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Modern Fertility vs Legacy

Both Modern Fertility and Legacy compete in fertility. Here's how they differ on the things that actually matter.

Modern Fertility

Modern Fertility — at-home women's hormone test

$159/mo
Visit Modern FertilityFull review

Legacy

Legacy — at-home sperm analysis + freezing

$295/mo
Visit LegacyFull review

At a glance

$159/mo★ ·0NY, NJ, RIFertility
FeatureModern FertilityLegacy
Starting price$295/mo
Rating★ ·
Reviews tracked0
State exclusionsNone
CategoryFertility

Where they differ

Which one fits?

Choose Modern Fertility if…

Women starting fertility planning who want a baseline hormone panel without a clinic visit.

Strengths

  • · Comprehensive 7-hormone panel
  • · Physician-reviewed results
  • · Optional 1:1 fertility advisor

Drawbacks

  • · One-time snapshot, not ongoing monitoring
  • · Not available in NY, NJ, RI (CLIA state restrictions)

Our take: Modern Fertility (now part of Ro) made comprehensive at-home hormone testing accessible at a price point ($159) that no in-clinic equivalent matches. Best entry point for women starting to think about fertility planning.

Choose Legacy if…

Men assessing fertility, considering preventive freezing before chemo/medical treatment, or planning children later.

Strengths

  • · CLIA-certified at-home sperm analysis
  • · Long-term freezing storage available
  • · Discreet mail-in kit

Drawbacks

  • · Freezing costs add up over time
  • · Less established than clinic-based options

Our take: Legacy is the only major at-home sperm analysis brand with freezing services. CLIA-certified analysis and long-term storage make this a real alternative to clinic-based fertility services for men.

Frequently asked

Is Modern Fertility or Legacy better for fertility?+

Both Modern Fertility and Legacy are US-licensed telehealth programs for fertility. Modern Fertility: Modern Fertility — at-home women's hormone test. Legacy: Legacy — at-home sperm analysis + freezing. The right pick depends on whether you want insurance handling, brand availability, async vs sync clinical model, and cancellation flexibility — see the side-by-side comparison above.

How much do Modern Fertility and Legacy cost per month?+

Modern Fertility starts at $159/month. Legacy starts at $295/month. Stated prices are subscription fees; the actual cost depends on whether the medication is included, whether insurance applies, and current promotions. Compare the full pricing breakdown in the side-by-side table.

Can I switch from Modern Fertility to Legacy?+

Yes — telehealth programs can be cancelled and the same prescription often re-routed through a new provider. The new provider will typically require their own clinical assessment, and you may pay for two months of subscriptions during the transition. Document your cancellation in writing.

Do Modern Fertility and Legacy accept insurance?+

Insurance acceptance varies. Some programs file prior authorizations on your behalf as a concierge service; others operate cash-pay only. Check the comparison rows for "insurance handling" — that's usually the biggest differentiator.