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Healthcare · head to head

BetterHelp vs Spring Health

BetterHelp logo

BetterHelp

Healthcare

Online therapy and counseling services

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

Spring Health

HR

Employer mental health benefit that puts a share of its own fee at risk against measured symptom improvement

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; Spring Health per employee per month cost is several times a conventional employee assistance programme, reported publicly at roughly one hundred to one hundred and fifty dollars per employee per year, so the business case has to rest on measured outcomes rather than price.
  • They diverge on capability: BetterHelp covers Video Sessions, Spring Health covers Precision matching.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

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

Attributes where BetterHelp and Spring Health differ
AttributeBetterHelpSpring Health
Starting price$50/weekOn request
Pricing modelsubscriptionquote
CategoryHealthcareHR
Founded2013Unknown

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

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 Spring Health

  • Precision matching
  • Sponsored session model
  • Psychiatry and medication management
  • Coaching tier
  • Repeated outcome measurement
  • Outcomes-based fee
  • Manager and workforce reporting
  • Care navigation

What people use each for

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

BetterHelp

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

Spring Health

  • An employer replacing an EAP with two percent utilisation that cannot demonstrate any clinical effect to its boardnot BetterHelp
  • A benefits team facing long external waiting lists for therapy that are showing up in absence and disability claimsnot BetterHelp
  • A distributed workforce where the incumbent EAP provider network is thin outside major metropolitan areasnot BetterHelp
  • A health plan wanting to add a behavioural health layer without building a provider network itselfnot 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

Spring Health

  • Per employee per month cost is several times a conventional employee assistance programme, reported publicly at roughly one hundred to one hundred and fifty dollars per employee per year, so the business case has to rest on measured outcomes rather than price.
  • Outcomes-based pricing only puts a portion of the fee at risk, and the measured cohort is people who engaged, which flatters the reported improvement relative to any effect across the whole workforce.
  • Sponsored sessions run out, and members who need longer treatment are handed to their health plan benefit where network adequacy and cost sharing may be exactly the problem they came to avoid.
  • The eligibility file integration is a real HR IT project, and employers with messy dependent and contractor data spend meaningful effort before launch.
  • Coverage and provider depth outside the United States is thinner than the domestic network, so multinational employers usually end up running a second vendor for other regions.

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

Spring Health

On request
  • Spring Health employer programme$undefined/year
    • Per employee per month, invoiced to the employer, with an eligibility file feed
    • Portion of fee available at risk against measured symptom outcomes
    • Sponsored session count negotiated per contract

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 Spring Health if

  • You need precision matching.
  • You work on Web, iOS, Android.
  • You also want sponsored session model.
Spring Health review

Questions people ask

Is BetterHelp or Spring Health better?
Neither clearly leads. BetterHelp starts at $50/week and Spring Health at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, BetterHelp or Spring Health?
BetterHelp starts at $50/week and Spring Health at On request.
Does BetterHelp or Spring 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 Spring Health is typically brought in for.
What can BetterHelp do that Spring Health cannot?
BetterHelp covers Video Sessions, Phone Sessions, Messaging, Journaling. Spring Health covers Precision matching, Sponsored session model, Psychiatry and medication management, Coaching tier.

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
Spring Health: How is it priced?

Per employee per month, billed to the employer, with a portion available at risk against measured outcomes. Rates are not published; public statements from the company suggest roughly one hundred to one hundred and fifty dollars per employee per year.

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
Spring Health: Who pays, the employer or the health plan?

Usually the employer, for the sponsored session block. After those sessions the member typically continues under their health plan benefit with normal cost sharing.

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
Spring Health: What does outcomes-based pricing actually guarantee?

That a defined portion of the vendor fee is contingent on measured change in assessment scores among engaged members. It is not a guarantee of workforce-level improvement.

Spring Health: Is there a minimum headcount?

Yes in practice. Spring Health sells to mid-market and enterprise employers and health plans; very small employers are not the target and usually cannot get a quote.

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