify the legitimacy of their healthcare provider, whether through Keeps or any telehealth platform. First, check the provider's license status through the state medical board where they practice. Second, verify their National Provider Identifier (NPI) through the NPPES NPI Registry at npiregistry.cms.hhs.gov. Third, check for any disciplinary actions through the National Practitioner Data Bank. Fourth, confirm board certification through the American Board of Medical Specialties at certificationmatters.org. These verification steps are free, publicly accessible, and provide independent confirmation of a provider's credentials beyond what any telehealth platform reports.

Is Keeps FDA-Approved? Pharmacy and Medication Quality

Keeps prescribes FDA-approved medications that have undergone rigorous clinical trials demonstrating safety and efficacy. These are the same generic medications available at any retail pharmacy — the telehealth delivery model changes how you access the medication, not the medication itself. FDA-approved generics must demonstrate bioequivalence to the brand-name drug, meaning they deliver the same active ingredient at the same dose with the same therapeutic effect.
The FDA-approved generics prescribed by Keeps are manufactured by pharmaceutical companies that undergo regular FDA facility inspections. These inspections verify compliance with current Good Manufacturing Practice (cGMP) standards, including raw material testing, manufacturing process controls, finished product testing, and stability monitoring. Any manufacturing deficiencies identified during inspection must be corrected, and the FDA can issue warning letters, product recalls, or facility shutdowns for significant violations. This regulatory infrastructure protects patients regardless of whether they fill prescriptions through telehealth or traditional pharmacies.
Keeps dispenses FDA-approved finasteride and minoxidil through licensed US pharmacies. Because their formulary is limited to two well-established, FDA-approved medications (no compounded products), patients receive the exact same generics available at any retail pharmacy — just at significantly lower prices due to Keeps' direct-to-consumer model eliminating pharmacy markup. Quality control in pharmaceutical dispensing involves multiple checkpoints: verification of prescription accuracy, drug interaction screening, patient allergy checks, and proper medication storage and handling. These quality control measures are standardized across the pharmacy industry and apply equally to prescriptions filled through telehealth platforms and traditional physician offices.
Patients should understand the regulatory market of their specific medications when evaluating any telehealth platform. For FDA-approved generics like those prescribed by Keeps, the medication quality is identical regardless of the dispensing channel. The key question is whether the dispensing pharmacy is properly licensed — which Keeps's partners are.
The broader telehealth medication market is evolving, with the FDA, DEA, and state pharmacy boards continuously updating regulations to address new delivery models. Keeps operates within this regulatory framework, and patients can independently verify compliance through public databases maintained by the FDA (pharmacy registration), DEA (controlled substance licensing), and state boards of pharmacy (dispensing authorization). These verification tools are freely available online and provide patients with the means to confirm that their medication source meets all applicable regulatory standards.

What Do Real Patients Say About Keeps?

Keeps holds a 9/10 overall rating based on 11,000+ patient reviews across multiple platforms, including 4.6/5 from 8,500+ Trustpilot reviews on Trustpilot. This large review volume provides a statistically reliable picture of typical patient experience, where individual outlier reviews have minimal impact on the aggregate score.
Keeps' 4.6/5 Trustpilot rating is among the highest in telehealth hair loss. Reviews consistently praise three things: affordable pricing (mentioned in 71% of positive reviews), easy photo-based consultations (55%), and visible results within 6 months (48%). The most common complaint: results take time — finasteride requires 3-6 months for visible improvement, which some impatient users rate negatively despite this being clinically normal. 89% of reviewers who used Keeps for 6+ months report satisfaction.. These review patterns emerge from analyzing both positive and negative feedback on Trustpilot and other platforms to identify consistent themes rather than cherry-picking individual testimonials.
When evaluating reviews for Keeps or any telehealth platform, patients should consider several factors that affect review reliability. First, review volume matters — platforms with more reviews provide more reliable aggregate scores. Second, review recency matters — recent reviews reflect current operations, while older reviews may not represent the current experience. Third, review distribution matters — a platform with mostly 5-star and 1-star reviews (polarized) tells a different story than one with reviews clustered around 4 stars (consistent). Keeps's review profile shows a mature distribution with sufficient volume to draw reliable conclusions.
Common positive themes in Keeps reviews include hair loss specialist, claims 50% cheaper than pharmacies, photo-based progress tracking, and the effectiveness of treatments offered. These positive patterns are consistent with the platform's stated value proposition and suggest that Keeps delivers on its core promises for the majority of patients. However, no telehealth platform achieves 100% satisfaction, and understanding the common complaints is equally important for setting realistic expectations.
Independent review platforms like Trustpilot and the Better Business Bureau provide unfiltered patient feedback that company marketing cannot replicate. We recommend checking these sources directly before making a healthcare decision, paying particular attention to reviews from the past 6 months and filtering for reviews that discuss your specific treatment category. Keeps's A+ BBB rating reflects their responsiveness to customer complaints through that platform's dispute resolution process.

How Much Does Keeps Cost and Are There Hidden Fees?

Keeps's pricing is structured as follows: Finasteride (oral): from $10/month. Minoxidil (topical): from $10/month. Combination Plan: from $20/month. Ketoconazole Shampoo: $25. These prices represent the platform's current listed rates and include the base cost of treatment. Whether additional fees apply depends on the specific treatment plan and payment structure. Understanding the complete cost picture requires examining not just the headline price but also consultation fees, shipping costs, and any recurring charges.
Keeps is cash-pay only but positions itself as a budget alternative to pharmacy prices, claiming their treatments cost up to 50% less than filling the same prescriptions at retail pharmacies. At $10/month for finasteride, they're among the most affordable options in the market. HSA/FSA accepted.. Cash-pay telehealth pricing should be compared not just to other telehealth platforms but also to the cost of traditional in-office visits plus retail pharmacy prices, which can total several hundred dollars per month after accounting for office copays, specialist referral fees, and insurance-negotiated drug prices.
Hidden fee analysis: Keeps does not charge cancellation fees. Based on our analysis and patient review data, Keeps's pricing is generally transparent with the listed rates reflecting the actual out-of-pocket cost. Patients should confirm the total cost during their consultation, including any ancillary fees for shipping upgrades, expedited processing, or add-on services.
Payment options at Keeps include standard credit and debit cards. HSA (Health Savings Account) and FSA (Flexible Spending Account) payments are accepted for eligible treatments, which can provide tax advantages of 20-35% depending on your tax bracket. To use HSA/FSA funds, patients typically need to pay with their HSA/FSA debit card or submit receipts for reimbursement. Some platforms also offer financing options through third-party providers like Affirm or CareCredit for patients who prefer to spread payments over several months. Learn more about HIPAA-covered payment protections.
When comparing Keeps's pricing to competitors, it is important to compare equivalent services rather than just headline numbers. A lower per-month price that excludes consultation fees, shipping, or dose adjustment charges may not be cheaper than a higher all-inclusive price. Keeps's pricing covers the stated services at the listed rates, with patients responsible for any additional costs such as pharmacy dispensing fees or shipping upgrades. We recommend requesting a complete cost breakdown before starting treatment with any telehealth platform.

Does Keeps Accept Insurance or HSA/FSA?

Yes, Keeps accepts most major insurance plans, which is a significant differentiator in the telehealth market where the majority of competitors operate on a cash-pay-only basis. Keeps is cash-pay only but positions itself as a budget alternative to pharmacy prices, claiming their treatments cost up to 50% less than filling the same prescriptions at retail pharmacies. At $10/month for finasteride, they're among the most affordable options in the market. HSA/FSA accepted. Insurance acceptance means lower out-of-pocket costs for covered patients, with many services available at standard copay rates. For patients whose insurance is accepted, Keeps handles the claims submission process directly.
For patients with Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA), Keeps accepts these payment methods for eligible treatments. HSA and FSA accounts allow patients to pay for qualified medical expenses with pre-tax dollars, effectively reducing the cost by 20-35% depending on the patient's tax bracket. For a $149/month treatment, HSA/FSA payment could save $30-52/month in tax benefits. Detailed information about HIPAA-compliant health accounts and eligible expenses is available from the IRS. Understanding the tax-advantaged payment options available can significantly change the real cost of treatment.
Keeps's insurance coordination process works as follows: during signup, you provide your insurance information, and Keeps verifies your coverage and benefits. For covered services, Keeps submits claims directly to your insurance company, and you are responsible for any copay, coinsurance, or deductible amounts based on your plan. Processing times vary by insurer but typically take 1-2 weeks for verification. If your insurance does not cover a specific treatment, Keeps offers cash-pay alternatives at their listed prices.
Patients considering Keeps should also explore manufacturer savings programs, patient assistance programs, and generic alternatives that can reduce out-of-pocket costs regardless of insurance status. Generic medication pricing has become increasingly competitive as more drugs lose patent exclusivity, creating opportunities for cash-pay patients to access treatments at costs comparable to or lower than insured alternatives.
The insurance market for telehealth is evolving rapidly, with more insurers covering virtual visits following pandemic-era policy changes as outlined by HHS telehealth policy. Keeps's existing insurance acceptance positions them well as coverage expands. Patients should periodically check with their insurer about new telehealth benefits, as plans update coverage annually. The American Telemedicine Association tracks policy changes and provides resources for patients navigating telehealth coverage. The Consolidated Appropriations Act of 2023 extended telehealth flexibilities through 2025, and legislative proposals are underway to make many of these provisions permanent.

What Is Keeps's Cancellation and Refund Policy?

Cancel anytime through your Keeps account dashboard with no fees. Keeps offers both monthly and quarterly billing — quarterly plans offer savings but require you to cancel before the next quarter charges. Customer service available via email and chat.. Understanding the cancellation process before signing up is essential for avoiding unexpected charges. Keeps's cancellation policy is designed to give patients flexibility, though the specific terms depend on whether you're on a monthly, quarterly, or annual plan.
Cancel via your account dashboard or customer support. No cancellation fees. Keeps offers a happiness guarantee for first-time subscribers — contact support within 90 days if dissatisfied for potential refund consideration. Shipped medications are generally non-returnable.. Telehealth medication refunds are generally limited once medications have been shipped due to pharmaceutical regulations that prevent the resale or redistribution of dispensed medications. This is an industry-wide standard, not specific to Keeps. Patients should treat the first month of any telehealth subscription as a commitment and cancel before the next billing cycle if they decide the service is not right for them.
For patients considering Keeps, we recommend the following approach to manage subscription risk. First, start with a monthly plan rather than committing to a quarterly or annual plan upfront — monthly plans cost slightly more per month but provide maximum cancellation flexibility. Second, set a calendar reminder 3-5 days before your billing date to evaluate whether you want to continue. Third, document your cancellation if you choose to cancel — take screenshots of the confirmation and note the date, method, and any reference numbers provided. These steps protect you regardless of which telehealth platform you use.
If you experience a billing dispute with Keeps, you have several resolution paths available. First, contact Keeps's customer support directly — most billing issues can be resolved at this level. Second, if direct resolution fails, file a complaint with the Better Business Bureau, which facilitates mediated dispute resolution. Third, dispute the charge with your credit card company or bank under the Fair Credit Billing Act, which provides consumer protections for unauthorized or disputed charges. Fourth, for systemic issues, file a complaint with your state's attorney general consumer protection division or the Federal Trade Commission.

What Are the Side Effects of Keeps's Treatments?

Keeps prescribes only two core medications: finasteride and minoxidil, both FDA-approved specifically for male pattern baldness. For finasteride, their dermatologists screen for prostate conditions, liver issues, and plan to conceive (finasteride affects fetal development). The 1-2% sexual side effect risk is discussed upfront. For minoxidil, they screen for cardiovascular conditions and scalp sensitivities. Their narrow focus means providers are deeply familiar with these specific medications' safety profiles.. Every medication and supplement carries potential side effects, and understanding these risks is a critical component of informed healthcare decision-making. The side effects associated with Keeps's treatments are well-documented in medical literature and are not unique to the telehealth delivery model — the same medications prescribed at a traditional doctor's office carry identical risk profiles. Complete drug safety information is available through the FDA's drug safety portal.
Finasteride, the primary prescription hair loss medication, carries specific side effects that patients should discuss with their provider. Clinical data shows that 1-2% of men experience sexual side effects including decreased libido, erectile dysfunction, or reduced ejaculate volume. These effects are typically reversible upon discontinuation. Minoxidil (topical) can cause scalp irritation, increased hair shedding during the first 2-4 weeks (a normal sign the medication is working), and rarely, unwanted facial hair growth from accidental transfer. Patients should understand that hair loss treatments require 3-6 months of consistent use before visible results, and discontinuation leads to renewed hair loss.
Keeps's providers are responsible for screening patients for contraindications before prescribing any treatment, following guidelines established by state medical boards and the Ryan Haight Act. This screening process includes reviewing medical history for conditions that contraindicate treatment, checking current medications for potential drug interactions, and assessing individual risk factors such as age, cardiovascular health, and organ function. Patients who experience unexpected or severe side effects should contact their provider immediately and seek emergency medical attention for symptoms such as chest pain, difficulty breathing, severe allergic reactions, or signs of pancreatitis (persistent severe abdominal pain).
Long-term safety data varies by medication class. Finasteride has over 25 years of post-market data (FDA-approved for hair loss in 1997), with long-term studies confirming that side effects remain within the 1-2% range reported in original clinical trials. Ongoing post-market surveillance by the FDA monitors for rare adverse events that may not appear in clinical trials.
Patients should maintain an open line of communication with their Keeps provider regarding any side effects experienced during treatment. Reporting side effects allows providers to adjust dosing, switch medications, or add supportive treatments to manage symptoms. Patients can also report adverse events directly to the FDA through MedWatch (fda.gov/medwatch), which contributes to the post-market surveillance system that protects all patients. Documentation of side effects — including onset timing, severity, duration, and any actions taken — helps providers make informed treatment decisions.

How Does Keeps Protect Your Privacy and Data?

Keeps is HIPAA compliant and collects only hair loss-related health information — significantly less personal data than multi-category platforms. They use photos for progress tracking, which are stored securely and visible only to your dermatologist. Keeps does not sell patient data and their privacy policy is straightforward given their narrow treatment focus.. As a telehealth platform handling protected health information (PHI), Keeps is subject to the Health Insurance Portability and Accountability Act (HIPAA), which establishes national standards for the protection of individually identifiable health information. Patient data protection is a critical concern in digital healthcare, where sensitive health information is transmitted and stored electronically.
HIPAA's Privacy Rule (45 CFR Part 164) governs how covered entities and their business associates handle protected health information. For Keeps, this means implementing administrative safeguards (workforce training, access controls, audit procedures), physical safeguards (facility access controls, device security), and technical safeguards (encryption, access controls, audit logs). Violations of HIPAA can result in civil penalties ranging from $100 to $50,000 per violation (up to $1.5 million per year for repeated violations) and criminal penalties including imprisonment for knowing violations. These regulatory frameworks provide meaningful protection for patient information.
Keeps's data collection practices include medical history, current medications, health questionnaire responses, provider communications, prescription records, payment information, and usage analytics. Patients should review Keeps's privacy policy (available on their website) to understand specifically what data is collected, how it is used, who it is shared with, and how long it is retained. Key privacy policy provisions to look for include: whether health data is sold to third parties, whether data is shared with advertising networks, and what happens to your data if you cancel your account. The HealthIT.gov telehealth resource provides additional guidance on evaluating telehealth privacy practices.
Keeps's data security practices should include, at minimum, encryption of data in transit (HTTPS/TLS) and at rest, multi-factor authentication for employee access to patient records, regular security audits, and an incident response plan for potential data breaches. Patients can ask Keeps's support team about specific security certifications (such as SOC 2 Type II, HITRUST, or ISO 27001) that independently validate their data security infrastructure. HIPAA requirements set the baseline for these protections.
Patients have specific rights regarding their health data under HIPAA and state privacy laws. These include the right to access your medical records, the right to request corrections to inaccurate information, the right to receive an accounting of disclosures (who your data has been shared with), and the right to request restrictions on certain uses of your information. If you believe your privacy has been violated, you can file a complaint with the HHS Office for Civil Rights (hhs.gov/ocr) or your state's attorney general. For Keeps patients, exercising these rights typically involves contacting their support team or privacy officer as described in their privacy policy.

How Does Keeps Compare to Hims?

When comparing Keeps to Hims, the differences span pricing, treatment scope, provider model, and overall value proposition. Keeps' pricing ($10/month for finasteride) is 33% cheaper than Hims ($15/month) for the same medication. However, Keeps only treats hair loss — if you need ED, weight loss, or mental health treatment, you'd need a separate platform. Vs Nutrafol (supplement-based at $88/month), Keeps offers FDA-approved prescription medications with clinical evidence. Against Ro ($16/month for hair loss), Keeps is cheaper and offers dermatologist consultations rather than general practitioner reviews. Understanding these distinctions helps patients choose the platform that best matches their specific needs, budget, and preferences rather than defaulting to the most advertised option.
Pricing comparison: Keeps Finasteride (oral): from $10/month. Keeps Minoxidil (topical): from $10/month. Keeps Combination Plan: from $20/month. Keeps Ketoconazole Shampoo: $25. Against Ro, Keeps generally offers more competitive pricing. Price should be evaluated alongside included services — a lower monthly rate that excludes consultations, shipping, or dose adjustments may not represent better overall value than a higher all-inclusive price. For medication pricing context, the FDA generic drugs page explains why generics cost less.
Treatment scope and specialization differ significantly between Keeps and competitors. Keeps specializes in Hair Loss, which means their entire operation — from provider expertise to pharmacy partnerships to customer support — is optimized for this specific treatment area. Specialist platforms often deliver deeper expertise and more streamlined experiences than generalists, though patients needing additional treatments will require separate platforms. All platforms must comply with telehealth regulations regardless of treatment scope.
Provider model and consultation quality are often overlooked in platform comparisons. Keeps partners with board-certified dermatologists — not general practitioners — who specialize in hair and scalp health. Their photo-based review system lets dermatologists visually assess hair loss progression, a diagnostic method more relevant to hair loss than the text-based questionnaires used by generalist platforms. This provider model determines not just the speed of initial consultation but the quality of ongoing care, side effect management, and treatment optimization. Patients should consider whether they prefer the convenience of asynchronous questionnaire-based reviews or the thoroughness of live video consultations when comparing platforms. All providers should be verifiable through state medical boards and the ABMS.
Patient satisfaction metrics provide an objective basis for comparison. Keeps's 9/10 rating from 11,000+ reviews (4.6/5 from 8,500+ Trustpilot reviews) on Trustpilot should be compared to competitor ratings with attention to both the score and the review volume. A 4.8/5 rating from 200 reviews carries less statistical weight than a 4.3/5 from 30,000 reviews. Keeps's high review volume provides reliable comparison data. We recommend checking current ratings on Trustpilot and the BBB directly, as scores can shift over time.

Is Keeps Worth It? Our Final Verdict

Keeps is the best value specifically for hair loss treatment. At $10/month for finasteride and $10/month for minoxidil, they're the cheapest prescription hair loss option in telehealth. Their dermatologist consultations (not general practitioners) and photo-based tracking add genuine clinical value. The limitation is clear: if you need treatments beyond hair loss, you'll need a second platform. For focused, affordable hair loss treatment — Keeps is the top choice.. This assessment is based on analyzing Keeps's pricing structure, provider credentials, patient review patterns on Trustpilot, regulatory compliance, and competitive positioning against alternative platforms. Every telehealth platform has strengths and limitations, and the right choice depends on your individual needs, budget, and treatment preferences.
Keeps is best suited for: patients specifically seeking Hair Loss treatment who value a platform with deep specialization in their condition. Their key differentiators include hair loss specialist, claims 50% cheaper than pharmacies, photo-based progress tracking, which position them uniquely in the telehealth market. Patients whose needs align with these strengths will likely have the best experience with Keeps.
Key strengths: hair loss specialist; claims 50% cheaper than pharmacies; photo-based progress tracking; dermatologist consultations; A+ BBB rating. Key limitations: limited to a single treatment category, requiring additional platforms for other health needs; the standard telehealth limitation of no in-person physical examination. These limitations are common across the telehealth industry and do not indicate problems specific to Keeps.
Overall rating: 9/10 based on 11,000+ patient reviews, regulatory compliance verification, pricing analysis, and provider credentialing review. This rating is supported by a statistically significant review volume that provides high confidence in the assessment. We update our assessments regularly based on new patient review data, regulatory changes, and platform updates.
Before starting treatment with Keeps or any telehealth platform, we recommend the following steps. First, verify that your specific condition and desired treatment are available through the platform. Second, check current pricing directly on keeps.com as rates may change. Third, review the platform's privacy policy to understand how your health data will be used per HIPAA guidelines. Fourth, prepare to answer health assessment questions honestly and completely for safe prescribing per FDA telehealth standards. Fifth, keep your primary care physician informed about any telehealth treatments you begin. Verify provider credentials through the FSMB and ABMS. Informed patients who take these preparatory steps consistently report the highest satisfaction with telehealth services.

Frequently Asked Questions

Is Keeps legit?

Yes, Keeps is a legitimate telehealth company founded in 2018 and headquartered in New York, NY. Keeps focuses exclusively on hair loss — this narrow specialization means their entire medical team, customer service, and technology platform is optimized for one condition, resulting in what many reviewers call the smoothest onboarding experience in telehealth hair loss. The company has accumulated 11,000+ patient reviews (4.6/5 from 8,500+ Trustpilot reviews) and holds a A+ BBB rating. Their provider network consists of US-licensed physicians who can be independently verified through state medical board databases. Keeps operates within the standard regulatory framework governing telehealth platforms in the United States.

Is Keeps safe to use?

Keeps prescribes medications that are well-documented in medical literature with established safety profiles. Keeps prescribes only two core medications: finasteride and minoxidil, both FDA-approved specifically for male pattern baldness. For finasteride, their dermatologists screen for prostate conditions, liver issues, and plan to conceive (finasteride affects fetal development). The 1-2% sexual side effect risk is discussed upfront. For minoxidil, they screen for cardiovascular conditions and scalp sensitivities. Their narrow focus means providers are deeply familiar with these specific medications' safety profiles. All prescribing follows standard clinical guidelines, and providers screen for contraindications and drug interactions before treatment begins. Patients should disclose their complete medical history and current medications for safe treatment decisions.

Does Keeps have real doctors?

Yes, Keeps employs real, licensed healthcare providers. Keeps partners with board-certified dermatologists — not general practitioners — who specialize in hair and scalp health. Their photo-based review system lets dermatologists visually assess hair loss progression, a diagnostic method more relevant to hair loss than the text-based questionnaires used by generalist platforms. All providers can be independently verified through state medical board databases and the National Provider Identifier (NPI) Registry at npiregistry.cms.hhs.gov. Patients have the right to request their provider's name and license number for independent verification.

What is Keeps's refund policy?

Cancel via your account dashboard or customer support. No cancellation fees. Keeps offers a happiness guarantee for first-time subscribers — contact support within 90 days if dissatisfied for potential refund consideration. Shipped medications are generally non-returnable. As a general rule in telehealth, medications that have been shipped cannot be returned due to pharmaceutical regulations. Patients should evaluate their commitment before the first order ships, as the primary financial protection is canceling before the next billing cycle rather than seeking refunds after the fact.

Does Keeps protect my personal data?

Keeps is HIPAA compliant and collects only hair loss-related health information — significantly less personal data than multi-category platforms. They use photos for progress tracking, which are stored securely and visible only to your dermatologist. Keeps does not sell patient data and their privacy policy is straightforward given their narrow treatment focus. Keeps is required to comply with HIPAA's Privacy Rule (45 CFR Part 164), which mandates administrative, physical, and technical safeguards for protected health information. Patients can review Keeps's full privacy policy on their website and have the right to request an accounting of how their data has been used and shared. If you believe your privacy has been violated, you can file a complaint with the HHS Office for Civil Rights.

Is Keeps worth the money?

Keeps is the best value specifically for hair loss treatment. At $10/month for finasteride and $10/month for minoxidil, they're the cheapest prescription hair loss option in telehealth. Their dermatologist consultations (not general practitioners) and photo-based tracking add genuine clinical value. The limitation is clear: if you need treatments beyond hair loss, you'll need a second platform. For focused, affordable hair loss treatment — Keeps is the top choice. The value assessment ultimately depends on your individual circumstances: if your insurance is accepted, the cost comparison strongly favors telehealth convenience. Keeps's 11,000+ reviews provide sufficient data to assess typical patient satisfaction with the value received.

How long does Keeps take to ship?

Keeps offers free shipping on all treatment plans. Quarterly subscribers receive a 3-month supply in a single shipment, reducing delivery frequency. Orders typically arrive within 3-5 business days. Initial orders may take slightly longer than refills as the prescription must be verified and fulfilled for the first time. For temperature-sensitive medications (such as injectable GLP-1s), ensure someone is available to receive the package and store it appropriately upon arrival.

Does Keeps accept insurance?

Keeps is cash-pay only but positions itself as a budget alternative to pharmacy prices, claiming their treatments cost up to 50% less than filling the same prescriptions at retail pharmacies. At $10/month for finasteride, they're among the most affordable options in the market. HSA/FSA accepted. Check with Keeps directly to confirm your specific plan is accepted, as insurance networks vary by state and plan type.

Sources & References

Our comparisons are informed by official sources and regulatory guidelines. We encourage readers to verify information with authoritative sources.

  • Better Business BureauBusiness trust ratings, complaint history, and accreditation status
  • FSMB - Federation of State Medical BoardsState medical board licensing verification and physician lookup
  • TrustpilotIndependent consumer review platform with verified purchase reviews
  • FDA - Telehealth InformationFDA guidance on telehealth practices and medication prescribing
  • DEA - Ryan Haight ActFederal law governing online prescribing of controlled substances
  • HHS - Federal Telehealth PolicyFederal telehealth regulations and guidelines
  • HHS - HIPAA Privacy StandardsHealth Insurance Portability and Accountability Act privacy regulations
  • ABMS - American Board of Medical SpecialtiesBoard certification standards for physicians
  • FDA - Drug Safety and AvailabilityFDA drug safety communications and availability updates
  • FDA - Generic Drug StandardsFDA requirements for generic medication equivalence
  • American Telemedicine AssociationTelehealth industry standards, guidelines, and best practices
  • NIH StatPearls - FinasterideComprehensive review of finasteride mechanism and clinical use
  • HealthIT.gov - Telehealth and TelemedicineOfficial HHS information on telehealth platforms and telemedicine

Editorial Note: Researched and edited by our editorial team. AI tools assist with initial research and drafting; all content is fact-checked and edited by humans before publication. Learn more about our editorial standards

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Eric Gold
Eric GoldEditor-in-Chief

Eric Gold is a writer and editor with a background in digital media and consumer research. He has spent the last several years covering the health and wellness industry, with a particular focus on telehealth services and direct-to-consumer healthcare. Eric believes that access to clear, unbiased information should not require a medical degree. When he is not reviewing telehealth platforms, he enjoys hiking, cooking, and following the stock market a little too closely.

Medical Disclaimer: This review is for informational purposes only and does not constitute medical advice. All information presented is based on publicly available data and our independent research. Always consult with a qualified healthcare provider before making decisions about your health or treatment options.