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Alloy vs Sesame Care: Which Is Better?

Head-to-head comparison of Alloy and Sesame Care based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Sesame Care scores higher overall in our independent evaluation (74/100 vs 73.3/100), leading on value, reputation. Alloy comes out ahead on trust & safety, experience, product range. Alloy has the lower entry price (from $23/mo vs $34/mo), so the better value depends on which treatment you need.

73
Alloy
Good

Cash-pay menopause and perimenopause telehealth platform prescribing hormone therapy across multiple formats plus adjacent GLP-1, skincare, and sexual-wellness treatment.

Visit Alloy
74

Pay-per-visit marketplace connecting patients with licensed providers — no subscriptions, transparent per-visit pricing.

Visit Sesame Care

Score Breakdown

DimensionAlloySesame Care
Overall Score73.3/10074/100 ✓
Trust & Safety30%78/100 ✓75/100
Value25%68/10080/100 ✓
Experience20%74/100 ✓70/100
Product Range15%75/100 ✓70/100
Reputation10%68/10070/100 ✓

At a Glance

Founded20212019
HeadquartersNew York, NYNew York, NY
Publicly tradedNoNo
Treatment categories26
Treatments listed55
Starting price$23/mo$34/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryAlloySesame Care
Women's Health——

Alloy

+Cash-pay model with published starting prices across most hormone formats (pill, patch, spray/gel, vaginal cream)
+Chief Medical Advisor is a well-credentialed OB-GYN and menopause specialist, reinforcing clinical positioning
+Strong Trustpilot performance (4.3/5, 3,982 reviews) with recurring praise for consultation thoroughness
−Reviewers describe pricing as high relative to comparable HRT options, and quarterly billing can obscure the effective monthly cost
−Reports of formulation or dispensed-quantity inconsistency between refills of the same product
−Some patients describe feeling locked into a multi-month billing cycle before being able to transfer a prescription to an outside pharmacy
Read the full Alloy review →

Sesame Care

+No subscription required — pay-per-visit model
+Transparent pricing shown before booking
+Wide range of specialties available
−No integrated pharmacy
−Less continuity of care than subscriptions
−Provider quality varies in marketplace model
Read the full Sesame Care review →

Alloy vs Sesame Care — FAQ

Is Alloy better than Sesame Care?

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Sesame Care scores higher overall in our independent evaluation (74/100 vs 73.3/100), leading on value, reputation. Alloy comes out ahead on trust & safety, experience, product range. Alloy has the lower entry price (from $23/mo vs $34/mo), so the better value depends on which treatment you need.

Is Alloy or Sesame Care cheaper?

▾

Alloy has the lower starting price (from $23/mo vs $34/mo for Sesame Care). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Alloy and Sesame Care both offer?

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Both platforms treat Women's Health. Alloy covers 2 treatment categories total and Sesame Care covers 6.

Still deciding?

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