This page explains how service pricing works on Sesame, when and how payouts occur, and the conditions that determine whether a visit is eligible for payment.
Pricing Structure
You set your own rates for each service. Sesame then adds a consumer fee of $30 or 10% (whichever is greater) on top of your provider rate.
Example:
If your provider rate is $35, Sesame’s consumer fee would be $30, making the patient price $65.
The patient sees this total and pays it upfront at booking.
A 3.95% payment processing fee is automatically deducted from your payout by Stripe, Sesame’s payment processor.
If you need to update your service pricing, please complete the Pricing Update Form.
Refunds, Cancellations & Payment Eligibility
Refund Policy (Patient-Facing)
Virtual appointments: Can be canceled up to 3 hours before the scheduled time.
In-person appointments: Can be canceled up to 24 hours before the scheduled time.
Same-day bookings: May be canceled within 1 hour of booking to account for accidental bookings.
For any refund or cancellation questions, do not advise patients on refund eligibility. Instead, direct them to support@sesamecare.com.
When You Are Paid
Completed visits: You are paid in full for any visit successfully completed on Sesame—even if Sesame later issues a courtesy refund.
Patient no-show: You are still paid if the patient does not attend the visit.
When You Are Not Paid
Provider no-show: If you fail to attend a scheduled visit, your payment will be refunded.
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Incomplete post-appointment actions: Providers must complete key follow-up actions within 4 hours of the appointment end time—such as:
Completing clinical notes in the provider portal.
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Sending prescriptions to the patient’s chosen pharmacy.
These steps help verify that the visit occurred and allow Sesame to release payment. If they are not completed, the visit may be considered unverified and result in non-payment.
Payouts
Schedule: Payouts are sent every Monday for visits completed during the previous week.
Method: Payouts are issued via direct deposit through Stripe, Sesame’s secure payment processor.
Reporting: Visit the Reports section in your provider portal to view payout details and downloadable summaries.
Payment issues: If you identify something wrong with your payout, contact doctors@sesamecare.com.
Taxes & Status
Sesame clinicians are classified as 1099 independent contractors.
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When you create your Sesame provider account, you’ll enter your business and payout details in account settings. This information serves as your W-9 for tax purposes.
If you do not have an EIN, use your SSN instead. You will be considered a sole proprietor.
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1099-MISC forms are generated annually by Stripe and mailed each year.
You can request an additional digital copy by emailing doctors@sesamecare.com.
The 1099 form includes all payments sent to your balance and does not reflect any refunds.
Use your Payout Reports to identify refunded amounts if you need to report them on your tax return.