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Paloma Health vs Sesame Care: Which Is Better?

Head-to-head comparison of Paloma Health 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 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $34/mo), so the better value depends on which treatment you need.

58

A niche telehealth brand built specifically around hypothyroidism and Hashimoto's care, pairing at-home lab testing with endocrinology-informed treatment.

Visit Paloma Health
74

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

Visit Sesame Care

Score Breakdown

DimensionPaloma HealthSesame Care
Overall Score57.7/10074/100 ✓
Trust & Safety30%58/10075/100 ✓
Value25%62/10080/100 ✓
Experience20%55/10070/100 ✓
Product Range15%55/10070/100 ✓
Reputation10%55/10070/100 ✓

At a Glance

Founded20182019
HeadquartersNew York, NYNew York, NY
Publicly tradedNoNo
Treatment categories26
Treatments listed35
Starting price$20/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.

CategoryPaloma HealthSesame Care
Primary Care$75–$99
At-Home Thyroid Test Kit
$34–$75
Primary Care Visit

Paloma Health

+Narrow clinical focus on hypothyroidism/Hashimoto's with endocrinologist-informed care teams and integrated at-home lab testing, nutritionist visits, and medication management in one program.
+Transparent flat membership pricing ($20/mo billed $240/yr) that bundles two test kits and two visits per year.
+One of the only brands to specialize specifically in DTC thyroid care rather than treating it as one line item among many.
−Trustpilot rating is weak (2.6/5, though based on a very small sample of 4 reviews) with recurring complaints of care that didn't match advertised 'integrative'/'holistic' positioning.
−At least one reported case of a patient with clearly abnormal labs (TSH of 58) alleging the prescribing clinician disregarded their reported symptoms before prescribing a medication that caused adverse reactions — a serious quality-of-care concern for a specialty-clinical brand.
−Reviewers report membership fees and per-visit charges stacking in ways that felt like hidden costs.
Read the full Paloma Health 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 →

Paloma Health vs Sesame Care — FAQ

Is Paloma Health better than Sesame Care?

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Sesame Care scores higher overall in our independent evaluation (74/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $34/mo), so the better value depends on which treatment you need.

Is Paloma Health or Sesame Care cheaper?

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Paloma Health has the lower starting price (from $20/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 Paloma Health and Sesame Care both offer?

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Both platforms treat Primary Care. Paloma Health covers 2 treatment categories total and Sesame Care covers 6.

Still deciding?

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