Is Knownwell Free? Knownwell Cost, Insurance and Refunds
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Claude 
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Perplexity 
Knownwell is not free: a self-pay first weight management visit costs $299 and each follow-up costs $149, according to Knownwell's insurance page, though there is no membership fee. With an in-network insurance plan you pay your copay or coinsurance instead, and the company says its average copay is $25. Medication is billed separately, and Knownwell says it does not dispense drugs or set their prices.
I work on the NutriScan team, which makes a food tracking app, so read this as an outsider's summary of Knownwell's public pages. I did not book a visit. I first read the pages below on October 25, 2026, and rechecked every price, fee and policy on November 10, 2026. None was captcha-gated. The pages disagree with each other in a few places, and I flag each gap where it shows up. One more warning first: knownwell.com is an unrelated B2B software company, and the clinic company is at knownwell.co.
Here is the checklist I worked through, and the order I cover it in:
- ⏳ The self-pay visit prices
- ⏳ What insurance changes
- ⏳ What the drugs cost on top
- ⏳ A year of costs, added up
- 🔍 The one refund Knownwell puts in writing, and the one it does not (last, in the refunds section)
Prices and policies reflect Knownwell pages rechecked November 10, 2026. The medication pricing page is still marked "Last Updated: May 7, 2026" and the terms of use "Last Modified: March 24, 2026." Plans, fees and drug prices change, coverage depends on your plan and state, and nothing here is medical advice. Talk to a clinician about whether a GLP-1 drug is right for you.
Knownwell pricing at a glance (rechecked November 10, 2026)
- Membership: none. Knownwell says "No membership fees" and "you only pay for the cost of the visit" (insurance page).
- Self-pay weight management: $299 first visit, $149 follow-up. Nutrition counseling: $99 first visit, $59 follow-up. Prescriptions are not included (FAQ).
- With insurance: your copay or coinsurance. Knownwell lists "$25 average copay" on its home page and "$31 cost per visit with insurance on average" on its weight management page.
- Medication: not included. Examples from the pricing page: Wegovy pen $349, Zepbound KwikPen from $299, Foundayo from $149, generic phentermine and topiramate $10 with a GoodRx coupon. Each card shows a monthly price.
- Cancellation: a $50 fee if you cancel with less than 24 hours' notice or miss a visit; a full refund of a self-pay visit if you cancel earlier (FAQ).
- App ratings: 4.09 stars from 32 ratings on the App Store, 3.8 from 12 reviews on Google Play, 4.8 from 250 reviews on Trustpilot.
Is Knownwell free? The quick answer
No. Knownwell is a medical practice network, not a subscription app, so you pay per visit or through your insurance. Nothing on the pages I read offers a free visit, a free first month or a free tier. The insurance page says "No membership fees" and spells it out: "If you're in-network, you pay what you'd pay for any other covered medical visit."
Knownwell bills like a clinic, not like a monthly-membership telehealth program. Three choices set your bill:
- Insurance or self-pay. In-network patients pay a copay or coinsurance. Self-pay patients pay $299 for the first weight management visit and $149 for each follow-up.
- Which services you add. Registered dietitian visits cost $99 for the first and $59 for each follow-up when paid out of pocket.
- Which drug, if any. The drug is a separate charge at a pharmacy, and the price runs from $10 a fill for a generic to $499.
Progress: 1 of 5 checked
- ✅ Knownwell is not free, and it has no membership fee
- ⏳ Self-pay visit prices are next, then insurance and drugs
- 🔍 Still ahead: the refund rule, which covers less than you might expect
What Knownwell visits cost without insurance
Knownwell's FAQ lists the cash prices in one place and says they "do not include the cost of prescriptions."
| Visit | Self-pay price |
|---|---|
| Weight management, first visit | $299 |
| Weight management, follow-up | $149 |
| Nutrition counseling, first visit | $99 |
| Nutrition counseling, follow-up | $59 |
| Late cancellation or no-show | $50 fee |
The FAQ also says self-pay patients pay at the time of scheduling, "to confirm and reserve your appointment." It says Knownwell does not offer discounts for self-pay patients.
One review is worth reading before you book self-pay. A Trustpilot reviewer wrote on October 14, 2026 that the site said Knownwell could prescribe phentermine, that the nurse practitioner said it does not, and that the $300 visit lasted two minutes. Knownwell replied on October 16 that "the refund is being processed and will be made." I cannot verify either account. Confirm the exact drug you want before you pay $299.
What Knownwell charges with insurance
The insurance page says "Yes, knownwell is in-network with most major commercial insurance plans and Medicare." If you are covered and have met your deductible, "you'll typically only owe a co-pay or co-insurance for your visit." If you have not, "your visits may go toward it first."
Two numbers describe the typical copay, and they differ. The home page says "$25 average copay for weight management care." The weight management page says the same in one block and "$31 cost per visit with insurance on average" in another.
Treat $25 to $31 as a rough guide, because your plan sets your actual share.
The insurance page includes a state filter. On November 10 it listed 50 state entries plus an "Other" entry. Every state entry lists Aetna, Cigna, United Healthcare, Medicare and at least one Blue Cross Blue Shield plan. Medicaid appears by name for Illinois, Maine, Massachusetts, New Hampshire and Rhode Island. Some plan names carry a Medicaid tag in other states, such as EmblemHealth in New York and Molina in Texas.
That list sits beside a vaguer FAQ answer. Under "Do you accept Medicaid or Medicare?" the FAQ says only that Knownwell "accepts most major insurance plans" and points you to the insurance page. If you rely on Medicaid, call before you book.
Drug prices: what Knownwell lists
Knownwell's pricing page lists out-of-pocket drug prices by dose. The disclaimer says the page shows "list pricing based on information provided by the respective drug manufacturers," that Knownwell "does not dispense medications and is not a pharmacy," and that it does not "receive any financial benefit based on which medication you choose." Each card labels its number "Price per month," so I read each one as a monthly fill.
| Medication | Form | Price shown |
|---|---|---|
| Wegovy | Weekly pen | $349 for 0.25 mg to 2.4 mg, $399 for 7.2 mg |
| Wegovy pill | Daily pill | $149 (1.5 mg), $199 (4 mg), $299 (9 mg and 25 mg) |
| Zepbound KwikPen and vial | Weekly | $299 (2.5 mg), $399 (5 mg), $449 (7.5 mg to 15 mg) |
| Zepbound pen | Weekly | $499 "with coupon" at every dose |
| Ozempic | Weekly pen | $349 (0.25 mg to 1 mg), $499 (2 mg) |
| Foundayo | Daily pill | $149 (0.8 mg and 2.5 mg), $199 (5.5 mg), $299 (9 mg and above) |
| Contrave | Daily pill | $99 with a savings coupon card through Ridgeway Pharmacy |
| Naltrexone and bupropion (generic) | Daily pill | $55 with a GoodRx coupon |
| Qsymia | Daily pill | $98, shipping not included |
| Phentermine and topiramate (generic) | Daily pill | $10 with a GoodRx coupon |
New patients see a "Limited Time Offer" of $199 for 2 months on the lowest Wegovy pen doses, 0.25 mg and 0.5 mg, and on the 0.25 mg / 0.5 mg Ozempic step. Patients on Medicare or other federal or state insurance "will need to fill at certain pharmacies like NovoCare or LillyDirect to receive discounts."
Where the pricing page needs a second look:
- The Saxenda card. The card lists dose steps of 0.25 mg, 1 mg and 2 mg at $199, $349 and $449. Those are not liraglutide doses, so I do not quote Saxenda prices.
- The date. The page is still marked "Last Updated: May 7, 2026," even though its numbers were live when I rechecked them on November 10. Confirm the price on the day you fill.
Knownwell says it prescribes only FDA-approved drugs. I did not find the word "compounded" on any page I read.
What the visit price includes
The visit price buys time with a clinician board-certified in obesity medicine, per the home page. Four limits matter:
- Labs and prescriptions cost extra. The FAQ says some medications need labs first, and the visit prices exclude prescriptions.
- Follow-ups are expected. The FAQ says follow-up visits are "important to ensure your medication is safe and effective for you." Prescriptions do not need a visit for every refill, but they do need ongoing follow-up.
- Your state matters. Virtual visits must happen while you are in a state where your clinician is licensed, and the FAQ says a mismatch can force a reschedule. The same FAQ says Knownwell offers weight management and nutrition counseling "in all 50 states."
- Primary care is narrow. The primary care page says new patient primary care "is only available in our Plano, Texas clinic."
Knownwell's terms of use say it "is not a medical group," and that care comes from independent medical groups it contracts with, including Seen Medical Group.
Medicare and the $50 GLP-1 Bridge
Knownwell's Medicare page explains a federal program that started July 1, 2026. The CMS Medicare GLP-1 Bridge page confirms the core terms: eligible Part D enrollees pay a $50 copay, and the program runs from July 1, 2026 through December 31, 2027.
Knownwell lists these eligibility rules for the Bridge:
- A BMI of 35 or higher qualifies on its own.
- A BMI of 30 or higher qualifies with heart failure with preserved ejection fraction, uncontrolled hypertension or stage 3a or higher chronic kidney disease.
- A BMI of 27 or higher qualifies with pre-diabetes, a prior heart attack or stroke, or symptomatic peripheral artery disease.
Knownwell's page also says prior authorization is required, that it submits the request to Humana as the central processor, and that the $50 copay does not count toward your Part D out-of-pocket maximum and is not reduced by Extra Help. It lists Foundayo (orforglipron), Wegovy injection, Wegovy pill and Zepbound KwikPen as covered drugs, with coverage varying by plan.
Does insurance cover the GLP-1 drug?
Maybe. The insurance page is direct about it: "Yes, but coverage depends." It names four factors: your specific plan, your medication, your diagnosis and prior authorization. Coverage for type 2 diabetes "is often broader than for weight management alone," and most plans require a prior authorization.
Knownwell says its team "handles prior authorization on your behalf" and, if coverage is denied, "advocates for you throughout the process." The company does not promise approval.
Reviews show how that plays out. One Trustpilot reviewer wrote on September 4, 2026 that the pharmacy hit an insurance problem, that messages to the nurse practitioner got automated replies, and that the insurance department never called. Another wrote on September 29 that the team got a weight loss shot covered by insurance. Both are unverified accounts, and they point in opposite directions, which is the honest summary: it depends on your plan.
Budget some time on the phone with your insurer before the first visit.
HSA and FSA
The FAQ says you can use an FSA or HSA card to pay a copay, "as copays are considered an eligible medical expense under IRS rules," and advises you to keep your receipt. It does not say whether self-pay visit fees or drug fills qualify. Your plan administrator makes the final call. Ask whether a self-pay visit and a prescription count as separate items.
Progress: 3 of 5 checked
- ✅ Visits: $299 first, $149 after, or your copay
- ✅ Drugs: $10 to $499 a month, billed by the pharmacy
- ⏳ Next: what a full year adds up to
- 🔍 Still ahead: the refund rule
What a year at Knownwell can cost
Visits plus a monthly drug fill: the year total takes some writing down.
This is my arithmetic from Knownwell's pages, not a Knownwell quote. I use self-pay prices, treat each card's monthly drug price as one fill a month, and use the lowest dose where a range exists. I leave out labs, nutrition visits, shipping and fees. The company says visits are monthly "while you're getting started" and does not say how often after that, so I show six visits in a year and twelve.
| Setup | Visits (6 / 12 in a year) | Drug for 12 fills | Year total (6 / 12 visits) |
|---|---|---|---|
| Visits only, no drug | $1,044 / $1,938 | $0 | $1,044 / $1,938 |
| Generic phentermine and topiramate at $10 | $1,044 / $1,938 | $120 | $1,164 / $2,058 |
| Wegovy pill 1.5 mg at $149 | $1,044 / $1,938 | $1,788 | $2,832 / $3,726 |
| Wegovy pen at $349 | $1,044 / $1,938 | $4,188 | $5,232 / $6,126 |
Visit totals are $299 plus five $149 follow-ups, or plus eleven.
Figure 1: A year of self-pay care runs from $1,044 for six visits and no drug to $6,126 for twelve visits on the Wegovy pen. The drug, not the visits, drives the gap. Source: Knownwell's FAQ and medication pricing page, my arithmetic.
With insurance, the arithmetic changes. At the company's $25 average copay, twelve visits come to about $300, and your drug cost depends on your plan's formulary and prior authorization result. Under the Medicare Bridge, a year of fills at $50 comes to $600.
Where Knownwell's pages disagree
I found these gaps while reading. None changes what you pay for a visit, but each is worth a question before you book.
- Copay figures. $25 average copay on the home page, $31 per visit with insurance on the weight management page.
- Patient counts. 60,000+ patients on the home, virtual care, weight management and locations pages, 20,000+ in the locations page header.
- Health coaching. The navigation marks it "Coming Soon," yet the home page lists health coaching and a smart scale for home use, and the weight management page names certified health coaches.
- Discounts. The FAQ says there are no discounts for self-pay patients. The home page says "Prescription savings built into care," meaning copay cards and pharmacy coupons on drugs, which are not discounts on the visit itself.
Progress: 4 of 5 checked
- ✅ Visit prices, insurance, drug prices and a full year
- 🔍 Last: the refund rule, which comes next
Cancellation, refunds and billing
Knownwell has no subscription to cancel, so the rules concern appointments and fees. The FAQ gives these answers:
- Late cancellation. "If an appointment is canceled with less than 24 hours' notice, or if a patient does not show up, a $50 fee will be charged."
- Early cancellation. "If you cancel your appointment more than 24 hours in advance, you will receive a full refund." This applies to self-pay visits.
I did not find a general refund policy in the terms of use. They cover pricing errors, which allow Knownwell to cancel an order and credit your card, and recurring payments. They also say you agree not to dispute charges with your card company "provided the transactions correspond to the terms," and they require binding arbitration with a class action waiver.
I found no money-back guarantee on weight loss results. Drug purchases happen at the pharmacy under its own policy, since Knownwell says it is not a pharmacy.
This is the refund from the checklist at the top. The one refund Knownwell puts in writing is for a self-pay visit you cancel more than 24 hours ahead. A visit that happened, even a short or disappointing one, has no written refund route.
WARNING
Self-pay visits are paid when you book. Cancel more than 24 hours ahead or you pay the $50 fee, and a completed visit has no written refund route. Confirm the drug you want before you pay $299.
What the research says
The trials below tested branded drugs, not Knownwell's care model. They show what the drugs do.
- Semaglutide. In STEP 1, 1,961 adults without diabetes got semaglutide 2.4 mg or placebo, plus lifestyle intervention, for 68 weeks. Mean weight change was -14.9% against -2.4%, and 69.1% on the drug lost 10% or more against 12.0% (Wilding et al., 2021).
- Tirzepatide. In SURMOUNT-1, 2,539 adults got tirzepatide or placebo for 72 weeks. Mean weight change at the 15 mg dose was -20.9% against -3.1% on placebo (Jastreboff et al., 2022).
- After stopping. In the STEP 1 extension, 327 participants were analyzed after treatment stopped. They regained 11.6 percentage points of the lost weight by week 120 (Wilding et al., 2022).
Knownwell publishes its own figures: "16% average 12-month weight loss using GLP-1s," "97% of knownwell patients keep weight off after two years," "4.9 average star rating" and "60,000+ patients." I found no method note beside any of them on the pages I read, so I treat them as company claims.
What patients say in reviews
The App Store listing, rechecked November 10, 2026, shows "knownwell" from Knownwell, Inc., version 1.22.0 released November 4, free to download, with 4.09 stars from 32 ratings. The Google Play listing shows 3.8 stars from 12 reviews, 1K+ downloads and an update on November 3, 2026.
On October 25, Apple's review feed held five written reviews from January to June 2026, four of them one-star. Three describe login or app failures, and one says the reviewer was told a visit would cost nothing and was charged $170.
Trustpilot shows 4.8 stars from 250 reviews, with 193 in the last 12 months, on November 10. The company has a claimed profile, and Trustpilot's page says it replied to 37% of negative reviews and shows "No recent history of asking for reviews." Positive reviews praise clinicians and scheduling. Complaints in the most recent set concern billing, insurance steps and slow replies, as in the two reviews quoted above.
Knownwell compared with other GLP-1 programs
Knownwell is an insurance-billed clinic with no membership fee. Programs such as Noom Med and Mochi Health charge a monthly membership instead, covered in our Noom Med pricing breakdown, our Mochi Health cost guide and our list of Noom Med alternatives. With a plan that covers obesity medicine, Knownwell can cost less than a membership. With no coverage, $299 plus $149 follow-ups can cost more over a year. Employer-paid? See our Omada cost guide.
Who Knownwell fits, and who should look elsewhere
It may fit you if:
- You have commercial insurance or Medicare and want a clinic that files the prior authorization for you.
- You want a dietitian and a prescriber under one roof, billed through insurance.
- You are on Medicare and meet the Bridge criteria, which cap your drug copay at $50 a fill.
You may want another option if:
- You have no insurance and want a low, predictable monthly total. Self-pay visits add up.
- You rely on Medicaid. The pages are vague outside the five states where it is named.
- You expect a refund on a visit that did not meet your expectations. Only early cancellation is covered in writing.
How to price Knownwell before you pay: 5 steps
- Check your plan first. Use the state filter on the insurance page, then call your insurer to confirm that weight management visits and your target drug are covered.
- Ask what the first bill will be. Confirm whether your deductible applies and whether your copay is $25 or closer to $31 for the visit type you booked.
- Pick the drug before you pay. If you are paying cash, compare the list price on the pricing page with what your clinician will prescribe, and confirm that your drug is on the menu.
- Know the fee rules. Cancel more than 24 hours ahead to avoid the $50 fee and get a full refund of a self-pay visit.
- Plan the follow-ups. Ask how often you will be seen, since each self-pay follow-up is $149.
Tracking food on or off a GLP-1 drug
Whatever program you pick, a record of what you eat makes visits more useful, especially when appetite drops and protein falls behind. Knownwell's nutrition counseling page says the first dietitian visit can include setting up a food tracking tool "if it's helpful for you." NutriScan, the app my team makes, works as a personal AI nutritionist you can ask about meals at any hour. It estimates calories and macros from a meal photo, and it lets you log blood glucose readings by hand on the Free plan. The Free plan allows 5 scans a week, and Premium costs about $59 a year, described in our pricing breakdown. NutriScan has no clinicians, cannot prescribe, and does not replace Knownwell or your doctor. Our Ozempic diet plan covers what to eat when appetite drops. Photo estimates can also miss hidden oil in mixed dishes. What the app gives you is a record to bring to an appointment.
TIP
Bring a week of meal photos or notes to your next Knownwell or dietitian visit. Protein intake and portion sizes are easier to adjust when the clinician can see what you actually ate.
Knownwell pricing FAQ
Is Knownwell free?
No. Knownwell charges no membership fee, but visits are billed to your insurance or paid out of pocket at $299 for a first weight management visit and $149 for follow-ups. Nutrition counseling costs $99 first and $59 after. Medication costs extra.
How much does Knownwell cost per month?
There is no monthly fee. With insurance you pay a copay or coinsurance per visit, and Knownwell lists a $25 average copay on its home page and $31 per visit on another page. Self-pay visits are $149 each after the first. Drug prices on the pricing page run from $10 for a generic to $499.
Does insurance cover Knownwell?
Often. Knownwell says it is in-network with most major commercial plans and Medicare, and its insurance page filters plans by state. Drug coverage depends on your plan, drug and diagnosis, and most plans require prior authorization, which the team submits. Medicaid is named for five states only, so call first if you rely on it.
Can I get a refund from Knownwell?
For a self-pay visit, yes if you cancel more than 24 hours ahead. Cancelling later or missing the visit costs a $50 fee. I found no refund policy in the terms of use and no results guarantee. Drug purchases follow the pharmacy's own rules.
Can I use my HSA or FSA for Knownwell?
For copays, yes. The FAQ says an FSA or HSA card can pay a copay and tells you to keep the receipt. It does not address self-pay visit fees or drug fills, so ask your plan administrator.
How do I cancel or reschedule at Knownwell?
There is no subscription to cancel. To cancel or change a visit, use the Knownwell app or call 1-888-671-5902, and do it more than 24 hours ahead to avoid the $50 fee.