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58
Fair
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Paloma Health

A niche telehealth brand built specifically around hypothyroidism and Hashimoto's care, pairing at-home lab testing with endocrinology-informed treatment.

New York, NYFounded 201851-100 employeesReviewed Sep 19, 2026Prices checked Oct 9, 2026
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Our Verdict

Paloma Health scores 57.7/100 in our independent evaluation — fair overall. Plans start at $20/mo.

Hormone TherapyPrimary Care

What we like

+Narrow clinical focus on hypothyroidism/Hashimoto's with endocrinologist-informed care teams and integrated at-home lab testing, nutritionist visits, and medication management in one program.
+Transparent flat membership pricing ($20/mo billed $240/yr) that bundles two test kits and two visits per year.
+One of the only brands to specialize specifically in DTC thyroid care rather than treating it as one line item among many.

What to watch

−Trustpilot rating is weak (2.6/5, though based on a very small sample of 4 reviews) with recurring complaints of care that didn't match advertised 'integrative'/'holistic' positioning.
−At least one reported case of a patient with clearly abnormal labs (TSH of 58) alleging the prescribing clinician disregarded their reported symptoms before prescribing a medication that caused adverse reactions — a serious quality-of-care concern for a specialty-clinical brand.
−Reviewers report membership fees and per-visit charges stacking in ways that felt like hidden costs.
−Extremely limited public review volume relative to its 'only scaled DTC thyroid brand' positioning makes reputation difficult to verify independently.
−Refund disputes reported, including a canceled appointment with no refund of the membership fee.

Full Review

Founded in 2018, Paloma Health positions itself as the only scaled direct-to-consumer platform focused exclusively on thyroid disease, bundling at-home test kits, virtual visits with thyroid-focused clinicians and nutritionists, and ongoing medication management into a $20/month membership. That specialization is a genuine differentiator in a category most generalist telehealth brands treat as an afterthought. However, publicly visible patient feedback is both sparse and largely negative, including a serious allegation that a patient with significantly abnormal labs felt unheard before being prescribed a medication that caused adverse reactions. Reviewers also describe membership and per-visit costs stacking in ways that felt like hidden fees. The clinical model is credible on paper, but independent verification of consistent care quality is limited by the small public review base.

Last researched: Sep 19, 2026 · Prices checked: Oct 9, 2026

Pricing

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

TreatmentCategoryPrice/moIncludesNotes
Thyroid Care MembershipHormone Therapy$20
● Consults● Lab work● Shipping
$240/yr covers 2 test kits + 2 visits/yr
Subscription required
At-Home Thyroid Test KitPrimary Care$75–$99
○ Consults● Lab work● Shipping
$75 for members, $99 for non-members
No subscription needed
Non-Member Doctor VisitHormone Therapy$42–$110
● Consults○ Lab work○ Shipping
$42 for members, $110 for non-members
No subscription needed

Score Breakdown

58
Trust & Safety (30%)
62
Value (25%)
55
Experience (20%)
55
Product Range (15%)
55
Reputation (10%)
Trust & Safety58/100
Value62/100
Experience55/100
Product Range55/100
Reputation55/100

How Paloma Health Stacks Up

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Paloma Health — Frequently Asked Questions

Is Paloma Health legit?

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We rate Paloma Health's trust & safety at 58/100 (fair), based on FDA compliance, licensing, and pricing transparency. Its overall score across all five of our scoring dimensions is 57.7/100 — see the full breakdown above.

How much does Paloma Health cost?

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Paloma Health's plans start at $20/mo. Exact pricing varies by treatment — see the pricing table above for a breakdown by product. Prices were last verified 2026-09-19.

Does Paloma Health require a subscription?

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It depends on the plan. Some Paloma Health treatments require an ongoing subscription and some don't — check the "Notes" column in the pricing table above.

What does Paloma Health treat?

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Paloma Health offers treatment in: Hormone Therapy, Primary Care.

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