Sesame Care
A direct-pay telehealth marketplace where you search providers by specialty and price, see exactly what you'll pay before booking, and bypass insurance billing entirely.
Key features
- Visit prices start at $34 for telehealth appointments — all posted on provider profiles before you book, with no bill arriving afterward
- Same-day and next-day appointment slots across urgent care, primary care, mental health, and specialist visits — no referral required to access specialists directly
- 10,000+ independently licensed, board-certified providers across 383 service types — urgent care, primary care, mental health, dermatology, cardiology, women's health, and weight management among them
- Labs, imaging, and specialist referrals at transparent cash prices — typically a fraction of what insurance-billed rates run
- SesamePlus membership ($14.99/month) reduces per-visit costs further — 200+ common generics at $0 per fill, including blood pressure, cholesterol, and diabetes medications
- No insurance account required and no prior authorization — no penalty for using Sesame on a given visit instead of routing it through Medicare Part B
Best for
Medicare enrollees who find the Part B cost-share or specialist wait time adds more friction than a cash visit would cost — and seniors without insurance who want a direct path to a licensed provider at a posted price.
Worth knowing
Cash-pay visits through Sesame do not count toward Medicare Part B deductibles or out-of-pocket maximums. For high-cost procedures or chronic conditions where cost-sharing eventually falls in your favor — once you've hit your Part B out-of-pocket ceiling, Medicare covers 100% — the insurance route is the better financial path. Sesame is most cost-effective for single, episodic visits, not as a substitute for long-term care management.