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Quick verdict
Sesame Care is the better pick for most patients on overall scoring. Sesame is a cash-pay marketplace, not a program. Pay one fee, see one doctor, leave with a script. Cheapest path to a real branded GLP-1 prescription if you can fill it elsewhere. Zero ongoing care. That is the point and the limit.
That said, Push Health wins on specific dimensions. The bring-your-own-doctor option. Push Health is a marketplace that connects patients directly to independent licensed clinicians. No monthly membership, no clinic. Each provider sets their own consultation and refill fees. Good for self-directed patients with prior GLP-1 experience.
Side-by-side
| Sesame Care | Push Health | |
|---|---|---|
| Starts from | $189/mo (+ med separate) | $200/mo (+ med separate) |
| Monthly cost gap | Push Health is $29/mo cheaper than Sesame Care | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 1 day | 2 days |
| Consultation type | Live | Async |
| Affiliate network | CJ | Direct |
Score by dimension
Scores out of 10, equal-weighted across five dimensions. How we score. The winner of each dimension is highlighted.
| Sesame Care | Push Health | |
|---|---|---|
| Pricing transparency | 8/10 | 8/10 |
| Cancellation terms | 10/10 | 10/10 |
| Onboarding experience | 8/10 | 6/10 |
| Medication options | 6/10 | 7/10 |
| Member reviews | 9/10 | 7.4/10 |
When to choose Sesame Care
Best for one-off self-directed Rx
Self-directed buyers who want a one-off prescription and will manage refills, sourcing and titration on their own.
Sesame Care wins on onboarding experience, member reviews on the dimensional scoring. The caveat: Anyone wanting coaching, dietitian access, ongoing accountability or an integrated medication supply chain.
When to choose Push Health
Best for pricing flexibility
Patients who want maximum pricing flexibility, have prior GLP-1 history or already have a relationship with a provider on the platform.
Push Health wins on medication options and runs $29/mo cheaper than Sesame Care at the entry tier ($200 vs $229). Over a year that's $348 you keep. The caveat: First-time GLP-1 patients who need integrated coaching, structured care or insurance navigation. Note also: Operates as a HIPAA-compliant telehealth platform; clinical responsibility rests with individual providers, not Push Health Inc.
If cost is your main filter
Push Health is the cheaper monthly: $200 all-in vs $229 for Sesame Care. That's $29 a month or $348a year. The 12-month math matters most if you're planning to maintain on GLP-1 long-term. If you're running a 3-month trial, the $87 delta is small against the cost of stopping early on the wrong dose. Insurance changes the picture: if either program runs prior auth and your plan covers Wegovy or Zepbound, branded with copay can beat both cash-pay totals.
If lock-in is your main filter
Sesame Care (month-to-month) and Push Health (month-to-month) sit at the same cancellation tier. Read both cancellation policies directly before signing; the on-page summary covers the headline but not the deletion-of-account or refund-window edge cases.
FAQ
Is Sesame Care cheaper than Push Health?
Can I switch from Sesame Care to Push Health mid-treatment?
Which program has better member feedback?
Read the full reviews
All head-to-head comparisons → · Full chart → · Cost guide · Programs guide
