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Sessions Health vs Upheal (2026): which should you pick?

As of Nov 12, 2026, Upheal grades higher than Sessions Health: 2.8 against 2.2 out of 4.0.

Checked Oct 24, 2026 and Nov 12, 2026 · graded Oct 24, 2026 and Nov 12, 2026 by ToolGPA

Upheal grades higher on the free plan and platforms. They get the same grade on value for money, features and ease of use.

Price, platforms and features side by side. The table says where each price was read and when.

Sessions Health

Mental health EHR with a free plan and low-cost insurance claims

Free plan · from $39/mo
Full detailssessionshealth.com

Upheal

AI therapy notes, with an optional full practice EHR

Free plan · from $39/mo
Full detailsupheal.io

Which one is for you

Pick Sessions Health if

  • Fits if you're an insurance-based therapist who files lots of claims and watches the per-claim fee
  • Works for group practices with billers and admins, who cost nothing on Professional

Look elsewhere if

  • Tight if you're staying free: 3 active clients, one practitioner and no administrator accounts
  • Pricey if you want telehealth and AI notes, at $10 and $35 a month per practitioner on top of the plan
  • Skip it if you want a phone app, as it runs only in the browser
  • Watch out: claims are 19¢ to 25¢ each, eligibility checks 15¢, and cards 2.9% + 30¢ through Stripe
  • Watch out: text reminders sent outside the US may cost extra, and telehealth calls hold 4 people at most

Pick Upheal if

  • Fits if you see individual clients and want free basic notes
  • Works for a solo therapist who may later move to the EHR

Look elsewhere if

  • Tight if you stay free: individual therapy only, with a capped AI assistant
  • Watch out: EHR fees are $0.30 per claim, $0.15 per eligibility check and 2.9% + $0.30 per payment
  • Pricey if you use the AI Assistant a lot, as it is capped monthly unless you add Assistant Pro
  • Skip it if you run a group practice and want a price, as the page gives no figures

How we grade them

2.2GPASessions HealthFair2.8GPAUphealGood
Value for money
CProfessional is $39 a month for the first practitioner and $29 for each after, right at this category's middle. Telehealth adds $10 and AI Assist $35 a month per practitioner, and claims are charged per use.
CAI notes are $39 a month flat, the middle of the therapy-clinics range. The EHR is $1 a session or $99 flat.
Free plan and trial
CFreemium keeps the full EHR for 3 active clients and 1 practitioner, with no admins; a fourth client moves you to Professional. There's also a 30-day trial with no card.
BA free plan with basic notes for individual therapy and a capped AI assistant, plus a card-free trial on paid plans.
Features
BNotes, auto-scored assessments, treatment plans, calendar sync, reminders, a portal with paperless intake and couples handling, card payments, batch claims, ERAs and eligibility checks. Telehealth and AI notes are there as add-ons.
BNotes, treatment plans, telehealth, and an EHR with billing and portal. Group practices are not priced.
Ease of use
CNo App Store rating on record. Forms, note templates and claims enrollment need setting up before the first claim goes out.
CNo store rating on record. You set up templates and connect Zoom or Google Calendar.
Platforms and integrations
CBrowser only, with no mobile apps listed, and Stripe is the one integration on record. Other video tools can go in a reminder as a link, which isn't an integration.
AWeb, Mac, iPhone and Android with Zoom and Google Calendar.
Best forinsurance-based therapists who file many claimsAI therapy notes with an optional EHR

The GPA is the average of the five grades: an A is 4 points, an F is none. The full reasons are on each tool's page: Sessions Health and Upheal. How we grade

Price against what you get

Sessions Health starts at $39 a month and scores 2.3 out of 4 on features, ease of use and platforms. Upheal starts at $39 a month and scores 3.0.

Upheal scores higher for the same starting price. Of the other therapy and clinic software on the chart, 7 score higher than Sessions Health for less, and none scores higher than Upheal for less.

Features, ease of use and platforms, averaged

C2.0B3.0A4.0$2$5$10$20$50$100$200More for lessCosts more, scores moreCosts less, scores lessCosts more, scores lessSessions HealthUpheal

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
The full chart of therapy and clinic software, and the best at every price

Where they differ

    In commonFree planWebAI featuresTranscriptionClinical notesInsurance billingTelehealthAppointment booking

    At a glance

    Sessions HealthUpheal
    PricingFree planFree plan
    Starts at$39 per month for the first practitioner$39 per month for AI notes
    Free planFreemium plan: up to 3 active clients and 1 practitioner with the full EHR, but no administrators; it moves to Professional beyond 3 clients.Basic AI notes from text, dictation or uploads for individual therapy only, plus telehealth calls without AI.
    Free trial30-day free trial, no credit card requiredFree trial on paid plans, no credit card required
    Web
    macOS
    iOS
    Android
    Made bySessions Health, Inc.Upheal
    Price read fromsessionshealth.comupheal.io
    CheckedOct 24, 2026Nov 12, 2026

    Worth knowing

    Sessions Health

    • The free plan stops at 3 active clients and has no administrator accounts.
    • Telehealth ($10 a month) and AI Assist ($35 a month) are charged per practitioner, on top of the plan.
    • Card payments run through Stripe at 2.9% + $0.30; text reminders sent outside the US may cost extra.
    • It runs only in the browser; no mobile apps are listed.

    Upheal

    • The free plan covers individual therapy only and has a limited AI note feature set.
    • The EHR plans charge $0.30 per insurance claim, $0.15 per eligibility check and 2.9% + $0.30 per online payment.
    • Group practices are priced per seat for notes or per session for the EHR; the page gives no figures for them.
    • The AI Assistant is capped each month unless you pay for Assistant Pro.

    Key features

    Sessions Health

    Notes, forms and assessments
    Custom forms, note templates, treatment plans and questionnaires from a template library, auto-scored assessments, and loading a new note from the previous one.
    Insurance billing
    Batch electronic claims from $0.25 down to $0.19 each by volume, ERAs, secondary claims, incident-to billing, real-time eligibility at $0.15 a report, and courtesy billing.
    Scheduling and reminders
    Two-way or one-way calendar sync, customizable email and text reminders, client time zones and online appointment requests.
    Client portal
    Paperless intake with e-signature, secure messaging, online scheduling and payments, with handling for minors, couples and conjoint clients.
    Telehealth add-on
    $10 a month per practitioner for browser video with up to 4 participants, a waiting room, screen sharing and chat; other video tools can be linked in reminders for free.
    AI Assist
    $35 a month per practitioner: AI notes from a session summary, an audio upload or a live scribe of telehealth and in-person sessions, plus pre-session and treatment summaries.

    Upheal

    AI notes from many inputs
    Notes come from live video, audio, dictation, typed summaries or uploads, in SOAP, DAP, BIRP, EMDR and other templates.
    Treatment plans with Golden Thread
    Generates treatment plans and tracks client progress from one session to the next. Included on the paid AI notes plan and the EHR plans.
    Built-in telehealth
    Its own video platform, with automated notes afterward. Zoom sessions and other calling tools can also be captured.
    EHR with billing
    Invoices, superbills, online payments, insurance claims and eligibility checks, plus a client portal with scheduling, messaging and forms.
    AI Assistant
    A chat assistant with a monthly usage limit on every plan. AI Assistant Pro is a $39 a month add-on that removes the limit and adds session prep.
    Migration help
    Upheal says it can move clients and files over from another EHR, and runs a weekly live webinar on migrating.

    Plans

    Sessions Health

    • Freemium$0

      Up to 3 clients and 1 practitioner, with notes, scheduling, payments, insurance billing and the client portal; no administrator accounts.

    • Professional$39

      per month, plus $29 per additional practitioner

      Unlimited clients, unlimited administrators at no cost, and every core feature. Telehealth, claims and AI Assist are add-ons.

    Upheal

    • Free$0

      Basic notes via text, dictation and uploads, individual therapy only, with a monthly cap on the AI Assistant.

    • AI notes$39

      per month, flat fee

      Unlimited AI notes from video, audio, dictation and uploads, treatment plans and built-in telehealth.

    • EHR$1

      per session, pay as you go

      Full EHR with AI notes, invoicing, superbills, insurance billing, client portal and scheduling.

    • EHR Pro$99

      per month, flat fee

      The EHR with an unlimited AI Assistant included; the page says it saves money past 14 sessions a week.

    Ways to pay less

    Sessions Health

    No public discounts listed.

    Upheal

    • Education

      Student and non-profit discount

      The pricing page lists a student and non-profit discount alongside a 30-day money-back guarantee; it does not state the amount.

    Common questions

    Which is cheaper, Sessions Health or Upheal?

    As of Nov 12, 2026, they start at the same price. Sessions Health starts at $39 per month for the first practitioner, and Upheal starts at $39 per month for AI notes.

    Which has a free plan, Sessions Health or Upheal?

    As of Nov 12, 2026, both Sessions Health and Upheal have a free plan.

    Which platforms do Sessions Health and Upheal run on?

    As of Nov 12, 2026, only Upheal lists macOS, iOS and Android apps. Both list a web app. A platform missing from a listing is one its maker's pages did not mention.

    More comparisons

    How this page was made

    • The verdict at the top follows a fixed rule. When both tools are in the same category and either is in our top three for it, the verdict follows that ranking: the higher-placed tool is our pick. The top three weigh who each tool suits as well as its grades, so a pick can go against the GPA. Otherwise the page does not pick one and says which grades higher: the higher GPA first; on a tie, the one with a free plan, then the one that starts cheaper in dollars a month, counted the same way for both; if they are still level, what the choice depends on.
    • The grades are our own, from each tool’s review or report card. The GPA is their average.
    • Prices, plans and platforms come from each tool’s listing. The table above says where each price was read and when.
    • The differences and the answers to the questions are worked out from those listings.
    How we review and grade