Zealthy vs Sesame Care: Which GLP-1 Program Is Better? (2026)

A detailed side-by-side comparison of Zealthy and Sesame Care to help you choose the right GLP-1 weight loss program based on pricing, medications, medical support, and more.

Eduard Cristea
Eduard Cristea
Dr. A. Goher, MD
Medically reviewed by Dr. A. Goher, MD
Published:

Quick Verdict

We recommend Sesame Care

Between these two providers, Sesame Care is our pick for most users. It offers a higher overall rating (7.2 vs 7), insurance acceptance. That said, Zealthy may be the better fit if you are looking for users who want the option to switch between compounded and brand-name glp-1s.

Sesame Care scores 7.2/10 in our independent evaluation at $225/month, while Zealthy scores 7/10 at $151/month. Both programs include a licensed physician consultation and ship medication directly to your door. Sesame Care accepts insurance, which can significantly reduce costs. Sesame Care also offers oral GLP-1 options for patients who prefer pills over injections. Our rating considers five factors: safety and medical oversight (30%), pricing transparency (25%), cost value (20%), clinical support quality (15%), and onboarding speed (10%). This comparison was independently produced — neither provider pays for placement or higher ratings. Prices verified April 2026.

Side-by-Side Comparison

Monthly Price
Zealthy
$151
Sesame Care
$225
Rating
Zealthy
7 / 10
Sesame Care
7.2 / 10
Medication Type
Zealthy
Brand & Compounded
Sesame Care
Brand & Compounded
Insurance Accepted
Zealthy
No
Sesame Care
Yes
States Available
Zealthy
All 50 states
Sesame Care
All 50 states
Consultation Fee
Zealthy
$135/mo membership
Sesame Care
$25-75
Shipping
Zealthy
Free Shipping
Sesame Care
Paid
Cancel Anytime
Zealthy
Yes
Sesame Care
Yes
Medical Support
Zealthy
Licensed physicians, ongoing clinical support
Sesame Care
Licensed physicians, per-visit model

Prices reflect starting rates without insurance. Actual costs may vary by plan and medication. Last updated April 2026.

Zealthy: Detailed Look

Zealthy

Physician-supervised GLP-1 with both compounded and brand-name access

7/10
Good

Pros

  • Access to both compounded and FDA-approved brand-name medications
  • Bulk 3-month purchasing lowers per-month cost significantly
  • Physician-supervised with ongoing clinical support
  • Can facilitate brand-name prescriptions for insured patients

Cons

  • Separate $135/month membership fee adds to total cost
  • Bundled pricing ($297-449/mo) is higher than many competitors
Best For

Users who want the option to switch between compounded and brand-name GLP-1s

Sesame Care: Detailed Look

Sesame Care

Affordable telehealth marketplace connecting patients with doctors from $25

7.2/10
Good

Pros

  • Lowest consultation cost — visits from just $25
  • Prescribes brand-name FDA-approved medications
  • Transparent per-visit pricing with no subscriptions
  • Wide network of licensed physicians across all 50 states

Cons

  • Medication cost is separate and not included in visit fee
  • No compounded options — brand-name only (higher drug cost)
Best For

Users with insurance who want cheap doctor visits — medication costs are separate and not included

Which Should You Choose?

The right choice depends on your specific needs and priorities. Here is a quick decision framework:

You want the lowest monthly cost

Go with Zealthy at $151/month. $151/mo semaglutide (3-mo bulk); bundled plans $297-449/mo.

You want the highest-rated program

Sesame Care has the edge with a 7.2 rating.

You have insurance coverage

Sesame Care accepts insurance, which can significantly reduce your out-of-pocket cost.

You want comprehensive medical support

Compare their support: Zealthy offers licensed physicians, ongoing clinical support, while Sesame Care provides licensed physicians, per-visit model.

You are willing to invest more for premium care

Sesame Care at $225/month may offer features that justify the premium.

Zealthy

Starting at $151/mo · Good

Visit Zealthy

Sesame Care

Starting at $225/mo · Good

Visit Sesame Care

Frequently Asked Questions

Is Zealthy better than Sesame Care?

Zealthy has a 7 rating while Sesame Care has a 7.2 rating. The better choice depends on your priorities — Zealthy is best for users who want the option to switch between compounded and brand-name glp-1s, while Sesame Care is best for users with insurance who want cheap doctor visits — medication costs are separate and not included.

How much does Zealthy cost compared to Sesame Care?

Zealthy starts at $151/month ($151/mo semaglutide (3-mo bulk); bundled plans $297-449/mo), while Sesame Care starts at $225/month ($25-75 per visit + medication at pharmacy prices ($200-1,400/mo). total starting cost ~$225/mo with insurance savings cards. medication not included in visit fee.).

Do Zealthy and Sesame Care accept insurance?

Zealthy does not accept insurance. Sesame Care accepts insurance.

Which GLP-1 medications does Zealthy offer vs Sesame Care?

Zealthy offers Compounded Semaglutide, Compounded Tirzepatide, Wegovy, Zepbound. Sesame Care offers Ozempic, Wegovy, Mounjaro, Zepbound, Rybelsus.

Can I cancel Zealthy or Sesame Care at any time?

Zealthy allows cancel anytime. Sesame Care also allows cancel anytime.

Are Zealthy and Sesame Care available in my state?

Zealthy is available in all 50 states. Sesame Care is available in all 50 states.