plushcare review - Screenshot of the PlushCare weight loss page with its membership and visit prices

PlushCare Review 2026: GLP-1s Through Insurance, the $19.99 Membership and Visit Costs

PlushCare is an online primary care practice, not a GLP-1 shop. Its doctors can prescribe brand-name Wegovy, Zepbound or Mounjaro, send the prescription to your own pharmacy and run the prior authorization with your insurer. You pay a $19.99 monthly membership (the first month is free), plus your copay or $129 per visit, plus labs, plus the drug itself. The BBB rates it A and LegitScript certifies it. Here’s what the full bill looks like.

  • glp 1 injectableBrand-Name GLP-1s
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  • clinicYour Own Pharmacy
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By Richard S. Tucker Founder · Editorial Lead
Updated
25 min read
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Our Verdict

PlushCare makes the most sense if your insurance might cover a GLP-1. Its physicians can see you the same day, order labs and handle the prior authorization, and the BBB has accredited it since 2014. The catch is that nothing comes as one price. The $19.99 membership renews monthly after the free first month, visits cost a copay or $129 and up, labs are extra, and the drug costs whatever your plan or the maker charges. Reviewers who didn’t expect the membership or the follow-up visits are behind most of the one-star reviews. If you’re paying cash, buying direct from Lilly or Novo plus a cheap prescriber, or a flat-price provider, is usually simpler.

4.2
out of 5 Our score
Legitimacy & safety (25%)
5/5

Certified by LegitScript, BBB A and accredited since 2014, board-certified physicians and your own pharmacy. No FDA warning letter found.

Pricing transparency (25%)
2.5/5

The membership and visit prices are published, but labs, follow-up visits and the drug cost extra, and the drug price depends on your insurance.

Patient reputation (25%)
4.9/5

4.9 on the App Store from 146K ratings and 4.4 on Google, but 3.5 on Trustpilot and 2.61 from 222 BBB reviews. The app rating covers all PlushCare care.

Access & convenience (15%)
4.5/5

All 50 states and D.C., brand-name pens and pills, insurance billing and prior authorization help, same-day visits. Labs usually come before a prescription.

Policies & support (10%)
4/5

Cancel anytime, a published refund policy and several ways to reach support. But fees are non-refundable and the membership is never refunded.

Best for

  • ✓ People whose insurance may cover Wegovy or Zepbound
  • ✓ Anyone who wants a primary care doctor, not just a prescription
  • ✓ Self-pay vial users who need a low-cost prescriber
  • ✓ People who want to pick their own pharmacy

Not ideal for

  • – Cash payers who want one flat monthly price
  • – Anyone looking for compounded semaglutide
  • – People who dislike frequent paid follow-ups
  • – Patients near a normal BMI who want to stay on the drug

Our score combines five criteria, each rated 1 to 5 from facts you can check. Commissions never change it. How we score providers

PlushCare in Brief:

Operated byPlushCare, Inc., San Francisco; part of Fabric Labs since July 31, 2026
Membership$19.99/mo after a free first month
VisitCopay with insurance (most pay $30 or less); $129 without
DrugSeparate Through insurance after prior authorization, or cash at your pharmacy
LabsUsually required; billed by the lab
Brand-nameWegovy, Zepbound, Mounjaro, Ozempic and others
InsuranceYes In-network with most major plans
PharmacyYour choice Prescriptions go to your pharmacy
RefundsAppointment only if you can’t be treated; membership never refunded
SupportApp messaging, email, phone
Trustpilot3.5 · 2,801 reviews
BBBA Accredited since 2014; 47 complaints in 12 months
FDANone found
LegitScriptCertified

Checked on plushcare.com, LegitScript, Trustpilot, the BBB, Google, the App Store and Google Play on .

PlushCare: Primary Care That Also Does GLP-1s

PlushCare is a San Francisco telehealth company that has offered online primary care for more than a decade. It was part of Accolade, and on July 31, 2026 it joined Fabric Labs, which now runs it. The doctors work for affiliated physician-owned medical groups. PlushCare itself says it doesn’t practice medicine.

Weight loss is one program among many. The same membership covers urgent care, prescriptions and mental health. For weight loss, PlushCare doctors can prescribe brand-name Zepbound, Wegovy, Mounjaro, Ozempic and older drugs like Contrave, and send the prescription to the pharmacy you choose. PlushCare doesn’t sell medication or compounded GLP-1s.

Note: PlushCare prescribes FDA-approved brand-name drugs only. Your pharmacy fills them, and your insurance or the maker’s self-pay program sets the price.

Contacting PlushCare

CompanyPlushCare, Inc. (Fabric Labs)
Address2261 Market St PMB 22930, San Francisco, CA 94114
Phone(800) 221-5140; prior authorization line 1-888-729-0438
Emailinfo@plushcare.com
SupportApp messaging with your care team, email and phone
Medical groupsAffiliated physician-owned Provider PCs

Contact details from plushcare.com and the BBB, checked .

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Check Your Copay Before You Book

PlushCare checks your insurance when you book. Look up whether your plan covers GLP-1s for weight loss first, since that decides the real cost.

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plushcare weight loss meds

PlushCare Trust Check: BBB A, LegitScript and a New Owner

  • ✓ LegitScript: certified. LegitScript lists PlushCare as Certified (checked Nov 9, 2026).
  • ✓ BBB A, accredited since 2014. The BBB has accredited PlushCare for 12 years, and we found no FDA warning letter.
  • ! 308 BBB complaints in three years. After a December 2025 review of them, the BBB tells users to read PlushCare’s membership, terms and refund policy.
  • ! FDA-approved drugs only. PlushCare prescribes brand-name GLP-1s, and your own pharmacy fills them. Compare GLP-1 medications

On safety, PlushCare is one of the cleanest providers we’ve reviewed. Board-certified physicians prescribe, the drugs are brand-name and FDA-approved, your own pharmacy fills them, and it insists on labs before prescribing. LegitScript certifies it, and the BBB has accredited it since 2014.

The complaints are about money, not medicine. The BBB logged 308 complaints in three years, 47 in the last year, mostly about billing and service. After reviewing them in December 2025, it added a note pointing users to the membership terms and refund policy. There’s also a change at the top: Fabric Labs took over PlushCare on July 31, 2026. The Terms say existing accounts and rights are unaffected, and a few recent BBB reviewers mention the sale.

PlushCare Weight Loss Cost, Line by Line

PlushCare publishes two prices: a $19.99 monthly membership with the first month free, and the visit, which is your copay with in-network insurance or $129 without. Medication and lab work are “not included”, in PlushCare’s own words. The drug is billed by your pharmacy at whatever your insurance or the maker charges. PlushCare’s FAQ puts brand-name GLP-1s at “about $1000 per month out of pocket” without coverage.

MedicationWhat’s includedPrice
MembershipMonthly after a free first monthSame-day visits, care-team messages, lab discounts$19.99/mo
Visit with insurancePer visitDoctor visitCopay, often $30 or less
Visit without insurancePer visitDoctor visit$129 initial
LabsAs orderedBlood work at a lab you chooseBilled by the lab
The GLP-1 itselfMonthly, at your pharmacyBrand-name pen or pillYour copay or the cash price

Prices from plushcare.com, checked . Drug costs depend on your insurance or the maker’s self-pay price.

Left Off the $19.99 Price Card

  • The medication, through insurance or at the pharmacy’s cash price
  • Lab work, which is usually required before a prescription
  • Follow-up visits, each billed as a copay or a self-pay fee

Insurance Route vs Paying the Makers Directly

Without insurance, PlushCare is a prescriber, not a discount. The makers now sell direct: Zepbound vials through LillyDirect at $299 to $449 a month, Wegovy through NovoCare at $199 for the first two fills and then $349, and the Wegovy pill from $149 (checked Nov 4, 2026). A self-pay PlushCare patient pays one of those prices plus the $19.99 membership and visits. If your insurance covers the drug after prior authorization, PlushCare can be among the cheapest routes we track, because you pay only copays and $19.99 a month.

The Membership: Free Month, Then $19.99

The membership starts with a free month and then renews at $19.99 a month until you cancel. PlushCare’s Terms describe it as covering non-medical features like navigation and digital tools, and say paying it “is not a requirement to receive medical services”. If you cancel, it stays active to the end of the paid month and doesn’t renew. PlushCare can change the fee from the next billing cycle after giving notice.

The Full PlushCare Bill: Membership, Visits, Labs, Drug

PlushCare’s pricing card shows two numbers, but a GLP-1 treated this way has four cost lines. Here’s how they stack up for two common patients:

CostWith insuranceWithout insuranceGood to know
Membership$19.99/mo after month one$19.99/mo after month oneRenews until you cancel
VisitsCopay per visit$129 first visit; reviewers report about $130–140 for follow-upsSeveral in the first months
LabsOften covered by your planLab’s self-pay priceRecent results usually required
The drugCopay after prior authorizationMaker’s price, e.g. Zepbound vials $299–$449Prior auth can take weeks

PlushCare’s price card, Terms and refund policy on plushcare.com; follow-up visit costs as reported by reviewers. Checked .

The left column is someone with coverage, the middle someone paying cash. Either way, the first two months cost the most, with an intake visit, labs, a follow-up to prescribe and often another to adjust the dose. After that, one Reddit user describes a lean routine: about $20 a month plus a short visit roughly every three months while buying Zepbound vials direct from Lilly.

Where PlushCare Bills Catch People Off Guard

  • The membership renewing after the free month. Trustpilot’s summary of recent reviews lists unexpected recurring membership charges.
  • A visit billed in full when a patient expected only an in-network copay
  • New labs when older results weren’t recent enough
  • An extra paid visit to change a dose when the usual doctor wasn’t available

Prior authorization adds time, not just paperwork. PlushCare says its team needs about 3 to 7 business days to compile a request once the doctor prescribes, and then the insurer decides. If it’s denied, you can still buy the drug at the cash price. Before the first visit, ask your insurer whether it covers weight loss GLP-1s and what it needs. That one call decides which column you’re in.

Visit, Labs, Prescription, Prior Auth

PlushCare offers same-day video appointments seven days a week. A prescription usually takes at least two visits, because labs come in between.

Step 1

Same-day video visit

Book an appointment and talk with a board-certified physician about your history and goals.

Step 2

Lab work at a nearby lab

The doctor sends a lab order, usually for Quest or Labcorp. You can upload recent results instead if you have them.

Step 3

Second visit and prescription

The doctor reviews your labs and, if a GLP-1 fits, sends the prescription to your pharmacy.

Step 4

Prior auth or self-pay

PlushCare files the prior authorization with your insurer, or you buy the drug at the cash price.

Call Your Insurer Before Booking PlushCare

  • 1 Ask about weight loss coverage. Many plans cover GLP-1s only for diabetes. Ask which drugs and diagnoses qualify.
  • 2 Confirm the visit cost. Check that PlushCare is in network for your plan, and screenshot the visit price at booking.
  • 3 Have recent labs ready. Upload them before the first visit to avoid paying for new ones.
  • 4 Know the self-pay fallback. If coverage is denied, compare LillyDirect or NovoCare prices with the pharmacy’s cash price.
  • 5 Set a reminder for the free month. The membership renews at $19.99 unless you cancel.

Dropping the PlushCare Membership

You can cancel at any time by contacting PlushCare. The membership stays active to the end of the month you paid for and then stops renewing. Fees already paid aren’t refunded:

  1. Cancel through your account or by emailing info@plushcare.com, and keep the confirmation.
  2. If you’re in the free month, cancel before it ends to avoid the first $19.99 charge.
  3. Ask your doctor to send any remaining refills to your pharmacy before you leave, or arrange a new prescriber.
  4. Check your card the next month. If you’re charged after cancelling, reply in writing and keep copies.

PlushCare’s Terms require binding arbitration and waive class actions. If a billing problem isn’t fixed, you can file a complaint with the BBB, where PlushCare is accredited and answers complaints, or dispute the charge with your card issuer.

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Weighing Insurance vs Self-Pay?

A first PlushCare visit tells you whether you’re a candidate. Your insurer’s answer on coverage tells you whether it’s the cheap route.

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Brand-Name Only: Zepbound, Wegovy and Mounjaro at PlushCare

PlushCare prescribes FDA-approved brand-name drugs and sends them to your pharmacy. It doesn’t offer compounded semaglutide or tirzepatide.

Semaglutide is the active ingredient in Wegovy (weight loss) and Ozempic (diabetes). Through PlushCare you can get:

  • Wegovy pens or the Wegovy pill, through insurance after prior authorization or at the self-pay price
  • Ozempic, usually for type 2 diabetes, where your plan covers it
  • Older options like Saxenda, if your doctor and plan prefer them

Tirzepatide is a dual GIP/GLP-1 agonist. In clinical trials, people lost about 20% of their body weight on average. PlushCare doctors can prescribe Zepbound for weight loss or Mounjaro for type 2 diabetes. Self-pay patients can buy Zepbound vials through LillyDirect for $299 to $449 a month and use PlushCare for the prescription and check-ins.

Important: PlushCare follows its own prescribing rules. It doesn’t start weight loss drugs for new patients with a normal BMI unless they have records of past obesity. One Reddit user says their doctor began tapering them off once their BMI dropped, even though they wanted a maintenance dose. Ask how your doctor handles maintenance before you start.

PlushCare’s own page sets modest expectations: about 5 to 10% weight loss over six months with lifestyle changes. Trials of Wegovy and Zepbound report more over a longer time, but results vary, and PlushCare doesn’t claim trial numbers for its patients.

If you have no coverage and just want the cheapest brand-name route, compare the makers’ self-pay prices plus PlushCare’s fees with a flat-price provider. A cheap prescriber plus LillyDirect often wins on Zepbound.

PlushCare Review: Real Doctors, Real Add-On Costs

What We like

  • ✓ Bills insurance and handles prior authorization
  • ✓ Brand-name drugs to your own pharmacy
  • ✓ BBB A, accredited since 2014
  • ✓ Same-day visits, seven days a week

What to Watch

  • – Visits, labs and the drug all cost extra
  • – Membership auto-renews after the free month
  • – No compounded options
  • – Fees and membership non-refundable

PlushCare Reviews: App Fans vs BBB Complaints

We checked every public review site that lists PlushCare on November 9, 2026, plus one Reddit thread about its weight loss care. Scores are shown as each site publishes them, with a link. We don’t copy those reviews or mix their scores into the patient reviews on this page.

Trustpilot

3.5 2,801 reviews

Trustpilot, checked Nov 9, 2026: 68% are 5-star and 27% are 1-star. The profile is claimed with a paid subscription. Trustpilot says PlushCare hasn’t invited customers recently. PlushCare replied to 88% of negative reviews, usually within 48 hours.

See on Trustpilot
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BBB

A accredited

Accredited since 2014. 308 complaints in three years, 47 in the last 12 months. BBB customer reviews average 2.61 from 222.

See on BBB
Google logo

Google

4.4 732 reviews

Google reviews of PlushCare’s San Francisco headquarters. Most are 5-star; about 100 are 1-star.

See on Google
App Store logo

App Store

4.9 146K ratings

The PlushCare app covers all of its care, not only weight loss.

See on App Store
Google Play logo

Google Play

100K+ downloads

Google Play doesn’t show us a rating for this app, so we list downloads only.

See on Google Play

The scores depend on where people review. App Store users give PlushCare 4.9 from 146,000 ratings, but that covers all of its care, from urgent care to therapy. Trustpilot (3.5) and BBB reviewers (2.61) are much more split, with about a quarter of Trustpilot reviews at one star. The doctors get most of the praise. Billing gets most of the complaints.

2,801 Trustpilot Reviews, Split Down the Middle

Trustpilot showed 2,801 reviews on November 9, 2026: 68% five-star, 27% one-star and little in between. Trustpilot’s summary of recent reviews says doctors are helpful and thorough and appointments come quickly. The negatives center on price and recurring membership charges people didn’t expect. PlushCare hasn’t invited reviews recently, so these come from people who chose to write.

From a Reddit Thread and the Review Sites

Beyond the scores, these themes came up in Trustpilot’s summary, BBB reviews and one Reddit thread about PlushCare’s weight loss care.

Patients’ Wins

Reddit users describe labs before any prescription and doctors who asked about protein, strength training and the pace of weight loss.

One recent Reddit user got a same-day insurance visit for $42, with labs, review and next steps within a few days.

Patients’ Frustrations

Cost and visits come first. Reddit users describe repeated paid visits of about $139–140, fresh labs even with recent results from another doctor, and short visits. One says “in network, just your copay” turned into the full intake bill. Trustpilot’s summary flags unexpected membership charges.

Continuity comes next. Users mention seeing a different doctor when theirs wasn’t available, and one was told to taper off the drug after reaching a lower BMI. Recent BBB reviews also mention doctors not showing up for appointments. PlushCare’s refund policy covers a no-show over 10 minutes.

Patient reviews of PlushCare

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PlushCare and Other Insurance-Friendly Options

See how PlushCare compares with five other providers we’ve reviewed on price, brand-name access, insurance, BBB grades and FDA letters in the side-by-side comparison below.

See All Reviewed GLP-1 Providers With Full Scoring

Bottom Line

PlushCare is a legitimate, well-run medical practice. It has board-certified doctors, FDA-approved drugs from your own pharmacy, an A from the BBB and real help with prior authorization. It scores 4.2, not higher, because the costs come in pieces: a membership that renews after the free month, paid follow-ups, labs and a drug price that depends entirely on your plan. That’s what most of its unhappy reviews are about.

If your insurance might cover a GLP-1, PlushCare is one of the better places to find out. Call your insurer first, upload recent labs and set a reminder for the free month. If you’re paying cash, compare its fees plus the makers’ prices with the flat-price options below.

Review Update History

  • Nov 9, 2026: First published. Checked plushcare.com (weight loss page and FAQ, membership, refund policy, Terms with the Fabric Labs notice of July 31, 2026), LegitScript, Trustpilot, the BBB, Google, the App Store, Google Play and one Reddit thread.

All corrections and updates →

*Screenshots used for review and commentary purposes fall under the fair use doctrine of U.S. Copyright Law. Learn more about our Fair Use policy

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PlushCare vs the Alternatives

Pick what matters most to you. The other providers re-rank.

PlushCare compared with five other GLP-1 telehealth providers we reviewed. Facts checked in November 2026.
ProviderOur scoreStarting priceBrand-name GLP-1sInsuranceTrustpilotBBB ratingFDA warning letterReview
PlushCareThis review 4.2/ 5 $19.99/mo + visits ✓Pens and pills ✓Yes 3.5 (2.8K) A None Visit PlushCare
AgelessRx 4.3/ 5 $99/mo microdose ✓Wegovy, Zepbound ✕No 4.4 (2.6K) A+ None Visit AgelessRxRead review
Found 4.2/ 5 $169/mo cash ✓Pens and pills ✓Yes 4.2 (771) A+ None Visit FoundRead review
Eden 4.1/ 5 $99/mo, every dose ✓From $1,399/mo ✕No 4.5 (5K) F Jun 2026 Visit EdenRead review
LifeMD 4.1/ 5 $149/mo + meds ✓Pens and pills ✓Yes 3.9 (4.3K) A None Visit LifeMDRead review
IVIM Health 3.6/ 5 $65 + $75 fee/mo ✓Pens and pills ✓Brand-name only 4.9 (40K) A+ Feb 2026 Visit IVIM HealthRead review

Facts checked in Nov 2026 on each provider’s site, Trustpilot and the BBB. Scores come from our reviews. “Lowest price” ranks by the cash starting price. We may earn a commission if you sign up through a Visit button; it never changes our scores.

PlushCare GLP-1 FAQ: Copays, Prior Auth and Labs

Didn’t find the answer you are looking for? Contact Our Support

PlushCare company logo
Same-day video visits · Prior authorization help · $19.99/mo membership plus visits
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Sources & Research:

  1. PlushCare official site: weight loss program page and FAQ, membership page, Refund Policy, Terms of Service (Fabric Labs notice effective July 31, 2026) (accessed November 2026)
  2. LegitScript certification lookup: PlushCare (checked November 2026)
  3. Trustpilot reviews: PlushCare (plushcare.com), 3.5 from 2,801 reviews (accessed November 2026)
  4. BBB profile, complaints and customer reviews: Plushcare, Inc., San Francisco (accessed November 2026)
  5. Google reviews of PlushCare HQ, Apple App Store and Google Play listings (accessed November 2026)
  6. Reddit thread on patient experiences with PlushCare weight loss care (exported November 2026)
  7. FDA warning letter database (searched November 2026)
  8. LillyDirect and NovoCare self-pay prices (checked November 4, 2026)
  9. Wilding JPC et al. (2021). Once-Weekly Semaglutide in Adults with Overweight or Obesity. NEJM.
  10. Jastreboff AM et al. (2022). Tirzepatide Once Weekly for the Treatment of Obesity. NEJM.

Affiliate Disclosure: GLP1Rating may earn a commission if you visit PlushCare through links on this page. This does not affect our editorial rating or content.

Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice. GLP-1 medications require a prescription from a licensed healthcare provider. Insurance coverage and prices vary by plan. Results vary. Always consult a licensed healthcare professional before starting any weight loss treatment.

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