The best telehealth platforms of 2026

The cheapest all-in program we've reviewed, and the medication is the reason it counts: $99 a month for semaglutide-based care and $149 for tirzepatide, with the provider review, the care planning, the follow-up and the medication fulfillment inside that number instead of arriving as a second bill from a pharmacy. For context, the US cash-pay average sits around $347 a month. The $149 tirzepatide rate is the one to stare at, because that's what the cheapest semaglutide programs charge.

The most interesting protocol we've come across this year. Instead of the standard dose step-ups, bmiMD runs tirzepatide as a microdosing program: a dual GLP-1 and GIP agonist delivered in calibrated, progressive doses under doctor supervision, aiming for the same appetite and metabolic effects more gently, with fewer of the digestive side effects that make people quit. The pharmacy testing standards are published openly, and clinician access is what dominates its member reviews.

The route for everyone whose only obstacle was the needle. It is a physician-guided oral protocol, taken by mouth and prescribed by a licensed US clinician, and it keeps what makes Hume's follow-up unusual: glycine, B12 and B6 from day one to protect muscle, a 3D body composition scan every week, and video visits that calibrate your dose to your own data instead of a generic schedule. From $199 a month, with a money-back promise attached to a number rather than a mood.

An all-online clinic rather than a prescription pipeline: one-on-one physician guidance, free dietician visits, support around the clock and a money-back guarantee, all managed in a single patient portal. It reaches well past weight loss too, with a metabolic nutrition meal program built to preserve muscle, plus men's health, with women's health, supplements, hair and skin on the way.

Compounded semaglutide from $149 a month and tirzepatide from $179, and the number that matters is that it doesn't move: the same price at the starter dose and at the dose that's actually working, through the whole titration. That's the bill shock that ends most GLP-1 programs at month four, removed. Your card is authorized at $0 and only charged once a licensed US physician issues a prescription, with a full refund if you're not prescribed. LegitScript certified on both the telehealth and the pharmacy side.

Compounded semaglutide from $199 a month, tirzepatide from $299, prepared by a licensed pharmacy on your provider's prescription. What lifts it up a value ranking is everything bundled into that price: unlimited provider appointments instead of one intake and goodbye, health coaching, HSA/FSA eligibility, and needle-free formats (drops and lozenges) if injections are what's been stopping you.

Aspen holds the number flat from your first dose to your last: your provider titrates you up and nothing happens to your card. A licensed physician picks semaglutide or tirzepatide from your intake rather than you self-prescribing by budget, expedited shipping is included, and the whole plan grid is published instead of hidden behind an intake form. The catch is the second decision, the one about when you pay: a year on the monthly plan is $3,488, the prepaid year is $2,148.

The whole platform, not just the weight loss corner. Doctors list their own prices, you see the exact number before booking, and there's no insurance, no deductible and no bill afterwards: urgent care from $35, a primary care video visit at $46, GLP-1 weight loss from $59 a month, Wegovy in pill form at $149. The specialisations are where it earns its place: dermatology on video for about $70 with prescription skincare from $59, and women's health from $45, with menopause and PCOS care at $59 a month, labs included.

The price you're quoted is the price you pay, which sounds like a low bar until you count how much of this market fails it. Flat pricing that stays put when you reach the maintenance dose, the consultation inside the advertised number rather than a subscription bolted on top, no penalty if you pause, and a real person answering with a medical answer instead of a chatbot loop.

A flat $168 a month that stays exactly the same when your dose goes up, with the consultation, the prescription, 24/7 support and shipping inside that figure. Injectable GLP-1 and GLP-1+GIP, plus needle-free oral options almost nobody offers at this price.

An all-inclusive model that bundles blood work, nutritional coaching and regular consultations into one program. Patients consistently praise the personalized, long-term support, and Enhance MD runs the most aggressive first-month promotions in the market.

One flat monthly price with everything included (consultation, prescription, follow-up visits and free 1–2 day shipping), with no membership, sign-up or lab fees. Compounded semaglutide (injection or dissolving tablet), tirzepatide, and the full range of branded medications. LegitScript certified, all 50 states.