Is Sesame Care or Winona cheaper?

First-year totals aren't verified for both, so compare entry pricing: Sesame Care: Not published, medication billed separately. Winona: $54 per 28 days, all-in. Full math in each review.

Does Sesame Care or Winona take insurance?

Neither. Both are cash-pay. Sesame Care: Not published, medication billed separately. Winona: $54 per 28 days, all-in.

Which is more transparent about pricing, Sesame Care or Winona?

Both carry a B transparency grade. Sesame Care: The current menopause page describes an ongoing subscription, named clinicians, messaging and selected labs [Checked September 29, 2026]. Winona: Every product priced publicly with no consult fee, the strongest pre-intake pricing transparency in the current set [Verified July 2026].

What do independent reviews say about Sesame Care and Winona?

Sesame Care: no independent review base surfaced, the honest empty state, not a hidden score. Winona: 4.6/5 on Trustpilot (~7,802 reviews). Ratings shown as reported by each platform. We never blend or fabricate them.

Sesame Care vs Winona

Side-by-side HRT telehealth comparison · Verified September 29, 2026

The short answer

The public-information scores are tied or close: Sesame Care 8.0 vs Winona 8.0, inside our 0.3-point tie margin. A treatment decision needs more than that score. Sesame Care lists not published, medication billed separately; Winona lists $54 per 28 days, all-in (~$1,161 realistic first year). Compare the actual treatment, bill and follow-up process below.

The score adds five equal checks of product, payment, care process, pharmacy and purchase terms. It measures the clarity of the public record, not clinical quality, safety or the right treatment for you. Each review exposes the criterion reasons and sources. See the full scoring method.

	Sesame Care	Winona
Public-information score	8.0/10	8.0/10
Transparency grade	B	B
Consult fee	Current menopause subscription fee not established from the public page; medication is separate. Confirm the first charge, renewal amount and billing interval before enrolling [Checked September 29, 2026]	$0, product-only pricing [Verified July 2026]
Published entry price	Not published, medication billed separately	$54 per 28 days, all-in
Real first-year cost	Not verified	~$1,161
Bloodwork	Selected basic labs are included if ordered: CBC, A1c, thyroid function, lipids and comprehensive metabolic panel. Patients in NY, NJ, RI and ND pay the lab directly; other state-specific lab networks apply. Recent results may be accepted at clinician discretion [Checked September 29, 2026]	Not required [Reported]
Formats offered	oral, patch, gel, vaginal, cream	cream, oral, patch, vaginal
Insurance	No, cash pay	No, cash pay
States	All 50 states [Reported]	37 states plus Puerto Rico, counted off Winona's own states page. The 48-state figure this record carried until 2026-08-16 was third-party and is 11 states too generous [Verified August 2026]
Trustpilot	Not surfaced	4.6/5 · ~7,802 reviews
	Visit Sesame Care	Visit Winona

Sesame Care first-year math: No verified first-year total. The current menopause subscription fee was not established from the public page, medication is billed separately by the pharmacy, and lab charges can apply in NY, NJ, RI and ND. Older reported per-visit prices and the separate Sesame Plus membership are not used to price this program.

Winona first-year math: Winona bills every 28 days, not monthly, so a year holds 13.04 charges rather than 12. Estrogen Body Cream with Progesterone at $89 per cycle x 13.04 = $1,160.56, all-inclusive (consults, follow-ups, shipping included). Cheapest-entry route: estrogen tablets at $54 x 13.04 = $704.16. Counting Winona at 12 charges a year understated its annualized cost by more than one cycle, which is where the $1,068 this record carried until 2026-08-16 came from [Verified August 2026].

Choose Sesame Care if

Women who want ongoing menopause care and FDA-approved medication options filled at their preferred pharmacy, after confirming the subscription quote and insurance coverage for the prescribed drug.

Not published, medication billed separately · Transparency B

Read full Sesame Care review →

Choose Winona if

Women who want compounded bioidentical HRT with zero consult fees, published product pricing, and unlimited text follow-ups.

$54 per 28 days, all-in · Transparency B

Read full Winona review →

Where both fall short

The honest part

Sesame Care

A current subscription quote and complete medication bill remain unverified; do not use the old reported per-visit price as the present program fee [Checked September 29, 2026]
Lab charges remain separate for patients in NY, NJ, RI and ND [Checked September 29, 2026]
Platform-wide reviews do not establish a menopause-specific patient-experience record [Reported]

Winona

Bills every 28 days while quoting a monthly price, which is 13.04 charges a year, not 12 [Verified August 2026]
Founders, HQ and corporate entity still not surfaced anywhere, though the clinicians now are [Verified August 2026, absence]
Subscription-cancellation confusion in reviews [Reported]

Find our guides more easily on Google

Open Google's source preferences and choose whether to add HRT Picks.

Add HRT Picks as a preferred source

Go deeper

Full Sesame Care review →Full Winona review →All HRT rankings →

This is general information, not medical advice. Hormone therapy is prescription treatment. Whether either provider fits your health history is a decision for a licensed clinician. Facts on this page render from our provider data layer, verified September 29, 2026 where sites allow crawling; items marked [Reported] rest on third-party sources.

Sesame Care vs Winona

The honest part