Fella Health vs Sesame Care: Which GLP-1 Program Is Better? (2026)
We put Fella Health and Sesame Care head-to-head — what you actually pay each month, which GLP-1 medications you can get, the level of clinician support, and where each one wins — so you can pick the cheaper, better-fit weight loss program in minutes.
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 6), availability in all 50 states, insurance acceptance, both brand-name and compounded medication options. That said, Fella Health may be the better fit if you are looking for men after a male-focused weight loss program that comes with a refund pledge.
Sesame Care scores 7.2/10 in our independent evaluation at $225/month, while Fella Health scores 6/10 at $165/month. Both programs connect you with a licensed physician and deliver medication straight 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. Each score weighs five things: safety and medical oversight (30%), pricing transparency (25%), value for money (20%), quality of clinical support (15%), and how fast you can get started (10%). We build these comparisons ourselves — no provider buys a better rating or a higher spot. Pricing checked April 2026.
Side-by-Side Comparison
| Feature | Fella Health | Sesame Care |
|---|---|---|
| Monthly Price | $165 | $225 |
| Rating | 6 / 10 | 7.2 / 10 |
| Medication Type | Compounded Only | Brand & Compounded |
| Insurance Accepted | No | Yes |
| States Available | 35 states | All 50 states |
| Consultation Fee | Included | $25-75 |
| Shipping | Free Shipping | Paid |
| Cancel Anytime | Yes | Yes |
| Medical Support | Licensed doctors supported by health coaches and routine lab work | Licensed physicians booked one visit at a time |
Figures show entry-level cash prices before any insurance. What you ultimately pay can change with your plan and the specific medication. Last checked April 2026.
Fella Health: Detailed Look
Fella Health
A men's medication weight loss program that refunds you if six months don't deliver
Pros
- Lose under 5% of your body weight in six months and they refund you fully
- Your price holds steady even as your dose climbs
- Lab work, coaching, and medical oversight are folded into the plan cost
- Typical members report shedding 10.4% of their body weight by month six
Cons
- It hasn't reached every state, so coverage isn't nationwide
- Lately some customers cite drug shortages and slow shipping
Men after a male-focused weight loss program that comes with a refund pledge
Sesame Care: Detailed Look
Sesame Care
A low-cost telehealth marketplace that matches you with a doctor for as little as $25
Pros
- About the cheapest consult you'll find, with visits opening at $25
- Writes scripts for FDA-approved brand-name drugs
- Clear pay-per-visit pricing and nothing to subscribe to
- A broad bench of licensed physicians spanning all 50 states
Cons
- What the drug costs is billed on its own, apart from the visit fee
- No compounded route here — it's brand-name only, so the drug runs pricier
Insured patients chasing cheap doctor visits, keeping in mind the medication is billed separately
How to Decide Between Them
There is no single winner for everyone — it comes down to what matters most to you. Match your priority to the scenarios below to see which provider fits:
Go with Fella Health at $165/month. On the 3-month plan: semaglutide $165/mo, tirzepatide $399/mo.
Sesame Care has the edge with a 7.2 rating.
Sesame Care accepts insurance, which can significantly reduce your out-of-pocket cost.
Fella Health focuses on compounded medications at a lower price point.
Compare their support: Fella Health offers licensed doctors supported by health coaches and routine lab work, while Sesame Care provides licensed physicians booked one visit at a time.
Sesame Care at $225/month may offer features that justify the premium.
Frequently Asked Questions
Is Fella Health better than Sesame Care?
Fella Health has a 6 rating while Sesame Care has a 7.2 rating. The better choice depends on your priorities — Fella Health is best for men after a male-focused weight loss program that comes with a refund pledge, while Sesame Care is best for insured patients chasing cheap doctor visits, keeping in mind the medication is billed separately.
How much does Fella Health cost compared to Sesame Care?
Fella Health starts at $165/month (on the 3-month plan: semaglutide $165/mo, tirzepatide $399/mo), while Sesame Care starts at $225/month (visits run $25-75, and the medication is billed separately at pharmacy rates ($200-1,400/mo). with insurance savings cards the total opens around $225/mo. the drug is not part of the visit fee.).
Do Fella Health and Sesame Care accept insurance?
Fella Health does not accept insurance. Sesame Care accepts insurance.
Which GLP-1 medications does Fella Health offer vs Sesame Care?
Fella Health offers Compounded Semaglutide, Compounded Tirzepatide. Sesame Care offers Ozempic, Wegovy, Mounjaro, Zepbound, Rybelsus.
Can I cancel Fella Health or Sesame Care at any time?
Fella Health allows cancel anytime. Sesame Care also allows cancel anytime.
Are Fella Health and Sesame Care available in my state?
Fella Health is available in 35 states. Sesame Care is available in all 50 states.
Not sure Fella Health or Sesame Care is right for you?
Take our 6-question quiz and we'll point you to the program that fits your budget and goals best.