If you've been researching weight management or type 2 diabetes treatments, you've likely heard of GLP-1 medications like semaglutide, liraglutide, or tirzepatide. They can be highly effective—but they're also notoriously expensive, and when you don't have insurance, the cost can feel like a brick wall.

The good news: you don't necessarily need insurance to get a prescription. At Medcare Telehealth, we offer affordable, self-pay access to board-certified nurse practitioners who can evaluate your history, answer your questions, and—if appropriate—prescribe GLP-1 medications. Here's what you should know.

How Does Self-Pay Work for GLP-1 Medications?

When you see a provider through a traditional clinic, they often bill your insurance, and your copay might be low—but the out-of-pocket cost without insurance can be steep. At Medcare, we skip the insurance paperwork entirely. You pay a flat monthly membership fee, and that covers your live video visit with a licensed NP.

That means no surprise bills, no prior authorization delays, and no needing to prove you have coverage. You tell us what you're taking or want to discuss, and we help you figure out next steps—including whether a GLP-1 medication is a reasonable option for you.

What Can a Medcare Provider Do (And Not Do)?

Let's be honest: we can't guarantee that any medication will work for you, and we can't promise that a GLP-1 is the right fit without a thorough evaluation. But here's what we can do:

  • Review your medical history, current medications, and any relevant labs or records.
  • Discuss the benefits and risks of GLP-1 medications, including common side effects like nausea or constipation.
  • Answer questions about dosage, titration, and interactions with other drugs.
  • If clinically appropriate, send a prescription to a pharmacy of your choice (note: the medication itself is not included in your membership fee, but many patients use manufacturer coupons to reduce cost).

We are licensed in New York and Florida, and we see patients via live video—usually within about 10 minutes of scheduling. That's a lot faster than waiting weeks for an in-person appointment.

Is a GLP-1 Right for You? Key Considerations

GLP-1 medications are not for everyone. They're typically prescribed for type 2 diabetes or for weight management in people with a BMI of 30 or higher, or 27+ with a weight-related condition like high blood pressure or sleep apnea.

You should also be aware that these medications can have side effects, and they may interact with other drugs—including certain antidepressants or blood thinners. That's why a careful review of your history is essential. And if you have a history of pancreatitis or thyroid cancer, your provider may recommend against using these medications.

Finally, remember that a prescription is just one piece of the puzzle. Sustainable weight management often involves diet, exercise, and sleep—and we'll be honest about that during your visit. We're here to support you, not to push a one-size-fits-all solution.

Ready to talk to a provider?
Medcare Telehealth offers a $29/month individual plan or a $49/month family plan (4 visits). No insurance needed. Visits available Mon–Fri, 9 AM–6 PM ET. Sign up today.

How to Get Started with Medcare

Getting a GLP-1 medication without insurance through Medcare is straightforward:

  1. Choose your plan: individual ($29/month) or family ($49/month for up to 4 visits).
  2. Schedule a live video visit with a board-certified NP licensed in NY or FL.
  3. During the visit, share your medical history, current medications, and any concerns.
  4. If a GLP-1 is appropriate, we'll send a prescription to your pharmacy—or discuss alternatives if it's not.

You'll have access to the same NP for follow-ups, so you can adjust your plan as needed. No need to re-explain your story every time.

Before You Start

Before your appointment, take a few minutes to gather your current medications (including doses), any recent lab results, and a brief summary of your medical history. This helps your provider give you the best possible care. And while we're here for you during business hours, if you're experiencing symptoms like chest pain, severe shortness of breath, or signs of a stroke, do not wait—call 911 or go to your nearest emergency room immediately.

We're excited to help you explore your options, and we're glad you're taking charge of your health.