Prescriptions and prescription refills on Sesame are exclusively cash-pay. We do not accept insurance for the provider appointment or the medication. If a clinician sends your prescription to your local pharmacy, you can pick it up and pay with a method of your choice, including your FSA or HSA card, prescription card, cash, credit, and more.
Most insurance plans do not require prior authorization for medication coverage. When you go to the pharmacy to pick up your prescription, the pharmacist can use the insurance information they have on file, or you can give them your insurance information for coverage.
Health insurance plans publish a formulary for the drugs covered by the plan and the corresponding drug and copay prices. Check with your insurance provider to find out what drugs require authorization and the specific coverage information regarding the medication you’ve been prescribed.
For patients who book a weight management service through Sesame’s online weight loss management program, providers can assist with prior insurance authorization requests for your medication. For more information, visit our video weight loss program page.