# Sesame Review: Cash-Pay Appointments With Prices Up Front

> Sesame is a marketplace rather than a clinic — you browse clinicians, see the price before booking, and pay per visit. For ED that structure has one clear advantage over subscription telehealth.

- **Source:** ED Treatment Guides (https://www.edtreatmentguides.com/sesame-reviews)
- **Last updated:** 2025-11-18
- **Type:** review
- **Service:** Sesame
- **What it is:** Cash-pay marketplace for telehealth and in-person appointments
- **Editorial rating:** 4.1/5
- **Best for:** Men who want a real consultation and a prescription they can fill anywhere, without a recurring subscription.
- **Medications offered:** Prescriptions issued by the clinician you book, filled at a pharmacy of your choice
- **Availability:** Availability of clinicians varies by state and by appointment type. Check before booking.
- **Website:** https://sesamecare.com/
- **Commercial relationship:** We may earn a commission from links to this service. It does not affect the rating.

## Key points

- A marketplace for cash-pay appointments, not a subscription ED service.
- You see the price before booking and pay per visit.
- The prescription is portable — fill it at whichever pharmacy is cheapest.
- In-person appointments are available in some areas, which no pure telehealth service can offer.
- Clinician quality varies; the review system is worth using.

## Scores

| Criterion | Score | Note |
| --- | --- | --- |
| Clinical quality | 4.2/5 | You book a named clinician, and video consultations are available rather than questionnaire-only. |
| Transparency | 4.7/5 | Prices are shown before booking, per appointment. No recurring charge to track. |
| Value | 4.2/5 | You pay for the visit, then buy medication wherever it is cheapest — which is often the whole point. |
| Experience | 4/5 | Marketplace model means quality varies by clinician. Reviews help. |
| Privacy | 4/5 | Standard telehealth handling. Read the current policy. |

**Overall: 4.1/5**

## Pros

- Prices shown up front, per appointment
- No subscription — pay for what you use
- The prescription is yours to fill at any pharmacy
- Video consultations available, not just questionnaires
- In-person appointments available in some areas

## Cons

- Quality varies between clinicians on the marketplace
- No medication bundled, so you arrange the fill yourself
- Availability differs considerably by state
- Less hand-holding than an end-to-end ED service
- Not insurance — spending does not count towards a deductible

## Pricing

| Plan | Price | Includes |
| --- | --- | --- |
| Telehealth appointment | Verify current pricing | Consultation with a licensed clinician; prescription if appropriate |
| In-person appointment | Verify current pricing | Available in some areas; allows examination and bloods |

_Prices checked 2025-11-18. Verify on the provider's own site before ordering._

## Verdict

The structural advantage here is real and under-appreciated: you buy a consultation, not a subscription, and the prescription belongs to you. That lets you combine a proper clinical conversation with the cheapest possible fill — which is usually the lowest total cost available. The in-person option matters too, because it is one of the few routes on this list where somebody can actually take your blood pressure. Marketplace quality varies, so read clinician reviews before booking.

## Why the unbundled model matters for ED

Most ED telehealth bundles the consultation and the medication into one recurring charge, which makes the true cost of each component impossible to see. Unbundling them changes the arithmetic — and usually in your favour.

1. Pay once for a consultation with a licensed clinician.
2. Receive a prescription that is yours, not tied to a particular pharmacy.
3. Fill it wherever is cheapest — [a discount card](https://www.edtreatmentguides.com/goodrx-reviews), [a transparent-pricing pharmacy](https://www.edtreatmentguides.com/cost-plus-drugs-reviews) or [a warehouse pharmacy](https://www.edtreatmentguides.com/costco-pharmacy-reviews).
4. Repeat the consultation only when you actually need to.

> **Book the in-person option if you can**
>
> ED warrants a blood pressure measurement and basic bloods. Being able to book an in-person appointment at a visible price is genuinely useful, and it addresses the single biggest gap in every telehealth-only route on this site.

## What to check before booking

- [ ] Is the clinician licensed in your state, and can you see their credentials?
- [ ] Is it a video consultation or a questionnaire review?
- [ ] What exactly is included — does a follow-up cost extra?
- [ ] Can they order the blood tests that should accompany an ED assessment?
- [ ] Will they send the prescription to a pharmacy of your choosing?
- [ ] What do other patients say about that specific clinician?

## Frequently asked questions

### Is Sesame insurance?

No. It is a cash-pay marketplace. You pay a visible price per appointment, and that spending does not count towards an insurance deductible.

### Does it include the medication?

No, and that is the advantage. You receive a prescription and fill it wherever is cheapest.

### Can I see someone in person?

In some areas, yes. That is worth seeking out for ED, since a physical assessment and bloods are exactly what telehealth cannot provide.

### Is it cheaper than a telehealth subscription?

Frequently, once you buy the medication at a competitive cash price — particularly if you do not need frequent consultations.

## Sources

- U.S. Food and Drug Administration. [BeSafeRx: Your Source for Online Pharmacy Information](https://www.fda.gov/drugs/quick-tips-buying-medicines-over-internet/besaferx-your-source-online-pharmacy-information)
- National Association of Boards of Pharmacy. [Digital Pharmacy Accreditation and safe site listings](https://nabp.pharmacy/)
- American Urological Association. [Erectile Dysfunction: AUA Guideline](https://www.auanet.org/guidelines-and-quality/guidelines/erectile-dysfunction-(ed)-guideline) (2018)

## Related pages

- [Telehealth vs Seeing a Doctor in Person for ED](https://www.edtreatmentguides.com/compare/telehealth-vs-in-person)
- [GoodRx Review: The Free Tool That Undercuts Most ED Subscriptions](https://www.edtreatmentguides.com/goodrx-reviews)
- [Cost Plus Drugs Review: Published Markups, Mail-Order Generics](https://www.edtreatmentguides.com/cost-plus-drugs-reviews)
- [How to Bring Up ED With Your Doctor](https://www.edtreatmentguides.com/guides/talking-to-your-doctor)

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_This page is general health information, not medical advice. It cannot account for your own history, medications or risk factors. Talk to a licensed clinician before starting, stopping or changing any treatment._

_Canonical URL: https://www.edtreatmentguides.com/sesame-reviews — HTML for people, Markdown for agents._