Sesame Care vs MedVi: Which telehealth weight program fits you?
Quick verdict: Sesame Care vs MedVi
Sesame Care and MedVi both provide telehealth paths to GLP-1 weight care, but they take different approaches: Sesame Care is a clinician marketplace with plans starting at $59/mo and options for branded medications with insurance acceptance, while MedVi focuses on clinically dosed compounded semaglutide delivered after a simple online intake starting at a promotional $179 for the first month with free shipping. Early verdict: choose Sesame Care for clinician choice and insurance-friendly branded options; choose MedVi for a simple, no-clinic process and a promotional first-month price.
How they differ: model, meds, pricing, and support
Marketplace choice versus streamlined single-path care
Sesame Care operates as a telehealth marketplace where patients browse and select clinicians by specialty, availability, and pricing, giving more control over the care relationship. MedVi uses a straightforward online intake and clinician review with no clinic visits required, emphasizing simplicity and 24/7 certified medical support.
Medication approach: branded and insurance options versus compounded semaglutide
Sesame Care lists branded options including semaglutide and tirzepatide with cash-pay and in-network pricing; medication costs vary with insurance status and pharmacy and Sesame notes branded and compounded products are not interchangeable and approval status must be confirmed. MedVi prescribes clinically dosed compounded semaglutide, notes compounded medications are not FDA-approved, and says providers will explore compounded GLP-1s if appropriate.
Pricing structure and promotional differences
Sesame Care advertises ongoing video visits, dedicated provider care, labs, and messaging for as low as $59/mo based on a 12-month Success by Sesame commitment, and cash-pay medication examples such as semaglutide cash-pay as low as $149/mo and tirzepatide cash-pay starting at $299/mo. MedVi promotes a winter first-month price of $179 including fast, free shipping, with ongoing refills locked at a higher full price and a standalone month quoted at $299 or a three-month plan at $649.
Support and convenience
Sesame Care highlights a large clinician network, flexible scheduling, and nationwide access in many states. MedVi highlights a simple online process with no clinic visits and 24/7 support from certified medical professionals and medication shipping included for the promotional month.
Side-by-side comparison table
| Criteria | Sesame Care | MedVi |
|---|---|---|
| Business model | Telehealth marketplace with clinician selection | Direct telehealth platform with online intake, no clinic visits |
| Starting price (care) | Plans starting at $59/mo* (12-month commitment basis) | Promotional first month $179 with fast, free shipping |
| Medication types | Branded semaglutide and tirzepatide options; insurance accepted for weight loss medications | Clinically dosed compounded semaglutide only |
| Insurance | Insurance accepted for weight loss medications; medication costs vary by insurance | No; MedVi is cash-pay and does not bill insurance for compounded meds |
| Support and scheduling | Large clinician network, flexible scheduling, nationwide access in many states | No clinic visits; 24/7 certified medical support and shipped medication |
| Regulatory note | Medication-specific approval status must be confirmed; branded and compounded products are not interchangeable | Compounded medications are not FDA-approved and are not reviewed by FDA for safety, effectiveness, or quality |
What this means for results and expectations
Both platforms note results vary. Sesame Care references milestones from a study of injectable semaglutide 2.4 mg when paired with lifestyle changes and states results may vary; medication costs are separate from subscription and depend on insurance. MedVi reports patient-reported averages and notes results vary based on adherence, dosing, and clinician discretion, and it cautions compounded GLP-1s are not FDA-approved.
Comparison highlights
- Choice: Sesame Care offers clinician selection; MedVi offers a single streamlined intake.
- Medication variety: Sesame Care lists branded semaglutide and tirzepatide options; MedVi provides compounded semaglutide only.
- Pricing pattern: Sesame Care lists care starting at $59/mo with medication pricing varying by insurance; MedVi runs a $179 promotional first month then a higher refill price.
- Insurance and regulatory differences are explicitly noted by both providers and should be confirmed with clinicians.
Compare Sesame Care clinicians
Choose based on what matters to you
If clinician choice, flexible scheduling, and access to branded medications with the possibility of insurance coverage matter most, Sesame Care is likely the better fit based on the marketplace model and stated insurance acceptance. If you want the simplest online path to clinically dosed compounded semaglutide with a promotional first-month price and shipping included, MedVi matches that description.
Final notes and regulatory cautions
Both providers include important qualifiers: Sesame Care notes medication costs vary by insurance and that branded and compounded products are not interchangeable; MedVi emphasizes compounded medications are not FDA-approved and that provider review determines prescriptions. Confirm medication-specific approval status and eligibility with the prescribing clinician.
See Sesame Care pricing details
Choose Provider guidance
Choose Sesame Care if you want a marketplace model, the ability to browse and pick clinicians, flexible scheduling, and options that may work with insurance. Choose MedVi if you want a no-clinic online intake, 24/7 certified support, and a promotional first-month compounded semaglutide program with shipping included.