Sesame Care vs. Miiskin: Costs, services, and what you get

Table of Content:
What is Sesame Care? | What is Miiskin? | Similarities | How to do an online consultation? | Sesame vs Miiskin | What health problems can be addressed with each? | Subscription-based model | Medications | Price of consultations | Availability | Insurance

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What is Sesame Care?

Sesame Care is a U.S.-based online healthcare marketplace that connects patients directly with independent medical providers for both telehealth and in-person visits at transparent prices. It’s designed for people who want affordable care without surprise billing—especially those without insurance or with high-deductible plans. Through the platform, patients can book services ranging from primary care and urgent care to mental health, dermatology, labs, and prescriptions, paying a flat fee directly to the clinician. 

Healthcare providers are not employed by Sesame; instead, they use the platform to reach patients while retaining full independence over their practice.

What is Miiskin?

Miiskin is a teledermatology platform that gives patients fast, affordable access to board-certified dermatologists online. Through its app or website, users can request consultations for a wide range of skin, hair, and cosmetic concerns, including acne, rosacea, eczema, psoriasis, hair loss, dandruff, rashes, anti-aging, and hyperpigmentation. Personalized treatment plans are typically delivered within 1–2 business days. Patients can receive prescriptions for oral, topical, or compounded medications, with transparent pricing—around $59 for an initial consultation and $39 for refills. Designed for convenience, Miiskin delivers dermatologist-guided care without subscriptions or long wait times. 

Miiskin does not employ dermatologists directly; instead, independent physicians provide care through their own private practices via the platform.

Similarities between Miiskin and Sesame Care

Both Sesame Care and Miiskin are online healthcare platforms designed to make access to medical treatment faster, more affordable, and more transparent. They connect patients directly with independent, board-certified clinicians rather than employing doctors themselves, and both emphasize upfront pricing with no hidden fees. 

Through both services, patients can receive prescriptions for oral, topical, or compounded medications when medically appropriate, and care is typically delivered quickly—often within a couple of business days. 

In short, both platforms aim to remove barriers like long wait times, confusing insurance processes, and unpredictable costs by offering convenient, on-demand access to qualified healthcare professionals.

How to do an online consultation via Sesame Care?

Booking and completing an online consultation through Sesame Care is quick and straightforward:

1. Search for a service – Visit the Sesame Care website and choose the type of care you need (e.g., primary care, urgent care, dermatology, mental health).
2. Browse providers – Review a list of independent clinicians with upfront prices shown. You can filter by specialty, availability, or price.
3. Book your appointment – Select a time that works for you. Many providers offer same-day or next-day telehealth visits.
4. Pay upfront – Sesame uses a direct-pay model, so you pay the full, transparent fee when booking.
5. Meet your provider – At the scheduled time, connect with your clinician through a secure video call.
6. Get your treatment plan – The provider will give medical advice, issue prescriptions if appropriate, and may recommend labs or follow-ups.
7. Prescriptions – You can fill prescriptions through SesameRx (often at discounted prices) or have them sent to your preferred local pharmacy.

How to do an online consultation via Miiskin?

Doing an online consultation through Miiskin is simple and fully digital:

1. Start a consultation – Go to the Miiskin app or website and select the skin concern you want help with (e.g., acne, rosacea, eczema, hair loss).
2. Answer questions – Fill out a short, secure medical questionnaire about your symptoms, medical history, and previous treatments.
3. Upload photos – Take and upload clear photos of the affected skin or hair area so the dermatologist can assess your condition.
4. Choose your dermatologist  – Select a board-certified dermatologist licensed in your state.
5. Receive your treatment plan – Within 1–2 business days, you’ll receive a personalized plan. If a prescription is needed, it will be sent electronically to your chosen pharmacy.
6. Refills and follow-ups – If ongoing treatment is required, you can request refills or follow-up consultations directly through Miiskin, usually at a reduced price.

Sesame Care vs Miiskin: the differences

Feature	Sesame Care	Miiskin
Focus	Broad healthcare marketplace (primary care, urgent care, mental health, dermatology, specialists, labs, imaging)	Specialized in dermatology and skin health (skin, hair, cosmetic concerns)
Provider Type	Independent clinicians (MDs, NPs, PAs, specialists) – not all are dermatologists	Only board-certified dermatologists licensed in your state
Access Model	Pay-as-you-go or optional subscription (Sesame Plus at $10.99/month or $99/year for discounts)	Pay-as-you-go; no mandatory subscription (optional app subscription for mole/skin tracking tools)
Consultation Pricing	From $44–$47 per visit (non-members); as low as $37 with Sesame Plus	$59 for first consultation, around $30 for refills/follow-ups
Prescription Capability	Yes — providers can prescribe most non-controlled meds; prescriptions filled via SesameRx (delivered) or local pharmacy	Yes — dermatologists can prescribe oral, topical, or compounded meds (e-prescription to local pharmacy)
Medication Sales	Yes — sells medications directly through SesameRx, often at discounted cash prices	No — prescriptions must be filled at a pharmacy
Conditions Treated	Wide range: infections, chronic diseases, mental health, dermatology, sexual health, labs, imaging, prescriptions	Skin, hair, and cosmetic issues: acne (including severe/Accutane), rosacea, eczema, psoriasis, rashes, hair loss, hyperpigmentation, herpes, genital warts, anti-aging
Speed of Care	Same-day or next-day telehealth/in-person appointments depending on provider	Treatment plans usually delivered within 1–2 business days after online submission
Employment Model	Providers are independent; not employed by Sesame	Dermatologists are independent; not employed by Miiskin
Best For	People needing general healthcare services or broad access to multiple specialties at transparent cash prices	People needing specialized dermatology care with guaranteed access to board-certified dermatologists

What health problems can be addressed via Sesame Care?

Sesame Care is a broad direct-pay healthcare marketplace, so it covers a wide range of medical needs, both online and in person:

• Primary & urgent care: Cold, flu, infections, allergies, sore throat, UTIs, stomach issues.
• Chronic condition management: Diabetes, hypertension, thyroid disorders, asthma, high cholesterol.
• Mental health: Anxiety, depression, stress management, ADHD, therapy, psychiatry.
• Dermatology & skin issues: Acne, rashes, eczema, rosacea, hair loss.
• Women’s & men’s health: Birth control, menopause support, erectile dysfunction, testosterone therapy.
• Specialist care: Endocrinology, cardiology, orthopedics, and more (depending on provider availability).
• Labs & imaging: Blood tests, STD tests, allergy testing, imaging referrals.
• Prescriptions: New prescriptions, refills, and medication management.

What health problems can be addressed via Miiskin?

Miiskin is a direct-to-consumer platform that connects patients with independent dermatologists who provide virtual care through their private practices. Via Miiskin patients can access dermatology care to a wide range of dermatology problems:

• Mild to severe acne – From everyday breakouts to advanced cases; dermatologists can also prescribe Accutane (isotretinoin) when appropriate.
• Rosacea – Customized care to calm redness, bumps, and flare-ups.
• Eczema & dermatitis – Treatment plans for itching, irritation, and skin sensitivity.
• Hair & scalp issues – Help with hair loss, thinning, dandruff, or seborrheic dermatitis.
• Skin rashes & irritations – Evaluation of unexplained rashes or allergic reactions.
• Hyperpigmentation – Prescriptions for melasma, dark spots, and uneven tone.
• Anti-aging concerns – Options for wrinkles, fine lines, and sun damage.
• Herpes (cold sores & genital herpes) – Antiviral treatments to manage outbreaks and reduce recurrence.
• Genital warts (HPV-related) – Dermatologist-prescribed treatments for symptom relief.
• Cosmetic dermatology – Guidance for overall skin health, appearance, and texture.
• Dermatology prescriptions: New prescriptions, refills, and medication management.

If I use Sesame Care for a skin problem, will I always see a board-certified dermatologist?

Not always. On Sesame Care, you can book appointments with board-certified dermatologists, but you can also see other licensed healthcare providers—such as primary care doctors, nurse practitioners, or physician assistants—who treat common skin conditions. It depends on which provider you choose when booking. If you specifically want a board-certified dermatologist, you’ll need to select one in the search results, as Sesame Care lists each provider’s credentials and specialty upfront.

If I use Miiskin for a skin problem, will I always see a board-certified dermatologist?

Yes. With Miiskin, all online consultations are handled by board-certified dermatologists licensed to practice in your state. Unlike general telehealth platforms, Miiskin focuses exclusively on dermatology, so you’re guaranteed to be evaluated and treated by a dermatologist rather than a general practitioner or nurse practitioner.

Does Sesame operate on a subscription-based model?

Sesame Care works on a flexible model: you can book one-time consultations without any subscription—just pay the listed price upfront for the service you need. In addition, Sesame offers an optional membership called Sesame Plus ($10.99/month or $99/year) that lowers the cost of visits, includes discounts on labs and imaging, and offers other perks like a free annual blood test with the yearly plan. In other words, patients can choose between pay-as-you-go care with no commitment or a subscription that unlocks deeper savings if they expect to use the service regularly.

Does Miiskin operate on a subscription-based model?

No. Miiskin does not lock you into product subscriptions—you simply pay as you go. You pay for an online consultation only when you need it, and you order medication only when required, without automatic monthly shipments or unused refills.

Does Sesame sell medications directly?

Yes, Sesame operates a service called SesameRx, which allows you to purchase medications directly through the platform. This includes prescription skin treatments, generics, and other medications starting at prices as low as $1, with free shipping in some cases. You can also opt to have prescriptions sent to a pharmacy of your choice.

Does Miiskin sell medications directly?

No, Miiskin does not sell medications directly. After a teledermatology consultation, if a dermatologist prescribes a treatment, you’ll need to fill it at a pharmacy. Miiskin issues e-prescriptions when appropriate, but does not distribute or dispense medications themselves.

How much does a consultation cost on Sesame Care?

On Sesame Care, prices vary by provider and service, but the platform always shows the total cost upfront. A same-day virtual urgent care visit typically starts at around $44–$47, mental health therapy sessions may start as low as $29, and psychiatry consultations are usually around $100. Dermatology visits can also start at $44, depending on the clinician. With the optional Sesame Plus membership, patients can reduce costs further, sometimes paying as little as $37 per visit.

How much does a consultation cost on Miiskin?

On Miiskin, pricing is standardized. The first consultation with a dermatologist costs $59, while prescription refills or follow-up consultations are around $30–$39. There are no hidden fees, and prescriptions are sent to a pharmacy of your choice.

Where is Sesame Care available?

Sesame Care is available across the United States, offering both telehealth and in-person visits. Availability of certain services, such as labs or imaging, may depend on your location.

Where is Miiskin available?

Online consultations via Miiskin are available in all 50 U.S. states, making it a truly nationwide teledermatology service. Miiskin connects you with board-certified dermatologists who are authorized to practice in your state. This ensures that care is compliant with medical regulations while still being convenient and accessible from anywhere. Whether you live in a large city or a rural area with limited access to dermatology clinics, Miiskin provides a way to receive dermatologist-guided care without long travel times or waiting months for an in-person appointment.

How quickly can I get care via Sesame Care?

With Sesame Care, patients can often book same-day or next-day appointments, both online and in person, making it highly convenient for urgent health needs.

How quickly can I get care via Miiskin?

With Miiskin, patients submit information and photos through the app or website, and a dermatologist typically provides a treatment plan within 1–2 business days. This asynchronous model avoids the need for scheduling.

Does Sesame Care accept insurance?

No. Sesame Care does not bill insurance. It operates on a direct-pay model, so patients pay out-of-pocket for services. 

Does Miiskin accept insurance?

No. Miiskin also uses a direct-pay model, meaning patients pay out-of-pocket for consultations and prescriptions.