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Paloma Health vs Sesame Care Thyroid

Both Paloma Health and Sesame Care Thyroid compete in thyroid. Here's how they differ on the things that actually matter.

Paloma Health

Paloma Health — thyroid-specialist telehealth

$99/mo
Visit Paloma HealthFull review

Sesame Care Thyroid

Sesame Care — pay-per-visit thyroid consults

$25/mo
Visit Sesame Care ThyroidFull review

At a glance

$99/mo★ ·0NoneThyroid
FeaturePaloma HealthSesame Care Thyroid
Starting price$25/mo
Rating★ ·
Reviews tracked0
State exclusionsNone
CategoryThyroid

Where they differ

Which one fits?

Choose Paloma Health if…

Hypothyroid or Hashimoto's patients who want a specialist who'll consider NDT and integrative approaches.

Strengths

  • · Thyroid-specialist providers
  • · Both levothyroxine and NDT
  • · At-home lab kit included

Drawbacks

  • · Higher cost than general telehealth options

Our take: Paloma is the only thyroid-specialist telehealth in the cohort. They prescribe both standard levothyroxine and NDT (Nature-Thyroid, Armour) — most general telehealth brands won't touch NDT. Right answer for Hashimoto's patients tired of being told 'your TSH is normal.'

Choose Sesame Care Thyroid if…

Stable thyroid patients with low refill frequency.

Strengths

  • · Per-visit pricing
  • · Lab orders included
  • · Same-day available

Drawbacks

  • · Less continuity for complex cases

Our take: Sesame's per-visit model works for stable thyroid patients who only need quarterly or semi-annual refill visits. Cheapest annual cost for stable cases.

Frequently asked

Is Paloma Health or Sesame Care Thyroid better for thyroid?+

Both Paloma Health and Sesame Care Thyroid are US-licensed telehealth programs for thyroid. Paloma Health: Paloma Health — thyroid-specialist telehealth. Sesame Care Thyroid: Sesame Care — pay-per-visit thyroid consults. The right pick depends on whether you want insurance handling, brand availability, async vs sync clinical model, and cancellation flexibility — see the side-by-side comparison above.

How much do Paloma Health and Sesame Care Thyroid cost per month?+

Paloma Health starts at $99/month. Sesame Care Thyroid starts at $25/month. Stated prices are subscription fees; the actual cost depends on whether the medication is included, whether insurance applies, and current promotions. Compare the full pricing breakdown in the side-by-side table.

Can I switch from Paloma Health to Sesame Care Thyroid?+

Yes — telehealth programs can be cancelled and the same prescription often re-routed through a new provider. The new provider will typically require their own clinical assessment, and you may pay for two months of subscriptions during the transition. Document your cancellation in writing.

Do Paloma Health and Sesame Care Thyroid accept insurance?+

Insurance acceptance varies. Some programs file prior authorizations on your behalf as a concierge service; others operate cash-pay only. Check the comparison rows for "insurance handling" — that's usually the biggest differentiator.