Home›Compare›Cove vs Sesame Care

Cove vs Sesame Care: Which Is Better?

Head-to-head comparison of Cove 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 60.8/100), leading on trust & safety, value, experience, product range, reputation.

61
Cove
Fair

Cove is Thirty Madison's migraine telehealth brand, prescribing generic triptans, preventives and anti-nausea drugs from $45 per quarter, and handling branded CGRP drugs through insurance.

Visit Cove

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

Visit Sesame Care

Score Breakdown

DimensionCoveSesame Care
Overall Score60.8/10074/100 ✓
Trust & Safety30%62/10075/100 ✓
Value25%72/10080/100 ✓
Experience20%45/10070/100 ✓
Product Range15%68/10070/100 ✓
Reputation10%50/10070/100 ✓

At a Glance

Founded20182019
HeadquartersNew York, NYNew York, NY
Publicly tradedNoNo
Treatment categories16
Treatments listed37
Starting price$15/mo$11/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.

CategoryCoveSesame Care
Primary Care$15–$25
Generic Triptans (sumatriptan, rizatriptan, naratriptan, eletriptan, zolmitriptan)
$11
Sesame Plus membership

Cove

+Per-drug prices published for generic triptans, preventives and anti-nausea medication ($45–$75 per 3 months)
+Covers acute, preventive and anti-nausea therapy, plus branded gepants/CGRP drugs via insurance
+Initial consult can be billed to insurance (about $30 average copay) instead of $99 cash
−Trustpilot 1.7/5 across 45 reviews (91% 1-star), unclaimed profile
−Recurring reports of being charged for consults that ended in denial of treatment
−Ongoing $10/month membership on top of medication cost, billed quarterly
Read the full Cove 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 →

Cove vs Sesame Care — FAQ

Is Cove better than Sesame Care?

▾

Sesame Care scores higher overall in our independent evaluation (74/100 vs 60.8/100), leading on trust & safety, value, experience, product range, reputation.

Is Cove or Sesame Care cheaper?

▾

Sesame Care has the lower starting price (from $11/mo vs $15/mo for Cove). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Cove and Sesame Care both offer?

▾

Both platforms treat Primary Care. Cove covers 1 treatment category total and Sesame Care covers 6.

Still deciding?