Women's Health Telehealth in Washington The 4 Providers Available Right Now and How to Choose

Four women's health telehealth providers are currently operating in Washington: Hers, Sesame Care, Strut, and Wisp. That is a solid selection compared to many states, and the range covers everything from basic birth control prescriptions to menopause hormone therapy to reproductive health conditions like BV and UTIs.

One name you might have already researched is Nurx. Nurx is not one of the four platforms compared on this page, so check nurx.com directly if you want to look into it. Every provider discussed in this guide is one of the four compared here, so you are not wasting time reading about services outside that list.

The four providers split into two categories pretty cleanly. Hers and Wisp are women's health specialty platforms that handle specific conditions with their own prescribing teams and pharmacy networks. Sesame Care functions more like a primary care marketplace where you see a licensed provider and can address multiple issues in one visit. Strut is backed by a compounding pharmacy and focuses on custom formulations, particularly for hair loss. Knowing which type you need upfront saves you time and money.

Washington is one of the states with full telehealth insurance parity required by law. What that means for you practically is that any state-regulated insurance plan in Washington must cover telehealth visits at the same rate as in-person visits. If your plan covers a primary care visit at zero cost sharing, a telehealth visit should also cost you nothing beyond your existing copay structure, though none of the four Washington platforms bills your insurer directly, so check with your plan about out-of-network telehealth reimbursement first.

None of the four Washington platforms, Hers, Sesame Care, Strut, and Wisp, bills your insurer directly. If you have a Washington state-regulated plan with good telehealth benefits, ask your plan about out-of-network reimbursement for a birth control, menopause HRT, or mental health consultation before you book; that reimbursement can change the math significantly compared to paying $20 to $75 out of pocket.

Washington Medicaid covers some telehealth women's health services but not all of them. The coverage is listed as partial for the state, which means some services like contraception counseling are typically covered, but others like certain compounded medications or specialty menopause treatments may require prior authorization or are excluded entirely. If you are on Apple Health, none of the four platforms bills it directly, so verify your specific plan's telehealth reimbursement process before your first appointment.

One thing Washington's parity law does not do is force these platforms to bill your insurance directly. Hers, Sesame Care, Strut, and Wisp all operate on direct-to-consumer or pay-per-visit pricing models. You can sometimes submit for out-of-network reimbursement yourself, but that is not guaranteed, so call your plan and ask about its process before you book.

Birth control via telehealth is legal in Washington, and this is one of the smoothest use cases across all four providers. Washington law does not require an in-person pelvic exam or an in-person visit to prescribe combined oral contraceptives, the progestin-only pill, or emergency contraception. A telehealth consultation where you answer a health questionnaire reviewed by a licensed provider is sufficient for most cases.

For combined oral contraceptives and the progestin-only mini-pill, Hers and Wisp are both built around this exact service. Hers charges around $25 per month for birth control with free delivery and no consultation fee attached to that specific pathway. Wisp structures pricing slightly differently depending on whether you are getting a new prescription or a refill, with initial consultations starting around $25 to $35 and ongoing refill prescriptions in a similar range. Both ship to Washington addresses.

If you want a pharmacist at a Washington brick-and-mortar pharmacy to fill the prescription rather than using mail delivery, Sesame Care is a good fit; its providers can send prescriptions to your local pharmacy, which can be useful if you want same-day access. Sesame Care's per-visit pricing for a birth control consultation starts at $69 and varies with the provider you pick.

Emergency contraception including Plan B and ella is available through telehealth in Washington. Wisp specifically offers ella prescriptions online, which matters because ella is prescription-only and more effective than Plan B at higher body weights. If you are in Seattle or another urban part of Washington, same-day pharmacy access is easier, but for rural residents in eastern Washington or the Olympic Peninsula, being able to get an ella prescription online and have it shipped quickly is a real advantage.

Washington telehealth providers can prescribe HRT, but the state regulatory context means a proper consultation is required first. You cannot just fill out a form and get estradiol shipped to you. Every provider offering menopause treatment in Washington requires a licensed provider to review your health history, symptoms, and risk factors before writing a prescription. That is true whether you use Hers, Wisp, or Sesame Care.

Hers covers menopause care and can prescribe HRT options including estradiol and progesterone for Washington residents. The consultation happens asynchronously on their platform, meaning you fill out a detailed health questionnaire and a provider reviews it, typically within 24 hours. This works well if your situation is relatively straightforward, but if you have a complex history including prior breast cancer, cardiovascular issues, or a history of blood clots, an asynchronous review may not be enough and you would be better served by a synchronous video visit.

Wisp is specifically built for women's reproductive and hormonal health and handles menopause treatment including vaginal estrogen for Washington residents. Vaginal estrogen is listed as available in Washington, and Wisp's platform is designed to move quickly from consultation to prescription. If your primary menopause symptoms are vaginal dryness or urinary changes, vaginal estrogen is often the first recommendation and carries fewer systemic risks than oral HRT, which makes it easier to prescribe via telehealth.

For Washington residents who want to discuss menopause treatment with a provider who can also address other health concerns in the same visit, Sesame Care is a good fit. Its marketplace model lets you browse providers by specialty and price before booking, so you can find a clinician with menopause experience rather than getting assigned whoever is available. If you have insurance and want to use it for a menopause visit, none of the four platforms bills it directly, so ask your plan about out-of-network reimbursement before you book.

This is where Wisp stands out more than any other provider in Washington. Wisp's entire model is built around sexual and reproductive health conditions that come up frequently but are uncomfortable or inconvenient to address in person. For BV treatment, Wisp can prescribe metronidazole, which is the first-line antibiotic for bacterial vaginosis, directly through their platform for Washington residents. The process is fast: fill out a symptom questionnaire, a provider reviews it, and you can have a prescription sent to a Washington pharmacy or shipped to your address.

UTI treatment works similarly. Wisp can prescribe antibiotics for uncomplicated UTIs in Washington without requiring a urine culture first, which is how most straightforward UTI cases are handled in primary care anyway. For Washington residents in areas with limited clinic access, this is genuinely useful. If you are in a rural county where getting a same-day appointment at a clinic means driving 45 minutes, being able to handle a simple UTI from home saves real time and money.

For yeast infections, fluconazole is available through telehealth prescription in Washington via Wisp and other platforms. Over-the-counter options exist, but if you have recurrent infections or your symptoms are not responding to OTC treatments, getting a prescription for fluconazole through a telehealth visit is faster than waiting for a primary care appointment.

STI treatment through telehealth requires more nuance. Wisp handles STI consultations and can prescribe treatment for certain infections, but testing still needs to happen either through a mail-in test kit or at a Washington lab location. If you test positive, Wisp can coordinate treatment.

Strut has the highest rating among the four providers at 9.4 out of 10, and it is backed by a compounding pharmacy. For Washington residents, Strut is most relevant if you are interested in custom formulations, particularly for hair loss or hormonal skin treatments. Compounded medications are legal in Washington, and Strut's model of creating personalized formulations can be useful when standard commercial options have not worked. Its compounded cream starts at $49 per month, and pricing moves up from there depending on the treatment.

Hers is rated 9.1 and holds the 'Best Value' ribbon on this page. It also covers the widest range of women's health concerns in one platform including birth control, weight loss, mental health, and hair loss. For Washington residents who want one platform to handle multiple concerns, Hers avoids the need to juggle multiple subscriptions. Pricing starts at $12 per month and ranges higher for weight loss or mental health programs.

Sesame Care sits at 9.1 and is the 'Our Top Choice' pick on this page. The no-subscription model is a real differentiator for Washington residents who only need occasional care rather than ongoing monthly treatment. A session starts at $69 with no membership fees, so $69 covers one visit and nothing after it. Whether that beats a $12 or $15 monthly plan depends entirely on how often you need care. If you only need a birth control refill once a year or want to discuss menopause symptoms without committing to a subscription, Sesame is worth serious consideration.

Wisp at 9.0 is the 'Most Popular' pick here, at $10 per month, and rounds out the group with the tightest reproductive health focus, and none of the four platforms here bills your insurance directly, so if coverage matters to you, ask your plan about out-of-network reimbursement before you book.

Washington is a geographically enormous state, and the access gap between King County and somewhere like Ferry County or Wahkiakum County is significant. For women in eastern Washington, the Olympic Peninsula, or rural areas of the coast and mountains, telehealth is not a convenience upgrade over in-person care. For many, it is the only realistic way to access care quickly without a multi-hour round trip.

Reproductive health care access is particularly uneven across the state. Urban Washington has dense options, but rural counties often have limited OB-GYN coverage and primary care practices with long wait times. The ability to get a birth control prescription, a BV treatment, or an emergency contraception prescription through a telehealth platform without leaving your home or your town is meaningful. All four providers in this guide deliver to Washington addresses, which matters for residents who cannot easily access a pharmacy that stocks certain medications.

Washington state has also invested in telehealth infrastructure in ways that make the connection quality and legal framework more favorable than in some rural states. The full insurance parity law applies statewide, not just in urban service areas. That means a resident in Okanogan County with a state-regulated insurance plan has the same legal right to covered telehealth visits as someone in Seattle. Whether their specific plan enforces this the way it should is a separate question, but the legal protection exists.

For rural Washington residents specifically, the asynchronous platforms like Hers and Wisp offer an additional advantage: you do not need a strong enough internet connection for a live video visit. You fill out a questionnaire, a provider reviews it on their schedule, and you get a prescription decision by message. This works better in areas with unreliable internet than platforms requiring synchronous video.

Weight loss treatment through telehealth in Washington has expanded significantly through 2025 and into 2026. Hers offers a weight loss program that can include GLP-1 medication prescriptions where clinically appropriate. Washington does not have state-specific restrictions on GLP-1 telehealth prescriptions, so if you qualify medically, providers can prescribe medications like semaglutide through these platforms. The availability of specific medications depends on supply and the provider's prescribing protocols, but Washington residents have the same access as most other states.

Mental health services through telehealth are covered under Washington's insurance parity law. If your plan covers outpatient mental health visits, telehealth mental health visits should be covered at the same rate. None of the four Washington platforms bills insurance directly for a mental health visit, so if you want to use coverage for anxiety, depression, or ADHD treatment, ask your plan about out-of-network reimbursement before you book. Hers also offers mental health treatment within its women's health platform, which can be useful if you want to address mental health alongside other health concerns in one place.

Washington Medicaid's partial coverage for telehealth means some mental health services are covered through Apple Health and some are not. If you are on Apple Health and need mental health support, verifying your specific benefit package before choosing a provider will save you from an unexpected bill, since none of the four platforms bills Apple Health directly.

If your priority is avoiding a subscription entirely and you are paying out of pocket, Sesame Care is the clearest answer. No membership fee, pay only when you need care, and pricing that is transparent before you book. A visit starts at $69, so one birth control consultation or a single menopause discussion in a year costs less than twelve months of Wisp at $10 or Hers at $12.

If you have insurance and want to use it, none of the four platforms in this comparison, Hers, Sesame Care, Strut, or Wisp, bills it directly. Call your plan before you book and ask about out-of-network reimbursement for telehealth; Washington's full parity requirement means your insurer owes the same rate as an in-person visit once you submit that claim.

If you want the best-rated platform and are comfortable paying a subscription for ongoing care, Strut's 9.4 rating and compounding pharmacy model make it the top performer by reviews. It is particularly strong if standard commercial formulations have not worked for your hair loss or skin concerns.

If your main concern is birth control, BV, UTI, STI treatment, or menopause, Wisp is the most specialized option for exactly those concerns and is purpose-built for reproductive health. The narrower focus means the clinical experience tends to be sharper for those specific conditions than on a general platform. Hers is the right call if you want one platform to handle birth control plus mental health plus weight loss or hair loss together without managing multiple services.