Sesame Care Reviews 2026: Is Success by Sesame Worth It for GLP‑1 Weight Loss?
Our verdict
Recommended for insured patients who want FDA-approved GLP-1s and the ability to choose their own doctor.
Sesame is a legitimate telehealth marketplace — 4.5/5 on Trustpilot from 3,900+ reviews, A+ BBB rating, backed by over $75 million in venture funding. Strongest option for people who want brand-name medications and provider choice.
Read this before you sign up.
The “$99/month” number most sites quote does not include medication. Your real monthly cost ranges from ~$84/month (insured, annual plan) to over $1,100/month (uninsured, Zepbound pen). We calculated 9 real scenarios below.
Sesame is a legitimate telehealth marketplace and the strongest GLP-1 option for people who want FDA-approved medications, the ability to choose their own doctor, and the flexibility to use their own pharmacy or insurance.
Sesame does not offer compounded semaglutide. If that’s what you’re looking for, you’re on the wrong page — see our MEDVi review instead.
| Verdict | Best for | Not for | Program fee | Biggest watchout |
|---|---|---|---|---|
| Recommended for insured FDA buyers | Insurance-backed FDA GLP-1s + provider choice | Compounded seekers, uninsured budget buyers | $59–$99/mo | Medication NOT included — billed separately |
FDA-approved medications. Browse provider reviews before booking.
Jump to: Real costs · Who it’s for · Is Sesame legit? · Medications · How it works · Month by month · Compounded? · Insurance · Fit score · vs Ro vs MEDVi · Cancel · Costco · Lab states · Verdict · FAQ
How Much Does Sesame Care Weight Loss Actually Cost? (The Real Math)
Every Sesame Care review you’ll find quotes “$99/month” or “$59/month.” None of them show you what you’ll actually pay each month once you add medication. We built this table so you don’t have to open five tabs and do the math yourself.
The Membership Math Most Reviews Skip
Sesame offers four billing plans for Success by Sesame. The pricing looks simple until you read the fine print. Sesame’s weight loss page describes the month-to-month plan as “billed every month at $99” — but other official materials and the membership terms reference a 28-day billing cycle, which would mean 13 charges per year instead of 12. The safest assumption: budget for 13 cycles if you choose month-to-month.
| Plan | Billing cycle | Per-cycle cost | Yearly cost | Per month |
|---|---|---|---|---|
| Annual (best value) | Every 12 months | $708 upfront | $708 | $59/mo |
| 6-month | Every 6 months | $414 upfront | $828 | ~$69/mo |
| 3-month | Every 3 months | $237 upfront | $948 | ~$79/mo |
| Month-to-month | Every 28 days* | $99/cycle | ~$1,188–$1,287 | ~$99–$107/mo |
*Sesame’s own materials are inconsistent on whether month-to-month bills every calendar month or every 28 days. Confirm the exact billing cadence before choosing month-to-month. Source: sesamecare.com/service/online-weight-loss-program, verified April 11, 2026.
Sesame GLP-1 Medication Prices (Without Insurance)
That’s just the membership. Medication is entirely separate.
| Medication | Format | Starting price | Notes |
|---|---|---|---|
| Wegovy pill (oral semaglutide) | Tablet | $149/mo (lower doses), $299/mo (higher) | Promo pricing through 6/30/2026 |
| Wegovy injection | Pen | $199/mo intro (2 mo), then $349/mo | Costco members: $349/mo from day one |
| Ozempic | Pen | $199/mo intro (2 mo), then $349/mo | Off-label for weight loss |
| Foundayo (orforglipron) | Pill | $149–$349/mo depending on dose | NEW — oral GLP-1, no injection |
| Zepbound vial | Vial + syringe | From $299/mo (2.5 mg) | Self-pay only. You measure and load the syringe. |
| Zepbound pen | Pre-filled pen | $1,086/mo | Insurance-dependent path |
| Mounjaro | Pen | $1,079/mo | Off-label for weight loss |
| Metformin | Oral | $10–$15/mo (generic) | Off-label for weight management |
Sources: sesamecare.com/service/online-weight-loss-program and sesamecare.com/medication/semaglutide, verified April 11, 2026.
The Sesame Total Cost Reality Table
Your real monthly and yearly cost depends on your insurance status, plan choice, medication, and Costco membership. We calculated 9 common scenarios — this is the most complete Sesame GLP-1 cost breakdown we’ve found anywhere.
| # | Your situation | Membership | Medication/mo | Real monthly total | Year-one total |
|---|---|---|---|---|---|
| 1 | Insured + prior auth + savings card | $59/mo | ~$25/mo | ~$84/mo | ~$1,008 |
| 2 | Uninsured — Wegovy pill (lower dose) | $59/mo | $149/mo | ~$208/mo | ~$2,496 |
| 3 | Uninsured — Wegovy pill (higher dose) | $59/mo | $299/mo | ~$358/mo | ~$4,296 |
| 4 | Uninsured — Wegovy/Ozempic injection | $59/mo | $199 intro→$349/mo | ~$374/mo avg | ~$4,496 |
| 5 | Costco member — Wegovy/Ozempic injection | $59/mo | $349/mo | ~$408/mo | ~$4,896 |
| 6 | Costco member — Wegovy pill | $59/mo | $149/mo | ~$208/mo | ~$2,496 |
| 7 | Uninsured — Zepbound vial (2.5 mg) | $59/mo | $299/mo | ~$358/mo | ~$4,296 |
| 8 | Uninsured — Zepbound pen | $59/mo | $1,086/mo | ~$1,145/mo | ~$13,740 |
| 9 | Uninsured — Foundayo pill | $59/mo | $149–$349/mo | ~$208–$408/mo | ~$2,496–$4,896 |
| 10 | Budget path — metformin | $59/mo | ~$15/mo | ~$74/mo | ~$888 |
All scenarios use annual plan pricing ($59/mo). Month-to-month adds $40–$48/mo to each scenario. Year-one totals are estimates. Costco members may also receive an additional 10% off the program fee. Sources: sesamecare.com pricing pages, Costco partnership terms, manufacturer savings card terms. Last verified: April 11, 2026.
How Sesame Compares on Total Cost
| Provider | Membership | Medication | Total monthly (cash-pay) | Best for |
|---|---|---|---|---|
| Sesame Care | $59–$99/mo | Separate — $149–$1,086+/mo | ~$84–$1,145+/mo | Insured buyers, provider choice, Costco members |
| MEDVi | None | Included in price | ~$299/mo (first month $179) | Uninsured cash-pay buyers who want compounded + simple pricing |
| Ro | $39 first month, then as low as $74/mo annual | Separate — starts at $149/mo (Wegovy pill) | ~$223–$298+/mo total | FDA-approved meds + coaching + insurance concierge |
Sources: sesamecare.com, ro.co/weight-loss/pricing/, medvi.com. Last verified April 11, 2026.
If you found your scenario in the table above and the numbers work, the next step is straightforward.
No commitment until you book your first consultation.
Who Is Sesame Care Best For — and Who Should Skip It
Sesame’s marketplace model is genuinely different from every other GLP-1 telehealth platform. That difference makes it the best option for some people and the wrong option for others.
Sesame is a strong fit if you:
- Have insurance that may cover GLP-1 medications. Sesame’s weight loss program providers assist with insurance pre-authorization paperwork. If your plan covers the medication, brand-name GLP-1s can drop to as low as $25/month with manufacturer savings cards. At $59/month (annual plan) + $25/month medication, your total is around $84/month — potentially lower than any competitor.
- Want FDA-approved medications with a wide selection. Sesame lists one of the broadest medication menus in GLP-1 telehealth — Wegovy injection, oral Wegovy pill, Zepbound, Ozempic, Mounjaro, Foundayo, Contrave, metformin, and more. Your provider picks from the full FDA-approved toolkit based on your health profile.
- Want to choose your own doctor. This is Sesame’s biggest differentiator. You browse provider profiles, read patient reviews, check credentials, and pick the person you want managing your care. Every other major GLP-1 telehealth platform assigns you a provider.
- Are a Costco member. Costco members get Wegovy and Ozempic injections at $349/month through Costco Pharmacy — roughly 50% off standard self-pay retail. The oral Wegovy pill is available for as low as $149/month. This partnership is a meaningful cost advantage no other GLP-1 telehealth platform can match.
- Want to use your own local pharmacy. Sesame doesn’t lock you into a partner pharmacy. Your provider writes the prescription, and you can fill it at Costco, CVS, Walgreens, or wherever works for you.
Sesame is NOT the best fit if you:
- Want compounded semaglutide. Sesame’s current semaglutide page states compounded semaglutide is not available through Sesame. Our MEDVi review covers a strong compounded option with medication included in the price.
- Want one simple all-inclusive monthly price. Sesame’s subscription and medication are billed separately. Two charges to track, variable medication costs, and billing cadence that may not align with calendar months. MEDVi bundles medication into one price.
- Want nutrition coaching or behavioral support built in. Sesame is prescription-only. No meal plans, no coaching calls, no habit curriculum. If structured support matters to you, Ro includes weekly coaching and ongoing check-ins alongside medication.
- Live in AZ, HI, ND, NJ, NY, OK, RI, SD, or WY. Lab work through Quest Diagnostics is included in 41 states — but not those nine. If you’re in one of them, you’ll arrange and pay for labs separately.
The Honest Tradeoff (and Why It Might Be a Good Thing)
Sesame does not give you one clean, all-in monthly price, and it does not provide coaching or behavioral support. If either is your top priority, Ro is a better fit for coaching and insurance concierge, or MEDVi for compounded with medication included.
But here’s what Sesame gets because it works this way: zero financial incentive to push one drug over another. Sesame is not a pharmacy. They don’t sell medication directly. Your provider recommends what’s actually best for your health profile — not what generates the highest margin. In a GLP-1 market full of platforms that profit by selling you their own compounded medication, that structural independence matters.
Browse provider profiles and see current program details.
Is Sesame Care Legit for GLP-1 Weight Loss?
Yes. Sesame is a real telehealth marketplace that has been operating since 2018, is headquartered in New York City, and operates across all 50 states.
The Trust Numbers
- Trustpilot: 4.5 out of 5 from 3,900+ reviews (rated “Excellent”). Sesame responds to reviews and actively requests feedback.
- Better Business Bureau: Accredited, A+ rating. 128 customer reviews averaging 3.89/5 stars. 111 complaints in the last 3 years, 41 closed in the last 12 months.
- Funding: Over $75 million in total venture funding. The $27 million Series B was led by GV (Google Ventures) in 2022, with participation from Virgin Group and General Catalyst.
- Costco partnership: Launched September 2025. Costco doesn’t partner with unverified platforms — this is itself a trust signal.
- Provider verification: All providers share active licensure, years of practice, education, training, and specializations as a condition for being listed. You can verify any provider through state medical board databases.
What Real Patients Say (Across 4 Review Platforms)
We analyzed reviews across Trustpilot, BBB, ConsumerAffairs, and Reddit to build a complete picture — not cherry-picked quotes, but recurring patterns.
What patients love: The most common positive themes are speed of access (same-day or next-day appointments), genuine affordability for insured patients, and provider quality when patients take time to choose well. Reviews that mention specific providers by name are overwhelmingly positive — this is where the provider choice model pays off.
What patients flag: The negative reviews cluster around four themes: (1) billing surprises from the 28-day cycle (patients expect monthly billing and get charged 13 times per year), (2) prescription routing failures where the script doesn’t reach the pharmacy correctly, (3) cancellation and refund frustration (multiple BBB complainants describe accounts canceled without notice), and (4) provider inconsistency (some providers earn glowing reviews while others are described as dismissive or no-shows).
The pattern: Patients who choose their provider carefully, understand the billing structure upfront, and go in knowing medication is separate consistently report positive experiences. Patients who expected a streamlined all-in experience and encountered billing confusion report frustration. Sesame rewards informed users.
What Medications Does Sesame Prescribe?
Sesame’s medication menu is one of the broadest in GLP-1 telehealth. Here’s what’s available through the Success by Sesame weight loss program:
Semaglutide Options (Novo Nordisk)
- Wegovy injection — FDA-approved for chronic weight management. $199/month intro pricing (first 2 fills), then $349/month. Costco members: $349/month from day one.
- Oral Wegovy pill — NEW. FDA-approved daily oral semaglutide. Starting at $149/month for lower doses through June 30, 2026 promo pricing.
- Ozempic — FDA-approved for type 2 diabetes. Sometimes prescribed off-label for weight loss. Same pricing as Wegovy injection.
- Rybelsus — Oral semaglutide FDA-approved for type 2 diabetes, sometimes prescribed off-label.
Tirzepatide Options (Eli Lilly)
- Zepbound vials — FDA-approved for weight management. From $299/month (2.5 mg) via LillyDirect self-pay. You measure and load the syringe yourself.
- Zepbound pen — Pre-filled auto-injector. $1,086/month self-pay — insurance-dependent path.
- Mounjaro — FDA-approved for type 2 diabetes. Sometimes prescribed off-label for weight loss. $1,079/month.
- Foundayo (orforglipron) — NEW. Oral GLP-1 from Eli Lilly, no injection required. $149–$349/month depending on dose.
Non-GLP-1 Alternatives
- Contrave (naltrexone/bupropion) — For patients who don’t qualify for GLP-1s or prefer a non-injectable option.
- Metformin — Commonly used off-label for weight management. Generic pricing as low as $10–$15/month.
How Does Success by Sesame Actually Work? (Step by Step)
Sesame offers same-day consultations, and the process from questionnaire to prescription can move quickly depending on provider availability and lab turnaround.
- Complete the health questionnaire. Detailed questions about your medical history, family history, current medications, weight loss goals, and lifestyle factors. This goes beyond a basic BMI check.
- Choose your provider. Browse Sesame’s network of licensed providers, read patient reviews, check credentials, and pick the doctor or nurse practitioner you want. If your first choice doesn’t work out, you can switch.
- Video consultation. A face-to-face video visit (same-day availability depending on provider) where your provider reviews your intake, discusses medication options, and determines if GLP-1 treatment is appropriate.
- Lab work. Blood work through Quest Diagnostics (1,500+ locations nationwide). Included in 41 states. Not included in: AZ, HI, ND, NJ, NY, OK, RI, SD, WY.
- Prescription and ongoing care. Your provider creates a personalized treatment plan. The prescription can be shipped home or sent to your local pharmacy. You get unlimited messaging with your provider and follow-up visits as part of your subscription.
What Happens After the First Month
- Weight loss program page says: Success by Sesame includes monthly Rx refills, unlimited messaging, and follow-up visits inside the subscription.
- General FAQ says: Providers cannot complete prior authorizations or insurance paperwork. Follow-up appointments usually require separate payment.
Our recommendation: Before your first consultation, explicitly confirm with your chosen provider: (1) Are follow-up visits included? (2) How are refills handled? (3) Will they assist with insurance prior authorization?
Same-day appointments available with many providers.
What the Sesame Weight Loss Experience Looks Like Month by Month
Most reviews cover the signup process and stop. But the real question driving people to search “Sesame Care reviews” is what happens after you’re enrolled.
Month 1: Onboarding and titration. You complete the questionnaire, choose your provider, have your video consultation, get labs done, and receive your first prescription. Most patients report this phase going smoothly — the complaints tend to cluster later.
Months 2–3: Dose adjustments and refills. Your provider monitors side effects and adjusts dosage. Unlimited messaging is valuable here — you can report nausea or appetite changes without scheduling a separate appointment. But this is where some patients report friction: prescription routing issues, pharmacy coordination delays, or confusion about whether the provider needs to re-authorize the refill.
Months 4–6: Steady state or medication switch. By now you should be at or near your target dose. If semaglutide isn’t working well, Sesame’s broad medication menu means your provider can switch you to tirzepatide, an oral option, or an entirely different class. This flexibility is a genuine advantage over platforms that only offer one or two medications. In the SURMOUNT-5 trial, tirzepatide produced 20.2% average weight loss versus 13.7% for semaglutide over 72 weeks — having access to both through one marketplace matters if you need to switch.
Months 6–12: Maintenance and cost reality. On the annual plan, you’re locked into the lowest rate. On month-to-month, you’ve been billed 13 times in 364 days. If you’ve been on a promotional medication price (like the Wegovy/Ozempic $199/mo intro), confirm what the post-promo pricing will be before it hits.
The provider-quality variable. Because Sesame is a marketplace, your experience depends heavily on which provider you choose. Some Sesame providers are deeply experienced in obesity medicine. Others are generalists. Your ability to read reviews and switch providers is Sesame’s built-in quality control mechanism, but it means you may need to advocate for yourself more actively than on a vertically integrated platform.
Does Sesame Offer Compounded Semaglutide?
No. Sesame’s official semaglutide page states that compounded semaglutide is not available through Sesame. This is one of the most important facts on this page because it instantly tells you whether Sesame is right for you.
If you specifically searched for affordable compounded semaglutide, Sesame is not your platform. Sesame focuses exclusively on FDA-approved brand-name medications. That means every dose you receive has gone through full FDA manufacturing oversight, quality control, and regulatory approval. The tradeoff is that without insurance, brand-name medications cost significantly more than compounded alternatives.
MEDVi is our top compounded recommendation at $199/month all-inclusive for the first month — medication, provider visits, and shipping included. They use NABP-verified pharmacies and offer both compounded semaglutide and tirzepatide.
Can Sesame Help With Insurance and Prior Authorization?
This section requires transparency because Sesame’s own pages send mixed signals.
- Weight loss program pages say: Providers will assist with insurance paperwork to help reduce the cost of medications. If your plan covers GLP-1 medications, you may pay as little as $25/month with manufacturer savings cards.
- General FAQ says: “Sesame providers are unable to complete prior authorizations or provide specific paperwork related to insurance claims or prior-authorizations.”
Our conclusion: the Success by Sesame weight loss program appears to operate under different terms than Sesame’s general marketplace. The weight loss pages explicitly promise prior authorization assistance; the general FAQ has not been updated to reflect this. Confirm directly with your provider before enrolling.
What Insurance Can and Cannot Cover
- Program subscription ($59–$99/month): Always cash-pay. Insurance does not cover this. HSA and FSA cards are accepted.
- Medication: Potentially covered by your private insurance. If prior authorization is approved, brand-name GLP-1s can drop to copay pricing as low as $25/month with manufacturer savings cards.
- Medicare and Medicaid: Typically do not cover GLP-1 medications for weight loss.
When Ro Is the Better Insurance Path
If insurance concierge support is your top priority — and you want a platform with a more standardized prior authorization workflow — Ro may be a stronger fit. Ro has a dedicated insurance concierge team that handles PA and appeals on your behalf. Membership starts at $39 for the first month, then as low as $74/month with annual plan paid upfront (medication is separate).
Dedicated team handles prior authorization paperwork on your behalf.
Confirm PA support with your chosen provider before booking.
The Sesame Fit Score: Our Editorial Rating
We evaluated Sesame across 8 factors that matter most to GLP-1 buyers. These scores reflect our editorial judgment based on verified official sources, review platforms, and complaint analysis — not user-submitted ratings.
| Factor | Score | Why |
|---|---|---|
| Brand-name GLP-1 access | 9/10 | Broad FDA-approved menu including new oral options |
| Provider choice | 9/10 | Only major platform where you browse and choose your own doctor |
| Local pharmacy flexibility | 9/10 | Fill at Costco, CVS, Walgreens — not locked to a partner pharmacy |
| Price clarity | 5/10 | Subscription and medication billed separately; 28-day cycle confuses patients |
| Insurance / prior auth clarity | 4/10 | Weight loss pages promise PA help; general FAQ contradicts it |
| Refill predictability | 6/10 | Program promises monthly refills but marketplace model means provider-dependent |
| Cancellation friendliness | 5/10 | Cancel anytime, but 48-hour notice required, no partial refunds |
| Compounded GLP-1 fit | 0/10 | Not available through Sesame |
Methodology: Scores based on official Sesame pages verified April 11, 2026, analysis of Trustpilot reviews, BBB reviews and complaints, ConsumerAffairs reports, and Reddit discussions. This scoring framework was created by The RX Index editorial team.
Sesame Care vs. MEDVi vs. Ro: Side-by-Side Comparison
Three platforms, three different models. Here’s which one fits in under 30 seconds.
| Feature | Sesame Care | MEDVi | Ro |
|---|---|---|---|
| What it is | Telehealth marketplace — choose your doctor | Dedicated compounded GLP-1 clinic | Integrated weight loss program |
| Membership cost | $59–$99/mo (medication separate) | No separate membership | $39 first month, then as low as $74/mo annual |
| Medication included? | ❌ No — billed separately | ✅ Included in price | ❌ No — billed separately |
| Medication type | FDA-approved brand-name GLP-1s | Compounded semaglutide/tirzepatide | FDA-approved (Wegovy, Zepbound, Foundayo) |
| Provider choice | ✅ You browse and choose | ❌ Assigned provider | ❌ Assigned provider |
| Insurance support | ✅ PA assistance (confirm with provider) | ❌ Not offered | ✅ Dedicated concierge team |
| Pharmacy flexibility | ✅ Any pharmacy (Costco, CVS, etc.) | ❌ Partner pharmacy | ✅ NovoCare / LillyDirect |
| Coaching included | ❌ No | ❌ No | ✅ Nurse coaching + check-ins |
| Labs included | ✅ In 41 states | ✅ When ordered | ✅ Included |
| Best cash-pay total | ~$208/mo (Wegovy pill + annual plan) | ~$299/mo (all-in) | ~$223/mo (Wegovy pill + annual plan) |
| Best insured total | ~$84/mo (with PA + savings card) | N/A | ~$124/mo (with savings card) |
Choose Ro over Sesame if: You want a dedicated insurance concierge with a standardized workflow, you want built-in coaching and accountability, or you prefer a more predictable all-in-one experience. Ro bills membership and medication separately just like Sesame, but includes labs, coaching, and an insurance team that handles PA on your behalf.
The bottom line: If you value control (provider choice, pharmacy flexibility, wide medication menu) and have insurance, Sesame likely beats Ro on flexibility. If you value structure (coaching, dedicated insurance concierge, standardized fulfillment), Ro is the cleaner experience. If you want compounded with medication included in one price, neither is right — see our MEDVi review.
How Do You Cancel Sesame Care? (And What to Watch For)
Sesame’s cancellation terms are straightforward on paper but have generated real friction in practice.
The Official Policy
- Weight loss program page: Cancel before the next billing cycle. Initial visit refundable if canceled at least 3 hours before the appointment. After the initial visit, the first month is nonrefundable.
- General membership terms: Must cancel at least 48 hours before the renewal processing date. No prorated refunds.
- How to cancel: Email support@sesamecare.com or call (877) 947-6411.
What Review Platforms Say About Cancellation
Multiple BBB complaints describe accounts being canceled without notice — patients who wanted to stay enrolled but were locked out after alleged payment failures. One complainant described having three credit cards on file with sufficient funds but being blocked from re-enrolling. Trustpilot reviews mention being auto-billed for months without using the service.
Our Recommendations Before You Enroll
- Choose the annual plan if you’re committed. $59/mo vs. ~$107 effective on month-to-month — and you avoid the 28-day billing cycle confusion entirely.
- Set a calendar reminder for 3 days before every billing date if you’re on a shorter plan.
- Screenshot your cancellation confirmation email. Based on complaint patterns, having written proof matters.
- Confirm your payment method is current. Multiple complaints involved alleged payment failures triggering account cancellations.
Sesame + Costco: How the Partnership Works
In September 2025, Sesame and Costco announced a partnership giving Costco members access to discounted GLP-1 pricing through Costco Pharmacy.
Costco member pricing (no insurance required):
- Wegovy injection: $349/month (~50% off standard self-pay retail)
- Ozempic injection: $349/month
- Wegovy pill: As low as $149/month
- Success by Sesame program: 10% off the subscription fee for Costco members
Source: sesamecare.com/blog/sesame-weight-loss-announcement, verified April 11, 2026.
What you need: An active Costco membership, a Sesame Success by Sesame subscription, and a prescription from your Sesame provider sent to Costco Pharmacy.
Is it worth getting a Costco membership for this? A Costco Gold Star membership is $65/year. If you’re self-paying for Wegovy or Ozempic injections, the Costco pricing saves you enough in a single month to pay for the annual membership several times over.
The 9 States Where Sesame Labs Aren’t Included
Sesame includes baseline lab work through Quest Diagnostics (1,500+ locations nationwide) as part of the Success by Sesame subscription — in 41 states. If you live in one of these 9 states, labs are not included and you’ll need to arrange and pay for them separately:
States where Sesame labs are NOT included:
Arizona · Hawaii · North Dakota · New Jersey · New York · Oklahoma · Rhode Island · South Dakota · Wyoming
If you’re in one of these states, factor in the cost of a basic metabolic panel and lipid panel through Quest Diagnostics or your local lab. This typically runs $50–$150 out of pocket. Sesame operates in all 50 states for telehealth consultations and prescriptions — the lab exclusion only applies to included bloodwork.
How We Verified This Review
We didn’t write this page by summarizing other reviews.
Official Sesame sources reviewed:
- sesamecare.com/service/online-weight-loss-program (pricing, plans, medications, inclusions)
- sesamecare.com/medication/semaglutide (medication availability, compounded status)
- sesamecare.com/faq (cancellation, refund, prior authorization, refill policies)
- sesamecare.com/blog/sesame-launches-success-by-sesame (launch details, plan structure)
- sesamecare.com/terms-of-service (billing, refund, cancellation legal terms)
Third-party review sources:
- Trustpilot: 3,900+ reviews, 4.5/5
- BBB: A+ rating, 128 customer reviews (3.89/5), 111 complaints in last 3 years
- ConsumerAffairs: Patient reviews with specific complaint narratives
- Reddit: r/WegovyWeightLoss, r/Zepbound discussion threads
Our Verdict on Sesame Care for GLP-1 Weight Loss
Sesame is worth it for the right person — and we can say that clearly, not vaguely.
✅ Sesame is a strong YES if:
You have insurance that may cover GLP-1s, you want FDA-approved brand-name medications, you value choosing your own doctor, and you’re comfortable with medication billed separately. In this scenario, Sesame can deliver ~$84/month total with insurance + savings card — potentially the lowest in GLP-1 telehealth. The provider choice alone is worth it: you’re building a clinical relationship over months of dose titration, side effect management, and medication adjustments. Being able to pick a provider who specializes in obesity medicine — and switch if they’re not a good fit — is a meaningful advantage every other platform denies you.
✅ Sesame is also a strong YES if:
You’re interested in oral GLP-1 options. Sesame is one of the first telehealth platforms offering both the oral Wegovy pill and Foundayo (orforglipron). If weekly injections have been holding you back, an oral option starting at $149/month changes the calculation. The oral Wegovy pill showed 14% average weight loss in clinical trials — patients who continued treatment averaged 17%. Meaningful results without a single injection.
❌ Sesame is a clear NO if:
You want compounded semaglutide (not available), one all-inclusive monthly price (not how Sesame works), or structured coaching and accountability (not offered). For compounded with medication included, check MEDVi. For FDA-approved with coaching, Ro starting at $39 first month then as low as $74/month annual is worth comparing.
⚠️ Sesame is a “maybe — check first” if:
You don’t have insurance but want brand-name medications anyway. The math can work with the oral Wegovy pill ($149/mo + $59/mo annual = $208/mo total) or Costco pricing, but it requires more active management than an all-inclusive program.
What to Confirm Before Checkout
- Confirm follow-up and PA terms with your provider. Ask directly: “Are follow-up visits and prior authorization assistance included in my Success by Sesame subscription?”
- Pick the right plan. Annual ($59/mo) if you’re committed — it saves $579/year over month-to-month and avoids the 28-day billing cycle confusion. Only use month-to-month if you’re testing.
- Know your insurance situation. If your plan covers GLP-1 medications, Sesame is likely your cheapest total path. If it doesn’t, compare total cost against Ro ($74/mo+ annual) or MEDVi ($199/mo first month) before committing.
- Check your state. If you’re in AZ, HI, ND, NJ, NY, OK, RI, SD, or WY — factor in out-of-pocket lab costs.
- Set billing reminders. If you go month-to-month, mark your calendar 3 days before every 28-day cycle. Screenshot everything.
People who do well on Sesame tend to be the ones who go in knowing exactly what it is — a marketplace that gives you more control in exchange for more self-management. If that fits how you operate, it’s a genuinely strong program with one of the widest medication menus in telehealth. You’ve done the research. If Sesame matches your situation, the next step is a consultation with a provider you choose yourself.
Browse provider reviews, check credentials, book when you're ready.
Sesame Care Weight Loss FAQ
What is Success by Sesame?
Success by Sesame is Sesame Care's weight loss subscription program. It costs $59–$99/month depending on your billing plan and includes a video consultation, lab work (in 41 states), unlimited provider messaging, and follow-up visits. Medication is billed separately.
Is Sesame Care legit for GLP-1 weight loss?
Yes. Sesame Care has been operating since 2018, is headquartered in New York City, holds an A+ BBB rating, and has 4.5/5 from 3,900+ Trustpilot reviews. It is backed by over $75 million in venture funding including a Series B led by GV (Google Ventures). All providers are verified licensed clinicians.
How much does Sesame Care cost per month?
The Success by Sesame subscription costs $59/month on the annual plan ($708 upfront), $69/month on 6-month, $79/month on 3-month, or $99 per billing cycle month-to-month (which may actually be 28-day cycles, creating 13 charges per year). Medication is always billed separately.
Does Sesame Care include medication in the price?
No. Medication is billed entirely separately from the subscription fee. Your real monthly cost ranges from roughly $84/month (insured, annual plan, manufacturer savings card) to over $1,100/month (uninsured, Zepbound pen, month-to-month billing).
What GLP-1 medications does Sesame prescribe?
Sesame's weight loss program offers Wegovy injection ($199/mo intro, then $349/mo), oral Wegovy pill ($149/mo lower doses), Ozempic ($199/mo intro, then $349/mo), Zepbound vials ($299/mo starting), Zepbound pen ($1,086/mo), Foundayo/orforglipron ($149–$349/mo), Mounjaro ($1,079/mo), Contrave, and metformin. Sesame does NOT offer compounded semaglutide or tirzepatide.
Can Sesame help with insurance prior authorization?
The weight loss program pages say yes — providers will assist with prior authorization to reduce medication costs. However, Sesame's general FAQ says providers cannot complete prior authorizations. We recommend confirming directly with your chosen provider before enrolling.
Can I use my own pharmacy with Sesame?
Yes. Sesame providers write the prescription and you can fill it at any pharmacy — Costco, CVS, Walgreens, or home delivery.
Are labs included in Sesame's weight loss program?
Yes, in 41 states through Quest Diagnostics. Labs are not included in Arizona, Hawaii, North Dakota, New Jersey, New York, Oklahoma, Rhode Island, South Dakota, and Wyoming.
Can Costco members save on Sesame Care?
Yes. Costco members get Wegovy and Ozempic injections at $349/month through Costco Pharmacy, roughly 50% off standard retail. The Wegovy pill is available from $149/month. Costco members also receive 10% off the Success by Sesame program fee.
Can I cancel Sesame Care anytime?
Yes. Email support@sesamecare.com or call (877) 947-6411 at least 48 hours before your next billing date. No partial refunds are issued for the current cycle. The initial visit can be refunded if canceled at least 3 hours before the appointment.
Does Sesame prescribe the oral Wegovy pill?
Yes. Sesame is one of the first telehealth platforms offering the oral Wegovy pill, starting at $149/month for lower doses with a promotional price for qualifying new patients through June 30, 2026.
Does Sesame offer compounded semaglutide?
No. Sesame's official semaglutide page states that compounded semaglutide is not available through Sesame. Sesame focuses exclusively on FDA-approved brand-name medications.
Sources and methodology: All pricing and program details verified at sesamecare.com/service/online-weight-loss-program, sesamecare.com/medication/semaglutide, sesamecare.com/faq, and sesamecare.com/terms-of-service. Review data from Trustpilot (3,900+ reviews), BBB (128 reviews, 111 complaints), ConsumerAffairs, and Reddit. Last verified: April 11, 2026. Prices, availability, and program terms can change. Verify all details at sesamecare.com before enrolling.
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