Does Sesame Care accept FSA/HSA or financing like Affirm?

Sesame Care does not publicly advertise FSA/HSA acceptance or Affirm financing as of our last review. Contact Sesame Care's support team directly to confirm current payment options, as these can change.

What medications does Sesame Care prescribe?

Sesame Care's formulary includes compounded semaglutide, primary care visits, urgent care visits, and additional options. They also prescribe FDA-approved brand-name medications including Wegovy, Zepbound, Ozempic. The full formulary may shift based on supply, your prescriber's clinical judgement, and state regulations.

Is Sesame Care legitimate and safe to use?

Sesame Care operates as a telehealth platform connecting patients to licensed clinicians for primary care care. We recommend verifying clinician licensure in your state, the source pharmacy (especially for compounded medications), and prescription requirements before purchasing. Sesame Care appears in our editorial directory, which means we have publicly verified their basic operational footprint, but this is not a substitute for your own due diligence or a conversation with your primary care provider.

Can I cancel Sesame Care anytime, and what is the refund policy?

Most telehealth subscriptions, including Sesame Care's, can be cancelled through the patient portal or by contacting support, but cancellation policies and refund eligibility vary. Compounded-medication shipments are typically non-refundable once dispensed because they are made-to-order. Always read Sesame Care's current terms before your first refill cycle to understand cut-off windows and any auto-renewal behavior.

§ Brand Review · Primary Care

Sesame Care Review

Q: How much does Sesame Care actually cost per month?

Sesame Care's published pricing starts at From $59 – $299/mo, with a separate program or membership fee of No subscription required. Sesame Care uses a marketplace model with transparent per-visit pricing instead of subscriptions. GLP-1 prescriptions and brand-name fulfillment are billed separately by the prescribing provider or pharmacy. Always confirm the current all-in monthly total on Sesame Care's site before completing a consult, telehealth pricing can change without notice.

Q: Does Sesame Care require a monthly membership?

No. Sesame Care does not require a recurring monthly subscription. Sesame Care uses a marketplace model with transparent per-visit pricing instead of subscriptions. GLP-1 prescriptions and brand-name fulfillment are billed separately by the prescribing provider or pharmacy. Your final cost depends on the specific consultation, prescription, and fulfillment path selected, so review the current checkout total before placing an order.

Q: Does Sesame Care raise prices as you increase your GLP-1 dose?

Sesame Care uses per-dose pricing that may vary by dose tier. Sesame Care uses a marketplace model with transparent per-visit pricing instead of subscriptions. GLP-1 prescriptions and brand-name fulfillment are billed separately by the prescribing provider or pharmacy. Confirm the specific pricing for higher doses with Sesame Care before committing to a multi-month plan.

Cash-pay telehealth marketplace with transparent per-visit pricing and Costco-member discounts.

Last reviewed August 2026

3 studies cited

Fact-checked 12 August 2026Last updated 15 June 2026From $59 – $299/moEditor Score 4.4 / 5Trustpilot 4.5 · Excellent

Independently reviewedSources & methodology Editorial standards

Reader-supported, we may earn a commission through links on this site. Rankings are editorially independent. Disclosure · Methodology

Quick Verdict

Cash-pay telehealth marketplace with transparent per-visit pricing and Costco-member discounts.

Who it's for: Sesame Care fits people who want one-off visits, a primary-care consult, a GLP-1 evaluation, a dermatology question, without committing to a recurring subscription. Costco members get an extra discount tier. The open pricing model is unusual in telehealth — most platforms hide costs until after intake, so Sesame Care suits price-sensitive buyers who want to compare before committing.

Bottom line: A flat-fee marketplace that earns its place when you only need a single transparent visit. Sustained GLP-1 buyers may prefer a dedicated specialty clinic. If you want a sustained GLP-1 program with ongoing provider support, a dedicated GLP-1 clinic will offer better continuity than Sesame's per-visit marketplace model.

Visit Sesame Care

Pros

Transparent upfront per-visit pricing
Same-day appointments often available
Costco-member discount layer

Cons

No bundled ongoing care
Provider quality varies across the marketplace
Insurance not used

Pros & Cons In Detail

Transparent upfront per-visit pricing

Clear, line-itemed pricing is increasingly rare in telehealth, and Sesame Care discloses what you'll pay before you start a consult, not after card capture.

Same-day appointments often available

In practice this is one of the differentiators that pushes Sesame Care's editor score above the category median.

Costco-member discount layer

In practice this is one of the differentiators that pushes Sesame Care's editor score above the category median.

No bundled ongoing care

It's a real trade-off worth knowing about before you commit, even if it isn't a deal-breaker on its own.

Provider quality varies across the marketplace

It's a real trade-off worth knowing about before you commit, even if it isn't a deal-breaker on its own.

Insurance not used

It's a real trade-off worth knowing about before you commit, even if it isn't a deal-breaker on its own.

Sesame Care Pricing

Telehealth ads often advertise a low headline price that's the clinic's program fee, not the medication. Here's how the two line items break down at Sesame Care.

Program / Membership Fee	No subscription required
Medication Cost (From)	From $59 – $299/mo

What This Means For You

Sesame Care uses a marketplace model with transparent per-visit pricing instead of subscriptions. GLP-1 prescriptions and brand-name fulfillment are billed separately by the prescribing provider or pharmacy.

Visit Sesame Care

Who Sesame Care Is For

Sesame Care fits people who want one-off visits, a primary-care consult, a GLP-1 evaluation, a dermatology question, without committing to a recurring subscription. Costco members get an extra discount tier. The open pricing model is unusual in telehealth — most platforms hide costs until after intake, so Sesame Care suits price-sensitive buyers who want to compare before committing.

How Sesame Care Markets Itself

Cash-pay patients who want flat-fee, same-day video visits without insurance: including the Costco-member partnership.

Signature Programs

›Same-day primary and urgent care visits
›GLP-1 weight-loss consultations
›Costco-member discount tier

Medication Formulary

FDA-Approved Access

WegovyZepboundOzempic

Full Formulary

compounded semaglutideprimary care visitsurgent care visitsmental health visitsdermatology visits

The Bottom Line

A flat-fee marketplace that earns its place when you only need a single transparent visit. Sustained GLP-1 buyers may prefer a dedicated specialty clinic. If you want a sustained GLP-1 program with ongoing provider support, a dedicated GLP-1 clinic will offer better continuity than Sesame's per-visit marketplace model.

With an editor score of 4.4 / 5 across cost, experience, and trust, Sesame Care is one of the strong mid-tier options in the primary care category we cover.

See how Sesame Care compares in our full primary care rankings, or read the Best Compounded GLP-1 Telehealth Providers guide. Our methodology explains how we score each provider.

Visit Sesame Care

§ FAQ

Frequently Asked Questions

References

Wilding et al., NEJM 2021 (STEP 1) · Semaglutide 2.4 mg produced 14.9% mean weight loss vs 2.4% placebo at 68 weeks in the STEP 1 trial.
FDA Federal Register 2024 (Semaglutide shortage end) · FDA removed semaglutide from the drug shortage list in October 2024, ending the legal basis for compounding.
Garvey et al., NEJM 2022 (STEP 5) · Two-year STEP 5 data confirmed sustained 15.2% weight loss with semaglutide 2.4 mg.

RxNotebook is an editorial publication. Citations point to peer-reviewed journals, FDA labeling, and clinical society guidelines. We are not affiliated with the studies cited above. This page is for general information and is not medical advice.

Not sure which provider fits you? Take the 30-second quiz

Answer 4 quick questions to get a personalized provider match

§ Readers Also Compared