Hims vs Roman vs Keeps: Men’s Telehealth Compared

Medical Disclaimer: The information provided in this article is for educational purposes only and is not intended as medical advice. Always consult a qualified healthcare professional before starting any new supplement, exercise program, or wellness regimen. Individual results may vary. See our full Medical Disclaimer for more information.

Quick Comparison Table

Introduction

Men’s telehealth has grown into a significant segment of the digital health market, with several platforms offering discreet, convenient access to treatments for conditions that many men find difficult to discuss in person. For general telehealth options, see our best telehealth services guide. Hims, Roman (Ro), and Keeps are three of the most prominent platforms, each with distinct approaches and service scopes.

This comparison focuses on the service features, pricing, subscription models, and user experience of each platform. It does not make claims about the efficacy of specific treatments. Treatment decisions should always be made in consultation with a licensed healthcare provider.

Hims

Overview

Hims is the broadest of the three platforms, offering services across hair loss, erectile dysfunction, skincare, mental health, and primary care. Launched in 2017, Hims has positioned itself as a comprehensive men’s wellness brand with a modern, lifestyle-oriented aesthetic.

Service Range

Hair Loss: Hims offers both prescription and non-prescription hair loss products. Prescription options include finasteride (generic Propecia) and topical minoxidil. Non-prescription products include biotin gummies, DHT-blocking shampoo, and thickening conditioners. Hims also offers a complete hair loss kit that bundles multiple products.

Erectile Dysfunction: Hims provides access to sildenafil (generic Viagra), tadalafil (generic Cialis), and branded options where available. The platform requires an online medical questionnaire that is reviewed by a licensed provider before prescribing.

Skincare: Hims offers a range of skincare products including acne treatments, anti-aging formulations, moisturizers, and cleansers. Prescription-strength options are available for acne treatment following a provider consultation.

Mental Health: Hims provides access to licensed therapists and psychiatric providers for anxiety, depression, and other mental health concerns. This includes therapy sessions and prescription medication management.

Consultation Process

Hims uses an online medical questionnaire that covers medical history, current medications, and the specific condition being addressed. A licensed healthcare provider reviews the questionnaire and, if appropriate, writes a prescription. There is no live video consultation required for most services, though providers may request a follow-up if additional information is needed.

Pricing (2026)

• Hair loss (finasteride): Starting at $20/month
• Hair loss kit (finasteride + minoxidil + biotin): Starting at $44/month
• ED (sildenafil): Starting at $4 per use (subscription)
• ED (tadalafil): Starting at $8 per use (subscription)
• Skincare (prescription acne): Starting at $25/month
• Therapy: Starting at $99 per session
• Psychiatry: Starting at $129 initial consultation

Subscription Model

Hims operates on a subscription basis for most products. Subscriptions auto-renew monthly but can be paused or canceled at any time through the account settings. One-time purchases are available for select non-prescription products.

Shipping and Privacy

Standard shipping is free. Orders arrive in discreet, unbranded packaging. Hims does not list specific product names on the exterior packaging.

[Affiliate Link: Hims]

Pros and Cons

Pros:
– Broadest service range of the three platforms
– Modern, user-friendly interface
– Therapy and mental health services included
– Discreet packaging
– Flexible subscription management
– Both generic and branded medication options

Cons:
– Higher starting prices than Keeps for hair loss
– No live video consultation for initial assessment
– Customer service response times can be slow
– Cancellation process has been reported as cumbersome by some users
– Product quality consistency has mixed reviews

Roman (Ro)

Overview

Roman, now operating under the parent brand Ro, was founded with a focus on erectile dysfunction but has since expanded into a comprehensive men’s health platform. Ro operates its own pharmacy, which gives it control over the fulfillment process and allows it to offer competitive pricing.

Service Range

Hair Loss: Roman offers finasteride (generic), topical finasteride, minoxidil, and a daily hair supplement. The platform also provides a hair loss kit combining multiple products at a bundled price.

Erectile Dysfunction: Roman’s original focus remains strong. The platform offers sildenafil, tadalafil, and branded medications. Ro operates its own pharmacy, which can result in faster shipping times and quality control.

Skincare: Roman provides prescription skincare treatments for acne and anti-aging, along with a line of daily skincare products.

Weight Management: Ro has expanded into weight management, offering consultations and, where clinically appropriate, prescription options through its platform.

Primary Care: Ro is building out broader primary care services, positioning itself as a comprehensive health platform rather than a single-condition service.

Consultation Process

Similar to Hims, Roman uses an online questionnaire reviewed by a licensed provider. The questionnaire is thorough and covers medical history, current conditions, and medications. Roman’s providers are available for follow-up questions through the platform’s messaging system.

Pricing (2026)

• Hair loss (finasteride): Starting at $15/month
• Hair loss kit: Starting at $35/month
• ED (sildenafil): Starting at $2 per use (subscription)
• ED (tadalafil): Starting at $8 per use (subscription)
• Skincare (prescription): Starting at $25/month
• Daily hair supplement: $18/month

Subscription Model

Roman operates on a subscription model with monthly auto-renewal. Subscriptions can be paused, modified, or canceled at any time. Ro’s own pharmacy handles fulfillment, which can reduce delays compared to platforms that use third-party pharmacies.

Shipping and Privacy

Free standard shipping through Ro’s in-house pharmacy. Packaging is discreet with no product descriptions on the exterior. Ro’s pharmacy integration can result in faster delivery times compared to platforms using third-party fulfillment.

[Affiliate Link: Roman]

Pros and Cons

Pros:
– In-house pharmacy for quality control and faster shipping
– Competitive pricing, especially for ED medications
– Broadening service range including weight management
– Provider messaging system for follow-up questions
– Strong brand reputation and transparency

Cons:
– Not as specialized in any single category as Keeps (hair) or dedicated mental health platforms
– Skincare line is less comprehensive than Hims
– Mental health offerings are less developed
– Website navigation can be confusing with the Ro brand transition
– Some services not available in all states

Keeps

Overview

Keeps takes a fundamentally different approach from Hims and Roman by focusing exclusively on hair loss. This narrow focus allows the platform to streamline its consultation process, product offerings, and pricing specifically for hair loss treatment.

Service Range

Hair Loss Only: Keeps offers finasteride (1mg, generic Propecia), topical minoxidil (5% and extra strength formulations), and ketoconazole shampoo. The platform does not offer treatments for ED, skincare, mental health, or other conditions.

Hair Loss Kits: Keeps offers bundled kits that combine finasteride, minoxidil, and ketoconazole shampoo at a discounted rate compared to purchasing individually.

Consultation Process

Keeps uses an online medical questionnaire focused specifically on hair loss. The questionnaire asks about hair loss patterns, family history, current medications, and general health. A licensed dermatologist or healthcare provider reviews the submission and, if appropriate, prescribes treatment. The consultation is free, and no live visit is required.

Pricing (2026)

• Finasteride (1mg, generic): Starting at $10/month
• Topical minoxidil (5%): Starting at $10/month
• Ketoconazole shampoo: Starting at $8/month
• Complete hair loss kit (all three): Starting at $25/month
• Consultation: Free

Keeps offers the lowest starting prices for hair loss treatment of the three platforms. The bundled kit provides additional savings.

Subscription Model

Monthly subscription with auto-renewal. Keeps allows flexible scheduling, enabling users to adjust delivery frequency and product combinations. Cancellation can be done through account settings.

Shipping and Privacy

Free standard shipping. Packaging is discreet and does not indicate the contents. Keeps ships from a centralized pharmacy.

[Affiliate Link: Keeps]

Pros and Cons

Pros:
– Lowest prices for hair loss treatment
– Free consultation with licensed providers
– Focused expertise in hair loss
– Simple, streamlined process
– Bundled kits offer excellent value
– Ketoconazole shampoo included (not offered by all competitors)

Cons:
– Hair loss only — no other conditions treated
– Limited product variety within hair loss category
– No live video consultation option
– No branded medication options
– Fewer supplementary products (no biotin gummies, no thickening shampoo)
– Not suitable for those seeking a multi-condition platform

Head-to-Head Comparison

Hair Loss Treatment

Winner: Keeps for price, Hims for variety. Keeps offers the most affordable hair loss treatment plans, with finasteride starting at $10/month. Hims provides the widest range of hair loss products, including biotin supplements, DHT-blocking shampoo, and thickening conditioners in addition to standard treatments. Roman falls in between, offering competitive pricing with the added benefit of in-house pharmacy fulfillment.

Erectile Dysfunction Treatment

Winner: Roman. Roman’s in-house pharmacy and competitive pricing ($2/use for sildenafil) give it an edge in this category. Hims offers similar medications at slightly higher prices. Keeps does not offer ED treatment.

Skincare

Winner: Hims. Hims has the most comprehensive skincare line, including prescription acne treatments, anti-aging products, and daily skincare essentials. Roman offers skincare but with a smaller product range. Keeps does not offer skincare.

Mental Health

Winner: Hims. Hims is the only platform of the three offering both therapy sessions and psychiatric medication management. Roman provides therapy access but with less depth. Keeps does not offer mental health services.

Pricing

Winner: Keeps. For hair loss specifically, Keeps is significantly cheaper. For ED, Roman offers the most competitive per-use pricing. Hims tends to be the most expensive across categories but offers the broadest service range.

Privacy and Discretion

Tie. All three platforms use discreet, unbranded packaging and maintain HIPAA-compliant data practices. No platform has a meaningful advantage in this category.

Subscription Flexibility

Winner: Tie. All three platforms allow subscription pausing, modification, and cancellation. None requires long-term commitments.

Who Should Choose Each Platform

Choose Hims if:

• Multiple conditions need to be addressed (hair, skin, ED, mental health)
• You prefer a single platform for all men’s health needs
• Skincare and mental health services are important
• You value a modern, comprehensive wellness platform
• Budget allows for slightly higher pricing

Choose Roman if:

• ED treatment is the primary need
• You want competitive pricing with in-house pharmacy quality
• Hair loss treatment is needed alongside other services
• Weight management services are of interest
• Faster shipping through Ro’s own pharmacy is valued

Choose Keeps if:

• Hair loss is the only concern
• Budget is the top priority
• You want a simple, focused process
• Free consultation is important
• No other telehealth services are needed

FAQ

Do I need to see a doctor in person to use these services?

No. All three platforms use online questionnaires reviewed by licensed healthcare providers. A live video or phone consultation is not required for most services. However, providers may request additional information or recommend an in-person visit if the online questionnaire raises concerns.

Are the medications prescribed by these platforms the same as from a regular pharmacy?

Yes. The medications prescribed through Hims, Roman, and Keeps are FDA-approved generic or branded medications, the same as those dispensed by any licensed pharmacy. Roman operates its own pharmacy, while Hims and Keeps use licensed third-party pharmacies.

Can I use my health insurance with these platforms?

Generally, no. Hims, Roman, and Keeps operate on a direct-pay model and do not typically accept health insurance for their subscription services. However, some exceptions may exist depending on the specific service and the patient’s insurance plan. Patients should check with both the platform and their insurer.

How long does shipping take?

All three platforms offer free standard shipping. Keeps and Hims typically deliver within 3 to 7 business days. Roman, through its in-house pharmacy, may deliver slightly faster, often within 2 to 5 business days. Expedited shipping options are available at additional cost on some platforms.

Can I cancel my subscription at any time?

Yes. All three platforms allow subscription cancellation at any time through account settings. There are no cancellation fees or long-term contracts. However, it is recommended to cancel before the next billing cycle to avoid being charged for an additional month.

Are these platforms available in all 50 states?

Most services are available in all 50 states, but availability varies by specific product and treatment. Telehealth prescribing regulations differ by state, and some medications may not be available in certain jurisdictions. Each platform will notify patients during the consultation process if a requested treatment is not available in their state.

How do these platforms protect my personal information?

All three platforms comply with HIPAA regulations, which require strict protection of health information. Data is encrypted in transit and at rest. Personal health information is stored on secure servers, and platforms have privacy policies that detail how data is used and protected. Packaging is discreet and does not reveal the contents.

What if the treatment does not work for me?

These platforms do not guarantee treatment outcomes. If a treatment is not producing the desired results, patients should contact the platform’s provider messaging system to discuss alternatives. Adjustments to treatment plans can be made through follow-up consultations. Patients should also consult with their primary care physician about any concerns.

Written by the Complete Wellness Hub Editorial Team. Last updated April 2026. Product prices and availability are subject to change.