Optum Now vs Sesame
A detailed head-to-head comparison of Optum Now and Sesame — pricing, peptides, consultation models, and patient reviews.
At a Glance
RatingNo reviews
Starting PriceN/A
Peptides2
ConsultationHybrid
Lab TestingNo
Shipping3-5 business days
Pros
- $45/month unlimited virtual visits
- Available in all 50 states
- Video consultations (not async-only)
- Deep integration with UnitedHealthcare for seamless insurance coordination
- Lab ordering available through Quest Diagnostics partnership
- Behavioral health network access for patients who need psychological support alongside weight management
Cons
- No compounded GLP-1 options
- Not a specialized obesity medicine practice
- Tied to the UnitedHealth Group ecosystem, which has faced criticism over prior authorization denial rates and conflicts of interest across insurance, PBM, and care delivery
- Relatively new to weight management (added 2024)
- No in-person option for patients who prefer or need hands-on clinical evaluation
- Vertical integration cuts both ways
RatingNo reviews
Starting PriceN/A
Peptides2
ConsultationAsync Telehealth
Lab TestingYes
Shipping3-5 business days
Pros
- No subscription, no membership required, no recurring charges
- Lowest consultation cost in the market ($29-$79 per visit)
- Full control over where you fill your prescription
- Orforglipron and Wegovy HD available alongside other branded options
- Broadest medication options
- No long-term commitment
Cons
- You handle medication sourcing, insurance navigation, and pharmacy selection yourself
- No prior authorization assistance
- No coaching, behavioral support, or structured program
- No lab testing included or coordinated
- Clinician quality varies across the marketplace (independent providers, not Sesame employees)
- No ongoing care coordination between visits
Pros & Cons
Peptide Pricing Comparison
| Peptide | Optum Now | Sesame |
|---|---|---|
| Semaglutide | Price unavailable | Price unavailable |
| Tirzepatide | Price unavailable | Price unavailable |
Frequently Asked Questions
Is Optum Now or Sesame better?
Optum Now offers 2 peptides and hybrid consultations. Sesame offers 2 peptides and async telehealth consultations. The best choice depends on which peptides you need, your budget, and preferred consultation model.
Which is cheaper, Optum Now or Sesame?
See the pricing table above for a detailed comparison.