Fella Health vs TMates: Which GLP-1 Program Is Better? (2026)
We put Fella Health and TMates 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 TMates
Between these two providers, TMates is our pick for most users. It offers a higher overall rating (7.8 vs 6), insurance acceptance. 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.
TMates scores 7.8/10 in our independent evaluation at $199/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. TMates accepts insurance, which can significantly reduce costs. 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 | TMates |
|---|---|---|
| Monthly Price | $165 | $199 |
| Rating | 6 / 10 | 7.8 / 10 |
| Medication Type | Compounded Only | Compounded Only |
| Insurance Accepted | No | Yes |
| States Available | 35 states | 45 states |
| Consultation Fee | Included | Included |
| Shipping | Free Shipping | Free Shipping |
| Cancel Anytime | Yes | Yes |
| Medical Support | Licensed doctors supported by health coaches and routine lab work | Licensed clinicians paired with text-message coaching and digital check-ins |
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
TMates: Detailed Look
TMates
A GLP-1 weight loss program you can put through most major insurance plans
Pros
- Among the rare GLP-1 services that will actually take major insurance
- A single flat rate wraps in meds, visits, coaching, and delivery
- Text-based coaching and digital check-ins run around the clock
- Phentermine is available for those who aren't GLP-1 candidates
Cons
- It's a younger platform, so independent reviews remain sparse
- You'll need to enroll before the full program details are confirmed
Insured patients who want a coached GLP-1 program with a few medication choices
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.
TMates has the edge with a 7.8 rating.
TMates accepts insurance, which can significantly reduce your out-of-pocket cost.
Compare their support: Fella Health offers licensed doctors supported by health coaches and routine lab work, while TMates provides licensed clinicians paired with text-message coaching and digital check-ins.
TMates at $199/month may offer features that justify the premium.
Frequently Asked Questions
Is Fella Health better than TMates?
Fella Health has a 6 rating while TMates has a 7.8 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 TMates is best for insured patients who want a coached glp-1 program with a few medication choices.
How much does Fella Health cost compared to TMates?
Fella Health starts at $165/month (on the 3-month plan: semaglutide $165/mo, tirzepatide $399/mo), while TMates starts at $199/month (semaglutide at $199/mo, tirzepatide at $297/mo).
Do Fella Health and TMates accept insurance?
Fella Health does not accept insurance. TMates accepts insurance.
Which GLP-1 medications does Fella Health offer vs TMates?
Fella Health offers Compounded Semaglutide, Compounded Tirzepatide. TMates offers Compounded Semaglutide, Compounded Tirzepatide, Phentermine.
Can I cancel Fella Health or TMates at any time?
Fella Health allows cancel anytime. TMates also allows cancel anytime.
Are Fella Health and TMates available in my state?
Fella Health is available in 35 states. TMates is available in 45 states.
Not sure Fella Health or TMates is right for you?
Take our 6-question quiz and we'll point you to the program that fits your budget and goals best.