Alternatives · Therapy & Clinics
Alma alternatives
As of Nov 13, 2026, the best Alma alternative for most people is SimplePractice (2.8 GPA), first in our ranking of therapy and clinic software. The best free one is Upheal (2.8 GPA).
Alma compared with 5 alternatives: SimplePractice, TheraNest, TherapyNotes, Upheal and Sessions Health.
Alma is a paid product, starting at $95 per month, billed annually at $1,140. 2 of the 5 alternatives are free or have a free plan. 3 more offer a free trial.
Listings checked up to Nov 12, 2026 · Where the facts come from
Black Friday: is there a Alma sale?
At a glance
| Tool | Price | Free plan | Runs on |
|---|---|---|---|
| AlmaThis tool | From $95/mo | No | Web |
| SimplePractice | Free trial · from $49/mo | Trial only | Web, iOS, Android |
| TheraNest | Free trial · from $27/mo | Trial only | Web |
| TherapyNotes | Free trial · from $69/mo | Trial only | Web, iOS, Android |
| Upheal | Free plan · from $39/mo | Yes | Web, macOS, iOS, Android |
| Sessions Health | Free plan · from $39/mo | Yes | Web |
Price against what you get
Alma starts at $95 a month and scores 2.0 out of 4 on features, ease of use and platforms. 5 of the 5 alternatives on this chart score higher and start lower: SimplePractice, TheraNest, TherapyNotes, Upheal and Sessions Health.
Features, ease of use and platforms, averaged
What paid plans start at, a month (each step along is roughly double) →
- The best score at each price
- Has a free plan
- No free plan
How each one differs from Alma
SimplePractice
Practice management and EHR for private-practice therapists
- SimplePractice starts at $49 per month (Starter), after a first 3 months at $24.50.
- SimplePractice also lists iOS and Android apps.
- SimplePractice also covers transcription, telehealth and appointment booking.
Suits: Solo therapists and counselors in the US who bill insurance
TheraNest
Mental health EHR with claims, telehealth and credentialing help
- TheraNest starts at $27 per therapist / month, billed yearly ($29 billed monthly).
- TheraNest also covers transcription, telehealth and appointment booking.
Suits: Insurance-based therapists who want claims bundled into the plan
TherapyNotes
Behavioral health EHR with notes, insurance billing and client portal
- TherapyNotes starts at $69 per month (Solo, one user).
- TherapyNotes also lists iOS and Android apps.
- TherapyNotes also covers transcription and telehealth.
Suits: Solo therapists and counselors who bill insurance
Upheal
AI therapy notes, with an optional full practice EHR
- Upheal starts at $39 per month for AI notes.
- Upheal has a free plan, which Alma lacks.
- Upheal also lists macOS, iOS and Android apps.
- Upheal also covers transcription, telehealth and appointment booking.
Suits: Therapists who want AI notes without changing their EHR
Sessions Health
Mental health EHR with a free plan and low-cost insurance claims
- Sessions Health starts at $39 per month for the first practitioner.
- Sessions Health has a free plan, which Alma lacks.
- Sessions Health also covers transcription, telehealth and appointment booking.
Suits: Insurance-based therapists who file many claims
Limits worth knowing in Alma
- Alma is open only to fully licensed clinicians, not those with limited licenses.
- All new members must join its insurance program and be credentialed with at least one of Aetna, Cigna or Optum under Alma's Tax ID.
- Joining goes through an application and a call; the monthly billing price was not readable, only the $1,140 annual figure.
- Alma says it takes no cut of cash-pay sessions.
Common questions
What are the alternatives to Alma?
The alternatives to Alma in this directory are SimplePractice, TheraNest, TherapyNotes, Upheal and Sessions Health. Each one has a side-by-side comparison with Alma.
Is there a free alternative to Alma?
Yes. Upheal and Sessions Health have a free plan alongside paid ones.
Which Alma alternatives work on macOS?
The Alma listing does not include a macOS app. Upheal lists one.
Which Alma alternatives work on Android?
The Alma listing does not include an Android app. SimplePractice, TherapyNotes and Upheal list one.
When were these prices checked?
Each listing shows its own date. On this page they run from Oct 24, 2026 to Nov 12, 2026. Vendors change prices without notice, so confirm on their site before you buy.