Paloma Health

Paloma Health is a US telehealth practice focused on hypothyroidism and related hormonal conditions. It combines at-home thyroid blood test kits, video consultations with physicians, unlimited provider messaging, dedicated care managers, nutritionist visits and health coaching, and a direct-to-consumer daily thyroid supplement. Its at-home test panel covers up to six biomarkers, including TSH, T4, T3 and TPO antibodies, with samples collected by the patient and processed by a CLIA-certified lab; results are reported in about five business days (or roughly one week), and patients may alternatively upload recent lab results before seeing a clinician. Patients who do not require a video visit are informed after physician review of their results.

The clinical model spans hypothyroidism, Hashimoto's, perimenopause, menopause and weight management. Prescribing options presented include T4 monotherapy, T4/T3 combination therapy, natural desiccated thyroid (noted on the site as not currently FDA-approved) and hormone replacement therapy for menopause symptoms; weight programs include GLP-1 medications and metformin alongside nutrition and lifestyle guidance. Paloma states its physicians are board-certified in endocrinology, family practice and internal medicine with clinical and research experience in hypothyroidism and Hashimoto's, and that care continues past the first appointment through scheduled follow-up testing and visits. Technology elements include at-home sample collection, lab-result upload, video visits and a chat application for ongoing patient-provider messaging.

Business model

Consumer subscription and telehealth practice: recurring memberships bundle physician access, care management and discounts, with additional fee-based purchases of test kits, visits, nutritionist sessions and supplements. Medications are dispensed via the patient's pharmacy at their own cost or, in some plans, delivered.

Tiered monthly memberships — Hormone Rebalance at $20/month billed annually, Weight Care Essentials at $50/month, Metabolic Reset at $70/month and Complete Health Boost at $129/month — plus per-item fees: at-home thyroid test kits listed at $119 (discounted to $75 for members, with a $99/$75 tier also shown), physician video visits at $110 cash pay or $60 for members (or the insurance copay, with a $42 member price also listed), nutritionist visits at $75, and a daily thyroid supplement at $34/month ($27 for members). Earlier site material states consultations were not yet covered by insurance and out-of-network reimbursement was facilitated by partner getbetter.com; current pages state the practice is in-network with most major insurance plans.

Traction

The website reports a 4.8 out of 5 rating based on 1,235 verified patient reviews and states that 92% of its patients find symptom relief after three months.