Hone Health is the better choice if you need actual testosterone replacement; Hims is the cheaper choice if you and your clinician want to try enclomiphene and you're willing to prepay. As of September 25, 2026, Hims' testosterone page still lists injectable and oral testosterone as "coming in 2026." Hone ranks #1 (8.2/10) and Hims #7 (6.6/10) in our scoring.
Full reviews: Hone Health · Hims.
Side-by-side
| Hone Health | Hims | |
|---|---|---|
| Pricing model | $135/mo membership + medication | Plan pricing, medication included |
| Enclomiphene | $42/mo + membership | $99/mo (10-mo prepaid), $139 (5-mo), $199 (3-mo) |
| Testosterone injections | From $28/mo + membership | "Coming in 2026" |
| Needle-free testosterone | Cream or troches (dissolve in the mouth) from $60/mo + membership | Kyzatrex oral "coming in 2026" |
| Other options | Clomiphene, anastrozole | Enclomiphene + tadalafil combo |
| Labs | Included in membership | Initial $94 (credited if eligible); follow-ups included |
| Prescribers | Physicians (Broad Health P.A.) | Licensed healthcare providers |
| Insurance / HSA | No insurance; HSA/FSA accepted | No insurance; no HSA/FSA |
| Trustpilot (Sep 2026) | 4.8/5, 12,362 reviews | 2.9/5, 9,395 reviews (all products) |
Sources: Hone fee breakdown, Hone TRT costs, Hims testosterone, Hims vs Hone (Hims), Trustpilot for Hone and Hims.
The core difference: enclomiphene vs testosterone
Enclomiphene and testosterone are different treatments. Testosterone replaces the hormone directly. Enclomiphene stimulates the body's own production and is sometimes discussed for men who want to preserve fertility, since testosterone therapy can suppress sperm production (Mayo Clinic). Enclomiphene is only available compounded and isn't FDA-approved on its own (OPSS); Hims' own page says its enclomiphene products are not FDA-evaluated for safety, effectiveness or quality.
Which is appropriate depends on your diagnosis, labs and goals, and that's a decision for a licensed clinician. The practical point: Hone can prescribe either; Hims can currently prescribe only enclomiphene.
Price
For enclomiphene specifically (our arithmetic):
- Hims: $99 × 10 = $990 paid upfront for 10 months, or $199/month on a 3-month plan
- Hone: ($135 + $42) × 10 ≈ $1,770 for 10 months, paid monthly
Hims is clearly cheaper for enclomiphene if you prepay. Hone costs more but includes a physician-led membership with access to the full HRT menu if your plan changes. For testosterone injections, Hone starts around $163/month; Hims has no price because it doesn't offer them yet. See TRT clinic cost in 2026.
Labs and oversight
Both use lab testing before prescribing. Hone's membership includes lab testing and its biomarker test covers 50+ markers. Hims uses an at-home kit processed in a CLIA-certified lab, with an initial $94 fee credited toward treatment and follow-ups at 3 and 15 months. Hone's consults are with physicians; Hims doesn't specify provider type.
Payment and flexibility
Hone accepts HSA/FSA cards and bills the membership monthly. Hims doesn't accept HSA/FSA, and its lowest price requires paying 10 months upfront. Neither bills insurance (alternatives).
User sentiment
Hone has a much stronger Trustpilot profile (4.8 vs 2.9). Hims' score covers every product it sells, not just testosterone, with frequent complaints about reaching support and cancelling subscriptions. Hone's main complaint is membership cost clarity.
Getting started at each
Hims: complete an online visit, then an at-home lab kit processed in a CLIA-certified lab, with a prepaid return label. The first test is $94, credited toward treatment if you're eligible. Some states require a video visit (Hims).
Hone: join the membership, complete a 50+ biomarker test at home or at a lab, then consult with a physician. If treatment isn't appropriate, Hone refunds the first $135 fee (Hone).
Both are low-friction to start. The key difference is what happens next: Hims can only prescribe enclomiphene today, while Hone's physician can choose from its full HRT list.
Scenario picks
| If you... | Better fit |
|---|---|
| Need testosterone replacement now | Hone |
| Your clinician recommends enclomiphene and you'll prepay | Hims |
| Want HSA/FSA payment | Hone |
| Want to avoid a monthly membership | Hims |
| Want the option to switch treatments later | Hone |
| Want to wait for Kyzatrex through Hims | Hims (launch timing may change) |
If you want an FDA-approved oral testosterone today, Henry Meds offers Kyzatrex outside California.
Which should you choose?
Choose Hone Health if:
- You need, or may need, testosterone replacement
- You want physician-led care and HSA/FSA payment
- You want the flexibility to switch between treatments
Choose Hims if:
- Your clinician recommends trying enclomiphene
- You're comfortable prepaying for the lowest price
- You prefer a large, familiar platform
Bottom line
This isn't a close comparison today because the two clinics offer different treatments. Hone is a full hormone clinic; Hims is an enclomiphene service with TRT announced but not yet launched. If Hims launches injections and Kyzatrex at competitive prices with labs included, this comparison will tighten, and we'll update it.
Safety note
All of these are prescription medications that require a diagnosis and monitoring. Testosterone products carry an FDA class-wide warning about increased blood pressure (FDA). Read TRT side effects and risks.