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Healthcare · head to head

BetterHelp vs Meru Health

BetterHelp logo

BetterHelp

Healthcare

Online therapy and counseling services

From
$50/week
Rated
-
Full reviewWebsite
Meru Health logo

Meru Health

Healthcare

Twelve week therapist led mental health programme combining an app, a clinician and HRV biofeedback

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: BetterHelp pricing from $50-$90 per week billed every 4 weeks with location and therapist availability variations; Meru Health the programme is twelve weeks and then it ends, which fits an episode of treatment but not a chronic condition needing maintenance, so relapse after week twelve lands on whatever pathway the buyer has funded next, if any.
  • They diverge on capability: BetterHelp covers Video Sessions, Meru Health covers Twelve week structured programme.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which BetterHelp and Meru Health actually diverge.

Attributes where BetterHelp and Meru Health differ
AttributeBetterHelpMeru Health
Starting price$50/weekOn request
Pricing modelsubscriptionquote
Founded2013Unknown

Identical on both: free tier (No), platforms (Web, iOS, Android), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in BetterHelp

  • Video Sessions
  • Phone Sessions
  • Messaging
  • Journaling
  • Worksheets
  • HIPAA
  • Cloud deployment
  • Web support

Only in Meru Health

  • Twelve week structured programme
  • Licensed therapist
  • Psychiatric consultation
  • HRV biofeedback device
  • Daily in app practice
  • Meru Health Advanced
  • Payer contracting
  • Outcome measurement

What people use each for

The jobs each tool is most often brought in to do.

BetterHelp

  • Online therapy with licensed mental health professionalsnot Meru Health
  • Flexible scheduling with messaging, video, phone, and live chat optionsnot Meru Health
  • Access to 150+ worksheets and therapy support modulesnot Meru Health
  • Weekly free group seminars with expert therapistsnot Meru Health

Meru Health

  • A health plan that wants a mental health intervention it can underwrite as a bounded episode rather than an open ended benefitnot BetterHelp
  • An employer whose staff need treatment rather than wellbeing content, with a therapist and a prescriber in one pathwaynot BetterHelp
  • A member who needs medication review alongside therapy, which most app based mental health products cannot providenot BetterHelp
  • A health system seeking to offload moderate depression and anxiety from a psychiatry service with long waitsnot BetterHelp

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

BetterHelp

  • Pricing from $50-$90 per week billed every 4 weeks with location and therapist availability variations
  • Not suitable for minors or those under legal guardianship
  • Cannot provide official diagnoses, fulfill court orders, or prescribe medication
  • Requires reliable internet access; not appropriate for emergency or crisis situations

Meru Health

  • The programme is twelve weeks and then it ends, which fits an episode of treatment but not a chronic condition needing maintenance, so relapse after week twelve lands on whatever pathway the buyer has funded next, if any.
  • Whether the employer, the health plan or the member pays depends on the contract route, and members frequently do not know which applies to them until they receive a bill or discover they do not.
  • A structured programme demands daily engagement, and members who cannot sustain that get much less than the outcome data implies, because the published results reflect members who completed.
  • The heart rate variability device is a differentiator but also a logistics and support burden, adding shipping, returns and device support to what would otherwise be a software deployment.
  • Meru is small relative to Lyra, Spring Health and the large payer owned behavioural health offerings, so an employer choosing it takes on more vendor concentration risk in a category that has seen frequent consolidation.

Pricing, plan by plan

BetterHelp

$50/week
  • Standard$50/week
    • Messaging, live chat, phone sessions, video conferencing
    • 150+ digital worksheets
    • Access to 20+ weekly group seminars

Meru Health

On request
  • Meru Health$undefined/year
    • Contracted per completed programme or per member per month depending on buyer type
    • Health plan contracts bill differently from employer contracts
    • Member cost sharing depends on whether access comes via insurance or an employer benefit

Which should you pick?

Choose BetterHelp if

  • You need video sessions.
  • You work on Web, iOS, Android.
  • You also want phone sessions.
BetterHelp review

Choose Meru Health if

  • You need twelve week structured programme.
  • You work on Web, iOS, Android.
  • You also want licensed therapist.
Meru Health review

Questions people ask

Is BetterHelp or Meru Health better?
Neither clearly leads. BetterHelp starts at $50/week and Meru Health at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, BetterHelp or Meru Health?
BetterHelp starts at $50/week and Meru Health at On request.
Does BetterHelp or Meru Health run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
What is BetterHelp best used for?
BetterHelp is most often used for online therapy with licensed mental health professionals, flexible scheduling with messaging, video, phone, and live chat options, access to 150+ worksheets and therapy support modules, weekly free group seminars with expert therapists. Of those, online therapy with licensed mental health professionals and flexible scheduling with messaging, video, phone, and live chat options are not what Meru Health is typically brought in for.
What can BetterHelp do that Meru Health cannot?
BetterHelp covers Video Sessions, Phone Sessions, Messaging, Journaling. Meru Health covers Twelve week structured programme, Licensed therapist, Psychiatric consultation, HRV biofeedback device.

Answered from the vendors’ own pages

BetterHelp: How much does BetterHelp cost per week?

BetterHelp costs between $50 and $90 per week, with the actual price determined by your location, therapist availability, and therapist preference. Charges are billed every 4 weeks rather than weekly despite per-week pricing.

Source
Meru Health: Is Meru Health still operating?

Yes. It launched Meru Health Advanced in May 2026 and expanded its Harvard Pilgrim Health Care collaboration in 2025. It has not wound down.

BetterHelp: What does BetterHelp subscription include?

BetterHelp includes access to therapy via messaging, live chat, phone sessions, and video conferencing. Subscribers receive 150+ digital worksheets and free access to 20+ weekly group seminars led by expert therapists on various mental health topics.

Source
Meru Health: How long is the programme?

Around twelve weeks. It is a bounded treatment episode rather than open ended therapy, which is why health plans will contract for it.

BetterHelp: Can you cancel BetterHelp anytime?

Members can cancel their BetterHelp subscription at any time without penalties or restrictions. Cancellation is flexible with no long-term commitment required.

Source
Meru Health: Who pays?

It depends on the contract. Meru sells to both health plans and employers, and member cost sharing differs between those routes. Confirm which applies before enrolling.

Meru Health: Does it include medication?

Psychiatric consultation is part of the programme where medication is indicated, which distinguishes it from app plus coaching products that cannot prescribe.

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