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Quick answer $59-99/mo + meds

Choose your own provider. Program fee from $59/mo (annual) to $99/mo (monthly), medication billed separately, labs included in most states.

Provider Review · Updated November 2026

Sesame Care Review 2026: Choose Your Own Doctor for GLP-1 Prescribing

Sesame is a healthcare marketplace, not a single clinic. You pick the provider you want, then book a video visit. Its "Success by Sesame" weight loss program costs $59/month on an annual plan or $99/month month-to-month for clinical care, with medication billed separately. The marketplace model gives you more say over who treats you. But the fee does not include medication, so the real monthly cost is higher than the headline.


Quick Facts

DetailSesame Care
Program fee$59/mo on the annual plan, $99/mo month-to-month (as of Nov 4, 2026)
MedicationBilled separately (brand-name GLP-1s from $149/mo without insurance)
GLP-1s on the menuWegovy pill and pen, Zepbound, Ozempic, Mounjaro, Rybelsus
LabsIncluded at Quest, except in AZ, HI, ND, NJ, NY, OK, RI, SD and WY
InsuranceSesame does not bill insurance, but providers can help with prior authorization paperwork

Pricing

From the Sesame weight loss program page as of Nov 4, 2026:

ItemCost
Program fee, annual plan$59/month, billed every 12 months
Program fee, month-to-month$99/month, billed every 28 days
3-month and 6-month plansPriced between the two, billed every 3 or 6 months
Wegovy pillFrom $149/mo without insurance
Wegovy penFrom $149/mo without insurance
FoundayoFrom $149/mo without insurance
Zepbound vial or KwikPenFrom $299/mo without insurance
Ozempic, Mounjaro, RybelsusNo cash price listed

The program fee “does not include the cost of medication.” That is the single biggest source of confusion with Sesame, so add the two together.

Example without insurance: $99/mo month-to-month fee plus a $299/mo Zepbound starting dose is about $398/month. On the annual plan the same example is about $358/month. These are our arithmetic, not Sesame quotes, and higher doses usually cost more.

With insurance: you pay the program fee plus whatever your plan charges for the medication, if your insurer approves it.

For pricing across providers, see our cheapest GLP-1 guide.

See Sesame's current pricing

Visit Sesame →

How It Works

  1. Fill out an intake questionnaire covering medical history and weight loss goals
  2. Choose your provider from Sesame’s marketplace
  3. Video visit with that provider. Sesame says you can “See a provider as soon as today,” but availability varies
  4. Labs ordered if needed (included at Quest in most states)
  5. Prescription sent to a local pharmacy for pickup or delivered
  6. Messaging with your provider for ongoing support

What I Like

You Choose Your Own Provider

This is Sesame’s biggest advantage. Most telehealth GLP-1 platforms assign you a provider. Sesame lets you choose any provider on the platform. If you do not like them, you can pick someone else.

Wide GLP-1 Menu

Sesame lists the Wegovy pill and pen, Zepbound, Ozempic, Mounjaro and Rybelsus, plus Foundayo in its pricing. Having both semaglutide and tirzepatide on one platform matters. In the SURMOUNT-5 trial, tirzepatide produced 20.2% weight loss versus 13.7% for semaglutide over 72 weeks.

Brand-Name Focus

The GLP-1s Sesame lists are FDA-approved brand-name drugs. That keeps you out of the uncertainty around compounded GLP-1s. The FDA said on February 6, 2026 that companies cannot claim compounded products are the same as approved drugs.

Labs Included in Most States

Labs at Quest are included in the program fee except in nine states. That is more than many prescription-only platforms offer.


What Could Be Better

No Structured Coaching

Sesame describes provider guidance plus app tools for tracking diet, exercise and sleep. It does not describe a coaching program. If you want coaching alongside medication, Noom Med or WeightWatchers Clinic may fit better. For exercise strategies, see our GLP-1 exercise and muscle guide.

Billing Terms to Watch

The month-to-month plan bills every 28 days, not once a calendar month, so you get 13 charges a year. Sesame’s page says you can cancel anytime before the next billing cycle, fees already paid are not refunded, and the first month is not refundable after your first visit.

Provider Quality Can Vary

Because it is a marketplace, the experience depends on which provider you pick. Read provider profiles carefully.

Medication Not Included

The program fee covers clinical care only. If you want one price that includes medication, compare compounded all-in programs, keeping in mind compounded drugs are not FDA-approved.


Who Sesame Is Best For

Sesame fits well if you:

  • Want to choose your own provider
  • Want brand-name GLP-1s and help with prior authorization paperwork
  • Are willing to prepay a year to get the $59/mo fee
  • Do not need structured coaching

Compare Sesame with other providers

Visit Sesame →

FAQ

Is Sesame Care legitimate?

Sesame is an established telehealth marketplace. On Trustpilot, it had a 4.6 TrustScore from 4,605 reviews as of Nov 4, 2026. Trustpilot notes that Sesame invites its customers to leave reviews.

How much does Sesame weight loss cost per month?

The program fee is $59/month on an annual plan or $99/month month-to-month (billed every 28 days). Medication is billed separately, with brand-name GLP-1s from $149/month without insurance.

Does Sesame accept insurance?

Sesame does not bill insurance for the program fee. If you are insured, your provider can help with prior authorization paperwork for your medication. Medicare and Medicaid typically do not cover GLP-1s for weight loss.

How is Sesame different from other GLP-1 platforms?

Sesame is a marketplace where you choose any provider on the platform. Most other GLP-1 platforms assign you one.


Guides:

Provider Reviews: PlushCare Review · Ro Review · Found Review · Hims Review · Calibrate Review

Compare: All Providers · Best GLP-1 Programs 2026


What we checked

This AI-assisted public-source desk check reviewed Sesame’s weight loss program page, Sesame’s Trustpilot profile, the FDA’s February 2026 statement on compounded GLP-1s, and the published SURMOUNT-5 trial on November 4, 2026. We did not complete signup, pay for treatment, test delivery or support, or independently verify clinician and pharmacy credentials. Prices and policies change, so confirm them with the provider or your prescriber before you act.

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