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Head-to-head, mom to mom

Midi Health vs Sesame Care

Midi Health and Sesame Care both offer GLP-1 telehealth, but they make different trade-offs on signup ease, honest pricing, which meds you can get, state coverage and support. Here they are side-by-side on the Mom-Tested Score — our real-mom rubric.

Midi Health

Higher score

Ranked #15 for moms · Grade B−

Best for: Women in midlife who want a real clinician relationship — often billable to a PPO plan — and who can genuinely get to a scheduled video visit, with the medication priced openly before they commit.

Visit Midi Health
vs

Sesame Care

Ranked #19 for moms · Grade C

Best for: Moms who specifically want FDA-approved brand medication through a real clinician visit and don't mind a membership fee plus a scheduled video appointment.

Visit Sesame Care

The verdict

Higher Mom-Tested Score: Midi Health

Midi Health edges out Sesame Care on the Mom-Tested Score, 79 to 77 (B− vs C). Women in midlife who want a real clinician relationship — often billable to a PPO plan — and who can genuinely get to a scheduled video visit, with the medication priced openly before they commit.

Sesame Care is still a genuine option — the marketplace route to real brand-name Wegovy and Zepbound through an actual clinician video visit — reassuring and on-label, but you're booking an appointment and paying a membership on top of the drug. Weigh the six mom factors below against your own priorities.

Side-by-side on the six factors

Both providers scored on the same real-mom rubric — the higher side on each factor is marked. See the methodology.

Midi Health Sesame Care
Nap-time-easy signup5862
Midi
Sesame
No-surprise pricing7870
Midi
Sesame
Both meds available9280
Midi
Sesame
Works in your state8892
Midi
Sesame
Support you can reach8284
Midi
Sesame
Cancel without a fight8178
Midi
Sesame

Price, access & features

DetailMidi HealthSesame Care
Mom-Tested Score79/100 · B−77/100 · C
Overall rank#15#19
Semaglutide$165.90/mo at the starting dose, up to $355 (visits billed separately)Brand Wegovy from $149/mo
Tirzepatide$210/mo at the starting dose, up to $434 (visits billed separately)Brand Zepbound from $299/mo
CoverageAll 50 statesAll 50 states
Brand-name accessYesYes
Oral / sublingualYesYes

Midi Health

Ranked #15 · Grade B−

What we like

  • A full dose-by-dose price list published openly, shipping and supplies included, with "No membership fees" stated on the page
  • In-network with most PPO plans, so the visit can run through insurance rather than out of pocket
  • Both molecules as injections and as sublinguals, plus brand-name GLP-1s sent to your own pharmacy

The caveats

  • A scheduled 30-minute video visit is the only way in, with the questionnaire due 24 hours early and a text confirmation required to keep the slot
  • The price climbs steeply with your dose — semaglutide more than doubles from $165.90 to $355 as you titrate
  • Visit fees are billed on top of the medication: $250 for the first and $150 for each one after, if you're self-pay

Sesame Care

Ranked #19 · Grade C

What we like

  • Real FDA-approved brand medication — Wegovy (pill and pen) and Zepbound — not compounded
  • An actual scheduled clinician video visit with labs, more oversight than a questionnaire
  • Established nationwide marketplace across all 50 states

The caveats

  • Brand-only now — compounded semaglutide isn't currently available, so it's not a budget-vial route
  • Requires a scheduled video visit, the hardest of these to fit around nap and daycare
  • A membership fee is billed separately from the medication — the true monthly is two numbers

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Mom-Tested Score. Pricing, states and verification reflect each provider's public disclosures at last review; the Mom-Tested Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

More head-to-heads

Keep comparing Midi Health and Sesame Care against other providers I reviewed for moms.

Or browse the full comparison hub.