Costco Weight Loss Program Review

What Is Costco Weight Loss Program?

Costco's weight loss program, run in partnership with Sesame, gives members three months of clinical consultation plus a medically supervised weight management plan for $179 — roughly $60 a month for the care component. Members can select their own clinician, and the program includes access to discounted GLP-1 medications including Ozempic and Wegovy. Costco members also get broader Sesame pricing: $29 virtual care visits, $72 checkups, and 10% off other services. The catch is the obvious one — you need a Costco membership, and the $179 covers the clinical care, not the medication.

How Does Costco Weight Loss Program Work?

Here's what the process actually looks like with Costco Weight Loss Program, step by step:

1. 1
   Verify Costco membership: The program and its pricing are member-exclusive.
2. 2
   Enroll through Sesame: The program runs on Sesame's platform under the Costco partnership.
3. 3
   Choose your clinician: You select from Sesame's network rather than being assigned — unusual at this price.
4. 4
   Three months of consultation: Clinical consultation plus a medically supervised weight management plan across the term.
5. 5
   Medication if appropriate: Access to discounted brand-name GLP-1s including Ozempic and Wegovy, billed separately.

Sixty dollars a month for real clinical supervision

Strip out medication and compare clinical care costs directly. Most telehealth memberships run $75 to $149 a month for the clinical relationship. Costco's program works out to about $60.

That is the cheapest supervised care in this comparison other than Walgreens' pay-per-visit model and PlushCare's $19.99 membership, and unlike those it includes a structured weight management plan rather than just prescribing access.

The three-month billing cycle also aligns with how GLP-1 treatment actually works — titration takes roughly that long, and a three-month commitment is short enough to be low-risk while long enough to be meaningful.

Choosing your own clinician is underrated

Most telehealth platforms assign you to whoever is available, and you rarely see the same person twice. Costco's program lets you select your clinician from Sesame's network.

For GLP-1 titration that matters more than it sounds. The value of a clinician in this context is largely in remembering how you responded to the last dose increase, and continuity is what makes that possible.

It also means you can read profiles and pick someone with relevant experience rather than accepting a random assignment.

The membership requirement and what else it unlocks

You need an active Costco membership. If you already have one, the marginal cost of trying this program is just the $179. If you don't, factor the membership fee into the comparison.

The broader Sesame member benefits are worth knowing about: $29 virtual care visits, $72 checkups, and 10% off other services. For a household that uses telehealth for anything else, that bundle has independent value.

Costco's own pharmacy Member Prescription Program is a separate mechanism that can reduce medication costs further — worth asking about alongside the weight program.

What the $179 does not cover

Medication. The program gives you access to discounted brand-name GLP-1s, but Ozempic and Wegovy are still the dominant cost in your monthly total.

There is also no behavioral curriculum, no nutritionist, and no community in the way Found or Noom provide. This is supervised prescribing at a good price, not a program.

And because it runs on Sesame's general marketplace rather than a dedicated obesity practice, clinical depth varies with which clinician you pick — which is the flip side of getting to choose.

Treatment Options

Costco Weight Loss Program Pricing

$179 every three months for clinical care, medication separate

$179 every three months is roughly $60 a month for the clinical component — among the cheapest supervision in the category. It does not include medication, so your real total depends on which GLP-1 you're prescribed and how you pay for it. If you already hold a Costco membership, the marginal cost of trying this is low.

Pricing may vary based on your specific treatment plan and medication selection. Contact Costco Weight Loss Program directly for the most current pricing information.

Who Should Use Costco Weight Loss Program?

Existing Costco members who want low-cost clinical supervision from an established partner

• Existing Costco members who want cheap clinical supervision
• Anyone who wants to choose their own clinician rather than be assigned one
• Patients who want brand-name Ozempic or Wegovy with supervised care
• Households that would also use the discounted Sesame virtual care rates

Who Is Costco Weight Loss Program Not For?

• Anyone without a Costco membership who doesn't want one
• Patients who need a behavioral program or nutrition support
• People looking for an all-in price that includes medication
• Anyone who is pregnant, planning pregnancy, or breastfeeding
• People with a personal or family history of medullary thyroid carcinoma or MEN2, or a history of pancreatitis — discuss these with your doctor

Costco Weight Loss Program — Frequently Asked Questions

How Costco Weight Loss Program Compares

If Costco Weight Loss Program isn't the right fit, these are the alternatives we'd point you to first — and why.