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

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

Checked Oct 24, 2026 · graded Oct 24, 2026 by ToolGPA.

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.

- **Category:** Therapy & Clinic Software
- **Made by:** Sessions Health, Inc.
- **Website:** https://www.sessionshealth.com
- **Runs on:** Web
- **Who should skip it:** Tight if you're staying free: 3 active clients, one practitioner and no administrator accounts.
- **Facts last checked:** Oct 24, 2026

## Pricing

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

- **Pricing model:** Free plan
- **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.

| Plan | Price | What you get |
| --- | --- | --- |
| 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. |

Read from https://www.sessionshealth.com/pricing/ on Oct 24, 2026. Prices change, so confirm with Sessions Health before buying.

## 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.

## Good for

- Insurance-based therapists who file many claims
- New practitioners with a handful of clients on the free plan
- Group practices with billers and admins, who are free

## 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.

## ToolGPA grades

**GPA: 2.2 out of 4**, graded Oct 24, 2026. 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.

- **Value for money: C.** Professional 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.
- **Free plan and trial: C.** Freemium 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.
- **Features: B.** Notes, 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.
- **Ease of use: C.** No App Store rating on record. Forms, note templates and claims enrollment need setting up before the first claim goes out.
- **Platforms and integrations: C.** Browser 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.

These are ToolGPA's own grades. 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.

## Where it 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.

The category's chart of price against score: https://toolgpa.com/charts/therapy-clinics

## Keep it, 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.

- You could make: Clinical notes and appointment booking: an app builder makes these well.
- You could not: Insurance claims sent to payers through a clearinghouse.
- You could not: Video sessions that meet health privacy rules.
- You could not: Speech turned into text you can trust.
- You could not: AI features, unless you pay a model provider for each request yourself.
- You could not: The depth: we grade its features B, which means it covers the whole job.

A judgement by ToolGPA from this listing, by rules that are the same for every tool. Nothing was built to test it.

## Works with

Stripe

**Tags:** Clinical notes, Insurance billing, Telehealth, Appointment booking, AI features, Transcription

## Alternatives

- [SimplePractice](https://toolgpa.com/tools/simplepractice): Practice management and EHR for private-practice therapists. [Compare](https://toolgpa.com/compare/sessions-health-vs-simplepractice)
- [TherapyNotes](https://toolgpa.com/tools/therapynotes): Behavioral health EHR with notes, insurance billing and client portal. [Compare](https://toolgpa.com/compare/sessions-health-vs-therapynotes)
- [TheraNest](https://toolgpa.com/tools/theranest): Mental health EHR with claims, telehealth and credentialing help. [Compare](https://toolgpa.com/compare/sessions-health-vs-theranest)
- [Carepatron](https://toolgpa.com/tools/carepatron): Practice management with a free plan, AI scribe and telehealth. [Compare](https://toolgpa.com/compare/carepatron-vs-sessions-health)
- [Owl Practice](https://toolgpa.com/tools/owl-practice): Web-based practice management built for mental health therapists. [Compare](https://toolgpa.com/compare/owl-practice-vs-sessions-health)

## Sources

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

- https://www.sessionshealth.com/
- https://www.sessionshealth.com/pricing/
- https://www.sessionshealth.com/about/

Page: https://toolgpa.com/tools/sessions-health
Listed by ToolGPA (toolgpa.com).