Short answer: Sesame Care is a telehealth marketplace run by Sesame, Inc. that connects you with independent providers for weight-management care and possible prescriptions. Its Success by Sesame care fee is separate from medication: as displayed October 27, 2026, it is $99 every 28 days month to month, or advertised at $59 per month with a 12-month commitment; the annual plan is billed once every 12 months. Brand-name medication is paid separately. Sesame’s accredited New York BBB profile shows an A+ rating; its Trustpilot profile shows a 4.6/5 TrustScore from 4,586 reviews.
For the right person, Sesame can be a convenient way to arrange a video visit, ongoing messaging, labs in many states, and pharmacy pickup or delivery if a provider prescribes. Before paying, make sure you know the exact medicine, pharmacy, full monthly total, renewal date, and cancellation deadline.
Sesame Care weight loss at a glance
| Question | Answer |
|---|---|
| Who operates it? | Sesame, Inc., doing business as Sesame or SesameCare. |
| How does care work? | You choose an independent provider, complete a video visit, and may receive a prescription if that provider decides it fits. |
| What does membership include? | Telehealth visits, unlimited messaging, ongoing clinical care, and Quest Diagnostics lab work where included. |
| Is medication included? | No. It is paid separately through a pharmacy or manufacturer self-pay channel if prescribed. |
| Does Sesame bill insurance? | No for the care membership. Sesame says a provider may help with prior authorization for a prescribed medicine. |
| Does Sesame offer compounded semaglutide? | Sesame says compounded semaglutide is not currently available through its service. |
For context on this care model, see our guide to telehealth costs.
What does Sesame prescribe, and how does the program work?
According to the Sesame program page, you begin with a questionnaire, choose a provider, and meet by video. The provider may tailor a plan and order lab work. If medication is prescribed, Sesame says you can use same-day local pickup or home delivery, then use its app for tracking, messaging, and video follow-up.
Sesame lists FDA-approved weight-management medicines including Wegovy, Zepbound, Saxenda, Contrave, and Xenical. It also lists diabetes medicines that may be associated with weight loss, including Ozempic, Mounjaro, Rybelsus, Victoza, and metformin. Sesame says its providers do not prescribe controlled weight-loss medicines such as phentermine or Qsymia.
The named brands have different approved uses. Semaglutide injection information says it can assist with weight loss in certain people with obesity or overweight plus weight-related medical problems; Ozempic has certain type 2 diabetes uses. Tirzepatide injection information says Zepbound is used to aid weight loss in people with obesity or overweight with weight-related medical problems, while Mounjaro is prescribed to manage blood sugar in type 2 diabetes.
Brand-name GLP-1s and compounded products are different
Sesame says its current program offers brand-name products and does not provide compounded semaglutide. Compounded semaglutide and tirzepatide are not FDA approved. The FDA’s GLP-1 safety notice says the agency does not review compounded drugs for safety, effectiveness, or quality before they are marketed, and FDA says they cannot be marketed as generic versions of or the same as FDA-approved medicines.
That may make Sesame a better match if you want to discuss brand-name choices rather than compounded formulations. Our GLP-1 medications guide explains the terms and questions to take into a prescription discussion.
How much does Sesame Care weight loss cost?
Prices below were displayed October 27, 2026; check checkout for today’s price. Sesame’s care membership and medication are separate charges. The $59 monthly figure requires a 12-month commitment, while month-to-month care is $99 and billed every 28 days. Sesame’s Terms say the annual plan is billed once every 12 months.
| Item | Price or term shown | What is included or excluded |
|---|---|---|
| Month-to-month care | $99 per month, billed every 28 days | Auto-renews until cancelled; medication is separate. |
| Annual care plan | $59 per month with a 12-month commitment | Advertised at $59 per month with a 12-month commitment; billed once every 12 months. Medication is separate. |
| Six-month plan | Discounted multi-month plan | Sesame says it saves $180 every six months. |
| Three-month plan | Discounted multi-month plan | Sesame says it saves $60 every three months. |
| Brand-name GLP-1 medicine | From $149 monthly without insurance | Separate pharmacy or manufacturer charge; price varies by medicine, pharmacy, and provider decision. |
| Wegovy or Ozempic offer | $199 monthly for the first two consecutive months | For new self-pay patients through December 31, 2026 at the starting strengths; medication only. |
| Foundayo offer | $149 to $349 monthly, depending on strength | For new and existing self-pay patients through December 31, 2026; terms include refill-window conditions for a higher-strength Journey Program price. |
| Medicare promotion | $50 monthly medication copay if eligible | Membership is separate; Sesame says the provider confirms coverage and submits prior authorization. |
Sesame’s visible weight-loss page says medication starts at $149 monthly without insurance. Its page metadata also uses an unexplained “$25/mo” figure, so the pharmacy and checkout total are the figures to rely on for your order. Sesame also says providers set their own prices, which can affect your care total.
Sesame says it does not bill insurance for the program, though insurance may cover some or all of a prescribed drug and a provider may help with prior authorization. Its FAQ says Medicare and Medicaid typically do not cover GLP-1 medicines for weight loss, while its Medicare page advertises a $50 copay for eligible people. Confirm which arrangement applies to your plan and prescription before you commit.
How do you cancel Sesame Care and stop refills?
Use the process in the Sesame Terms of Service, which say to cancel by emailing Sesame support or calling Sesame support at least 48 hours before the renewal processing date.
- Find your next renewal date and plan term in your account.
- Email or call at least 48 hours before renewal processing.
- Save the cancellation confirmation.
- If a prescription has refills, cancel a refill before it has been processed for delivery.
Sesame says you retain access through the current paid term after cancellation, without a prorated refund for that term. For multi-month plans, it says early cancellation is recalculated at the standard month-to-month rate for months used, with any remaining balance refunded to the original payment method; in some situations, no balance remains.
Its weight-loss FAQ says you can receive a full refund for an initial visit cancelled at least three hours before the start time, but not for the first month after the initial visit happens. The Terms also exclude refunds for no-shows, not receiving a prescription, or disagreement with the clinical outcome. The FAQ says you can self-cancel at any point; the Terms say to email or call with 48 hours’ notice. Follow the Terms route and deadline.
What do reviews and complaints say?
As displayed October 27, 2026, Sesame’s Trustpilot profile had a 4.6/5 TrustScore, labelled Excellent, from 4,586 reviews. Trustpilot’s summary describes praise for attentive, professional providers and a smooth, affordable platform, along with reports of missed video appointments and frustrating support or billing communication. These figures cover Sesame’s overall service, not weight loss alone. Trustpilot says Sesame replied to 94% of negative reviews.
The accredited BBB profile for Sesame, Inc. shows an A+ rating and 3.65/5 from 79 customer reviews. Its complaint page lists 117 complaints over three years and 28 in the past 12 months across all Sesame services. Consumers reported surprise subscriptions or recurring charges, refund disputes, and difficulty resolving support issues. Sesame’s public response says privacy prevents it from discussing individual cases there and that its team will contact the consumer directly.
Those reports are a good reason to read the membership screen closely, note your renewal date, and retain your cancellation confirmation.
What should you know about GLP-1 safety?
Semaglutide and tirzepatide have important warnings and possible side effects. MedlinePlus lists nausea, vomiting, diarrhea, stomach pain, constipation, heartburn, burping, and headache among common effects of semaglutide injection, and it describes serious symptoms that need prompt medical attention. Its tirzepatide page also lists nausea, vomiting, and diarrhea and a warning about possible thyroid tumors.
Talk to a clinician first if
Talk to a clinician before deciding on semaglutide injection if you have a personal or family history of thyroid tumors or MEN 2, pancreatitis, severe stomach problems, gallbladder or kidney disease, diabetic retinopathy, are pregnant or breastfeeding, or are planning pregnancy. Sesame’s FAQ also says its program is not suitable for people with a history of pancreatitis, a personal or family history of medullary thyroid cancer, MEN2, or type 1 diabetes.
Is Sesame Care legit, and who is it for?
Sesame has a named U.S. legal entity, published terms, public support contacts, a marketplace model, and a BBB business profile. Its Terms say Sesame does not practice medicine; the providers using the marketplace are independent practitioners in independently owned professional practices. These facts help you assess the service, but they do not guarantee a prescription, insurance coverage, price, or fit for you.
Sesame may suit you if you want to choose from independent telehealth providers, discuss brand-name medicines, and use a local pharmacy or delivery if prescribed. It may be less suitable if you need an in-person clinic, want a single all-in medication price, or prefer a program where the membership and medication are bundled. A plan-specific insurance clinic, a lower-cash-price program, an oral option a prescriber considers appropriate, or an in-person service may be a better type of choice depending on your priority.
Before you order
- Confirm the exact brand, form, and pharmacy—not simply “GLP-1.”
- Confirm every recurring charge: membership, medication, pharmacy charges, and any lab fee in your state.
- Confirm the next membership renewal date and prescription refill processing date.
- Ask your insurer whether the prescribed medicine is covered and whether prior authorization is needed.
- Check whether a multi-month discount still works for you if you cancel early.
Sesame Care weight loss FAQ
What is Sesame Care?
Sesame Care is a telehealth marketplace operated by Sesame, Inc. Its Success by Sesame membership offers ongoing weight-management care through independent providers.
Does Sesame Care have a monthly fee?
Yes. Sesame lists $99 every 28 days for month-to-month care, or an advertised $59-per-month rate with a 12-month commitment that is billed once every 12 months. Medication is separate.
How much is Sesame Care semaglutide?
Sesame says brand-name GLP-1 choices start at $149 monthly without insurance, separate from care membership. Its semaglutide page lists varying self-pay prices for named brand medicines. Sesame says compounded semaglutide is not currently available through its service.
Does Sesame Care take insurance?
Sesame says it does not bill insurance for care membership. Your plan may cover some or all of a prescribed medicine, and Sesame says providers may assist with prior authorization.
Can urgent care prescribe weight-loss medication?
Sesame is a telehealth marketplace rather than an urgent-care service, and its provider decides whether a prescription is appropriate.
Sesame Care vs. Ro or Hers: what is the key difference?
Start with the care model and the complete monthly cost. Sesame describes itself as a marketplace where you choose an independent provider, and its membership is separate from medication. Compare each service’s medicine type, pharmacy, insurance process, membership renewal, refill rules, and checkout total before choosing.
This article is for general information purposes only and does not constitute medical advice. Consult your doctor or qualified healthcare provider before making changes to your health routine.