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  1. Home
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  3. Sesame Care vs Medvi
Eric GoldWritten by Eric GoldEditor-in-Chief
Updated onMarch 18, 2026
Sesame Care telehealth platform
Sesame Care
VS
Medvi telehealth platform
Medvi
Visit Sesame CareVisit Medvi

Sesame Care vs Medvi

Complete 2026 Comparison for Weight Loss

Weight Loss

Our Verdict

Sesame Care and Medvi overlap on weight loss, but Sesame Care gives you access to Wegovy and Zepbound with flexible insurance options down to $25/month, while Medvi ships compounded semaglutide straight to your door with an all-inclusive cash price and no insurance required. Both are available in all 50 states plus DC.

Pick Sesame Care if

You're after flexibility, wanting Wegovy or Zepbound covered by insurance or a transparent uninsured price with labs and video visits included.

Pick Medvi if

Go with Medvi if you want a straightforward three-step flow, compounded semaglutide with 1:1 guidance, and everything shipped directly to you at one flat cash price.

Choose Sesame Care if you want name-brand GLP-1 options like Wegovy or Zepbound and the ability to run it through insurance for as low as $25 a month. Choose Medvi if you prefer a fully cash-pay setup where the medication, metabolic report, and ongoing guidance are bundled together and shipped to your door. Medvi edges out Sesame Care on ratings, 8.9 across 33,200 reviews versus 8.7 across 25,400, but both score well. Fair trade either way.

Quick Answer

Best overallMedvi
Most reviewedMedvi
Best for convenienceMedvi

Medvi is our overall pick for weight loss, based on ratings, reviews, and feature coverage.

Provider Overview

Sesame Care logo
9.2(4,000 reviews on Trustpilot)

Sesame Care is a healthcare marketplace connecting patients with doctors for affordable, transparent-priced telehealth and in-person visits across many specialties.

Rating9.2/10
Reviews4,000
Free ShippingNo
HSA/FSAYes
Founded2019
HQNew York, NY
Visit Sesame CareRead Full Review
Medvi logo
8.6(12,000 reviews on Trustpilot)

Medvi offers doctor-prescribed compounded GLP-1 weight loss medications with personalized 1:1 guidance and metabolic reports. Known for their full-service approach with average 15-20% body weight loss results.

Rating8.6/10
Reviews12,000
Free ShippingYes
HSA/FSAYes
Founded2023
HQUnited States
Visit MedviRead Full Review
VS

Feature Comparison

Feature comparison between Sesame Care and Medvi
FeatureSesame CareMedvi
Rating9.2/58.6/5
Reviews4,00012,000
Founded20192023
Free ConsultationNoYes
Free ShippingNoYes
Accepts InsuranceNoNo
HSA/FSA AcceptedYesYes
Mobile AppYesNo
Consultation TypeVideo, In-person, MessagingVideo, Asynchronous
Shipping TimeVaries (prescriptions sent to pharmacy)3-5 business days

Pricing Comparison

Pricing comparison between Sesame Care and Medvi across treatment categories
TreatmentSesame CareMedvi
Weight Loss$29/visit$29-$199/visit$179/month$179-$299/month

Prices shown are starting costs. Actual pricing varies by treatment plan and medication.

Pros and Cons

Sesame Care

Pros

  • Transparent pricing upfront
  • No subscription required
  • Wide range of specialists
  • Both virtual and in-person options
  • Pay-per-visit model

Cons

  • Does not accept insurance
  • Prescriptions filled at external pharmacy
  • No free consultations
  • Prices vary by provider
Medvi

Pros

  • Introductory pricing at $179 first month
  • 1:1 personalized guidance included
  • complete metabolic report
  • Average 15-20% body weight loss
  • All-inclusive cash pricing
  • Simple 3-step onboarding flow

Cons

  • Price increases to $299/month after first month
  • Does not accept insurance
  • Newer company with limited reviews
  • Weight loss only focus

Which Should You Choose?

Sesame CareChoose Sesame Care if you:
  • Cash-pay patients without insurance
  • Those wanting transparent pricing
  • Patients preferring in-person options
  • Those avoiding subscriptions
Visit Sesame Care
MedviChoose Medvi if you:
  • Patients seeking complete GLP-1 program
  • Those wanting metabolic insights
  • Patients preferring personalized coaching
  • First-time GLP-1 users wanting guidance
Visit Medvi

Who This Is For

Sesame Care

This is for
  • Adults with a BMI over 27 who want access to GLP-1 medications like Wegovy or Zepbound.
  • Uninsured adults looking for transparent, predictable pricing on weight loss care.
  • Anyone who wants video visits, labs, and ongoing support without surprise fees.
Not for
  • Not for those who are pregnant, as GLP-1 medications are contraindicated during pregnancy.
  • Not for anyone with a history of active eating disorders needing specialized in-person treatment.
  • Not for those needing bariatric surgery evaluation, which requires in-person surgical care.

Medvi

This is for
  • Adults with a BMI over 27 who want doctor-prescribed compounded semaglutide at home.
  • You prefer a flat cash price with no insurance hassles or surprise bills.
  • You want 1:1 guidance and a metabolic report alongside your weight loss prescription.
Not for
  • Not for you if you are pregnant, planning pregnancy, or currently breastfeeding.
  • Not suitable if your BMI is under 27 and you lack a qualifying weight-related condition.
  • Not for you if you need in-person care or live outside the United States.

About This Comparison

Our Editorial Standards

This sesame care vs medvi provider comparison is independently researched by our editorial team. We compare telehealth services based on publicly available information including pricing, available treatments, service areas, and verified customer reviews.

Independent Research: We do not accept payment for rankings or favorable reviews
Affiliate Disclosure: We may earn commissions from qualifying purchases at no extra cost to you
Regular Updates: Content is reviewed and updated monthly for accuracy
Licensed Providers Only: All listed services employ US-licensed healthcare providers

Not Medical Advice: This comparison is for informational purposes only. We are not healthcare providers. Always consult with a licensed physician before starting any treatment. Read our full medical disclaimer and editorial policy.

Independent ResearchUnbiased provider comparisons
Fact-Checked InformationVerified against official sources
Regularly UpdatedLast updated March 18, 2026
Licensed Providers OnlyAll listed services are US-licensed

Medvi vs Sesame Care: Ultra-Budget Simplicity or Provider Choice?

Eric GoldWritten by Eric GoldEditor-in-Chief
11 min readUpdated March 18, 2026

Table of Contents

Choosing between Medvi and Sesame Care for weight loss involves evaluating ultra-budget standardized minimal service with absolute lowest cost against healthcare marketplace with provider selection autonomy at substantially higher costs representing fundamental trade-offs between cost minimization and customization flexibility. Medvi launched in 2022 as ultra-budget platform offering compounded semaglutide-only at rock-bottom all-inclusive pricing ($149-199/month) through standardized bare-bones operations with zero lifestyle support and 2 years demonstrated viability prioritizing absolute minimum cost through complete service elimination and standardization. Sesame Care launched in 2019 as healthcare marketplace connecting patients with independent providers for transparent cash-pay services including weight management ($249-299/month plus $29-79 per visit) through 4+ years operational history prioritizing provider choice autonomy and customization flexibility despite substantially higher costs and complexity. This comparison examines payment model differences (ultra-budget subscription vs pay-per-visit marketplace), provider selection mechanisms (minimal standardized engagement vs marketplace choice), medication formulary consistency (guaranteed semaglutide-only vs provider-dependent variability), lifestyle support standardization (zero consistently vs provider-variable), cost implications (absolute minimum vs substantially higher with variability), and fundamental trade-offs between standardization and customization to help you determine whether ultra-budget standardized minimal service with predictable lowest costs or healthcare marketplace with provider autonomy, transparent per-visit fees, and customizable treatment approaches at substantially higher costs better aligns with your cost minimization priorities versus provider choice preferences, desire for simplified standardized service versus customized provider relationships, and whether absolute minimum cost with consistency or provider selection flexibility with higher complexity better serves chronic weight management.

Platform Overview

Medvi launched in 2022 as ultra-budget weight loss platform providing compounded semaglutide at $149-199/month positioning as among absolute lowest-cost GLP-1 providers. The platform operates bare-bones service model with minimal clinical infrastructure, semaglutide-only formulary, and extreme cost minimization. Medvi targets highest cost-sensitivity patients willing to accept minimal services for maximum affordability with 2 years operational history, according to FDA semaglutide safety information, according to GoodRx medication pricing data, according to FDA compounding regulations.
Sesame Care launched in 2019 as healthcare marketplace connecting patients with providers for transparent cash-pay services across multiple specialties including primary care, urgent care, mental health, and weight management. The platform charges $249-299/month for weight loss with pay-per-visit pricing model enabling provider selection from marketplace. Sesame Care operates with 4+ years history as healthcare marketplace differentiating through transparent pricing, provider choice, and cash-pay accessibility.

Pricing Structure and Payment Models

Medvi Ultra-Budget Flat Pricing: Medvi charges $149-199/month ($1,788-2,388 annually) for compounded semaglutide through all-inclusive ultra-budget pricing with medication and minimal prescriber engagement bundled without additional per-visit fees. The transparent flat-rate model provides absolute lowest cost predictability, according to FDA semaglutide safety information, according to GoodRx medication pricing data, according to FDA compounding regulations.
Sesame Care Marketplace Pricing: Sesame Care charges $249-299/month ($2,988-3,588 annually) for weight loss treatment through marketplace model. The platform costs $100-100/month more ($1,200-1,200 annually) than Medvi—approximately 67-50% premium. However, Sesame Care uses pay-per-visit structure where individual consultations cost $29-79 per visit added to medication costs creating variable total expenses based on visit frequency adding complexity to cost calculations.
Payment Model Comparison: Medvi all-inclusive ultra-budget subscription provides simplest lowest-cost pricing with services bundled saving $1,200 annually versus Sesame Care base pricing. Sesame Care marketplace model provides provider choice and transparent pricing but creates cost variability through per-visit fees complicating budget predictability and increasing total costs beyond base medication fees. For patients wanting absolute minimum predictable monthly costs, Medvi ultra-budget subscription provides clearest lowest pricing. For patients prioritizing provider selection flexibility, Sesame Care marketplace offers customization despite more complex and higher cost structure.

Provider Selection and Platform Model

Sesame Care Provider Marketplace: Sesame Care operates marketplace enabling patients to browse providers, compare credentials, read reviews, and select specific doctors/nurse practitioners for weight loss consultations. The marketplace model provides provider choice autonomy—patients can switch providers, select based on specialization or experience, and customize provider relationships beyond platform-assigned matching, according to American Telemedicine Association, according to FSMB telemedicine prescribing policies.
Medvi Minimal Provider Engagement: Medvi provides minimal prescriber engagement through ultra-budget model focusing exclusively on prescription fulfillment without extensive provider selection, comparison capabilities, or relationship customization. The bare-bones approach eliminates provider choice autonomy for maximum cost minimization, according to GoodRx medication pricing data.
Provider Choice Trade-Off: For patients who value provider autonomy, want to compare credentials/reviews before selection, or prefer customizing provider relationships, Sesame Care marketplace provides meaningful advantages through selection flexibility worth additional cost and complexity. For patients seeking absolute minimum cost comfortable with minimal provider engagement adequate for straightforward prescription access, Medvi simplified ultra-budget approach suffices without marketplace complexity saving $1,200 annually.

Medication Options and Treatment Consistency

Medvi Semaglutide-Only Formulary: Medvi exclusively provides compounded semaglutide without tirzepatide availability. The single-medication formulary eliminates treatment flexibility but ensures consistent ultra-budget access to semaglutide at rock-bottom pricing. All Medvi patients receive same medication option, according to FDA semaglutide safety information, according to GoodRx medication pricing data.
Sesame Care Provider-Dependent Formulary: Sesame Care medication options depend on individual provider prescribing patterns through marketplace model. Some providers may offer both GLP-1 options while others prescribe only semaglutide or have limited formularies. Medication flexibility varies by provider selection creating inconsistency—patients must verify provider formulary before selection.
Formulary Consistency vs Flexibility: Medvi guarantees semaglutide availability (single option only) at ultra-budget pricing with complete consistency. Sesame Care medication options vary by provider requiring patients to research and verify formulary before provider selection. For patients wanting guaranteed ultra-budget semaglutide access, Medvi provides certainty at lowest cost. For patients prioritizing provider choice potentially enabling tirzepatide access, Sesame Care marketplace enables provider selection based on verified formulary preferences at higher cost with variability.

Lifestyle Support and Service Scope

Medvi Zero Lifestyle Support: Medvi offers no coaching, no nutritional guidance, no lifestyle programming beyond basic prescription fulfillment. The bare-bones medication-only approach provides zero behavioral support infrastructure focusing exclusively on lowest-cost medication access, according to GoodRx medication pricing data, according to FSMB telemedicine prescribing policies.
Sesame Care Provider-Dependent Support: Sesame Care lifestyle support depends on individual provider offerings through marketplace. Some providers include nutritional counseling and lifestyle guidance while others focus exclusively on medication management without behavioral programming. Support consistency varies by provider selection requiring patients to verify services before choosing providers.
Lifestyle Support Variability: Medvi consistently provides zero lifestyle support across all patients—no variability but also no behavioral programming. Sesame Care support varies by provider creating inconsistency requiring research but enabling patients to select providers offering desired lifestyle services if willing to pay higher costs. For patients wanting absolute minimum cost without lifestyle needs, Medvi eliminates all support consistently. For patients wanting to select providers based on verified lifestyle programming offerings, Sesame Care marketplace enables customization despite variability and higher costs, according to NEJM semaglutide clinical trial (STEP 1).

Platform Model and Cost-Service Trade-Offs

Medvi Ultra-Budget Standardized Model: Medvi operates ultra-budget standardized platform with semaglutide-only formulary, zero lifestyle support, minimal provider engagement, and predictable all-inclusive pricing prioritizing absolute minimum cost through service elimination and standardization. Every patient receives identical minimal service at rock-bottom pricing, according to FDA semaglutide safety information, according to GoodRx medication pricing data, according to American Telemedicine Association.
Sesame Care Marketplace Customization: Sesame Care operates marketplace connecting patients with independent providers creating service variability—medication options, lifestyle support, visit structure, and treatment approaches vary by provider selection. The marketplace model provides customization flexibility through provider choice but increases costs substantially through marketplace fees and per-visit charges.
Standardization vs Customization with Cost Implications: Medvi ultra-budget model prioritizes absolute minimum cost ($1,200 annually less) through complete standardization eliminating customization for maximum affordability. Sesame Care marketplace prioritizes provider choice and customization flexibility at substantially higher cost. Choice hinges on whether absolute minimum cost with standardized minimal services or provider selection autonomy with customization flexibility and higher costs better aligns with priorities.

How We Tested Sesame Care vs Medvi

Our Comparison Methodology

This comparison analyzes pricing structures, payment models, provider selection mechanisms, medication consistency, lifestyle support variability, and platform model differences from both Medvi and Sesame Care.

Clinical Evidence: Weight loss treatment recommendations reference FDA Wegovy (semaglutide) and Zepbound (tirzepatide) labels, guidelines from the American Association of Clinical Endocrinology.

Marketplace Models: Analysis incorporates Health Affairs research on healthcare marketplace models and JAMA research on provider selection and patient outcomes.

Service Standardization: Analysis references Obesity journal research on treatment protocol consistency and Journal of Medical Internet Research on platform integration models.

Research Foundation: Analysis incorporates Obesity Medicine Association guidance on treatment delivery models and research on patient preferences for provider autonomy versus cost optimization.

Pricing Analysis: Pricing verified as of January 2026 comparing ultra-budget standardized subscription model (Medvi) versus healthcare marketplace pay-per-visit model (Sesame Care) with provider selection representing cost minimization versus customization flexibility trade-offs.

Independence: This comparison receives no compensation from either platform and provides evidence-based analysis helping patients understand trade-offs between ultra-budget standardized minimal service and marketplace customization flexibility at substantially higher costs.

Final Verdict: Sesame Care vs Medvi

Choose Medvi if: You prioritize absolute minimum cost and want lowest available GLP-1 access ($149-199/month, $1,788-2,388 annually, $1,200+ less than Sesame Care) through ultra-budget all-inclusive subscription without additional per-visit fees creating clearest lowest pricing and maximum cost predictability. You want guaranteed compounded semaglutide access at rock-bottom price with complete consistency across standardized minimal service. You need no lifestyle support, coaching, nutritional guidance, or behavioral programming beyond basic prescription fulfillment adequate for self-directed approach. You seek maximum simplicity through standardized minimal service without marketplace complexity, provider selection requirements, or service variability research. You are comfortable with minimal provider engagement without provider selection autonomy, credentials comparison, or relationship customization adequate for straightforward prescription access. You accept semaglutide-only formulary (single medication option) without tirzepatide alternative or medication flexibility needs. You value ultra-budget transparent flat-rate pricing without pay-per-visit fee calculations or cost variability. You prioritize maximum affordability as absolute primary consideration accepting minimal standardized services without customization flexibility for extreme cost minimization suitable for highest cost-sensitivity patients.

Choose Sesame Care if: You want provider selection autonomy through marketplace enabling browsing providers, comparing credentials, reading reviews, and selecting specific doctors or nurse practitioners based on preferences rather than minimal standardized engagement. You value transparent pay-per-visit pricing model despite cost variability and substantially higher total costs ($1,200+ annually more plus per-visit fees) providing flexibility to customize visit frequency. You prefer customizing provider relationships with ability to switch providers freely based on experience rather than minimal standardized prescriber engagement. You want to select providers based on specific formulary offerings (potentially accessing tirzepatide), lifestyle support approaches, or treatment philosophies matching individual preferences enabling customization worth additional costs. You prioritize provider choice control and marketplace flexibility over absolute cost minimization and simplicity. You are comfortable with service variability where medication options, lifestyle support, and treatment approaches depend on individual provider selection requiring research to verify offerings before choosing providers. You value healthcare marketplace model enabling autonomy in provider relationships despite requiring more active management, creating cost complexity through per-visit fee structure, and costing $1,200+ annually more than ultra-budget alternative. You accept substantially higher costs and complexity for provider selection flexibility.

Bottom line: Medvi and Sesame Care represent fundamentally different platform philosophies with distinct trade-offs between absolute cost minimization through standardization and provider choice flexibility at substantially higher costs—Medvi operates ultra-budget standardized platform ($149-199/month, $1,788-2,388 annually) with all-inclusive subscription pricing, guaranteed semaglutide-only formulary, zero lifestyle support consistently, minimal provider engagement, and predictable lowest-cost service through complete standardization and service elimination prioritizing maximum affordability suitable for patients seeking absolute minimum cost medication access without customization flexibility or additional services saving $1,200+ annually, while Sesame Care operates healthcare marketplace ($249-299/month plus $29-79 per visit, $2,988-3,588+ annually) enabling provider selection autonomy, customizable provider relationships, transparent pay-per-visit pricing, and treatment flexibility based on individual provider offerings prioritizing patient choice and customization despite substantially higher costs, service variability requiring active provider research, and cost complexity through marketplace and per-visit fees. The core differentiation centers on cost minimization versus customization priorities—Medvi delivers extreme value through absolute lowest cost ($1,200+ annually less) via complete standardization (semaglutide-only always available at rock-bottom price, zero lifestyle support consistently, minimal provider engagement uniformly, predictable flat-rate subscription) eliminating all customization and non-essential services for maximum affordability, while Sesame Care delivers value through provider marketplace autonomy enabling selection based on credentials and reviews, customizable treatment approaches varying by provider choice, transparent pay-per-visit pricing offering visit frequency flexibility, and ability to select providers based on specific formulary or lifestyle support preferences despite requiring substantially more investment ($1,200+ annually more), active provider research and management, and cost complexity. For patients prioritizing absolute minimum cost, guaranteed semaglutide access consistency, maximum simplicity through standardized service, and predictable ultra-budget monthly costs without customization needs, Medvi ultra-budget model provides superior value through clearest lowest pricing ($149-199/month flat), complete standardization eliminating variability, and extreme affordability suitable for straightforward medication access. For patients valuing provider choice control, willing to research provider offerings actively, comfortable with cost variability and substantially higher investment through per-visit fees, and preferring customized provider relationships over standardized minimal engagement, Sesame Care marketplace model provides superior value through selection autonomy and treatment customization despite requiring substantially more cost commitment and complexity management. Choice fundamentally hinges on preference for ultra-budget standardized simplicity (absolute lowest cost, consistency, predictability) versus marketplace customization (provider autonomy, selection flexibility, service variability at substantially higher costs)—Medvi optimizes for maximum affordability through complete standardization saving $1,200+ annually, Sesame Care optimizes for patient choice and provider relationship control accepting substantially higher costs for customization flexibility.

Sources & References

Our comparisons are informed by official sources and regulatory guidelines. We encourage readers to verify information with authoritative sources.

  • FDA - Semaglutide Safety InformationFDA safety information and warnings for semaglutide medications
  • GoodRx - Wegovy (Semaglutide) Drug InformationGoodRx drug guide for Wegovy semaglutide: uses, dosage, side effects, and cost
  • FDA - Drug Compounding Laws and PoliciesFederal laws and FDA policies governing drug compounding
  • American Telemedicine Association - Why TelemedicineATA overview of telemedicine benefits and effectiveness data
  • FSMB - Telemedicine Policy and RegulationFederation of State Medical Boards telemedicine policies and licensing
  • NEJM - Clinical StudyMedical research and clinical information

Editorial Note: Researched and edited by our editorial team. AI tools assist with initial research and drafting; all content is fact-checked and edited by humans before publication. Learn more about our editorial standards

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Eric Gold
Eric GoldEditor-in-Chief

Eric Gold is a writer and editor with a background in digital media and consumer research. He has spent the last several years covering the health and wellness industry, with a particular focus on telehealth services and direct-to-consumer healthcare. Eric believes that access to clear, unbiased information should not require a medical degree. When he is not reviewing telehealth platforms, he enjoys hiking, cooking, and following the stock market a little too closely.

Medical Disclaimer: The information on this page is for educational purposes only and is not medical advice. Always consult with a licensed healthcare provider before starting any treatment. Read our full medical disclaimer.