Hone Health vs Marek Health: Which Fits You (and What the Prices Leave Out)

Hone Health vs Marek Health comes down to how you want care billed and delivered. Hone is a monthly membership with doctor video visits: $135 a month on its men's Plus plan, plus medication. Marek has no subscription. You pay at least $749 to start, then Marek says ongoing care averages $80–$200 a month. Neither one is cheaper for everyone.

By TRT Provider Guide · Last verified: November 2026 (sources checked November 5, 2026) · Independent editorial research; not clinically reviewed · How We Review TRT Providers

Last updated: November 5, 2026.

Here's the part most comparisons miss. You've probably read that Marek is "the expensive one." That label doesn't tell you what your care will cost. But neither company's public prices prove which will cost you less over a full year. We'll show you the exact math we can verify, and why Marek's average is not your quote.

Hone is likely the better fit if: you want a set monthly membership fee, a doctor on video, an at-home starting test, and you already get checkups from your own doctor. Medication is a separate bill.

Marek is likely the better fit if: you want a personal coach, a big custom lab panel, or you live in New Jersey. It also lists an FDA-approved oral testosterone option to discuss with its clinician.

Neither should be your first stop if: you're seeking treatment while trying to have a child, or you have a complex health problem that needs an in-person workup. Start with primary care, urology, reproductive urology, or endocrinology, as your situation requires. If you haven't been tested, either company can offer an evaluation; paying for it does not guarantee TRT.

Hone vs Marek at a glance

Provider-stated prices and services, checked November 5, 2026. The fee subtotals are our calculations, not complete treatment quotes; the method is shown below. ^{1 2 3 4 5}

TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.

How we make money: TRT Provider Guide discloses an affiliate relationship with Hone Health. The clearly labeled Hone offer link is a paid referral. Pricing, policy, testing and other research links remain direct and untracked. We link to Marek because it's the better fit for some readers. Read our affiliate disclosure.

This comparison covers adult men's evaluation and care for low testosterone. It is educational information, not medical advice, and is not a guide to gender-affirming care, care for women or adolescents, or performance use.

---

Hone Health vs Marek Health: what's the real difference?

Hone Health and Marek Health both prescribe testosterone online, but they're built in opposite ways. Hone is a monthly membership: you pay a set fee for doctor visits and scheduled lab work, and medication is billed on top. Marek has no membership: you pay for an intake, labs, and treatment as you go, with a health coach as your main point of contact.

Think of it like a gym membership versus paying per class.

Hone is the membership. You pay every month whether or not you refill that month. In return, your routine labs and doctor visits are bundled in. The membership bill is predictable; medication is separate. The catch is that it keeps coming until you cancel. ^{1 35}

Marek is pay-as-you-go. There's no membership subscription to cancel. You pay a bigger amount up front ($299 intake plus at least $450 in labs), then pay for treatment and follow-ups. The bill is flexible. The catch is that it's harder to predict. ^{3 11}

Hone's three plans (only two are for TRT)

Hone sells three plans, and this trips people up. Basic ($25/month) is not a hormone therapy plan. Some comparison sites quote Hone at "$25 a month." That's the wrong plan for TRT.

Hone says men generally pick Plus for testosterone-only care. Premium is usually chosen when someone also wants weight-loss or thyroid treatment. Medication costs extra on both. ^{43 7 50}

How Marek's program is priced

Marek calls its program "Guided Optimization." It has three cost layers:

1. Intake: $299, one time. A 45-minute session with a health coach to review your history and design your lab panel. Marek says this fee also covers your first exam with a medical provider.
2. Labs: from $450. Drawn at Quest or Labcorp. Your coach picks the markers. Bigger panels cost more.
3. Ongoing: about $80–$200 a month, on average. Marek says this covers your treatment, coaching check-ins, follow-up labs, portal access, and provider oversight. It's an average across clients, not a price quote.

Marek's published intake plus minimum baseline lab panel totals $749, before treatment or any extra charges. That's the starting number to plan around. ^{3 47}

The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to check age and state eligibility for the site's featured Male Excel TRT offer, not medical suitability or treatment preferences. The tool is educational: it does not diagnose low testosterone, determine medical eligibility, or guarantee a prescription.

---

Which is cheaper, Hone Health or Marek Health?

Hone Plus has $1,710 in published starting-test and membership fees for 12 payments with lab confirmation, before medication and any extras. Marek's published intake and minimum baseline lab panel total $749, with later care billed separately. Neither company's public prices establish a complete first-year TRT total or a savings winner.

We built this comparison from each company's own published prices.

Year one and year two, side by side

Our assumptions: these Hone figures use the published plan fees, 12 membership payments, and the stated confirmation route, with no discounts or referral credits. The next-12-payment figures assume unchanged membership prices and no new starting tests. They are budgeting scenarios, not promises about a calendar year or treatment length. Medication, any tests or visits outside the included schedule, supplies not included in the order, and any outside in-person care still need to be counted.

Over two years: the same 24-payment model gives Hone Plus $3,330 before medication and any extras with lab confirmation, or $3,365 with home confirmation. Premium is $3,810 before medication and any extras. Marek's full total cannot be calculated from its public averages, so these numbers do not prove a two-year savings winner.

Why Marek's average is not your quote

Marek's pricing page says the average client spends about $1,599 in year one and $850 annually afterward. It describes these as illustrative figures based on historical purchasing patterns.

Do the math. $299 intake + $450 labs = $749. That leaves $850 within the stated $1,599 first-year average. But that is not an itemized medication and follow-up quote, and the separate $80–$200 a month figure is not a promised minimum or maximum.

Marek does not show the mix of services, time on treatment, or prescription costs behind those averages. That isn't a trick. Averages work that way. But it means you should budget from the parts, not the average. ^{1 2 3}

Why Hone's medication price needs one extra question

Hone's product page says testosterone injections start "from $28/mo." Hone's help center lists the same price per vial. How long a vial lasts depends on your prescription. So ask Hone one thing before paying: "How much will my testosterone cost per month at my prescribed dose, and how often will you ship it?" ^{8 1 2}

A checkout wrinkle: Hone's published Premium plan lists a $65 starting test. A separate checkout linked from its state page displayed a $45 promotional price for a 50+ biomarker lab draw when checked. That is not the Plus home kit. The model above uses the published plan fee. If that $45 price applies to your Premium plan and the other fees stay the same, the first-12-payment subtotal is $1,930 before medication and any extras. Confirm the test, plan, discount, and later charges shown in your checkout. ^{2 4 46}

Costs that are easy to miss

At Hone:

• The confirmation test. Plus members pay $45 at a lab or $80 with a home kit. Premium members pay $25. Hone says it orders it when TRT looks likely, following the American Urological Association (AUA) guideline.
• Other medications if prescribed. Hone lists anastrozole at $22/month (off-label for men's hormone care), compounded clomiphene from $38/month, and compounded enclomiphene from $42/month on Plus or $43/month on Premium. These are separate medicines, not TRT or required additions to it. ^{52 32}
• Bringing your own recent labs doesn't skip the starting fee. Hone accepts qualifying results from the past 90 days but still charges for its initial package.
• Shipping is listed as included on Plus and Premium. Ask whether your order includes all supplies, and price any outside-pharmacy fill separately. ^{1 2 9 25}

At Marek:

• Bigger lab panels. $450 is the floor, not the typical bill for everyone.
• Marek doesn't accept outside lab work. Its FAQ says it requires its own full panel.
• Extra consultations, tests, and supplements can be billed separately, according to Marek's homepage.
• An in-person physical if required for your care. Marek's public descriptions differ on the requirement, so ask what applies before paying.
• Medication, supplies, shipping or handling, and any prescription-management fee for using an outside pharmacy. Get each item included or priced separately. ^{5 47 11}

What this means for you: if you hate surprise bills, Hone's bundled routine labs and visits are easier to budget for once you have a medication quote. If you prefer paying for services separately, Marek's structure can fit, but you need a written quote.

Want a set monthly membership fee? Review Hone's Plus pricing and lab requirements →

See Hone’s current TRT offer → (paid referral).

Prefer paying for services separately? Review Marek's pricing and what needs a quote →

---

Is Hone or Marek available in your state?

Hone lists Plus in 35 states and Premium in 34, covering 36 states across the two men's plans. Marek says its program is available in all 50 states, though some treatments and tests are limited by state law. Always confirm your plan and treatment before you pay, because both lists change.

This is where a cheap-looking plan can disappear on you.

Provider-stated availability from Hone's 2026 state table and Marek's FAQ and terms, checked November 5, 2026. A listed state is not a promise of treatment or an appointment. ^{4 5 11}

Marek now says it serves all 50 states, and its legal terms list medical groups for both New York and New Jersey. A state being "listed" still doesn't promise that every medication is available there. ^{5 11}

The December 31, 2026 date to know

Testosterone is a Schedule III controlled substance. That means federal law treats it as a drug with misuse potential, and you need a valid prescription. ^{17 18}

Federal law generally requires an in-person evaluation before online controlled-substance prescribing unless an exception applies. The current temporary exception runs through December 31, 2026 and allows qualifying practitioners to prescribe Schedule II–V medicines after an audio-video visit without a prior in-person evaluation, subject to its conditions and federal and state law. OIRA, the White House regulatory review office, lists DEA's permanent "special registration" rule as received August 25, 2026 and still pending review as of our check; that review is not an effective prescribing rule. ^{18 19 20}

What that means for you: online prescribing is possible when the clinician and visit meet the rules; a questionnaire alone is not enough. If you're signing up in late 2026, ask either company how your visits and refills will work in January. We'll update this page when the rule changes.

Want Hone's model? Check Hone's plans for your state →

In New Jersey, or want a nationwide program? Review Marek's $299 intake and lab costs →

---

Who actually looks after you: a doctor, a coach, or both?

At Hone, a physician runs your care through video visits, backed by in-app care-team messaging for questions. At Marek, a dedicated health coach is your main contact and a licensed medical provider makes the prescribing decisions. Both center care on telehealth, but in-person visits can still be needed.

This is the biggest difference in how each one feels day to day.

How care works at Hone

• Who: Hone says its care comes from licensed physicians (MDs and DOs) at Hone-affiliated practices called Broad Health. Hone's legal terms also allow nurse practitioners and other licensed professionals. If it matters to you, ask who your clinician will be.
• Visit length: Hone's help center says first visits for men generally run about 20 minutes and routine follow-ups about 10 minutes.
• Between visits: a care team you can message any time. Support works by message, not live chat.
• Lab checks: on Plus, every 3 months in your first year, then every 6 months. The clinician can change the schedule. ^{6 12 10 13}

How care works at Marek

• Who: a health coach you're matched with, plus a licensed provider. Marek's terms say its providers are doctors, physician assistants, or nurse practitioners.
• Coach contact: monthly check-ins, mostly by email or video. You can switch coaches if it isn't a fit.
• Provider visits: a first telehealth visit, a follow-up 6–12 weeks after starting treatment, then every 6 months.
• Lab checks: Marek's FAQ says basic labs at 6–12 weeks, then every 6 months; its pricing page says every 3–6 months. Confirm the schedule and charges for your plan. ^{5 3 11}

Remember, a coach isn't a prescriber. A coach can explain the care plan and help with sleep, training, and food. Medical interpretation of your labs, diagnosis, and prescriptions come from the licensed provider.

What Hone doesn't do (and why that may be fine)

Here's the honest part. Hone's own terms say its doctors don't perform prostate cancer screening or rectal exams. Hone tells patients to keep a primary care doctor for that. ¹⁰

Hone does list PSA blood testing in its plans. That does not make it a replacement for local prostate assessment, and Hone also says it can arrange a complimentary home visit if its physician decides an in-person visit is needed. ^{6 49 14}

If you want your TRT provider to also handle your checkups, a local primary care doctor or urologist is the better choice. Our online vs. local TRT guide walks through that route.

But here's the trade. With Hone Plus, you can start with a home test kit and a doctor visit by video, which can save an office trip. Confirmation testing, follow-up labs, and any needed in-person exam still count. If you already have a doctor for checkups, that may be the shortcut you were looking for.

To be fair, Marek also centers care online. Its public FAQ descriptions differ: one says an in-person physical may be required in specific states for controlled substances; another says an annual physical is required. It says an MD, DO, PA, or NP can perform the exam. Get the requirement, who arranges it, and the outside cost confirmed in writing before you pay. ⁵

Already have a doctor for checkups and want a physician on video? Review Hone's Plus care and testing steps →

Want a coach in your corner every month? Review Marek's coach-led intake →

---

How do the blood tests and diagnosis work at each one?

Low testosterone should only be diagnosed when you have symptoms or signs plus consistently low results on more than one early-morning blood test. Hone orders a confirmation test before starting TRT; Marek runs one large first panel and says it uses LC/MS to measure testosterone. Ask Marek whether a repeat early-morning test is required and included before prescribing. ^{15 16 1 5}

A blood test is a starting point, not a diagnosis. Here's what the medical guidelines say, in plain words.

What doctors use to confirm low testosterone

• Total testosterone is all the testosterone in your blood. The AUA calls a level under 300 ng/dL a reasonable cutoff, but only as one piece of the picture.

• Two tests, two mornings. The AUA says low testosterone should be diagnosed only after two total testosterone tests on separate days, both done early in the morning. The Endocrine Society also recommends morning, fasting tests with an accurate lab method.

• Symptoms count too. Low numbers without symptoms or signs aren't enough on their own.

• Safety checks before starting. The AUA says to check hematocrit (how much of your blood is red blood cells, which testosterone can raise) and, for men over 40, PSA (prostate-specific antigen, a prostate blood marker). ^{15 16}

• Blood pressure matters too. Testosterone products can raise blood pressure. Ask how your clinician will check it during care. ⁵³

How each company tests

Testing details and timing above are provider-stated, not independently tested. ^{1 2 6 9 41 5}

More markers don't automatically mean safer care. What matters is whether the right tests happen at the right time and someone acts on them.

When to skip online TRT and see a specialist first

Arrange a clinical workup with primary care, urology, or endocrinology, with an in-person exam when needed, if any of these apply:

• Your testosterone came back very low, or you have breast tenderness or swelling.
• You have a pituitary problem, very high prolactin, or unexplained headaches or vision changes.
• You've had prostate or breast cancer.
• You've had a recent heart attack or stroke, or have untreated severe sleep apnea.
• Your hematocrit is already high.

These findings need evaluation before a treatment decision; they do not all mean TRT is permanently ruled out. Sudden severe headache or sudden vision loss needs emergency assessment. ^{51 16 15}

Our blood tests before TRT guide lists what a full first workup should include.

---

Is the testosterone FDA-approved or compounded?

Hone's own testosterone cypionate page says it's a compounded product that is not FDA-approved. Marek lists compounded testosterone cream and Kyzatrex, an FDA-approved oral testosterone capsule, but its injection listing does not establish which exact product you would receive. Ask both for the exact product and pharmacy in writing. ^{8 23 24}

This matters more than most comparison pages admit.

What these words mean

• FDA-approved means the FDA reviewed evidence of safety and effectiveness for the product's approved uses and assessed its manufacturing quality. Approval does not mean risk-free.
• Compounded means a pharmacy mixed the medicine itself. The FDA says compounded drugs are not FDA-approved, and the FDA doesn't check their safety, effectiveness, or quality before they're sold.

There are two kinds of compounders. Traditional "503A" pharmacies are mainly overseen by state pharmacy boards. "503B outsourcing facilities" register with the FDA and must meet additional manufacturing requirements. The FDA doesn't "approve" either kind of pharmacy. Its approval applies to drugs, not pharmacies. (Marek's FAQ uses "FDA Approved" for its 503A/503B pharmacy partners. That is not FDA approval of a pharmacy or its compounded products.) ^{5 21 22}

The AUA's guideline says doctors should prescribe commercially manufactured testosterone instead of compounded when possible. ¹⁵

Testosterone formats each one lists

Provider-listed formats and prices; a menu does not guarantee prescribing, stock, or availability in your state. ^{1 2 8 23}

A troche and Kyzatrex are not the same thing. A troche is a compounded tablet that dissolves in your mouth. Kyzatrex is an FDA-approved capsule you swallow with food. Listing a product doesn't mean it's right for you, and Kyzatrex at Marek still needs a provider's decision and a quote. ^{24 23} Our TRT treatment options guide compares the practical trade-offs between formats.

Who fills the prescription?

• Hone says your pharmacy can change and it can't guarantee a brand or manufacturer. You can ask to send a prescription to your own pharmacy, but your membership keeps running.
• Marek's terms name seven dispensing pharmacies, including Empower, Strive, and Anazao Health, and say your prescription may move between them. ^{25 26 27 11}

A pharmacy finding you should see: two facilities named in Marek's terms have recent FDA warning letters: Empower Pharmacy (September 18, 2026) and Revive Rx Pharmacy (September 22, 2025), both citing problems with sterile-drug production. The addresses match the facilities listed by Marek. These letters concern the pharmacies, not Marek itself, and do not show which pharmacy or batch you would receive. Ask which facility will fill your prescription and how any findings were addressed. ^{28 29 11}

The question to ask both: "Will my testosterone be an FDA-approved, commercially made product or a compounded one, and which pharmacy will fill it?"

---

Which is better if you care about fertility?

Testosterone therapy can lower sperm production, and the AUA/ASRM guideline says exogenous testosterone should not be prescribed to men interested in current or future fertility. Marek lists hCG and FSH, while Hone lists compounded clomiphene and enclomiphene; these are different medicines, not a fertility guarantee. If you want biological children, discuss that with a reproductive urologist before choosing treatment. ^{30 1 23}

Here's the plain truth. Taking testosterone can tell your body to make less of its own, and that can reduce spermatogenesis (sperm production). For some men that's temporary. Nobody can promise it will be. Exogenous means testosterone supplied from outside the body. Sperm production may take months or longer to recover after treatment, and recovery may be incomplete. ³⁰

These options are not the same as TRT

None of these is "natural TRT." None comes with a fertility guarantee. Off-label means an approved drug is prescribed for a use outside its FDA-approved labeling; it does not turn a compounded product into an approved drug. ^{31 32 21 33 30}

What this means for you:

• Trying to conceive? See a reproductive urologist first. A treatment menu does not replace a fertility workup.
• Want kids someday? Say so at your first visit, before any testosterone prescription. Discuss whether semen testing, sperm banking, or a different treatment route fits your plans. The guideline does not establish adding hCG or another medicine to TRT as a reliable fertility-preservation plan. ³⁰

Our TRT and fertility guide explains the trade-offs in more detail.

For fertility questions, speak with a reproductive urologist. Check the featured TRT offer’s age/state eligibility →

---

Can you use insurance, an HSA, or an FSA?

Neither Hone nor Marek bills insurance, and Hone doesn't do prior authorizations. Hone says it accepts HSA/FSA cards, subject to your plan's rules. Marek's pricing page calls its services HSA/FSA eligible, while its legal terms say you agree not to claim HSA or FSA reimbursement. ^{34 3 11}

If insurance matters, this section may change your whole decision.

Both are cash-pay. You pay them directly. Hone says it does not accept insurance; Marek's terms say it is not in-network with commercial insurance or enrolled with programs such as Medicare, Medicaid, or TRICARE. ^{34 11}

Hone can send a prescription to your local pharmacy if you ask. Hone doesn't handle prior authorizations, so coverage at that pharmacy isn't guaranteed, and your Hone membership still runs.

Marek's mixed message on HSA/FSA:

• Its pricing page says most clients use HSA or FSA funds and it provides itemized invoices.
• Its terms of service say you agree not to submit HSA or FSA reimbursement claims.
• It also doesn't provide diagnosis or procedure codes, and won't write a Letter of Medical Necessity. ^{5 3 11}

We can't settle that conflict for you. Ask Marek in writing, then check with your HSA or FSA administrator before you count on it.

If you want insurance to cover your care, a local doctor or urologist who bills your plan may be the better route. Depending on your coverage, your visits, labs, and a commercially made testosterone product could be covered.

Want to use your insurance instead? Compare online TRT with a local doctor →

---

What happens with refills, canceling, refunds, and your records?

Hone's membership renews monthly until you submit its cancellation form, there are no partial-month refunds, and any pending medication order must be canceled separately. Marek has no subscription to cancel, but every web sale is final and your booking payment is a non-refundable deposit. Get any cancellation confirmed in writing.

Leaving a provider takes more than stopping a payment.

Leaving Hone

Hone's Plus and Premium payment agreements also say the initial membership fee will be refunded if its physician finds treatment inappropriate after the initial consultation. That is not a promise to refund all testing or every charge. ^{35 10 37 38 44 45}

Leaving Marek

Cancellation details are provider-stated terms, not results from a cancellation test. ^{36 11}

Refill timing: Hone says pharmacy processing generally takes 3–5 business days before delivery, and required labs or visits can hold up a refill. We did not establish a reliable end-to-end delivery window for Marek. Ask both when to request a refill, what can delay it, and who handles a gap. ^{42 37}

One safety note: don't stop or change testosterone on your own when you switch providers. Ask your current clinician for a plan to cover the gap.

Want to understand the exit terms before paying? Read Hone's cancellation and refund policy →

Want no subscription at all? See how Marek charges per service →

---

Are Hone Health and Marek Health legit?

Both are real, established telehealth companies. Each describes labs and a licensed clinician's evaluation before testosterone prescribing; we did not independently check every clinician's license or confirm current LegitScript certification. Both score well on Trustpilot, but reviews are customer-experience signals, not proof of safe care or medical results. ^{10 11 1 5 39 40}

"Legit" and "right for you" are different questions. Here's what we could confirm.

Customer-experience signals from the visible reviews:

• Marek: some reviewers praise named health coaches and detailed lab reviews. One visible review also mentions price. These reports do not establish that coaching improves medical outcomes.
• Hone: some reviewers praise convenience and friendly doctors; other visible posts report billing or appointment problems. We did not independently verify those complaints or measure how often each theme occurs.

Both profiles say the companies invite reviews and have paid Trustpilot subscriptions. These are dated review snapshots, not a head-to-head study of TRT patients. ^{39 40}

A note on testimonials: the success stories on Hone's own product page are labeled as coming from compensated patients, so we don't repeat them. Reviews can't tell you whether TRT will work for you. A proper evaluation can assess whether TRT is appropriate; it cannot guarantee results. ^{8 16}

Both companies use binding arbitration in their terms, which means disputes generally go to an arbitrator instead of court. ^{10 11} Before paying, ask for your clinician's name and the dispensing pharmacy, then check the relevant state licensing boards; the company name and a review score do not verify those individual credentials.

---

Should you choose Hone Health or Marek Health?

Hone is the closer fit for physician video visits, a set membership fee, and an at-home starting test, with local care for checkups when needed. Marek is the closer fit for a personal coach and a large custom lab panel, and it lists service in New Jersey. Fertility plans or complex health problems may make specialist care the better first step; incomplete testing calls for evaluation before treatment.

Find your situation below.

Our editorial bottom line

If you've been properly evaluated, you have a regular doctor, and you want a clean, doctor-led routine with a fixed membership fee, Hone is the simpler choice. If you like digging into your numbers, want someone coaching you month to month, and can live with a bill that moves around, Marek gives you more tools. Its upfront price alone does not tell you which company will cost more over a full year.

Neither company is medically "better" based on public information. We did not identify head-to-head outcome evidence in the sources reviewed. Pick the model that fits how you want to be cared for.

Does Hone sound like your situation? Review Hone's $45 home-test route and Plus plan →

Does Marek sound more like you? Review Marek's $299 intake consultation and lab costs →

Want to check the featured TRT offer? Check age/state eligibility with Find My TRT Path →

---

Before you pay: the quote request we'd send

The fastest way to compare Hone and Marek fairly is to get the same line items from both, in writing. Copy the request below, send it to each company, and fill in the worksheet with their answers. Mark each line with a price, "included," "not needed," or "not yet known."

We built this because public price pages leave gaps. A completed quote shows which gaps remain.

Copy and send this

Please give me a written, itemized estimate for my first year of care. Include the initial evaluation, all required confirmation and safety tests, follow-up appointments, monitoring labs, membership fees, the proposed product and dispensing pharmacy if known, medication price per fill and the expected length of each fill, supplies, shipping, and any in-person visit I'd need. Show the monthly equivalent and list optional items separately. Mark unknown items clearly, and tell me which prices can change after the clinical evaluation. Please also tell me what's refundable if I don't start treatment, what I must cancel to stop all future charges, and how I can get a full copy of my records.

Fill in your answers

If a required cost is still blank or unknown, treat your total as incomplete, not cheaper. Add every required one-time charge, the membership payments actually due, all medication fills, and any extra labs, visits, supplies, shipping, or outside exams. Count bundled items once.

Questions worth asking out loud at your first visit:

1. Will you repeat my morning testosterone test before prescribing?
2. Will you check my hematocrit and blood pressure, and discuss whether PSA testing is appropriate for my age and risk?
3. Who is my prescriber: an MD, DO, NP, or PA?
4. Am I charged in months I don't refill?
5. How will visits and refills work after December 31, 2026?

---

What we actually verified

We compared Hone Health and Marek Health using each company's current pricing, plan, FAQ, product, and legal pages, checked on November 5, 2026. We calculated the fee subtotals from published prices and kept provider statements separate from our calculations and judgments. We did not sign up, buy, or test either service.

Our method follows How We Review TRT Providers. We don't give providers scores, and listing a provider here isn't an endorsement. Want more depth on one company? Read our Hone Health TRT review, Hone TRT cost guide, Marek Health TRT review, or Marek Health TRT cost guide.

---

Frequently asked questions

Hone and Marek differ most in billing, testing, and the role of a coach. These answers cover the remaining practical checks; prices and program details are provider-stated as of November 5, 2026.

Is Marek Health worth the money?

It can be, if you want a personal coach and a large custom lab panel. Its published $749 minimum evaluation subtotal does not tell you the full year's cost, and its averages do not establish that it beats Hone. Get a written quote first. ³

How much does Hone Health cost per month for TRT?

Hone's men's Plus plan is $135 a month and Premium is $155, plus medication. The plan pages list testosterone injections from $28 per vial, so the monthly medication cost needs a quote. Plus lists a $45 at-home starting test and, for TRT, a $45 lab confirmation or $80 home confirmation. ^{1 2}

How much does Marek Health cost per month?

Marek has no monthly membership. You pay a $299 intake and at least $450 for labs. Marek says ongoing treatment, coaching, and follow-up labs average $80–$200 a month, but your cost depends on your protocol. ³

Is Hone's $25 plan a TRT plan?

No. Hone Basic ($25/month) doesn't include hormone therapy. For TRT, compare Hone Plus ($135) or Premium ($155). ⁷

Does Marek still charge $250 to start?

No. Marek's current pricing lists a $299 intake, with foundational labs from $450. Older reviews quoting $250 are out of date. ³

Does Marek Health require an in-person physical?

Marek's public FAQ descriptions differ between a state-specific requirement and an annual physical. It says an MD, DO, PA, or NP can perform the exam. Ask Marek to confirm your requirement and any outside cost in writing before paying. ⁵

Does Hone Health check my prostate?

Hone's terms say its doctors don't perform prostate cancer screening or rectal exams. Keep a primary care doctor or urologist for that. Hone's Premium panel does include PSA, a prostate blood marker. Plus also lists PSA in confirmation testing and selected follow-ups; a blood test does not replace any further assessment your clinician recommends. ^{10 6 49}

Is Hone Health available in New Jersey or New York?

Hone lists no plan for New Jersey. In New York, men can get Premium ($155/month) but not Plus. ⁴

Is Marek Health available in all 50 states?

Marek says its program is available in all 50 states, though some treatments and tests are limited by state law. ⁵

Does Hone or Marek offer hCG?

Marek lists hCG (brand Pregnyl). Hone's reviewed Plus and Premium menus do not list hCG; they list compounded clomiphene and enclomiphene, which are different medicines with different approval status. None guarantees fertility preservation. ^{23 1 2 30}

Is the testosterone from Hone or Marek FDA-approved?

Hone's testosterone cypionate page says it's compounded and not FDA-approved. Marek lists compounded cream and Kyzatrex, an FDA-approved oral testosterone, but its pharmacy network does not tell you the approval status of your exact prescription. Ask both which exact product you'll get. ^{8 23 24 21}

How long does it take to start TRT with Hone vs Marek?

Hone lists 5–7 days for home-kit results after the lab receives your sample; consultation and confirmation testing add time. Marek estimates about 2–3 weeks from blood draw to a plan. These are different stages, not comparable promises of a treatment start date; prescribing, pharmacy processing, and delivery can add time. ^{41 42 5}

Do I talk to a doctor at Marek, or just a coach?

You speak with a coach and a licensed medical provider. Your coach is your main contact for check-ins and lab reviews. A licensed provider (a doctor, PA, or NP) handles your evaluation and prescriptions, with visits at the start, 6–12 weeks in, then every 6 months. ^{5 11}

Can I use my own lab results?

Hone accepts qualifying results from the past 90 days but still charges its starting fee. Marek doesn't accept outside labs and requires its own panel. ^{9 5}

Can I cancel Hone anytime? Can I get a refund from Marek?

You can cancel Hone anytime with its cancellation form. Future membership renewals stop; partial months aren't refunded, and Hone says it refunds renewal charges after form submission. Pending medication orders must be canceled separately. Marek has no subscription, but web sales are final and the booking payment is non-refundable. ^{35 36}

Will online TRT still work after December 31, 2026?

The current temporary rule allows qualifying practitioners to prescribe controlled substances through telehealth without a prior in-person evaluation, subject to its conditions and other federal and state law, through December 31, 2026. DEA's special-registration rule is still listed as under OIRA review, which does not establish the rules that will apply in January. Ask your provider how January visits and refills will work. We'll update this page when the rule changes. ^{18 19}

Does paying for a test guarantee a prescription?

No. Testing and a clinical visit might lead to a different recommendation. Paying for a test doesn't mean you'll be diagnosed or prescribed testosterone. ^{1 5 16}

---

Check the featured TRT offer’s age/state eligibility with our free Find My TRT Path tool.

This page is educational information, not medical advice. A licensed clinician decides whether testing or treatment is right for you. Find My TRT Path doesn't diagnose low testosterone, determine medical suitability, or guarantee a prescription. For chest pain, severe trouble breathing, or signs of a stroke, call 911. A new painful, swollen leg needs prompt medical assessment; seek emergency care if it comes with chest pain, breathlessness, or fainting. ^{48 51}

---

Sources (checked November 5, 2026)

1. Hone Plus membership
2. Hone men's Premium membership
3. Marek pricing
4. Hone service availability by state (2026)
5. Marek FAQ
6. Hone Plus TRT lab schedule (updated October 23, 2026)
7. Hone membership overview: Basic, Plus, Premium
8. Hone testosterone cypionate product page
9. Hone: bring your own labs
10. Hone terms of use (revised February 24, 2026)
11. Marek terms and conditions (updated June 11, 2026)
12. Hone doctor visit length
13. Contact Hone Health
14. Hone: in-person visits
15. American Urological Association: Evaluation and Management of Testosterone Deficiency (2018; validity confirmed 2024)
16. Endocrine Society: Testosterone Therapy in Men with Hypogonadism
17. DEA: drug scheduling
18. Federal Register: fourth temporary extension of telemedicine flexibilities
19. OIRA: pending review of DEA special-registration rule, received August 25, 2026
20. HHS: getting started with telehealth licensure
21. FDA: Compounding and the FDA, questions and answers
22. FDA: outsourcing facility registration Q&A
23. Marek treatments
24. FDA: Kyzatrex prescribing information (July 2025)
25. Hone: using your own pharmacy
26. Hone: brands and manufacturers
27. Hone: pharmacy changes
28. FDA: Empower Pharmacy warning letter, September 18, 2026
29. FDA: Revive Rx Pharmacy warning letter, September 22, 2025
30. AUA/ASRM: Diagnosis and Treatment of Infertility in Men (amended 2024)
31. Pregnyl prescribing information (DailyMed)
32. OPSS: clomiphene and enclomiphene (updated January 12, 2026)
33. Marek recombinant FSH listing
34. Hone insurance FAQ
35. Hone cancellation and refund policy (updated November 3, 2026)
36. Marek cancellation and refund policy
37. Hone automatic refills
38. Hone: exporting consult history
39. Trustpilot: Hone Health
40. Trustpilot: Marek Health
41. Hone men's patient journey
42. Hone medication processing and shipping
43. Hone vs Hims: provider-stated plan and care differences (updated September 22, 2026)
44. Hone men's HRT membership payment agreement
45. Hone men's Premium payment agreement
46. Hone Premium-linked assessment checkout
47. Marek Health: program and separately billed services
48. CDC: signs and symptoms of blood clots
49. Hone Premium lab schedule
50. Hone Basic checkout
51. CDC: signs and symptoms of stroke (May 19, 2026)
52. Anastrozole prescribing information (DailyMed, September 2026)
53. FDA: testosterone labeling and blood-pressure warnings

Editorial standards · Privacy policy · Corrections