HRT › Head-to-head comparison
Sesame Care vs Evernow
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Sesame Care — 8.3/10 vs 7.9/10, $378/yr cheaper
★ Our Pick
Sesame Care
Direct-to-patient marketplace — GLP-1, ED, HRT, mental health from $16/appt
8.3/10
Monthly
$16/mo
True Annual
$192/yr
Labs
✗ Extra
States
All 50
Pros
✓Available in all 50 states
✓No insurance required — transparent cash pricing
✓Same-day telehealth or in-person appointments
Cons
✗Marketplace model — quality varies by provider
✗Lower recurring revenue than subscription clinics
VS
Evernow
$35/mo — data-driven menopause care with app
7.9/10
Monthly
$35/mo
True Annual
$570/yr
Labs
✗ Extra
States
Most states
Pros
✓Very low monthly price
✓Good symptom tracking app
✓Multidisciplinary care team
Cons
✗Labs not included
Side-by-side comparison
| Feature | Sesame Care | Evernow |
|---|---|---|
| Monthly price | $16/mo | $35/mo |
| True annual cost | $192/yr | $570/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | oral, injection, topical | patch, pill |
| Editorial score | 8.3/10 | 7.9/10 |
| Trustpilot | 4.5★ | 4.2★ |
| State availability | All 50 states | Most US states |
Our verdict
Sesame Care (8.3/10) is our pick over Evernow (7.9/10) for most patients. At $192/yr vs $570/yr, Sesame Care saves you $378 per year.
Evernow may be a better fit if you prefer Evernow's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
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Evernow vs Midi Health
$35/mo vs $0/mo · 7.9 vs 9.1 score
Evernow vs Alloy
$35/mo vs $49/mo · 7.9 vs 8.4 score