Sesame Care

Provider Profile Name: Sesame Care — Success by Sesame Weight Loss Program
Website: sesamecare.com
Weight Loss Program Launch: August 2024
Provider Type: Telehealth Marketplace with Dedicated Weight Management Program

Operating Details

• Fully virtual — health questionnaire, patient-selected provider video consultation, home delivery, or pharmacy pick-up
• Mission: make it easier and more affordable for all Americans to access high-quality healthcare
• Unique model: patients browse and choose their own provider from the Sesame marketplace rather than being randomly assigned
• Success by Sesame subscription: $99/month — includes telehealth visits, unlimited messaging, and ongoing clinical care; medication cost is separate
• Billing runs on a 28-day cycle rather than a calendar month
• Insurance not accepted for the subscription; insurance support available for brand-name medication, prior authorization
• HSA/FSA accepted
• Available in all 50 states
• Costco partnership: Costco members receive exclusive discounted pricing on Sesame services, including 10% off the weight loss program
• 3,862 Trustpilot reviews

Approach Sesame Care is a telehealth marketplace that expanded into weight-loss care with its Success by Sesame program. Instead of focusing only on compounded semaglutide, Sesame Care offers 14 different prescription options, including FDA-approved GLP-1s like Wegovy and Zepbound. One of its biggest differentiating features is provider choice; instead of being randomly assigned, patients can browse and choose their own provider based on experience and reviews.

About the Company

Sesame Care operates as a healthcare marketplace, a fundamentally different business model from the dedicated GLP-1 telehealth clinics that make up most of this review series. The platform connects patients with independent licensed providers who set their own rates and manage their own practices within the Sesame system. Sesame Care is a marketplace or directory of doctors and healthcare providers, including psychiatrists and therapists, with weight management added as a structured program layer called Success by Sesame.

In August 2024, Sesame introduced Success by Sesame, a direct-to-consumer weight loss program providing eligible patients access to compounded semaglutide and brand-name GLP-1 medications without retail markup.

The Costco partnership is a notable scale signal: Sesame and Costco announced a partnership in September 2025 to offer special discount pricing to all Costco members on a broad range of outpatient medical care offered through Sesame, including the weight loss program. Costco members with a prescription for Wegovy injections or Ozempic injections can access medication for $349/month, 50% off the traditional price when self-paying at Costco Pharmacy. This partnership provides Sesame with a significant retail distribution channel and a consumer trust signal that few telehealth-only platforms can match.

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GLP-1 Offerings and Weight Loss Services

Sesame Care offers 14 different weight-loss medications from brand-name GLP-1s like Wegovy and Zepbound to alternatives like Contrave and metformin, the broadest formal medication menu in this review series.

FDA-Approved GLP-1 Injectables:

• Wegovy (semaglutide) — FDA-approved for weight management; Ozempic (semaglutide), off-label for weight loss; Mounjaro (tirzepatide), off-label; Zepbound (tirzepatide), FDA-approved for weight management
• Trulicity (dulaglutide), Saxenda (liraglutide), Victoza (liraglutide)

Oral Options:

• Wegovy pill (semaglutide) — FDA-approved for weight loss; $149/month for lower doses (1.5mg, 4mg), $299/month for higher doses (9mg, 25mg)

Non-GLP-1 Options:

• Contrave, metformin, and other FDA-approved oral weight management medications

Included in the $99/month subscription:

• Face-to-face video visits with a provider of the patient’s choice, unlimited provider messaging, lab work, and close clinical supervision
• Insurance prior authorization assistance for medication coverage
• Access to the Sesame app for progress tracking and habit support

Pricing — and What Reviewers Say

Sesame’s pricing model separates clinical subscription from medication, with the subscription covering all care infrastructure and medication billed separately:

Subscription: $99/month (billed on a 28-day cycle)

Cash-Pay Medication:

• Wegovy (semaglutide injectable): starts at $499/month without insurance
• Wegovy pill: $149/month for lower doses; $299/month for higher doses
• Wegovy/Ozempic promo: $199/month for the lowest two doses through March 31, 2026, for qualifying new patients; $349/month thereafter
• Zepbound vials: from $299/month (2.5mg) through LillyDirect pricing parity

Costco pricing:

• Costco members can access Wegovy or Ozempic injections for $349/month (50% off the traditional price) at Costco Pharmacy, with the Wegovy pill available for as little as $149/month

With insurance:

• Providers assist with insurance pre-authorization; if covered, the prescription is sent to the patient’s pharmacy at copay pricing

What reviewers say about pricing: Sesame Care charges a $99 subscription every 28 days for ongoing medical care, plus the cost of medication, and the 28-day billing cycle, rather than a calendar month, can complicate budgeting for patients expecting a monthly charge. For cash-pay patients without insurance who want brand-name injectables like Wegovy, the all-in cost ($99 subscription + $499 medication) is among the higher total costs in this review series. However, for patients who can access Wegovy through insurance or via Costco pricing, the $99 subscription provides a genuinely competitive clinical services layer. The Wegovy pill at $149/month plus $99 subscription ($248/month total) represents a meaningfully different value calculation than the injectable path. Patients consistently appreciate pricing transparency; there are no hidden fees beyond the subscription and separately itemized medication costs.

Reviews from Trustpilot and Google

Sesame Care has 3,862 Trustpilot reviews at the time of writing, covering the full platform, not exclusively the weight loss program.

What patients praise:

• Provider choice is the most consistently praised differentiator. Patients appreciate being able to browse provider profiles, read reviews, and select a clinician who matches their preferences rather than being assigned one
• Same-day appointments available in many cases
• The breadth of medication options, 14 different weight loss prescriptions, is cited as allowing providers to tailor treatment to individual patient profiles rather than defaulting everyone to the same protocol
• Costco partnership praised by members for adding a familiar, trusted access point to what is otherwise a purely digital experience

Common complaints:

• The 28-day billing cycle causes surprise charges for patients expecting monthly billing aligned to calendar months
• Some patients report customer service issues, including slow response times and difficulties with cancellations
• No intensive coaching — lifestyle support is limited compared to platforms with dedicated coaches or dietitians
• Provider variability — because Sesame is a marketplace with independent providers setting their own rates and approaches, patient experience can vary significantly depending on which provider is selected

Compounding Pharmacies Used

Sesame Care prescribes both FDA-approved brand-name medications and compounded semaglutide, depending on clinical appropriateness and patient need.

• For brand-name medications, prescriptions are sent to the patient’s preferred pharmacy or through manufacturer self-pay programs like LillyDirect or NovoCare.
• Specific compounding pharmacy partners for compounded semaglutide are not prominently disclosed on the platform.
• Patients interested in compounded options should ask their selected provider directly which pharmacy will fulfill the prescription and confirm its 503A or 503B designation.

Note: Sesame Care’s Success by Sesame program brings a genuinely differentiated model to this review series — a telehealth marketplace where patients choose their own licensed provider, combined with one of the broadest medication menus available (14 options) and a meaningful Costco partnership that extends access to retail pharmacy pricing. The $99/month subscription is among the more affordable clinical service subscriptions in this series, though medication costs for brand-name GLP-1 injectables add substantially to the total without insurance. The 28-day billing cycle and limited lifestyle coaching are the platform’s most documented friction points. For insured patients or Costco members who can access discounted brand-name medications, Sesame’s provider choice model and comprehensive care infrastructure offer strong value. Compounded medications are not FDA-approved. Always consult a licensed medical provider before beginning any GLP-1 program.