Overview
Sesame Care is a direct-pay healthcare marketplace rather than a weight-loss company, and that origin shapes its GLP-1 offering. Sesame’s core business is letting patients book clinician visits at published cash prices — visits start at $34 — without insurance in the loop. Success by Sesame is the weight-management program built on top of that marketplace.
The care subscription is priced two ways. Sesame advertises the program at $99 per month, and separately advertises access to GLP-1s and more at as low as $59 per month with an annual subscription. Independent reviews describe the $99 figure as covering telehealth visits and medical management on a 28-day cycle. In both cases, the subscription covers care — medication is priced separately.
On medication, Sesame works both tracks. It advertises access to brand-name GLP-1s including Wegovy, Ozempic and Zepbound as low as $25 per month for patients with coverage, and lists cash pricing for the oral Wegovy tablet at $149 per month for the 1.5 mg and 4 mg doses and $299 per month for the 9 mg and 25 mg doses — matching the manufacturer’s own self-pay schedule.
Two pathways make Sesame unusual. There is a Medicare-specific route offering covered GLP-1 medications such as Wegovy and Zepbound at a flat $50 per month copay for eligible patients. And there is a Costco partnership giving Costco members exclusive pricing on Sesame — $29 virtual care visits, $72 checkups, and 10% off other services including the Success by Sesame program. Neither of these has a clean equivalent elsewhere in the market.
What Makes Sesame Care Different
Marketplace Economics Rather Than Platform Markup
Sesame’s model is a marketplace of independent clinicians at published cash prices, not a vertically integrated platform reselling medication at a margin. Visits start at $34. That structure tends to produce lower care costs than platforms that must fund their own clinical staff and marketing from a single subscription.
A Genuine Medicare Pathway
Sesame offers a Medicare-specific weight loss visit route with covered GLP-1 medications such as Wegovy and Zepbound at a flat $50 per month copay for eligible patients. Medicare beneficiaries have historically had very poor access to obesity medication, making this one of the few real options.
Costco Member Pricing
Costco members get exclusive Sesame pricing: $29 virtual care visits, $72 checkups, and 10% off other services including Success by Sesame. If you already hold a Costco membership, that discount stacks onto an already low-cost model.
Both Brand-Name Tracks in One Place
Sesame advertises brand-name GLP-1s as low as $25 per month for covered patients and publishes cash pricing matching the manufacturer’s self-pay schedule for the oral Wegovy tablet. You are not forced to choose the insurance route or the cash route before you know which is cheaper for you.
✓ Pros
- •Very low care subscription – from $59/month on an annual plan
- •Visits from $34 – among the lowest published cash visit prices anywhere
- •Medicare pathway at $50/month copay – rare functioning access for Medicare patients
- •Costco member discount – $29 visits, $72 checkups, 10% off the program
- •Brand-name FDA-approved medication – no compounding questions
- •Cash pricing matches manufacturer self-pay – $149/month entry on the oral tablet
- •Insurance-covered route from $25/month – if your plan covers obesity medication
- •Labs and video visits included – Sesame describes these within the program
✗ Cons
- •Multiple confusing price points – $59, $99, $149, $25, $50 depending on route and plan
- •Annual commitment for the $59 rate – the cheapest care price requires prepaying a year
- •Two-part pricing – subscription plus medication means the headline is not your total
- •Marketplace variability – clinician experience can vary across independent providers
- •No compounded options – the lowest-cost medication tier is unavailable
- •Medication price scales with dose – $149 becomes $299 at higher oral doses
- •Less continuity than a dedicated clinic – marketplace model does not guarantee the same clinician
Our #1 Recommended Provider
Sesame is strong on care cost, especially for Medicare and Costco members. If you want one flat number covering medication and care together, Coreage RX remains our top recommendation.
Medications Offered
Brand-Name or Compounded?
Brand-name only. Success by Sesame provides access to FDA-approved GLP-1 medications including Wegovy, Ozempic and Zepbound, dispensed through standard pharmacy channels. Sesame does not offer compounded semaglutide or tirzepatide.
Wegovy pill (oral semaglutide) — 1.5 mg / 4 mg
$149/month cashSesame’s published cash pricing for lower oral semaglutide doses, matching Novo Nordisk’s own self-pay schedule. Program subscription is additional.
Wegovy pill — 9 mg / 25 mg
$299/month cashHigher oral semaglutide doses sit at the upper cash tier.
Wegovy, Ozempic, Zepbound (injectable)
As low as $25/month with coverageSesame advertises access to brand-name injectable GLP-1s as low as $25 per month for patients whose plans cover obesity medication. Your actual cost depends on your formulary and deductible.
Medicare pathway
$50/month flat copaySesame offers covered GLP-1 medications such as Wegovy and Zepbound at a flat $50 per month copay for eligible Medicare patients through a dedicated Medicare weight loss visit route.
Success by Sesame program
$99/month, or as low as $59/month with an annual subscriptionThe care subscription. Sesame describes it as including video visits, labs, and medical management. Medication price is not included.
Sesame publishes several distinct price points depending on which route applies to you — annual versus monthly subscription, cash versus insurance, Medicare versus commercial, Costco member versus not. Identify your route first, then price it. Comparing Sesame’s cheapest advertised figure against another provider’s all-in figure is the most common mistake patients make here.
Pricing, Membership & Medication Fees
| Cost Item | What You Pay |
|---|---|
| Success by Sesame subscription | $99/month, or as low as $59/month with an annual subscription — medication not included |
| Individual visits | Start at $34 |
| Wegovy pill, 1.5 mg / 4 mg | $149/month cash, plus subscription |
| Wegovy pill, 9 mg / 25 mg | $299/month cash, plus subscription |
| Brand-name injectables with coverage | As low as $25/month, depending on your plan |
| Medicare pathway | $50/month flat copay for covered GLP-1s such as Wegovy and Zepbound |
| Costco member pricing | $29 virtual care, $72 checkups, 10% off other services including Success by Sesame |
| Compounded medication | Not offered |
The realistic all-in figure for a cash-paying commercial patient is roughly $208 to $248 per month at the entry oral dose ($149 medication plus $59 to $99 care), rising to around $358 to $398 at the top oral dose. For a Medicare patient at $50 medication plus the program fee, or a covered commercial patient at $25, the math is dramatically better.
How Sesame Care Works
Identify Which Pricing Route Applies to You
Sesame has distinct pathways for commercial insurance, cash pay, Medicare, and Costco members. Working out which one you are in is genuinely the first step, because the cost difference between them is several hundred dollars a month.
Choose Your Subscription Term
Success by Sesame is advertised at $99 per month, or as low as $59 per month with an annual subscription. The annual option is meaningfully cheaper but commits you for twelve months — a real consideration given that many patients discontinue GLP-1 therapy within the first year.
Book a Video Visit
You select a clinician from Sesame’s marketplace and book a video visit. Individual visits start at $34, and Sesame describes video visits and labs as included within the Success program.
Clinical Evaluation and Prescription
A licensed clinician reviews your history and determines whether a GLP-1 is appropriate. Because Sesame carries brand-name injectables and the oral tablet, discuss which formulation suits your preferences and budget at your expected maintenance dose.
Coverage Check or Cash Pricing
If you have coverage, Sesame advertises brand-name GLP-1s as low as $25 per month. If you are paying cash, the published oral tablet pricing applies. Medicare patients use the dedicated $50 flat-copay route.
Pharmacy Fulfillment and Ongoing Management
Prescriptions are filled through standard pharmacy channels. Ongoing medical management continues through your subscription, with additional visits available at marketplace prices.
Program Details at a Glance
| Detail | Sesame Care |
|---|---|
| Consultation process | Video visit with a licensed clinician booked through Sesame’s marketplace. Individual visits start at $34; video visits are described as included within the Success by Sesame program. |
| Eligibility | Adults meeting FDA-approved criteria for the prescribed medication, as determined by the treating clinician. Separate Medicare-specific eligibility applies to the $50 flat-copay pathway. |
| Provider involvement | Licensed independent clinicians on Sesame’s marketplace conduct visits and prescribe, with ongoing medical management included in the program subscription. |
| Lab requirements | Sesame describes labs as included within the Success by Sesame program. |
| Pharmacy fulfillment | Standard pharmacy channels dispensing FDA-approved manufacturer products. Not a compounding arrangement. |
| Shipping frequency | Fulfillment follows your pharmacy channel. Sesame’s program operates on a 28-day cycle per independent reviews. |
| Support services | Telehealth visits and medical management through the subscription. Additional visits available at marketplace pricing. |
| Membership fee | $99/month for Success by Sesame, or as low as $59/month with an annual subscription. Costco members receive 10% off. |
| Medication fee | Separate. Oral Wegovy at $149/month (1.5 mg, 4 mg) or $299/month (9 mg, 25 mg) cash. Brand-name injectables as low as $25/month with coverage. Medicare pathway at a flat $50/month copay. |
| Cancellation policy | Monthly subscriptions can be discontinued; annual subscriptions commit you for the term. Confirm specific cancellation terms for your plan type before enrolling. |
| Refund policy | Confirm refund terms for annual prepayment directly with Sesame before committing. Dispensed prescription medication is generally non-returnable. |
| Insurance | Yes, on the medication side — Sesame advertises brand-name GLP-1s as low as $25/month for covered patients, plus a dedicated Medicare pathway. Sesame’s core marketplace model is direct-pay. |
| HSA / FSA | Prescription and eligible medical costs are generally HSA/FSA eligible. Confirm treatment of the subscription fee with your plan administrator. |
| States served | Availability depends on clinician licensure in your state. Confirm before subscribing. |
Who Sesame Care Is Best For
✓ Best For:
- • Medicare patients who can use the $50 flat monthly copay pathway
- • Costco members who get $29 visits and 10% off the program
- • Patients whose insurance covers obesity medication, at the $25 tier
- • People who want the lowest care subscription cost and will commit annually
- • Patients who want brand-name FDA-approved medication rather than compounded
- • Anyone who values published cash prices over opaque bundled pricing
- • People who want occasional low-cost visits rather than a heavy program
✗ Not Best For:
- • Patients who want compounded semaglutide or tirzepatide
- • People who want a single all-in price without route-dependent complexity
- • Anyone unwilling to commit annually to get the best care rate
- • Patients who want continuity with one dedicated clinician
- • People who want intensive coaching or a structured behavior-change curriculum
- • Patients at high oral doses paying cash, where $299/month plus subscription gets expensive
Limitations to Know Before You Sign Up
- ⚠️The pricing structure is genuinely complicated. Five or more distinct figures apply depending on subscription term, insurance status, Medicare eligibility, and Costco membership. Confirm your specific route before comparing Sesame against anything else.
- ⚠️The $59 per month care rate requires an annual subscription. Given that discontinuation rates for GLP-1 therapy in the first year are substantial, committing twelve months upfront carries real risk.
- ⚠️Sesame is a marketplace of independent clinicians rather than a single integrated practice. Continuity with the same provider is not guaranteed in the way it is at a dedicated clinic.
- ⚠️The subscription covers care, not medication. Your true monthly cost is the sum of both, and at higher oral doses that reaches roughly $358 to $398.
- ⚠️There is no compounded option, so patients who need the $99 to $199 per month medication tier cannot be served here.
- ⚠️Advertised figures such as ’as low as $25 per month’ depend entirely on your individual insurance formulary. Verify your own coverage rather than assuming the headline applies.
Alternatives to Sesame Care
GoodRx
A simpler $39/month membership with unlimited online care and comparable brand-name medication pricing.
Walgreens Weight Management
Pay $49 per visit with no subscription at all, plus retail pharmacy pickup.
Coreage RX
Our top-rated provider at a flat $99/month covering medication and care together.
Form Health
A dedicated obesity-medicine clinic covered by most insurance including Medicare.
Frequently Asked Questions
How much does Success by Sesame cost?
Sesame advertises the program at $99 per month, or as low as $59 per month with an annual subscription. That covers care — video visits, labs, and medical management — but not medication, which is priced separately.
How much is the medication through Sesame?
Cash pricing for the oral Wegovy tablet is $149 per month for the 1.5 mg and 4 mg doses and $299 per month for the 9 mg and 25 mg doses. Brand-name injectables are advertised as low as $25 per month for patients with coverage. Eligible Medicare patients have a flat $50 per month copay pathway.
Is there really a Medicare option?
Yes. Sesame offers a Medicare-specific weight loss visit route with covered GLP-1 medications such as Wegovy and Zepbound at a flat $50 per month copay for eligible patients. This is one of the few functioning Medicare pathways in the market.
What is the Costco partnership?
Costco members get exclusive Sesame pricing: $29 virtual care visits, $72 checkups, and 10% off other services including the Success by Sesame program. If you already have a Costco membership, this stacks onto an already low-cost model.
Does Sesame offer compounded semaglutide?
No. Sesame provides access to FDA-approved brand-name GLP-1 medications dispensed through standard pharmacy channels.
Do I have to commit to a year?
No, but the cheapest care rate does. The $59 per month figure requires an annual subscription; the month-to-month program is advertised at $99. Weigh the savings against the real possibility of discontinuing within twelve months.
Will I see the same clinician each time?
Sesame is a marketplace of independent clinicians. Continuity is not guaranteed the way it is at a single integrated practice, which is a meaningful trade-off for patients who value an ongoing relationship.
What is my realistic total monthly cost?
For a cash-paying commercial patient at the entry oral dose, roughly $208 to $248 per month all-in. At the top oral dose, roughly $358 to $398. For a Medicare patient or a covered commercial patient, considerably less.
The Bottom Line
Sesame Care earns 4.0 out of 5 stars for bringing marketplace economics to a category that badly needed them. Visits from $34, a care subscription from $59 per month on an annual plan, cash medication pricing that matches the manufacturer’s own self-pay schedule — these are real numbers, published openly, in a market where opacity is the norm.
Two pathways lift Sesame above the general run of low-cost telehealth. The Medicare route, offering covered GLP-1s such as Wegovy and Zepbound at a flat $50 monthly copay for eligible patients, addresses a population that has been almost entirely locked out of obesity medication. And the Costco partnership — $29 visits, $72 checkups, 10% off the program — is a genuine discount that stacks for the tens of millions of Americans who already hold that membership.
The main criticism is complexity. Sesame publishes at least five distinct price points across subscription term, insurance status, Medicare eligibility, and Costco membership, and the advertised figures require careful reading to translate into your actual monthly cost. The $59 rate requires an annual commitment, which is a substantial bet given how many patients discontinue GLP-1 therapy in year one. And the marketplace structure means less clinical continuity than a dedicated clinic provides.
Our recommendation: Sesame is an excellent choice for Medicare beneficiaries, Costco members, and insured patients — three groups it serves better than almost anyone. For a cash-paying patient who wants a single simple number covering medication and care, Coreage RX at $99/month is more straightforward. If you want a simpler low-cost membership with unlimited online care, compare GoodRx.
Disclosure:
This review is based on publicly available information from Sesame Care’s own service pages, blog announcements, and independent reviews, current as of August 24, 2026. Presidential GLP-1 may receive compensation from some providers featured on this site, which helps us provide free, independent reviews; we do not have a compensation relationship with Sesame Care. Sesame publishes multiple distinct price points that depend on subscription term, insurance status, Medicare eligibility, and Costco membership; all are subject to change. Advertised figures such as ’as low as $25 per month’ depend entirely on individual insurance coverage. Verify current pricing and your specific route directly with Sesame before subscribing. We do not sell, dispense, or ship medication.
⚕️ Medical Disclaimer:
This review is for informational purposes only and is not medical advice, diagnosis, or treatment. GLP-1 receptor agonists are prescription medications with serious risks and contraindications, including a boxed warning for thyroid C-cell tumors. Only a licensed clinician who knows your medical history can determine whether any weight-management medication is appropriate for you. Never start, stop, or change a prescription based on this page. If you experience severe abdominal pain, persistent vomiting, signs of an allergic reaction, or other concerning symptoms, seek medical care immediately. See our full medical disclaimer.
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