Sesame Care
Best for: Pay-per-visit with no membership
Direct-pay marketplace connecting patients with independent clinicians for GLP-1 consultations starting at $30 per visit.
Includes subscription plus typical monthly medication cost. Low end reflects compounded semaglutide (~$249); high end reflects branded GLP-1 cash price (~$1,350).
We exclude first-month promos and one-time discounts so the number reflects what you'll actually pay month over month.
Care quality score
How Sesame Care scores on care, not just price
Six weighted metrics — clinical support, screening rigor, transparency, insurance assistance, supplemental care, and customer satisfaction — each rated on a 5-point scale. See the methodology.
Live video visits with a licensed clinician, side-effect management, follow-up cadence and response times.
Depth of medical intake, baseline lab work, contraindication checks before a prescription is written.
Whether true monthly cost, membership fees, and cancellation terms are published and recently verified.
Insurance billing, prior-authorization help, coverage checks, and FSA/HSA acceptance.
Nutrition and dietitian access, progress tracking apps, and community or coaching support.
Aggregated verified customer ratings and how likely people are to recommend the program.
Available states
AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
Around the web
What real customers are saying about Sesame Care
We aggregate candid excerpts from Reddit, Trustpilot, ConsumerAffairs, the BBB and other public review communities — the wins, the warnings, and everything in between. Showing 5 of 15 — refresh for a different sample.
"Mixed feelings after a couple of months. The medication itself is working, but the customer service takes a while to respond. The app works, but it''s nothing special. Might switch when my current cycle ends."
"I was skeptical at first, but it''s working. I liked that they told me the true monthly cost upfront, not just a promo rate. Refills auto-ship so I never have to remember to reorder. The app is clean and I can message my care team without playing phone tag. Down 22 lbs and still going."
"I signed up for Sesame through Costco, which initially seemed like a good deal. After my first appointment, the doctor prescribed Wegovy, which was great. However, I'm a bit unsure about how the follow-up process is supposed to work and what to expect next."
"Some things they nail, some things they don''t. The medication itself is working, but the customer service takes a while to respond. Not sure I''d renew, but not sure I''d cancel either."
"I actually like using Sesame for my telehealth needs! I made sure to read a ton of reviews before picking my doctor, and that seems to have paid off. I've seen the same doctor four times over the last two years and have had a good experience with follow-ups."
Excerpts are aggregated from publicly available review pages. Reviewer names are anonymized initials, not the original poster's identity. One person's experience is not medical advice — always consult a licensed clinician.
Not sure Sesame Care is your best match?
Take a 90-second questionnaire to see your top 3 providers
Related reading
Stay Informed
How to Choose a GLP-1 Telehealth Provider
Ten questions to ask before signing up — pharmacy, clinician, price, and refunds.
Compounded vs. Brand-Name Semaglutide
What compounding actually is, what's legal after the FDA shortage, and how to vet a pharmacy.
GLP-1s Online Without Insurance
The cash-pay playbook: compounded, LillyDirect, NovoCare, and one-off doctor visits.
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Your turn
Used Sesame Care? Write a review
Real member reviews help the next person price this honestly. Rate the cost, onboarding, support, and how easy it was to cancel.
Community
Questions and experiences with Sesame Care
Ask the community anything about pricing, shipping, side effects, or switching providers — members who've used this service answer here.
Last verified: 8/11/2026