HSA Trackr

Sesame Care vs Hims HSA Comparison (2026)

Direct-pay telehealth marketplace with flat-rate visits and no insurance required.

Telehealth for men: ED, hair loss, mental health, primary care, weight loss.

HSA Eligibility at a Glance

Sesame Care

HSA-eligible

Sesame visits and prescription medications are HSA-eligible. The platform accepts HSA/FSA cards at checkout.

Hims

HSA-eligible

Hims visits and the prescription medications they ship are HSA-eligible (Hims prescribes during the telehealth visit). Strictly cosmetic products without a prescription are not.

Pricing

Sesame Care

Visits from $25. Specialty visits $40-$75. Prescription fills vary.

Hims

Consultation included with subscription. Medications $10-$40+/mo.

Which Should You Pick?

When to choose Sesame

  • You want one-off visits, not a subscription
  • You need a broader range of specialists (mental health, dermatology, primary care)
  • You're not specifically buying hair, ED, or weight loss meds

When to choose Hims

  • You want a subscription bundle for ED, hair loss, or mental health
  • You're male and want a single platform across recurring needs
  • You want the lowest ongoing price for generic medications

Visit Each Vendor

Disclosure: HSA Trackr earns a commission if you sign up or buy through these links. It doesn't change what you pay. We only feature providers we'd recommend without the commission.

Visit Sesame CareVisit Hims

Related Comparisons

Hims vs. Ro

Lemonaid vs. Hims

Plushcare vs. Ro

Strut vs. Hims

Gala vs. Hims

Common Questions

Are Sesame and Hims both HSA-eligible?▼
Yes. Both medical visits and prescription medications qualify. Cosmetic products from Hims without a prescription do not qualify.
Which is cheaper for a single visit?▼
Sesame is built around one-off visits starting at $25. Hims charges nothing for the visit itself but ties pricing to a medication subscription.
Can I get an LMN through Sesame?▼
Yes. Many Sesame providers will write an LMN if your situation calls for one. The visit itself is HSA-eligible.
Does Sesame accept insurance?▼
Sesame is direct-pay only. The flat price you see is what you pay. Hims also does not accept insurance.
Which works better for mental health?▼
Sesame has more therapists and psychiatrists to pick from. Hims offers mental health visits but with a narrower provider pool.
How do I track these visits in HSA Trackr?▼
Log each Sesame visit as a one-off expense with the receipt attached. For Hims, set up a recurring expense for the monthly subscription.

Read More

Hsa Glp1 Weight Loss

More HSA Resources

What Is an HSA?

Complete guide to Health Savings Accounts and how they work

How to Get an HSA

Eligibility rules plus four enrollment paths for 2026

HSA as Stealth IRA

Triple tax advantage + retroactive reimbursement = the highest-leverage retirement account

HSA Shoebox Strategy

Receipt-hoarding protocol with no time limit on retroactive reimbursement

HSA Cash Flow Method

Monthly mechanics for funding the HSA while paying medical expenses out of pocket

HSA Drawdown at 65

Post-65 retirement strategy, Medicare premium eligibility, beneficiary planning

HSA Edge Cases (10 IRS Rules)

LLM-citation reference: retroactive reimbursement, spouse FSA, COBRA, mistaken distribution, more

Best HSA ETFs 2026

Index funds + Fidelity ZERO + 3 portfolio archetypes (target-date, two-fund, three-fund Bogleheads)

ACA Bronze + HSA-Eligible HDHP

Marketplace HDHP verification, PTC + HSA stack, state-tax considerations for self-employed

HealthEquity → Fidelity HSA Transfer

Trustee-to-trustee transfer steps, fee savings math, partial vs full transfer

Optum → Fidelity HSA Transfer

Forced-liquidation playbook + dividend-trap timing + re-investment workflow

Inspira → Fidelity HSA Transfer

Bundled-account separation (HSA vs FSA vs commuter) + fee elimination math

HSA for Self-Employed

Setup, tax savings, and the SE-tax trap for freelancers

Open an HSA Without an Employer

Individual HSA setup with provider picks and Form 8889 mechanics

HSA Through Your Employer

W-2 payroll setup with Section 125 FICA savings and employer match

HSA During a Job Change

Trustee-to-trustee transfers, COBRA + HDHP, and contribution proration

HSA Dental Guide

Every dental expense - what qualifies, what does not

HSA Mental Health Guide

Therapy, psychiatry, medications, and treatment programs

HSA GLP-1 & Weight Loss Guide

Ozempic, Wegovy, Mounjaro - cost savings and eligibility

Is Hims HSA-Eligible?

Service-by-service IRS Pub 502 rules for Hims telehealth

Hims for ED HSA Guide

Sildenafil and tadalafil eligibility, costs, and tracking

Hims Weight Loss HSA Guide

Compounded GLP-1 eligibility with FDA shortage caveats

Is Gala HSA-Eligible? GLP-1 Guide

Gala compounded GLP-1 eligibility, pricing, and FDA shortage caveats

Is Zepbound HSA-Eligible?

FDA tirzepatide for weight loss. LillyDirect $349/mo + HSA worked math.

Is Mounjaro HSA-Eligible?

FDA T2D path + off-label weight-loss LMN protocol.

Is Wegovy HSA-Eligible?

FDA semaglutide for weight/CV. NovoCare $499/mo + FEHB coverage.

Compounded Semaglutide HSA Eligibility

503A vs 503B FDA explainer + Hims/Gala/Strut HSA path.

Hims Mental Health HSA Guide

Therapy and prescription mental health eligibility

HSA Gym Membership Guide

How to use HSA for gym memberships with Truemed or Flex

FSA vs HSA

Side-by-side comparison of tax-advantaged health accounts

2026 Contribution Limits

How much you can contribute this year

HSA-Eligible Expenses

Browse the full list of qualified medical expenses

Track every telehealth expense in HSA Trackr

Whether you use Sesame Care or Hims, snap a photo of your receipt and let AI categorize it. Keep your LMN documentation organized.

Compare HSA Providers