Telehealth GLP-1 programs: program fee plus medication
Most online programs charge a membership for clinician care, coaching and app tools, and bill the medication separately. A few include compounded medication in one plan price. These are the prices each program posted on its own page:
| Program | Program fee (as of October 22, 2026) | Medication | What the fee covers |
|---|---|---|---|
| Gabriel | None on a free account; Core $49 or Plus $89 a month, optional | Compounded semaglutide $89 to $116 a month on a free account (from $87 with Core or $84 with Plus); compounded tirzepatide $135 to $225 | Core and Plus add unlimited virtual primary and urgent care and member prices |
| Calibrate | $199 a month, 3-month minimum ($597) | Billed separately; Calibrate says GLP-1s should cost most commercially insured members $25 a month or less after any deductible | A clinician video visit with lab review, 1:1 video coaching, app tools and a smart scale; lab tests are extra |
| Found | Cash plans from $169 a month on a 12-month plan paid upfront, or from $289 month to month, billed every 28 days | Compounded medications included in the plan price; brand-name GLP-1s billed separately | Clinician care plan, habits guidance and an AI assistant |
| Hims | $39 the first month, then $149 a month | Brand-name GLP-1s from $149 a month | See Gabriel vs Hims |
| Noom Med | $39 to start, then $129 a month | Brand-name medication billed separately, such as Zepbound vials from $299 through LillyDirect | Clinician care, the Noom app, coaching and community |
| Noom GLP-1Rx | One price with medication: from $79 or $149 for the first 4 weeks, then $179 to $349 a month on a 12-week plan, plus tax (plan footnotes) | Compounded semaglutide or tirzepatide, included in the plan price | Medication and full program access |
| Ro | $39 the first month, then $74 to $149 a month, depending on plan length | Brand-name GLP-1s billed separately, from $149 a month | Provider messaging, side effect and dose support, 1:1 coaching and an insurance concierge |
| Weight Watchers Med+ | $25 the first month, then $74 a month on a 12-month plan | Not included | Clinical care, the Points program, dietitian access and insurance support for medication |
For brand GLP-1 cash prices by dose, see GLP-1 cost. For every option in one table, see the GLP-1 price index.
Behavior-only programs
Programs without medication cost less. As of October 22, 2026, Weight Watchers lists its app-based Core plan at $12 a month and Core+, which adds workshops and access to registered dietitians, at $22 a month, both on a 12-month plan that renews automatically. Noom shows the price of its app-only program after a sign-up quiz, so it isn't listed here; check noom.com.
Behavior programs can be used on their own or alongside a GLP-1. For eating well on a GLP-1, see GLP-1 diet.
In-person clinics, labs and visits
- In-person clinics rarely post one price. Ask for an itemized quote that separates visits, lab work and medication, and ask how the price changes as your dose rises. If you're paying cash, see the No Surprises Act for your right to a good faith estimate.
- Labs. Some programs ask for blood work before or during treatment. Calibrate's fee includes a clinician review of your labs, but the tests themselves are billed separately. Through Gabriel, a free account pays cost-plus prices on lab tests, Core and Plus pay member prices, and Plus includes a needle-free at-home lab kit each year. See how much is a lab test.
- Visits. Insurance-based programs bill visits to your plan: Found says its insurance plans use video visits with a copay that is typically around $30. With Gabriel Core ($49 a month) or Plus ($89 a month), virtual primary care and virtual urgent care are unlimited.
Insurance, HSA and FSA
- Program fees are usually out of pocket. Ro says insurance doesn't cover its membership, and Calibrate says its program isn't covered by insurance. Medication is a separate question, and coverage for weight management varies by plan. See is semaglutide covered by insurance.
- HSA and FSA rules. IRS Publication 502 counts weight-loss costs, including fees for a weight-reduction group, as medical care only when the weight loss is treatment for a specific disease diagnosed by a physician, such as obesity, hypertension or heart disease. Prescribed drugs generally count. Diet food doesn't.
- What programs say. Calibrate says its program is HSA/FSA eligible. Noom labels several plans FSA/HSA eligible and says it can't promise every plan will accept them. Ro says it doesn't take HSA or FSA cards, but you can submit a detailed receipt to your HSA provider.
- Gabriel. The clinical portion of membership may be HSA/FSA eligible ($39 of Core's $49, $69 of Plus's $89), and the wellness portion is not. Gabriel can provide an itemized statement. Paying with HSA money is different from being allowed to contribute: membership could affect your HSA contributions under IRS Notice 2026-5, so check with your plan administrator or a tax advisor.
What to ask before you join
- Is the medication included? If not, what will it cost at the dose you're likely to reach, not just the starting dose?
- How long is the commitment? Several plans bill 3, 6 or 12 months upfront or renew automatically.
- Which medicines are offered? Brand-name only, compounded only, or both.
- Are labs and follow-up visits extra?
- What insurance help is included? Some programs handle prior authorization paperwork for brand drugs.
- How do you cancel, and is anything refundable?
How Gabriel fits
Gabriel isn't a weight loss program with a fixed fee. With a free account, you can ask Gabriel anything, upload a lab report for a plain-words explanation and send a prescription request. A licensed clinician reviews it and decides whether a GLP-1 fits and which one. If a brand drug fits better, it goes through the manufacturer's self-pay pharmacy.
Prescriptions requested through Gabriel are reviewed by licensed clinicians at Everdawn, Gabriel's clinical partner. Gabriel Core and Plus add unlimited virtual primary and urgent care.
Compounded medications aren't FDA-approved. A licensed clinician decides what's right for you. GLP-1 medicines carry a warning about possible thyroid tumors, including thyroid cancer, and aren't for people with a personal or family history of medullary thyroid carcinoma or MEN 2. See GLP-1 side effects.
Common questions
How much does a medical weight loss program cost?
As of October 22, 2026, telehealth programs that post their prices charge about $74 to $199 a month, and brand GLP-1 medication adds $149 to $699 a month at manufacturer cash prices. Behavior-only plans start at $12 a month.
How much does a weight loss doctor cost?
It depends on whether you use insurance. Insurance-based programs bill visits to your plan, such as Found's video visits with a copay typically around $30, while cash programs fold visits into a monthly fee of about $74 to $199, as of October 22, 2026.
Is medication included in the program price?
Usually not for brand-name GLP-1s: Found and Noom's GLP-1Rx plans include compounded medication in the plan price, while Ro, Hims, Noom Med, Calibrate and Weight Watchers bill medication separately. Compounded medications aren't FDA-approved. A licensed clinician decides what's right for you.
Does insurance cover weight loss programs?
Program fees are usually out of pocket; Ro and Calibrate both say insurance doesn't cover theirs. Some plans cover the medication, often with prior authorization, so call the number on your card.
Can I use an HSA for a weight loss program?
IRS rules count a weight-loss program as medical care only when it is treatment for a specific disease diagnosed by a physician, such as obesity. Prescribed drugs generally count. Check with your plan administrator or a tax advisor.
What's the least expensive medical weight loss option?
Paying cash, compounded semaglutide through Gabriel is $89 to $116 a month on a free account, with no program fee. Compounded medications aren't FDA-approved. A licensed clinician decides what's right for you.
Sources
- Weight loss program pricing (Ro Body membership and medication) Ro
- Noom Microdose GLP-1Rx Program Noom
- Calibrate pricing Calibrate
- Found pricing Found
- Publication 502, Medical and Dental Expenses Internal Revenue Service
- Notice 2026-5: Expanded availability of health savings accounts under the OBBBA Internal Revenue Service
This guide is general information, not medical advice. It does not replace a visit with a licensed clinician. Gabriel membership is not health insurance.