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

Visit Sesame CareVisit Hims

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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.

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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.

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