The short answer: the strongest alternative to the Sesame affiliate program for telehealth referral income is a program that pays you again every month a referral stays active, instead of once at the sale. That is the MedStands model. MedStands pays a recurring fixed marketing fee of $36 to $260 per active referred customer every month, set by the medication category, for as long as that customer keeps using the platform.
Most telehealth affiliate programs, Sesame included, pay a one-time CPA or a percentage per sale. That is a normal structure, but it means your income from a referral ends the moment the sale is attributed. For Sesame's exact researched payout figures and cookie window, see MedStands vs Sesame. This post stays at the model level so you can compare structures cleanly.
Why look for a Sesame affiliate program alternative
Sesame runs a cash-pay telehealth marketplace, and its affiliate program is a familiar setup: you send traffic, a booking or sale converts, and you collect a one-time payout. For high-volume, one-and-done traffic, that can work well.
The limit shows up over time. If a referred customer stays on a GLP-1 protocol for a year, a one-time payout still counts them once. Anyone building durable telehealth referral income eventually asks the same question: is there an alternative that keeps paying while the customer keeps paying? That single question is what sends people looking past a one-time CPA.
The core difference: one-time payouts vs a recurring monthly fee
Compare the two models on structure, not on any single headline number.
A one-time CPA, which is Sesame's model and the model most telehealth affiliate programs use, pays once, at the sale. A percentage-per-sale variation still resolves to a single payout per transaction. Either way, a customer who stays active for twelve months is paid on one time.
The MedStands fee works the other way. It is a fixed marketing fee, a flat dollar amount set in advance by medication category, paid every month a referred customer stays active. The same referral is counted month after month rather than once. To be clear, that fee is not a commission, a percentage, or a share of sales. For a wider field of recurring options, see the highest-paying recurring telehealth affiliate programs.
MedStands: a recurring telehealth referral alternative
MedStands is a B2B telehealth platform with two ways to earn, both paid on the same recurring model.
Individuals join the MedStands affiliate program and share a personal link or QR code. Businesses join the partner program and put a code in front of their own foot traffic. Both are paid the recurring $36 to $260 monthly fee per active referred customer, by medication category, for the life of that active customer.
An honest caveat: that range is the per-customer monthly fee schedule, not a promise of a total. Your actual earnings depend on the medication category involved and on how many referred people qualify and stay active. Not everyone qualifies, and every request is reviewed by a licensed provider. What is fixed is the shape of the model: a recurring fee, by category, paid monthly, versus a single payout at the sale. There is no cap on referrals or earnings, and it is free to join, with no setup fee and nothing to buy. For how the two tracks differ, see Partner vs Affiliate: which MedStands program fits.
Lifetime attribution instead of a cookie window
Attribution is the second place these alternatives diverge. Sesame's program, like most affiliate networks, tracks referrals with a browser cookie that expires after a set window (the detailed comparison has the specific figure).
MedStands does not use an expiring cookie. When someone signs up through your QR code or personal link, they are bound to your account for life. The connection is stored at signup, so it does not lapse after a set number of days and it does not depend on the same browser or device. For a referral that stays active for years, account-level binding behaves very differently from a cookie window. See how telehealth referral attribution works.
Two ways in: affiliate, partner, or by industry
Because MedStands runs both an individual and a business track, the alternative fits more than one kind of referrer. A creator or consultant can earn on a personal link. A gym, med spa, salon, or clinic can earn on traffic already walking through the door. Affiliates can even do both at once, selling directly on their own link and referring other businesses, and a referred business still earns its own fee in full, so nobody earns less because you referred them.
To see how the model maps to your field, browse partner programs by industry for the fit closest to your audience.
Where the Sesame affiliate program may still fit
Fairness matters here. If you are a publisher or creator who already works through affiliate networks, Sesame slots into that existing workflow, and a one-time CPA can suit high-volume traffic that is not likely to stick around. Sesame's marketplace also spans many visit types beyond GLP-1, so it may suit a broad general-health audience rather than a weight-loss-focused one. If you prefer a single per-sale payout over managing a recurring relationship, that model has real appeal. The best alternative depends on your traffic and your goals, which is why comparing at the model level is the useful exercise. For a broader field, see the best GLP-1 weight-loss affiliate programs.
Who handles the clinical side
It is worth knowing what you are and are not responsible for. With MedStands, you refer and you get paid, and that is the extent of your role. MedStands is not a medical practice and does not prescribe. Licensed providers do the prescribing, and licensed pharmacies handle fulfillment, refills, and shipping on a LegitScript-certified platform. You hold no inventory and do no clinical work. Every request is reviewed by a licensed provider, and not everyone qualifies.
Common questions
Is the MedStands fee a commission or a percentage of sales?
No. It is a fixed marketing fee set by the medication category, a flat dollar amount between $36 and $260 per active customer per month. It is not a commission, a percentage, or a share of sales.
How is this different from the Sesame affiliate program?
At the model level, Sesame pays a one-time CPA or percentage per sale, and MedStands pays a recurring monthly fee for as long as a referral stays active. For Sesame's exact payout figures and cookie window, see MedStands vs Sesame.
Do I need a medical license or a big following to join?
No. There is no clinical work, no inventory, and no follower or audience-size minimum. Sign-up is self-serve, your link and QR code are ready the same day, and an admin reviews the account.
Does the recurring fee really pay on the same referral more than once?
Yes. As long as a referred customer stays active on the platform, the fixed monthly fee for their category is paid again each month. That is the core of the recurring alternative.
Start earning recurring telehealth referral income
If a one-time payout no longer fits what you are building, the recurring alternative is the upgrade. Learn how the MedStands affiliate program pays a fixed monthly marketing fee for the life of each active customer, explore the partner program if you run a business, and browse partner programs by industry to find your fit. It is free to join, with no cap on referrals or earnings.