01
Headway
Mental health care covered by insurance
Connects patients with licensed therapists and psychiatrists who accept insurance, online or in person.
95.0
Headway leads on scale and insurance coverage, connecting patients with over 80,000 licensed therapists and psychiatrists who take insurance. BetterHelp is the largest by user base and works on subscription rather than insurance, while Talkspace covers both therapy and psychiatry with Medicare acceptance in many states. Choose on whether you want insurance billing, a subscription, or intensive treatment.
RANKENTRYSCORETRENDFROM
1
HeadwayConnects you with 80,000+ licensed therapists and psychiatrists who accept insurance.95.0NEW–
2
BetterHelpThe largest online therapy service by user base, built around subscription access rather than insurance.93.0NEW–
3
TalkspaceDescribes itself as the #1 rated online therapy service with over 1 million users.91.0NEW£26/week
4
Grow TherapyTakes your insurance so care does not add financial stress, and offers in-person as well as online.89.0NEW–
5
AlmaBuilt around supporting the therapists themselves, which is what keeps its network quality high.87.0NEW–
7
RulaLeads on finding a therapist who specialises in your specific need and is covered by your insurance.83.0NEW–
8
Brightside HealthCombines medication and therapy for anxiety and depression, starting from a free consultation.81.0NEW–
9
Charlie HealthThe only entry here running intensive outpatient programmes rather than weekly sessions.79.0NEW–
10
OctaveBuilt for people who want in-person sessions as a first option rather than a fallback.76.0NEW–
CURATED · UPDATED REGULARLY
The ranking, in detail
02
BetterHelp
Professional therapy with a licensed therapist
Subscription online therapy with licensed professional therapists, positioned on affordability and convenience.
93.0
03
Talkspace
Teletherapy platform with AI-assisted therapist matching
Online therapy and psychiatry, with insurance and Medicare coverage in many US states.
91.0
04
Grow Therapy
Therapy near you and online, covered by insurance
Online and in-person therapy that takes insurance, with self-service scheduling.
89.0
05
Alma
Simplifying access to therapy
A provider network that simplifies access to high-quality, affordable mental health care.
87.0
06
SonderMind
Professional therapy covered by insurance
Therapy and psychiatry covered by insurance, with provider matching and direct booking.
85.0
07
Rula
Mental health experts who specialize in you
Affordable online therapy with therapists covered by your insurance, on your schedule.
83.0
08
Brightside Health
Anxiety and depression treatment online
Online treatment for anxiety and depression from licensed psychiatric providers and therapists.
81.0
09
Charlie Health
Behavioral health IOP for kids, teens and adults
Virtual intensive outpatient programmes for mental health and substance use, ages 8 to 64.
79.0
10
Octave
Affordable in-person and virtual therapy
In-person and virtual therapy built around the client's schedule.
76.0
Not on this ranking?
Positions 1, 2 and 3 are available to buy for twelve months. Everyone below moves down a place, and the bottom entry comes off.
Frequently asked questions
Does online therapy take insurance?
Most of the platforms here do. Headway, Grow Therapy, Alma, SonderMind and Rula are all built around billing your insurance directly. BetterHelp is the notable exception: it runs on a flat subscription fee and does not bill insurance, which is why its pricing looks simpler but is not always cheaper.
What is the difference between a therapy network and a therapy service?
A network, such as Headway or Alma, matches you with an independent licensed therapist and handles the billing and admin. A service, such as BetterHelp, employs or contracts the therapists directly and sells you access to the platform. Networks usually give you more choice of provider; services usually get you started faster.
Can online therapy handle serious mental health conditions?
Weekly online sessions suit mild to moderate anxiety, depression and life stressors. For higher acuity, an intensive outpatient programme is the appropriate level of care, which is what Charlie Health provides. Anyone in crisis should contact emergency services or a crisis line rather than booking an online session.
Is in-person therapy still available through these platforms?
Yes, through some. Grow Therapy and Octave both offer in-person appointments alongside virtual ones. The rest are virtual only, so if seeing someone in a room matters to you it narrows the list considerably.
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