Sesame Care Weight Loss Cost: Care Plans, Medication and Insurance
Success by Sesame · care and medication priced separately · checked November 6, 2026
Sesame’s weight-loss cost has two parts that you pay separately. The Success by Sesame care plan is $99 every 28 days, or $59 a month if you prepay the year ($708 once). Medication is a second bill that depends on the drug, the dose and where it is dispensed.
For a sense of scale, annual care plus the lowest-priced Wegovy tablet dose comes to about $208 a month before tax (our arithmetic from the prices below). Sesame charges you directly for care rather than billing insurance for the visit, but its clinicians can help with prior authorization for the drug.
Success by Sesame care plan (excludes medication)
| Plan | You pay | Monthly equivalent | What it includes |
|---|---|---|---|
| Flexible | $99 every 28 days | $107.54 (annualized; about 13 bills a year, $1,290.54) | Video consultations, provider messaging, ongoing clinical care, lab work |
| Annual | $708 once every 12 months | $59 | Same care as the flexible plan |
Over a year the annual plan costs $582.54 less than the flexible one, if you stay the full term. Sesame also lists three- and six-month terms; we have not recorded their prices. Sesame says each provider can set a higher price, so the clinician you pick controls the final care charge.
Sesame Plus is a separate membership ($10.99 a month or $99 a year) that takes $10 off eligible visits. It is not the weight-care program.
1, 2Medication prices Sesame points to (billed separately)
| Medication | Format | Published price | Conditions |
|---|---|---|---|
| Wegovy® pill | Daily tablet | Medication $149 for 1.5 mg, $199 for 4 mg, or $299 for 9/25 mg per 30 tablets | Manufacturer guide dated November 2026. Sesame still lists 4 mg at $149, while the current manufacturer standard price is $199. These are dose tiers, not a first-month promotion. |
| Wegovy® pen | Weekly injection | Medication $199 for first 2 eligible low-dose fills, then $349 per 4 pens | New eligible patients, 0.25 mg or 0.5 mg, two fills through December 31, 2026. Standard 0.25–2.4 mg price is $349 for four weekly pens. Wegovy HD 7.2 mg is a distinct $399 presentation and is outside this row. |
| Zepbound® KwikPen | Weekly injection | Medication $299 at 2.5 mg, $399 at 5 mg, or eligible $449 at 7.5–15 mg per 28 days | Manufacturer self-pay Journey Program. The 2.5 mg dose is for initiation. $449 higher-dose eligibility requires purchasing each refill within 45 days of the previous delivery or receipt. Standard higher-dose prices are $499 at 7.5 mg and $699 at 10–15 mg. Taxes and fees may apply. |
Wegovy and Zepbound are brand-name drugs sold through the manufacturers’ self-pay programs, so their self-pay programs, not Sesame, set these prices. Sesame’s own Wegovy page and NovoCare’s November 2026 guide differ on the 4 mg tablet ($149 on Sesame’s page, $199 on the manufacturer’s), so use the manufacturer’s current figure for budgeting.
Self-pay prices change with the manufacturers’ promotions. Check the dose you will actually be prescribed, because a starting-dose price does not carry over to later doses.
4, 5, 6, 7Insurance, prior authorization and HSA or FSA
Sesame charges patients directly for care and does not bill your insurer for the visit. Its weight-management clinicians can help submit a prior-authorization request, which is your insurer’s review of whether a prescription meets the plan’s rules. Any drug coverage comes from your own pharmacy benefit, and an insurer can still decline.
Sesame accepts HSA and FSA cards for eligible services. Its membership terms set separate rules for reimbursing subscription fees, so an eligible visit does not mean every charge qualifies.3, 8
Clinicians, pharmacies and state access
You choose your own clinician from Sesame’s marketplace and can read their profile before booking. The prescription goes to a pharmacy you select or a supported delivery route; Sesame’s Wegovy page describes the NovoCare pathway and its Zepbound page describes LillyDirect.
Sesame advertises licensed clinicians across all 50 states, but which clinicians, visit types and medications you see depends on your location. The booking page should show the clinician, service, price and location before you pay.4, 6, 1
Cancellation and refunds
Sesame’s weight-program page allows a full subscription refund if you cancel at least three hours before the first visit. Once that visit happens the first month is not refundable, and canceling a month-to-month plan stops later billing rather than refunding past months.
For prepaid multi-month plans, Sesame’s October 16, 2026 terms reprice months already used, including a partial month, at the standard monthly rate before refunding any balance, which can leave nothing to refund. To stop a renewal, contact support at least 48 hours before it processes.1, 8
Wegovy prices at other providers
| Provider | Published price | Source |
|---|---|---|
| Wellorithm | $49/month service fee; medication extra | Price page · checked |
| Hello Wisp | $99/month consultation; medication extra | Price page · checked |
| Sesame Care | Medication $199 for first 2 eligible low-dose fills, then $349 per 4 pens; care extra | Price page · checked |
| GobyMeds | $1,695 | Price page · checked |
| Sprout Health | Current price not verified | |
| Oak Longevity | Current price not verified |
Wegovy pill prices at other providers
| Provider | Published price | Source |
|---|---|---|
| Hello Wisp | $99/month consultation; medication extra | Price page · checked |
| Sesame Care | Medication $149 for 1.5 mg, $199 for 4 mg, or $299 for 9/25 mg per 30 tablets; care extra | Price page · checked |
Zepbound prices at other providers
| Provider | Published price | Source |
|---|---|---|
| Wellorithm | $49/month service fee; medication extra | Price page · checked |
| Hello Wisp | $99/month consultation; medication extra | Price page · checked |
| Sesame Care | Medication $299 at 2.5 mg, $399 at 5 mg, or eligible $449 at 7.5–15 mg per 28 days; care extra | Price page · checked |
| GobyMeds | $1,399 | Price page · checked |
| Sprout Health | Current price not verified | |
| Oak Longevity | Current price not verified |
Frequently asked questions
How much does Sesame weight loss cost per month?
Care is $59 a month on the annual plan or $99 every 28 days on the flexible plan. Medication is extra and depends on the drug and dose.
Does Sesame’s price include Wegovy or Zepbound?
No. The care plan covers visits, messaging and lab work. The medication is a separate bill set by the dispensing pharmacy and the manufacturer’s self-pay program.
Does Sesame take insurance for weight loss?
Sesame charges for care directly. Its clinicians can help with prior authorization, and your plan’s pharmacy benefit may cover the medication if it approves the request.
Is the annual plan cheaper than paying every 28 days?
If you stay the whole year, yes: $708 against about $1,290.54. Check the early-cancellation repricing in Sesame’s terms before prepaying.
Sources and check dates
- Success by Sesame care, billing and refund terms · Checked
- Sesame Plus prices and benefits · Checked
- Sesame insurance and health-account policy · Checked
- Sesame’s published Wegovy prices · Checked
- NovoCare Wegovy price guide, November 2026 · Checked
- Sesame’s Zepbound options · Checked
- Lilly Zepbound self-pay prices and refill conditions · Checked
- Sesame terms of service · Checked