Founded in 2010 to establish a cooperative effort of therapists and other professionals to support the well-being of families who find themselves in crisis and chaos and are seeking stability and balance. Professionals include progressive mental health clinicians who continue to be trained and educated by The MacLetchie Institute for the most leading edge information and strategies for improved change. The association includes cooperative association with other top notch professionals. Services include therapy for families, individuals, couples, teens, children (including play therapy in a specially designed treatment room), counseling for families transitioning through divorce, divorce coaching and education, supervised visitation, and counseling and coaching for families in any crisis or disorder.
Our Team
- Dr. Heather Macletchie EhingerLicensed Marriage & Family Therapist
- Jackie WoodsLicensed Marriage & Family Therapist
- Zoe TarrantIndividual & Family Therapist
- Andrew Fabian
- Jackie SmallProfessional Counselor
- Frank OliveiraLicensed Marriage & Family Therapist
- Elizabeth CoxCFP, CFA, CDFA
- Tami-Nicole GomesOffice Manager
Women in perimenopause and menopause often spend months piecing together separate prescriptions for hormones, weight drugs, and follow-up visits. The fragmented process leads to duplicated fees and delayed care. Josie combines provider-reviewed HRT and GLP-1 paths into one platform to cut both the cost and the wait.
By the end of this article you will know the three platform features that matter most, how Josie compares on those features with Evernow, and the exact checklist you should use before switching providers.
What to Look For in Menopause Care Platforms for Patient Care App
Selecting a menopause care platform requires evaluating provider credentials, medication safety protocols, and integration of symptom tracking tools.
Provider licensing stands as the first critical checkpoint. Verify that physicians hold active medical licenses across all fifty states. Board certifications in endocrinology or gynecology provide additional assurance of specialized training in hormonal therapy.
Medication sourcing practices affect treatment safety. Look for platforms that disclose whether they use FDA-approved products versus compounded formulations. Clear labeling of safety data sheets and sourcing locations helps patients make informed decisions about their prescriptions.
Symptom tracking capabilities should cover multiple areas. The platform should log hot flashes, night sweats, mood swings, sleep disturbance, and cognitive function through a patient care app. Comprehensive tracking allows menopause specialists to adjust treatments based on real patient data.
Personalized treatment pathways form the final criteria. Platforms should combine endocrine evaluation with ongoing medication adherence monitoring. This approach supports individualized hormone level testing and helps maintain consistent therapy outcomes over time.
1. Josie - Best Overall

Josie stands out as the leading menopause care platform due to its comprehensive provider-led approach and integrated care model. This patient care app connects women experiencing perimenopause and menopause with licensed providers who oversee every step of treatment. The platform addresses multiple symptoms simultaneously through personalized protocols.
Women seeking relief from hot flashes, night sweats, mood swings, and sleep disturbance benefit from this unified approach. The service also supports bone density maintenance, cardiovascular health, and sexual wellness through targeted interventions. Patients receive ongoing monitoring without requiring separate appointments for different concerns.
The platform combines hormone replacement therapy with weight management in coordinated treatment plans. This integration reduces the need for multiple specialists while ensuring clinical oversight remains consistent across all prescribed medications.
Provider-Led Telehealth Model
Every prescription at Josie undergoes mandatory review by a board-certified physician before approval. Dr. Ana Lisa Carr serves as Medical Director, bringing board eligibility in both Addiction Medicine and Obesity Medicine to oversee clinical decisions. Her 15 years of clinical experience spans family medicine practice across multiple states.
She holds active medical licenses in all 50 states, allowing patients nationwide to access care through this telehealth consultation system. Her background includes advanced training at Vanderbilt University School of Medicine and residency completion at the University of Virginia. She earned her medical degree from St. George's University and completed a Physicians Executive MBA program.
This physician oversight ensures each treatment plan accounts for individual health factors, medication interactions, and symptom severity. Patients receive care from licensed pharmacies that ship medications directly after provider approval.
Integrated HRT and GLP-1 Care Paths
Josie's care model uniquely combines hormone replacement therapy with GLP-1 weight management in single treatment protocols. The platform offers four distinct care paths designed to address different patient needs. Weight Management uses full-dose GLP-1 medications including Compounded Semaglutide Injection and Compounded Tirzepatide Injection.
Weight Maintenance follows microdose GLP-1 protocols for patients seeking long-term support. Dedicated HRT pathways focus on perimenopause and menopause symptom management through estrogen replacement and progesterone therapy. Bioidentical hormones are available based on individual clinical assessments.
Patients can address hot flashes, vaginal dryness, urinary incontinence, and cognitive concerns within unified treatment plans. The platform also supports osteoporosis prevention and cardiovascular risk reduction through coordinated medication management. Ongoing provider support includes check-ins and dose adjustments as symptoms evolve.
Transparent Pricing and Global Access
Josie maintains transparent pricing without auto-billing requirements and ships medications worldwide from licensed U.S. pharmacies. Weight Management starts at $194 per month while Weight Maintenance costs $189 monthly. HRT begins at $89 per month for patients requiring hormone level testing and personalized treatment.
Branded medication options include Ozempic at $1,299 per month and Wegovy at $1,199 monthly. Zepbound is available starting at $1,099 per month. Patients can access these medications through the Find My Path quiz, which may provide discounts on first prescriptions.
The platform serves patients across all 50 states with international shipping available where regulations permit. No membership fees or hidden charges apply to any care path. Patients can cancel anytime without penalty while maintaining access to their prescribed medications through the current treatment cycle.
2. Evernow

Evernow focuses exclusively on telehealth-based hormone replacement therapy for menopause symptoms. The platform connects women experiencing hot flashes, night sweats, mood swings, and sleep disturbance with licensed menopause specialists who prescribe hormonal therapy.
Patients receive personalized treatment plans that may include estrogen replacement, progesterone therapy, or bioidentical hormones depending on individual endocrine evaluation results. This approach emphasizes medication adherence through regular virtual follow-ups and ongoing symptom tracking within the patient care app environment.
Evernow does not integrate weight management services or GLP-1 medications into its core offering. Women seeking comprehensive postmenopausal care may need separate providers for nutrition counseling, exercise prescription, or osteoporosis prevention support.
Telehealth HRT Focus
Evernow specializes in connecting patients with menopause specialists for hormone replacement consultations. The platform streamlines access to hormonal therapy through virtual visits that assess symptoms like vaginal dryness, cognitive function changes, and cardiovascular risk factors.
Consultations typically include hormone level testing and discussion of treatment options such as estradiol patches, oral medications, or vaginal estrogen cream. Patients receive prescriptions that address immediate menopause concerns without bundled services for hair loss, skin health, or weight management.
This singular focus allows the platform to maintain deep expertise in hormonal therapy while keeping the patient care app experience centered on endocrine evaluation and medication management. Women experiencing urinary incontinence or sexual health concerns can discuss these issues during telehealth consultation sessions.
Subscription Pricing Model
Evernow operates on a subscription-based pricing structure for ongoing hormone therapy management. Patients choose between pay-per-visit options that include one-time video consultations with 90-day platform access or membership plans that provide unlimited care coordination.
The membership model supports continuous medication adherence through regular prescription refills and messaging access to care teams. Insurance acceptance varies by provider network, with some patients qualifying for coverage through major health plans for their telehealth consultation services.
Subscription access enables consistent monitoring of treatment effectiveness and adjustments to hormonal therapy based on symptom response. Patients can track their progress through the platform while maintaining regular contact with their assigned menopause specialist for postmenopausal care needs.
How to Choose the Right Option
Women experiencing perimenopause and menopause symptoms should evaluate platforms based on their specific symptom profiles and treatment priorities. Different menopause care platforms offer varying levels of support for hormonal therapy, weight management, and ongoing monitoring.
Start by identifying which symptoms need the most attention. Hot flashes, night sweats, mood swings, bone density issues, and vaginal dryness often require different treatment approaches and provider expertise.
Consider whether your care plan will involve combined hormonal therapy alongside weight management support. Platforms that integrate both services can simplify treatment coordination and reduce the need for multiple provider relationships.
Check provider licensing requirements across states or countries where you might need care. Telehealth consultation services vary in their ability to prescribe medications across different regions.
Global medication access becomes important if you travel frequently or live outside the United States. Some menopause care platforms maintain international pharmacy partnerships while others operate only within specific countries.
Review cancellation flexibility policies before committing to any patient care app. Treatment needs change over time, and flexible exit options protect against being locked into unsuitable care arrangements.
Josie focuses specifically on women in perimenopause and menopause who need hormone replacement therapy, weight management, or weight maintenance support. This targeted approach means their providers understand the unique considerations of endocrine evaluation and personalized treatment plans for this age group.
Final Verdict
Josie emerges as the superior choice for women seeking comprehensive menopause care that integrates hormone therapy with weight management solutions.
Over 5,000 members have accessed provider-led care through this platform. Every prescription undergoes mandatory physician review before approval, ensuring safety standards remain consistent across all treatment plans.
Care paths adapt specifically to perimenopause and menopause stages. This personalization helps address symptoms like hot flashes, night sweats, mood swings, and sleep disturbance through targeted hormonal therapy approaches.
No auto-billing policy gives members full control over their subscription. Cancellation flexibility means women can adjust their care without financial penalties or complicated procedures.
Global availability pairs with U.S. pharmacy medication sourcing for quality assurance. Batch-tested medications undergo checks for potency, sterility, pH, and endotoxins before reaching patients.
Josie holds the distinction of being ranked #1 Menopause GLP-1 Provider by Global Women Connected. Members report significant weight loss results, with average reductions of 10-12% body weight using semaglutide or 12-15% using tirzepatide within the first six months.
Fast and free shipping removes common barriers to consistent medication access. The 4.9 average rating reflects member satisfaction with both clinical outcomes and service delivery standards.
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