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Cove vs Shameless Care: Which Is Better?

Head-to-head comparison of Cove and Shameless 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

Shameless Care scores higher overall in our independent evaluation (66/100 vs 60.8/100), leading on trust & safety, experience, reputation. Cove comes out ahead on value, product range. Cove has the lower entry price (from $15/mo vs $63/mo), so the better value depends on which treatment you need.

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.

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66

Shameless Care is an Illinois sexual-health telehealth company selling ED and female-arousal medications, comprehensive STI testing, DoxyPEP and UTI/BV/yeast treatment as one-time purchases.

Visit Shameless Care

Score Breakdown

DimensionCoveShameless Care
Overall Score60.8/10066/100 ✓
Trust & Safety30%62/10068/100 ✓
Value25%72/100 ✓68/100
Experience20%45/10066/100 ✓
Product Range15%68/100 ✓66/100
Reputation10%50/10055/100 ✓

At a Glance

Founded20182022
HeadquartersNew York, NYSt. Charles, IL
Publicly tradedNoNo
Treatment categories14
Treatments listed310
Starting price$15/mo$63/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.

CategoryCoveShameless Care
Primary Care$15–$25
Generic Triptans (sumatriptan, rizatriptan, naratriptan, eletriptan, zolmitriptan)
$279
14-Panel STI Testing

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 →

Shameless Care

+One-time purchases with no auto-renewal, which avoids the recurring-charge complaints common in the category
+Every price is posted on the site, all-in with consult, prescription and shipping (e.g. UTI treatment $63, Shameless Duo from $130)
+Covers men's and women's sexual health, including STI testing, DoxyPEP, herpes suppression and female arousal treatments, which most ED-focused brands don't
−Two of its three named partner pharmacies (Curexa, Belmar) received FDA compounding warning letters in 2023
−Review evidence is mostly the brand's own on-site testimonials; little independent Trustpilot or Reddit footprint
−Compounded ED troches cost about $7–11 per dose, well above generic sildenafil or tadalafil tablets
Read the full Shameless Care review →

Cove vs Shameless Care — FAQ

Is Cove better than Shameless Care?

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Shameless Care scores higher overall in our independent evaluation (66/100 vs 60.8/100), leading on trust & safety, experience, reputation. Cove comes out ahead on value, product range. Cove has the lower entry price (from $15/mo vs $63/mo), so the better value depends on which treatment you need.

Is Cove or Shameless Care cheaper?

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Cove has the lower starting price (from $15/mo vs $63/mo for Shameless Care). 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 Shameless Care both offer?

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Both platforms treat Primary Care. Cove covers 1 treatment category total and Shameless Care covers 4.

Still deciding?

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