Women's hormonal / reproductive
Maven Clinic
Maven is the most comprehensive maternal-health telehealth platform for Black mothers, but employer coverage is the main way most patients access it; self-pay is expensive.
Best for Black women with employer-sponsored Maven coverage; one platform for fertility, pregnancy, postpartum, mental health, and lactation.
HIV / PrEP
Mistr
Mistr is the highest-access HIV-prevention telehealth in the US: PrEP at zero cost for most users including the uninsured, with a Black-MSM-aware operational model and confidential shipping.
Best for Black men and other men who have sex with men who want PrEP without insurance navigation friction or in-person visits.
Pregnancy / baby
Mahmee
Mahmee is the most Black-maternal-mortality-aware online maternal-health platform, Black-founded with care coordination as the structural feature. Access depends on whether your Medicaid plan or employer contracts with them.
Best for Black mothers whose Medicaid managed care plan contracts with Mahmee, or whose employer benefits include the platform.
Mental health / therapy
Talkspace
Talkspace offers therapy and psychiatry on one platform and takes most major insurance, plus Medicare for therapy. It says most insured members have a $0 copay. It doesn't take Medicaid, and it doesn't match you by a therapist's race.
Best for Black adults with commercial insurance or Medicare who want therapy, and medication if they need it, on one platform.
Mental health / therapy
Brightside Health
Brightside offers psychiatry, therapy, or both, plus a Suicide Prevention Program for adults with elevated suicide risk. It takes most major insurance and some Medicare and Medicaid plans.
Best for Black adults with anxiety or depression, mild to severe, who want medication, therapy, or both, with weekly progress check-ins.
At-home lab tests
Everlywell
Everlywell is the most comprehensive at-home lab platform for Black patients, with sickle cell trait, hemoglobin A1C, hormone panels, and HIV testing all available without a doctor visit. Results are physician-reviewed.
Best for Black patients who want sickle cell trait screening, A1C monitoring, hormone panels, or STI testing without scheduling an in-person lab visit.
Mental health / therapy
BetterHelp
BetterHelp lets you check "Black therapist" as a preference when you sign up, but that is a request, not a guarantee. You can message your therapist anytime and switch with a click. It takes some insurance. Its therapists don't prescribe medication.
Best for Black adults who want to request a Black therapist, message between sessions, and switch easily if the first match isn't right.
Men's health (ED, hair, T)
Hims (Men's Health)
Hims is the default for online ED, hair loss, and testosterone treatment for Black men, with the broadest medication menu and most reliable operations among DTC men's-health telehealth.
Best for Black men who want online prescription of ED medications, minoxidil/finasteride for hair, or testosterone-support treatment without insurance.
Telehealth / primary care
Hued Health
HUED runs a free online directory of providers, many of whom completed its cultural competency courses, and you can filter it by race or ethnicity, including Black or African American. It is a directory, not a care service.
Best for Black patients who want to search for a culturally competent provider by specialty, race or ethnicity, gender, language, and in-person or virtual care.
Telehealth / primary care
Lemonaid Health
Lemonaid is the best-value online primary-care telehealth for Black patients without insurance: flat $25 visits, broad condition menu, and real prescription access for common infections and chronic conditions.
Best for Black patients without insurance who want primary-care telehealth access for UTIs, sinus infections, cold sores, birth control, ED, and migraine.
Weight management / GLP-1
Hims Weight Loss
Hims Weight Loss is the most operationally reliable path to compounded semaglutide for Black women without insurance, but FDA enforcement against compounded GLP-1 may compress this option in 2026-2027.
Best for Black women who want a transparent monthly self-pay path to GLP-1 weight management and who are not eligible for branded Wegovy through insurance.
At-home lab tests
LetsGetChecked
LetsGetChecked is the second-strongest at-home lab option after Everlywell, with stronger STI / HIV testing depth and a slightly cleaner physician-followup pathway.
Best for Black patients prioritizing STI / HIV screening at home with clinician follow-up for positive or abnormal results.
Women's hormonal / reproductive
Nurx
Nurx is the easiest path to online birth control and PrEP for Black patients without insurance, with a real Medicaid acceptance footprint in 30+ states.
Best for Black women who want online birth control prescription and shipment without an in-office visit, including Medicaid recipients in covered states.
Men's health (ED, hair, T)
Roman (Ro)
Roman (Ro) is the most product-polished men's-health telehealth, with the cleanest UX and broadest weight-management integration via Ro's Daily Rise program. Hims still wins on medication menu breadth and operational scale.
Best for Black men who want online ED, hair-loss, or weight-management treatment in a polished consumer-app experience.
Weight management / GLP-1
Found
Found is the most comprehensive weight-management telehealth, bundling clinician + coach + GLP-1 access at a higher monthly cost than Hims Weight Loss. Worth it if behavior change is the bottleneck, not the prescription.
Best for Black patients who want structured behavior coaching alongside GLP-1 medication, not just the prescription on its own.
Women's hormonal / reproductive
Hers
Hers is the broadest single-platform women's-health telehealth for self-pay Black patients, but Nurx is cheaper for birth control on insurance and Maven Clinic is deeper for maternal care via employer benefits.
Best for Black self-pay women who want one platform for birth control, hair growth, mental health, and weight management.
Mental health / therapy
Hims Mental Health
Hims Mental Health is an online prescription service for men with anxiety or depression. A licensed provider can prescribe generics like sertraline or bupropion, from $49 a month. It isn't therapy, and it doesn't take insurance, Medicare, or Medicaid.
Best for Black men who want anxiety or depression medication online, will pay out of pocket, and already have a therapist or aren't looking for one.
Dermatology / skin of color
Curology
Curology is a workable second choice for Black-skin acne and early hyperpigmentation, but the lack of explicit skin-of-color formulation training behind the prescribing makes it a downgrade from Apostrophe.
Best for Black patients with mild-to-moderate acne who want a prescription-strength regimen at a lower entry price than Apostrophe.
Weight management / GLP-1
Henry Meds
Henry Meds is competitive with Hims Weight Loss on price and medication menu, but operationally trails the public-company incumbents on reliability and customer-service consistency.
Best for Black patients who want flat-rate self-pay GLP-1 access and are price-shopping among compounded-semaglutide providers.
Men's health (ED, hair, T)
Rex MD
Rex MD is a credible second pick after Hims for ED, hair, and premature ejaculation telehealth, with cleaner pricing on specific products but a narrower overall menu.
Best for Black men price-shopping ED medication; specifically searching for premature-ejaculation treatment that Hims does not surface as prominently.
Mental health / therapy
Cerebral
Cerebral offers therapy and medication management on one platform and takes some insurance. In 2024 it agreed to pay more than $7 million to settle FTC charges over health-data sharing and cancellations, and it settled a federal investigation into its controlled-substance prescribing.
Best for Black adults who want therapy and medication management from one platform and have checked that their insurance is in network.
How we review
Each review is built from 4-6 hours of evaluation across four axes: cost (entry price, monthly average, hidden fees), coverage (commercial insurance, state Medicaid, HSA/FSA, sliding-scale), clinician fit (Black-clinician availability, cultural-competency training, language match), and service experience (intake questionnaire quality, matching speed, switching policy, cancellation friction).
We score 0.0 to 5.0 on each axis and weight the result. Reviews are refreshed at least every 6 months or whenever a service materially changes its pricing or coverage. Affiliate relationships are disclosed on every review and do not influence rankings.