Industry Software

Best Telehealth Platforms in 2026

Twelve telehealth platforms compared for 2026, from enterprise virtual-care vendors to HIPAA video tools for small practices, ranked by scale and fit.

A telehealth platform is software, and sometimes a combined software and clinical service, that lets clinicians deliver care at a distance: live video visits, secure messaging, virtual waiting rooms, remote intake and the documentation and billing that follow a visit. In the United States the category is shaped by HIPAA, which is why almost every vendor in this list signs a Business Associate Agreement (BAA) with its customers.

The market splits into two groups. Enterprise virtual-care companies such as Teladoc Health and Amwell sell to employers, health plans and hospital systems and often supply their own clinicians as well as software. Practice-level tools such as Doxy.me, VSee, Spruce Health and SimplePractice sell self-service subscriptions to individual clinicians and small clinics, usually for a published monthly price per provider.

This list covers twelve platforms that were operating under the names shown in November 2026, with prices taken from each vendor's own pricing page and financial figures from regulatory filings.

Contents
  1. What is a telehealth platform
  2. History and market
  3. Key features to compare
  4. Pricing models
  5. How to choose
  6. Methodology
  7. The list
  8. Comparison table
  9. Alternatives by use case
  10. Recent developments
  11. Frequently asked questions
  12. See also

What is a telehealth platform

Telehealth platforms cover the clinical encounter that happens away from a physical room. At minimum they provide encrypted audio and video between clinician and patient, a way for the patient to join without installing complex software, and a waiting-room or queue so the clinician knows who is ready. Most products then add intake forms, consent capture, payments, scheduling and notes.

The category overlaps with several neighbours. Electronic health record (EHR) software and practice management systems such as SimplePractice, Healthie and Practice Better include telehealth as one module inside a wider clinical record; they appear here because many small practices choose their telehealth tool through their EHR. Video conferencing software such as Zoom becomes a telehealth platform when it is sold under a healthcare agreement with a BAA and healthcare integrations. Patient communication software such as Spruce Health and OhMD starts from phone and text and adds video. Enterprise virtual-care vendors such as Teladoc Health and Amwell go further and sell clinical services delivered by their own provider networks.

A telehealth platform is distinct from remote patient monitoring, which collects device readings between visits, although several enterprise vendors sell both.

History and market

From niche service to mainstream channel

Virtual consultation services for employers existed well before 2020, but the COVID-19 pandemic moved telehealth into routine outpatient practice almost overnight, and the vendors that had built consumer-grade video at low or no cost gained large user bases. Doxy.me, founded in 2013 by Brandon Welch and Dylan Turner, says more than a million providers in over 180 countries have used it and that it has carried more than 12 billion minutes of care.

Consolidation and the post-pandemic reset

The two listed US virtual-care companies have both been shrinking since the pandemic peak. Teladoc Health reported revenue of US$2.60bn in 2023, US$2.57bn in 2024 and US$2.53bn in 2025, and its third-quarter 2026 revenue was down 3% year on year at US$605.1m. Amwell's revenue fell from US$259.0m in 2023 to US$249.3m in 2025, and in November 2026 it guided to US$204m to US$206m for 2026. Teladoc now reports two segments, Integrated Care and BetterHelp; BetterHelp revenue fell 13% in the third quarter of 2026 as the company shifted toward insurance-covered therapy.

Practice software absorbs telehealth

For small practices, telehealth has largely become a feature of the EHR or of the phone system rather than a separate purchase. SimplePractice, Healthie and Practice Better bundle video into plans that start below US$70 a month, and Spruce Health includes video in its US$24-per-user Basic plan. AI documentation is the newest layer: Doxy.me sells a Scribe app, SimplePractice a Note Taker add-on and Zoom a Clinical Notes product.

Key features to compare

HIPAA and the BAA

For US covered entities the vendor must sign a BAA. VSee signs one on every plan except its free messenger, Spruce Health includes it in all trials and paid plans, and Doxy.me states that its plans include a BAA. Zoom provides one under its healthcare offering.

Patient join experience

Browser-based links without downloads reduce failed visits. VSee advertises a one-click video link with no download, and Doxy.me offers email and SMS invitations into a virtual waiting room.

Waiting room and queue management

Single-provider rooms suit solo clinicians; shared rooms with patient routing suit clinics. Doxy.me and VSee both sell shared waiting rooms on their higher plans.

Group sessions

Group therapy and classes require multi-party video. Doxy.me supports group calls of up to 25 participants; Healthie and SimplePractice reserve group telehealth for their Plus plans.

Clinical record and billing

Stand-alone video tools leave notes and claims to another system. EHR-based platforms such as SimplePractice, Healthie, Practice Better and CharmHealth keep the visit, the note and the claim in one record.

AI documentation

Ambient note-taking is now sold by most vendors, usually as a paid add-on. SimplePractice prices Note Taker at US$35 a month and Practice Better its AI Charting Assistant from US$10 a month per practitioner.

Enterprise integration

Hospital systems need EHR integration, single sign-on and reporting. Zoom cites more than 200 healthcare integrations, and eVisit and Amwell sell configurable platforms to health systems and payers.

Pricing models

Three pricing models are common. Free tiers are offered by Doxy.me, VSee (a US$0 Basic plan for solo providers) and CharmHealth, and usually limit branding, rooms or support. Per-provider subscriptions dominate the small-practice market: VSee charges US$29 or US$49 per provider per month, Spruce Health US$24 or US$49 per user per month, SimplePractice US$49 to US$99 a month for a solo clinician, Healthie US$49.99 to US$149.99 a month billed monthly, and Practice Better US$35 to US$155 a month billed monthly. Enterprise contracts are quote-based: Teladoc Health, Amwell, eVisit and Zoom's healthcare packages are sold through sales teams, and Teladoc reports most of its revenue as access fees paid by clients on behalf of members.

Add-ons account for much of the real cost. ePrescribing, AI scribing, SMS reminders and insurance claim filing are commonly priced separately, as SimplePractice's and Practice Better's pricing pages show.

How to choose

Solo clinicians and therapists

A clinician who only needs secure video can start on the free tiers of Doxy.me or VSee. Therapists who also need notes, scheduling and claims usually do better with SimplePractice, which bundles telehealth into every plan.

Nutrition, coaching and integrative practices

Healthie and Practice Better are built around programs, client journaling and packages as well as video visits, and both publish prices.

Small and mid-size clinics

Clinics that run on the phone should look at Spruce Health or OhMD, which combine phone, text, fax and video. Clinics that want a shared waiting room and team routing can use VSee Premium or Doxy.me Premium.

Health systems and government

Large delivery organisations generally choose between configurable platforms such as eVisit and Amwell, or Zoom's healthcare offering where Zoom is already the corporate standard.

Employers and health plans

Buyers that want clinicians as well as software, such as 24/7 urgent care or mental-health services for members, are the core market of Teladoc Health and Amwell.

Methodology

Platforms were selected if they offer live clinician-to-patient video as a core capability, were operating under the listed name in November 2026, and publish either prices or audited financial results. Enterprise vendors are ranked first by verified scale (revenue or members reported in SEC filings), followed by practice-level tools ordered by breadth of telehealth functionality and transparency of published pricing. Prices are list prices in US dollars as shown on vendor pricing pages in November 2026 and exclude tax. No user reviews, star ratings or private testing were used.

The list

1

Teladoc Health

Best for: Employers and health plans buying virtual care for members

Teladoc Health is a New York-headquartered virtual-care company listed on the New York Stock Exchange under the ticker TDOC. It is the largest company in this list by revenue: US$2.53bn in 2025, down from US$2.57bn in 2024 and US$2.60bn in 2023. Unlike the software tools further down the list, Teladoc mainly sells care rather than a video product. Its Integrated Care segment provides virtual care that its 2025 annual report says is available to more than 100 million members through employers and insurers, covering preventive and primary care, 24/7 urgent care, mental health, chronic-condition programs and expert second opinions. Its BetterHelp segment sells online therapy directly to consumers and increasingly through insurance.

In the third quarter of 2026 Teladoc reported revenue of US$605.1m, down 3% year on year, with Integrated Care up 2% to US$398.5m and BetterHelp down 13% to US$206.6m. The company described the rollout of its Teladoc One platform with early partners and work on hybrid care and AI-enabled services. Teladoc is not a self-service tool for an independent practice: it contracts with organisations, and most of its revenue comes from access fees. The company remains loss-making on a GAAP basis, reporting a net loss of US$26.9m for the third quarter of 2026.

Key features

  • 24/7 virtual urgent care through its own clinicians
  • Primary care and chronic-condition programs
  • Mental health via BetterHelp and Integrated Care
  • Expert second-opinion service
  • Teladoc One platform for clients
  • International operations alongside US

Pricing

Quote-based. Sold to employers, health plans and health systems; revenue is mainly access fees paid on behalf of members, plus visit fees and BetterHelp consumer or insurance-covered fees.

Recent results

FY2025 revenue US$2,530.0m (FY2024 US$2,569.6m). Q3 2026 revenue US$605.1m (-3%), adjusted EBITDA US$79.4m (+14%), net loss US$26.9m.

Headquarters
New York, US
Listed on
NYSE (TDOC)
Revenue (FY2025)
US$2.53bn^2
Members with access
100m+ (FY2025 10-K)^2
Pricing
Quote-based

Strengths

  • Largest verified scale in the category
  • Supplies clinicians, not only software
  • Broad service range from urgent care to mental health
  • Audited public financials

Limitations

  • Not available as self-service software for practices
  • Revenue declining three years running
  • BetterHelp segment shrinking
  • Still reports GAAP net losses
2

Amwell

Best for: Health plans and health systems wanting a platform plus clinical backup

Amwell (American Well Corporation) is a Boston-based company listed on the New York Stock Exchange as AMWL that describes itself as a SaaS-based, technology-enabled healthcare platform. Its customers are health plans, health systems, employers and government entities, which use the Amwell Platform to run virtual and hybrid care for their own members and patients. When customers need extra clinical capacity, Amwell supplies it through Amwell Medical Group (AMG), a nationwide network of clinical entities covering all 50 states around the clock. The company also owns SilverCloud, a digital mental-health program that extended its reach outside the US.

Amwell's revenue was US$249.3m in 2025, against US$254.4m in 2024 and US$259.0m in 2023. In the third quarter of 2026 it reported revenue of US$49.0m, of which subscription revenue was US$23.9m and AMG visit revenue US$23.7m, with about 0.8 million visits on the platform. It raised its 2026 revenue guidance to US$204m to US$206m and said it expected positive operating cash flow in the fourth quarter of 2026. Amwell's chairman and chief executive, Ido Schoenberg, describes the strategy as six focus areas running on one platform. Its main limitations are a shrinking top line and continued net losses (US$11.0m in Q3 2026).

Key features

  • Configurable virtual-care platform for payers and providers
  • Amwell Medical Group clinicians in all 50 states
  • SilverCloud digital mental-health programs
  • Automated care programs between visits
  • Hybrid in-person and virtual workflows

Pricing

Quote-based. Revenue comes from platform subscriptions and AMG visit fees; no public price list.

Recent results

FY2025 revenue US$249.3m. Q3 2026 revenue US$49.0m; subscription revenue US$23.9m; 2026 guidance US$204m–US$206m.

Headquarters
Boston, Massachusetts, US
Listed on
NYSE (AMWL)
Revenue (FY2025)
US$249.3m^4
Pricing
Quote-based

Strengths

  • Platform and clinical network from one vendor
  • Strong position with health plans
  • Digital behavioural-health programs included in portfolio
  • Published financial guidance

Limitations

  • Revenue guidance for 2026 well below 2025
  • Loss-making
  • Not built for solo or small practices
  • No published pricing
3

Zoom for Healthcare

Best for: Health systems already standardised on Zoom

Zoom for Healthcare is the healthcare packaging of Zoom Workplace, sold by Zoom Communications, a San Jose, California company listed on Nasdaq as ZM. Zoom's total revenue was US$4.87bn in the fiscal year ended 31 January 2026, which makes it the largest company here, although healthcare is only one of its markets and Zoom does not break out healthcare revenue.

Zoom positions the offering for telehealth, care-team collaboration and hospital communications. It executes a BAA with healthcare customers to support HIPAA compliance and states support for SOC 2, GDPR, PIPEDA/PHIPA and PCI obligations. The company says more than 200 healthcare integrations are available, connecting video with EHR, scheduling and clinical tools, and it sells a Zoom Clinical Notes product for AI-generated documentation; one customer story cited on the page reports a 60% reduction in documentation time at PocketRN. Developers can also build their own telehealth applications on the Zoom Video SDK.

The advantage is familiarity: patients and staff rarely need instructions. The trade-offs are that Zoom is a general communications vendor rather than a clinical one, the healthcare packaging is sold through sales rather than a public price list, and functions such as intake, payments or prescribing generally come from integrated third-party systems.

Key features

  • HIPAA support with signed BAA
  • 200+ healthcare integrations
  • Zoom Clinical Notes AI documentation
  • Video SDK for custom telehealth apps
  • Phone, chat and rooms on one platform

Pricing

Quote-based for healthcare packages (Contact Sales); Zoom also offers a free basic account that is not covered by a BAA.

Headquarters
San Jose, California, US
Listed on
Nasdaq (ZM)
Company revenue (FY ended Jan 2026)
US$4.87bn^6
Pricing
Quote-based

Strengths

  • Familiar interface for patients and staff
  • Large integration catalogue
  • Unified with phone, chat and meetings
  • Developer SDK for custom builds

Limitations

  • Not a clinical record or practice system
  • Healthcare pricing not published
  • Free consumer accounts are not HIPAA-covered
  • Healthcare revenue not disclosed separately
4

Doxy.me

Best for: Clinicians who need simple video visits at low or no cost

Doxy.me is a browser-based telehealth service founded in 2013 by Brandon Welch, its chief executive, and Dylan Turner. It describes itself as proudly independent and without outside investors, and says more than a million providers in over 180 countries have used it, delivering more than 12 billion minutes of telemedicine. Its pricing page gives a higher figure of 1.8 million providers, so the precise count depends on which page is read.

The service is built around a personal virtual waiting room. Patients join from an emailed or texted link without creating an account, and the clinician admits them from a queue. Doxy.me keeps a completely free version for providers who use telehealth occasionally or cannot take on another cost. The paid Premium plan, priced per user per month and billed annually, adds team workflows: shared rooms, patient transfer and routing between providers, multi-user clinics with roles and permissions, clinic-level reporting, custom branding, intake and consent workflows and group calls of up to 25 participants. A set of add-on apps covers AI note-taking (Scribe), teleconsent, assessments, CBT activities, a whiteboard and therapy games. Doxy.me states that its plans are HIPAA compliant with a BAA included.

Its limitations are scope and transparency: it is not an EHR, so notes and billing live elsewhere, and the Premium price is not shown in the page's static text.

Key features

  • Free tier for occasional users
  • Virtual waiting room and patient queue
  • Email and SMS patient invitations
  • Group calls up to 25 participants
  • Shared rooms and patient routing on Premium
  • Scribe AI note-taking app

Pricing

Free plan available. Premium: priced per user per month, billed annually, with a free trial and no credit card required; BAA included. Price shown dynamically on the vendor page.

Founded
2013^8
Ownership
Independent, no outside investors^8
Providers
1m+ in 180+ countries (company figure)^8
Pricing
Free; Premium per user/month

Strengths

  • Genuinely usable free tier
  • No patient account or download required
  • Simple for occasional users
  • Independent ownership

Limitations

  • Not an EHR or billing system
  • Paid price not visible without the interactive page
  • Provider-count figures differ between company pages
  • Advanced clinic features only on Premium
5

VSee

Best for: Clinics needing a configurable waiting room at a published price

VSee is a telehealth vendor that sells everything from a free solo waiting room to fully customised white-label platforms. It says it has more than 2,000 clients worldwide and names McKesson, Centene, GE Health, Mount Sinai and NASA among them.

Its pricing ladder is unusually explicit. The Free Basic plan gives solo providers a walk-in waiting room, one-click video links with no download, unlimited one-to-one HD video, chat and screen-sharing, quick intake and a signed BAA. Plus, at US$29 per provider per month, adds a custom subdomain, patient portal, group video, standard intake and consent, card payments and SMS or email invitations. Premium, at US$49 per provider per month plus a US$200 one-time setup fee, adds a shared waiting room and front desk for teams of up to 50, shared scheduling, custom intake fields, standard EMR notes, reports, user management and live chat and phone support. Enterprise is a quote-based, white-label tier for complex workflows, with e-prescribing (EPCS) available as an add-on.

VSee states that it encrypts data with 256-bit AES at rest and in transit and signs a BAA on all plans except the free VSee Messenger. The main limitations are that its EMR notes are basic compared with dedicated EHRs, SMS sends are rate-limited on Plus and Premium, and setup and customisation fees are non-refundable.

Key features

  • Free solo waiting room with BAA
  • No-download one-click video links
  • Shared waiting room for teams up to 50
  • Patient portal and card payments
  • Standard EMR notes on Premium
  • White-label Enterprise tier

Pricing

Free Basic: US$0. Plus: US$29 per provider/month. Premium: US$49 per provider/month plus US$200 one-time setup. Enterprise: quote-based. Prices exclude sales tax; EPCS e-prescribing is an add-on.

Clients
2,000+ (company figure)^9
Pricing
US$0–US$49 per provider/month; Enterprise quote
Encryption
256-bit AES^9

Strengths

  • Published prices at every self-service tier
  • Free plan includes a BAA
  • Scales to white-label builds
  • Named enterprise and government clients

Limitations

  • Setup fee on Premium
  • Basic EMR notes only
  • SMS sending limits on paid plans
  • Customisation fees non-refundable
6

SimplePractice

Best for: Private-practice therapists and behavioural-health groups

SimplePractice is practice-management and EHR software aimed mainly at private-practice therapists and other behavioural-health clinicians, with telehealth built into the product rather than sold separately. It is a strong choice where the clinician wants scheduling, notes, payments, insurance billing and video visits in a single subscription.

Solo practitioners choose among three plans. Starter costs US$49 a month, Essential US$79 a month and Plus US$99 a month, each billed monthly, with a 30-day free trial and an introductory 50% discount for the first three months when a paid account starts within seven days. Group practices pay US$99 a month for the first practitioner and US$74 for each additional practitioner on Plus, and groups of six or more clinicians can request custom pricing. Plus is the tier that adds group appointments and group telehealth, a premium support line and advanced analytics.

Add-ons are an important part of the cost. The Care Aide AI suite, which includes Note Taker, a telehealth Session Sidekick, a treatment-plan tool and client summaries, costs US$59 a month for the account owner plus US$49 for each additional clinician; Note Taker on its own is US$35 a month. ePrescribe costs US$49 a month plus an US$89 setup fee, and Insurance Navigator claim filing is charged at US$1.79 per claim. The total for a practice using AI notes, prescribing and claims can therefore be well above the headline plan price.

Key features

  • Telehealth included in every plan
  • Group telehealth on Plus
  • Scheduling, notes and client portal
  • Insurance billing with per-claim filing
  • Care Aide AI documentation suite
  • ePrescribe add-on

Pricing

Solo: Starter US$49/month, Essential US$79/month, Plus US$99/month (billed monthly; 30-day free trial; 50% off first 3 months on early sign-up). Group Plus: US$99 first practitioner + US$74 each additional; custom pricing for 6+. Add-ons: Care Aide US$59/month (+US$49 per additional clinician), Note Taker US$35/month, ePrescribe US$49/month + US$89 setup, Insurance Navigator US$1.79/claim.

Pricing
US$49–US$99/month (solo)^10
Free trial
30 days^10
Primary market
Behavioural-health private practice

Strengths

  • Telehealth, notes and billing in one record
  • Clear published plan prices
  • Group pricing scales per practitioner
  • Mature therapist-specific workflows

Limitations

  • Group telehealth only on top plan
  • AI and prescribing add-ons raise cost substantially
  • Per-claim fee for insurance filing
  • Less suited to medical specialties
7

Spruce Health

Best for: Small medical practices that run on phone and text

Spruce Health is a patient-communication platform for medical practices that combines a medical phone line, secure text messaging, video visits, fax and internal team chat in one application. Its premise is that a clinic's communication with patients is spread across many channels, and that putting them in a shared inbox makes it easier for staff to manage.

Pricing is per user per month. The Basic plan costs US$24 and includes a BAA, medical phone, text, video, fax, team chat, a shared inbox, auto-replies and AI voicemail transcription. The Communicator plan costs US$49 and adds IVR call flows, urgent escalation and after-hours triage, integrations and API access, VoIP phone service, and AI transcription and summaries for voicemails, call recordings and audio messages. There is a free 14-day trial with no credit card; texting needs a one-time US$19.50 SMS registration fee. Billing is month to month by default, although larger practices may be asked to sign an annual contract with onboarding fees. Spruce states that all trials and paid plans automatically include a BAA, accepted electronically when the organisation is created.

The limitations relate to scope and cost transparency. Spruce is not an EHR, so documentation and billing require another system. Since 1 November 2025 its invoices also include sales and telecom taxes and pass-through fees that vary by business address, and VoIP desk phones are charged separately.

Key features

  • Medical phone line with VoIP option
  • Secure text messaging with patients
  • Video visits included in Basic
  • E-fax and team chat
  • IVR and after-hours triage on Communicator
  • BAA included in all plans

Pricing

Basic: US$24 per user/month. Communicator: US$49 per user/month. Month-to-month by default; 14-day free trial; one-time US$19.50 SMS registration fee; taxes, telecom fees and desk-phone hardware extra.

Pricing
US$24–US$49 per user/month^11
Free trial
14 days^11
BAA
Included in all plans^11

Strengths

  • Video, phone, text and fax in one tool
  • Low published entry price
  • BAA automatic from first login
  • Month-to-month billing

Limitations

  • Not an EHR
  • Taxes and telecom fees added on top
  • SMS needs a separate registration fee
  • Annual contracts possible for larger practices
8

Healthie

Best for: Nutrition, wellness and virtual-first care practices

Healthie is an EHR and practice platform for clinicians starting, running and scaling a practice, with nutrition-oriented tools such as food journaling and a supplement and lab integration. Telehealth video calls for individual sessions are part of its core feature set, alongside scheduling, reminders, payment processing, electronic forms, charting, a client portal, secure messaging, food and lifestyle journaling, goals and metrics tracking, and care plans.

Healthie publishes three plans. Essentials costs US$49.99 a month billed monthly or US$45 a month billed annually and covers up to 250 active clients. Plus costs US$129.99 monthly or US$115 annually and adds unlimited clients, group telehealth, online programs and dedicated inbound and outbound e-fax. Group costs from US$149.99 monthly or US$135 annually for clinician-owned practices with several practitioners and adds a shared calendar, roles and permissions and internal chat, with additional team members at US$50 a month per clinician. A 14-day trial of Plus requires no credit card.

Healthie integrates with Zoom for HIPAA-compliant individual or group sessions and webinars at no extra cost, and with Fullscript for supplements and labs. Several integrations carry separate charges: card payments through Stripe at 2.9% plus US$0.30, ClaimMD insurance billing from US$30 a month, eligibility checks from US$25 a month and DoseSpot ePrescribing at US$40 per clinic. Its client limit on Essentials and its add-on fees are the main constraints.

Key features

  • Telehealth video calls in core plan
  • Group telehealth and webinars on Plus
  • Client journaling and goal tracking
  • Online programs and care plans
  • Zoom integration at no extra cost
  • DoseSpot ePrescribing integration

Pricing

Essentials US$49.99/month (US$45 annual). Plus US$129.99/month (US$115 annual). Group from US$149.99/month (US$135 annual), +US$50/month per added clinician. 14-day Plus trial. Stripe 2.9% + US$0.30; ClaimMD from US$30/month; DoseSpot US$40/clinic.

Pricing
US$45–US$149.99/month^12
Free trial
14 days (Plus)^12
Client cap
250 active clients on Essentials^12

Strengths

  • Strong programs and nutrition tools
  • Published prices with annual discount
  • Zoom integration included
  • Suits virtual-first care companies

Limitations

  • 250-client cap on entry plan
  • Group telehealth only from Plus
  • Billing and prescribing integrations cost extra
  • Less focus on hospital or specialist workflows
9

Practice Better

Best for: Solo wellness practitioners and small teams

Practice Better is a practice-management and EHR platform for health and wellness practitioners; its site addresses health coaches and offers nutrition-planning tools. Its Starter plan already includes scheduling, a secure telehealth video chat that requires no Zoom account, integrated billing and payments, secure messaging, a client portal, forms and note templates, and more than 20 integrations.

The company publishes five tiers. Sprout is a free plan for three clients. Starter costs US$35 a month billed monthly (US$25 billed annually) for one practitioner and ten clients; Professional US$69 monthly (US$59 annually) for 300 clients; Plus US$99 monthly (US$89 annually) with unlimited clients and three admin licences; and Team US$155 monthly (US$145 annually) with two practitioner licences, extra practitioners at US$50 each up to 200, team scheduling and custom roles. Group messaging, fixed-date programs and Zapier connections arrive on Professional, and portal branding, SMS reminders (750 a month) and broadcast messaging on Plus.

Add-ons include the AI Charting Assistant from US$10 a month per practitioner, nutrition planning at US$15 a month, and ePrescribing (EPCS) at US$49 with a US$99 onboarding fee plus separate PDMP charges. The tool is designed for wellness and coaching practices; prescribing and insurance-heavy medical practices may find its clinical billing less complete than that of a medical EHR.

Key features

  • Telehealth without a Zoom account
  • Group classes and programs
  • Client portal and mobile app
  • Packages and payment plans
  • AI Charting Assistant add-on
  • EPCS ePrescribing add-on

Pricing

Sprout: free (3 clients). Starter US$35/month (US$25 annual). Professional US$69 (US$59 annual). Plus US$99 (US$89 annual). Team US$155 (US$145 annual), extra practitioners US$50. 14-day trial (30 days for Team). AI Charting from US$10; EPCS US$49 + US$99 onboarding.

Pricing
Free to US$155/month^13
Free plan
Sprout, 3 clients^13
Free trial
14 days; 30 days on Team^13

Strengths

  • Free plan and low entry price
  • Telehealth included from Starter
  • Strong programs and packages
  • Annual billing discount

Limitations

  • Client caps on lower tiers
  • Many workflow tools reserved for Plus
  • Prescribing carries several separate fees
  • Less suited to insurance-billing medical practices
10

eVisit

Best for: Health systems running urgent care, tele-triage and virtual nursing

eVisit sells a virtual-care platform to commercial health systems and public healthcare delivery organisations, including those serving service members, veterans and their families. Its stated aim is to help customers design care pathways that lower the total cost of delivering care, widen access and improve patient and provider experiences.

Rather than a single video room, eVisit packages its product by clinical use case. For health systems it lists behavioural health, emergency-department tele-triage, scheduled visits, tele-consults between clinicians, virtual urgent care and virtual nursing. For government it lists a digital front door, a digital command center, virtual visits and advanced reporting and analytics. The company frames its value around workforce shortages, digital adoption, access, cost and wait times, and publishes case studies and guides on these themes.

This orientation makes eVisit a direct alternative to Amwell and to building on a general video platform such as Zoom for organisations that want configurable clinical workflows. Its limitations for smaller buyers are that it does not publish pricing or a self-service plan, and its public site gives little detail about integrations or certifications, so these must be confirmed in procurement.

Key features

  • Virtual urgent care and scheduled visits
  • Emergency-department tele-triage
  • Clinician-to-clinician tele-consults
  • Virtual nursing workflows
  • Government digital command center
  • Advanced reporting and analytics

Pricing

Quote-based; sales are through a discovery meeting with no published plans.

Market
Health systems and government^14
Pricing
Quote-based

Strengths

  • Use-case packaging for hospitals
  • Government and military health focus
  • Covers inpatient virtual nursing
  • Configurable care pathways

Limitations

  • No public pricing
  • Not for solo or small practices
  • Limited public detail on integrations
  • Few published facts about the company
11

CharmHealth

Best for: Medical practices wanting EHR, billing and telehealth together

CharmHealth is a cloud-based EHR and practice-management suite for medical practices that includes telehealth, a patient portal, billing and revenue-cycle tools. It markets itself as AI-enhanced and has added CharmCopilot, an AI assistant intended to reduce documentation work for care teams.

Its most notable feature in a telehealth comparison is that it lets practices start on a free version and upgrade as needs grow, which is rare among full EHRs. The patient portal, which lets patients schedule appointments, share documents, view records and complete questionnaires, is free for every patient registered in the EHR. CharmHealth also offers billing services and a separate program for professional medical billers, CharmBillerPro.

For a practice that wants telehealth inside its main clinical record rather than as a separate subscription, CharmHealth competes with SimplePractice and Healthie but is aimed more broadly at medical specialties. Its limitations are that paid-tier prices are not shown on the public home page, and that buyers moving from a stand-alone video tool face a full EHR migration rather than a simple switch.

Key features

  • Free entry version
  • Integrated telehealth in the EHR
  • CharmCopilot AI assistant
  • Free patient portal
  • Billing and revenue-cycle tools

Pricing

Free version available; paid tiers scale with practice needs. Paid prices were not shown on the pages reviewed.

Pricing
Free tier; paid tiers on request^15
Type
Cloud EHR with telehealth

Strengths

  • Free starting tier for a full EHR
  • Telehealth inside the clinical record
  • Patient portal at no extra cost
  • Billing services available

Limitations

  • Paid prices not prominently published
  • EHR migration needed to adopt
  • Fewer group-therapy tools than therapy-focused rivals
  • Limited public company information
12

OhMD

Best for: Practices whose main bottleneck is inbound phone calls

OhMD is a patient-communication platform for medical practices that combines two-way SMS, a text-enabled landline, voice and video calling and voicemail transcription. It differs from video-first telehealth tools in that video is one channel within a system designed to answer every patient call and message.

OhMD publishes starting prices. The Core plan starts at US$300 a month and covers two-way texting, text-enabled landlines, voice and video calling, voicemail transcription, call handoff to text and multi-factor authentication. The AI and Automation plan starts at US$500 a month and adds OhMD AI voice and text call automation, automatic message routing, customised workflows, broadcast voice calls, appointment scheduling and integrations; calling usage on this plan is billed separately. The Enterprise and scale tier is custom-priced, with volume discounts, SSO and identity management, custom onboarding, dedicated support, multi-location and multi-tenant support and an annual billing incentive. The company says customers can go live in days.

Its limitations are that the entry price is per practice rather than per provider, which suits groups more than solo clinicians, that usage charges make total cost less predictable, and that it is not a clinical record.

Key features

  • Two-way patient SMS
  • Text-enabled landline
  • Voice and video calling
  • AI voice and text call automation
  • Automatic message routing
  • SSO on Enterprise

Pricing

Core from US$300/month. AI & Automation from US$500/month, calling usage billed separately. Enterprise & scale: custom pricing with volume discounts and annual billing incentive.

Pricing
From US$300/month^16
Type
Patient communication with video

Strengths

  • Published starting prices
  • Strong phone and text automation
  • Video included in base plan
  • Enterprise SSO and multi-tenant support

Limitations

  • High entry price for solo clinicians
  • Calling usage billed separately
  • Not an EHR
  • Video is secondary to messaging

Comparison table

PlatformTypeEntry price (list)Free planBAAGroup videoBest for
Teladoc HealthVirtual care servicesQuote-basedNoEnterprise contract—Employers, health plans
AmwellPlatform + medical groupQuote-basedNoEnterprise contract—Health plans, health systems
Zoom for HealthcareCommunications platformQuote-basedBasic Zoom (no BAA)YesYesSystems on Zoom
Doxy.meVideo telehealthFreeYesYesUp to 25 (Premium)Solo clinicians
VSeeVideo telehealthUS$0 / US$29 per providerYesYes (not Messenger)Plus and aboveSmall clinics
SimplePracticeEHR + telehealthUS$49/monthNo (30-day trial)—Plus planTherapists
Spruce HealthCommunication + videoUS$24/user/monthNo (14-day trial)Yes, all plans—Phone-centric practices
HealthieEHR + telehealthUS$45/month (annual)No (14-day trial)—Plus planNutrition, virtual-first
Practice BetterPractice platformFree / US$25 annualYes (3 clients)—Group classesWellness practitioners
eVisitEnterprise platformQuote-basedNo——Health systems, government
CharmHealthCloud EHRFree tierYes——Medical practices
OhMDCommunication + videoUS$300/monthNo——High call-volume practices

A dash means the item was not stated on the pages reviewed. Prices are list prices from vendor pages in November 2026.

Alternatives by use case

  • Lowest cost for occasional video visits: Doxy.me free tier or VSee Free Basic.
  • Therapy practice with insurance billing: SimplePractice.
  • Dietitians and coaches running programs: Healthie or Practice Better.
  • Practices that live on the phone: Spruce Health for smaller teams; OhMD where call automation matters.
  • Hospital systems: eVisit, Amwell or Zoom for Healthcare.
  • Virtual care for an employee or member population: Teladoc Health or Amwell.

Recent developments

  • October 2026: Teladoc Health reported third-quarter revenue of US$605.1m, down 3%, and described the rollout of Teladoc One with early launch partners; BetterHelp revenue fell 13% as the segment moved toward insurance-covered services.
  • November 2026: Amwell raised its 2026 revenue guidance to US$204m–US$206m and said it expected positive operating cash flow in the fourth quarter.
  • February 2026: Teladoc Health and Amwell filed 2025 annual reports showing revenue of US$2.53bn and US$249.3m respectively, both lower than in 2024.
  • November 2025: Spruce Health began adding sales and telecom taxes and pass-through fees to invoices.
  • 2025–2026: AI documentation became a standard paid add-on across practice tools, including SimplePractice Care Aide, Practice Better AI Charting Assistant, Doxy.me Scribe and Zoom Clinical Notes.

Frequently asked questions

What is the best telehealth platform for a solo therapist?

For a therapist who wants video, notes, scheduling and insurance billing together, SimplePractice is the most complete option here, with plans from US$49 a month and telehealth included in all of them. A therapist who only needs secure video and keeps records elsewhere can use the free tiers of Doxy.me or VSee, both of which include a BAA.

Is there a free HIPAA-compliant telehealth platform?

Yes. VSee Free Basic costs US$0 per month and includes a signed BAA for HIPAA compliance, and Doxy.me keeps a free version for providers alongside its paid Premium plan. Free consumer video accounts, such as a basic Zoom account, are generally not covered by a BAA, so clinicians should confirm coverage before using one for patient care.

How much does telehealth software cost per month?

Practice-level telehealth costs between nothing and about US$155 a month on the vendors listed here. VSee charges US$29 or US$49 per provider, Spruce Health US$24 or US$49 per user, SimplePractice US$49 to US$99, Healthie US$49.99 to US$149.99 billed monthly and Practice Better US$35 to US$155 billed monthly. Enterprise platforms are quote-based.

What is the difference between Teladoc and a telehealth software tool?

Teladoc Health mainly sells virtual care delivered by its own clinicians to employers and health plans, which pay access fees for their members; its 2025 annual report says Integrated Care services are available to more than 100 million members. Tools such as Doxy.me or VSee sell software that a practice uses to see its own patients.

Can Zoom be used for telehealth?

Zoom sells a healthcare offering under which it executes a Business Associate Agreement to support HIPAA compliance, provides more than 200 healthcare integrations and offers Zoom Clinical Notes for AI documentation. The healthcare packaging is sold through Zoom sales; ordinary free accounts should not be assumed to carry the same contractual protections.

Do telehealth platforms include e-prescribing?

Some do, usually as an add-on. SimplePractice charges US$49 a month plus an US$89 setup fee for ePrescribe, Practice Better charges US$49 plus a US$99 onboarding fee for EPCS, Healthie integrates DoseSpot at US$40 per clinic, and VSee offers EPCS as an add-on on request.

Which telehealth platforms support group sessions?

Doxy.me supports group calls of up to 25 participants, VSee includes group video from its Plus plan, and SimplePractice and Healthie include group telehealth on their Plus plans. Practice Better supports group classes and programs, and Healthie adds webinars through its Zoom integration.

See also

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