HomeCompareJoyous vs Sesame Care

Joyous vs Sesame Care: Which Is Better?

Head-to-head comparison of Joyous 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 64/100), leading on trust & safety, experience, product range, reputation. Joyous comes out ahead on value.

64
Joyous
Fair

The most affordable at-home ketamine provider, offering very-low-dose (microdose) sublingual ketamine for depression, anxiety, and PTSD at $129/month.

Visit Joyous

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

Visit Sesame Care

Score Breakdown

DimensionJoyousSesame Care
Overall Score64/10074/100
Trust & Safety30%60/10075/100
Value25%85/10080/100
Experience20%60/10070/100
Product Range15%55/10070/100
Reputation10%55/10070/100

At a Glance

Founded20212019
HeadquartersFoster City, CANew York, NY
Publicly tradedNoNo
Treatment categories16
Treatments listed25
Starting price$129/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.

CategoryJoyousSesame Care
Mental Health$129
Commitment Plan (3-month minimum)
$45–$99
Mental Health Visit

Joyous

+Most affordable at-home ketamine option at $129/mo — fraction of competitors' pricing
+Microdose approach: patients stay fully functional, no sitter required, compatible with SSRIs
+All-inclusive flat pricing: consultation, medication, provider access, portal, and check-ins bundled
$400K privacy class action settlement (2025) for disclosing confidential customer data
BBB C+ rating with 112 complaints — billing after cancellation is the top issue
High provider turnover — patients rarely see the same clinician twice
Read the full Joyous 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 →

Joyous vs Sesame Care — FAQ

Is Joyous better than Sesame Care?

Sesame Care scores higher overall in our independent evaluation (74/100 vs 64/100), leading on trust & safety, experience, product range, reputation. Joyous comes out ahead on value.

Is Joyous or Sesame Care cheaper?

Sesame Care has the lower starting price (from $34/mo vs $129/mo for Joyous). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Joyous and Sesame Care both offer?

Both platforms treat Mental Health. Joyous covers 1 treatment category total and Sesame Care covers 6.

Still deciding?