Insurance coordination plus a cash-pay compounded option
Rating reflects Zealthy's public Trustpilot TrustScore of 3.2 across roughly 2,200 reviews at the time of review, not an independent survey by this site. Billing complaints are the dominant theme in negative reviews.
Zealthy is a telehealth platform whose weight-loss program tries to work both sides of the GLP-1 market: it employs insurance coordinators to help members get brand-name Ozempic, Wegovy, Zepbound, or Mounjaro covered, and it offers cash-pay compounded semaglutide and tirzepatide for people whose plans will not cover anything. Membership includes 24/7 access to licensed providers, with optional coaching. It is also the lowest-rated provider in our new-provider set on public review aggregates: its Trustpilot score sits at 3.2, with a recurring theme of billing complaints about unexpected charges and difficulty cancelling. Read the billing terms carefully before you enroll.
We recommend CoreAge Rx as our top choice for GLP-1 weight loss programs. With a 4.9/5 rating from 12,848 reviews, they offer personalized care, dedicated health coaching, and exceptional results.
* This is a sponsored recommendation. See our affiliate disclosure for details.
Answer the online eligibility questions about your health history and goals
A licensed provider reviews your intake within one to two business days
An insurance coordinator checks your coverage if you are pursuing a brand-name medication
Choose your path — insured brand-name, cash-pay compounded, or a bundled doctor-plus-medication plan
Medication ships monthly, or quarterly if you take the three-month supply discount
Use 24/7 provider access and optional coaching as your dose is adjusted
Staff work your prior authorization and coverage case rather than leaving you to fight the plan alone — a meaningful differentiator among cash-pay-first competitors.
If insurance covers brand-name medication you use that; if it doesn't, the compounded cash-pay option is available in the same program.
Licensed provider access is included in membership at no additional cost, not sold as a premium tier.
Doctor-plus-medication bundles give one number for people who prefer not to manage separate charges.
Members can order a three-month supply for 20% off medication pricing and reduce shipment frequency.
Zealthy documents its refund timing and offers a full refund on bundles when a member is found not clinically eligible.
3.2
2,212 reviews
Sandra P.Verified User
Chicago, IL
I had been denied twice on my own. The insurance coordinator resubmitted with the documentation my plan wanted and it went through. My copay is $25. That part of the service genuinely delivered.
Brian K.Verified User
Atlanta, GA
Cancelled through the portal and still saw a charge the following month. It took three emails to sort out. The care was fine but I spent more time on billing than on my health.
Elena V.Verified User
Houston, TX
My plan excludes weight-loss drugs entirely so the coordinator could not fix it, but I switched to their compounded semaglutide without changing companies. Appreciated that the fallback existed.
Marcus D.Verified User
Phoenix, AZ
Signed up on the first-month rate and the next bill was several times higher. It is technically disclosed somewhere but it did not feel clear at checkout. Read every line before you confirm.
Monica J.Verified User
Boston, MA
I was found not eligible after the provider review and the full refund hit my card in about a week, exactly as the policy said. No argument. Their written policies were honored in my case.
Curtis D.Verified User
Seattle, WA
Provider responses were quick and the quarterly supply saved money. The billing side is where it fell down for me — two charges I had to query. Worth it only if you watch your statements.
Other GLP-1 providers worth comparing before you commit.
Ro
Larger platform that also handles insurance navigation for brand-name GLP-1s.
Mochi Health
Obesity-medicine-focused program that bills insurance for visits.
Fridays
Simpler bundled pricing if you know you're paying cash and don't need insurance help.
Ivím Health
Clearer separation of membership and medication cost, though without insurance coordination.
Our category rankings, head-to-head comparisons, and the guides worth reading before you decide.
Its Trustpilot score sits at 3.2 across roughly 2,200 reviews, and the dominant theme in negative reviews is billing — unexpected charges, fees members say they did not authorize, and difficulty cancelling. That does not mean the clinical care is poor; members who successfully get coverage often report good outcomes. It does mean you should read the billing terms carefully, confirm the ongoing rate in writing, and watch your statements.
Yes for brand-name medication. Zealthy assigns insurance coordinators to help members get Ozempic, Wegovy, Zepbound, or Mounjaro covered, and states that some members pay as little as a $25 monthly copay. Compounded medication is cash-pay and is not covered by insurance.
You can cancel at any time through the account portal, but Zealthy states that cancellation discontinues prior authorizations for GLP-1 medications and ends refills. Line up your next source of medication before cancelling.
For the bundled doctor-plus-medication plans, Zealthy states that members found not clinically eligible for semaglutide or tirzepatide receive a full refund. General refunds are issued to the original payment method within 7 to 10 business days.
The bundled plans step up after month one — semaglutide from $217 to $297 per month and tirzepatide from $349 to $449 per month. If you buy membership and medication separately, compounded semaglutide starts around $151 per month and tirzepatide around $216. Confirm your ongoing membership rate before enrolling.
Yes. Zealthy states it accepts HSA and FSA cards as payment for eligible services.
Zealthy states that licensed providers review intake within one to two business days.
Date reviewed: August 2026
Sources
Medical disclaimer: This review is informational and is not medical advice or an endorsement. Pricing, medication availability, insurance outcomes, and program terms change frequently — verify current details directly with Zealthy before enrolling. Compounded medications are not FDA-approved. Only a licensed clinician who knows your medical history can determine whether a GLP-1 medication is appropriate for you.
Program Subscription
$39 first month, then monthly membership
Medication Cost
Compounded semaglutide from $151/mo; tirzepatide from $216/mo
Insurance
Works with insurance; copays can be as low as $25/month
Disclosure: We may receive compensation when you click links to Zealthy. See our affiliate disclosure for details.
CoreAge Rx
#1Clover Meds
Ivím Health
Peak Wellness
Amazon One Medical
Cora Health
Mochi Health
Calibrate
Juniper
Shed (ShedRx)
Yucca Health
Brello Health
EverlyfeMD
Fella Health
FuturHealth
Get Thin MD
Sequence
AgelessRx
Amble Health
Henry Meds
Hers
LifeMD
Ro
WeightWatchers Clinic
Zeus Health
Alloy
Circle Medical
Found
GoodRx
Hims
Remedy Meds
Super Healthy Rx
Eden
Fridays
Lemonaid Health
Noom Med
PlushCare
Sesame
Thirty Madison
Wisp
Alpha
K Health
Nurx
Orderly Meds
PlexusDx
QuickMD
Teladoc Health
Willow
Embody
HeyDoctor
Push Health
Klarity Health
Sprout Health
Doctronic
TrimRx
Claya
MEDVi
EllieMD
Share your experience to help others make informed decisions.