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Sessions Health review (2026): is the free plan enough?

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

Free plan · from $39/moTherapy & ClinicsChecked Oct 24, 2026 · graded Oct 24, 2026 by ToolGPA

Sessions Health report card

2.2GPA

Fair · out of 4.0 · graded Oct 24, 2026

Best for insurance-based therapists who file many claims

Sessions Health is a browser EHR for therapists who bill insurance, with notes, a portal, scheduling and claims from 25¢ down to 19¢. Professional is $39 a month, but telehealth and AI notes are paid add-ons per practitioner, the free plan stops at 3 clients, and there's no mobile app.

Who Sessions Health is for

  • 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

Who Sessions Health is not for

  • 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
See the alternatives

Why Sessions Health gets a 2.2

Five grades, each with its reason. The GPA is their average: an A is 4 points, an F is none.

  • CValue for moneyProfessional 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.
  • CFree plan and trialFreemium 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.
  • BFeaturesNotes, 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.
  • CEase of useNo App Store rating on record. Forms, note templates and claims enrollment need setting up before the first claim goes out.
  • CPlatforms and integrationsBrowser 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.

What these grades rest on. Graded from this listing, whose facts were read from Sessions Health's own pages on 24 October 2026. Not based on using the product, and shorter than our full reviews. How we review and grade.

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Sessions Health: 2.2 GPA on ToolGPA

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<a href="https://toolgpa.com/tools/sessions-health#review"><img src="https://toolgpa.com/badge/sessions-health.svg" alt="Sessions Health: 2.2 GPA on ToolGPA" width="196" height="56"></a>

Where Sessions Health stands among therapy and clinic software

Sessions Health's GPA of 2.2 is higher than 2 of the 12 other therapy and clinic software we grade, and level with 5.

It stands best on features (B, above 1 of 12) and worst on ease of use (C, above 0).

Its paid plans start at $39 a month, against a middle price of $39 for the category: 5 of the 10 others that charge start lower.

On features, ease of use and platforms it scores 2.3 out of 4. 4 tools score higher and cost less.

Each grade against the category

Every bar is all 13 therapy and clinic software we grade, cut by the letter each got. Sessions Health’s own letter is outlined.

  • CValue for moneyAbove 4 of 12, level with 6
  • CFree plan and trialAbove 2 of 12, level with 9
  • BFeaturesAbove 1 of 12, level with 11
  • CEase of useAbove 0 of 12, level with 11
  • CPlatforms and integrationsAbove 0 of 12, level with 2

Price against what you get

Each dot is one of 11 therapy and clinic software. Further left costs less, and higher up scores better on features, ease of use and platforms. Point at a dot to see which tool it is.

Features, ease of use and platforms, averaged

C2.0B3.0A4.0$10$20$50$100More for lessCosts more, scores moreCosts less, scores lessCosts more, scores lessSessions Health

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, and the best therapy and clinic software at every price

Keep Sessions Health, or make your own?

Keep it

To replace Sessions Health you would be making insurance claims sent to payers through a clearinghouse. That is not a weekend's work, with an AI app builder or without one.

That makes this kind of software worth paying for, not this one in particular: 5 of the 12 other therapy and clinic software grade higher. It costs $468 a year.

What you could make

  • Clinical notes and appointment booking: an app builder makes these well.

What you could not

  • Insurance claims sent to payers through a clearinghouse.
  • Video sessions that meet health privacy rules.
  • Speech turned into text you can trust.
  • AI features, unless you pay a model provider for each request yourself.
  • The depth: we grade its features B, which means it covers the whole job.

What this rests on. Sessions Health’s listing: what it does, where it runs, what it plugs into and what it costs. It is a judgement about the kind of software this is. We have not built a replacement for it, and making your own means looking after it too. How we decide, and every tool’s verdict.

What is Sessions Health?

Sessions Health is a browser-based EHR for therapists and mental health group practices that bill insurance. It covers notes and assessments, scheduling with calendar sync, a client portal with paperless intake, card payments, and electronic claims with ERAs. Telehealth and AI note-writing are optional add-ons priced per practitioner.

Worth knowing

  • 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.

Key features

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.

Sessions Health pricing

As of Oct 24, 2026, Sessions Health has a free plan, and paid plans start at $39 per month for the first practitioner.

Starts at
$39 per month for the first practitioner
Free plan
Freemium plan: up to 3 active clients and 1 practitioner with the full EHR, but no administrators; it moves to Professional beyond 3 clients.
Free trial
30-day free trial, no credit card required
Freemium$0Up to 3 clients and 1 practitioner, with notes, scheduling, payments, insurance billing and the client portal; no administrator accounts.
Professional$39per month, plus $29 per additional practitionerUnlimited clients, unlimited administrators at no cost, and every core feature. Telehealth, claims and AI Assist are add-ons.

Read from sessionshealth.com on Oct 24, 2026. Prices change, so confirm with Sessions Health before you buy.

Pricing in detail

Works with

Sessions Health alternatives

Common questions

Does Sessions Health have an Android app?

No Android app was listed when its pages were read on Oct 24, 2026. Sessions Health is listed for Web.

Does Sessions Health have an iPhone app?

No iPhone app was listed when its pages were read on Oct 24, 2026. Sessions Health is listed for Web.

Is Sessions Health open source?

Sessions Health is not described as open source on its own site, as read on Oct 24, 2026.

Sources for this page

The prices, plans, platforms and features above were read from these pages on Oct 24, 2026.