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Healthcare · head to head

MDLive vs Spring Health

MDLive logo

MDLive

Healthcare

On-demand telehealth and virtual doctor visits

From
Free
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

  • Only MDLive has a free tier, so it costs nothing to try first.
  • Each has a real cost: MDLive wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency; 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: MDLive covers Video Consultations, Spring Health covers Precision matching.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

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

Attributes where MDLive and Spring Health differ
AttributeMDLiveSpring Health
Starting priceFreeOn request
Pricing modelusage-basedquote
Free tierYesNo
PlatformsWeb, MobileWeb, iOS, Android
CategoryHealthcareHR
Founded2002Unknown

Identical on both: 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 MDLive

  • Video Consultations
  • Mental Health Services
  • Psychiatry
  • Prescription Services
  • Urgent Care
  • Insurance
  • EHR Systems
  • HIPAA

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.

MDLive

  • Telemedicine urgent care visitsnot Spring Health
  • Mental health counseling and psychiatrynot Spring Health
  • Dermatology consultationsnot Spring Health
  • Primary care wellness screeningsnot Spring Health

Spring Health

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

Where each one falls short

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

MDLive

  • Wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency
  • Cancellation fees up to $50 for mental health appointments apply within 24 hours
  • Pricing varies substantially based on insurance coverage with no guaranteed maximum out-of-pocket

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

MDLive

Free
  • Urgent Care$null/visit
    • $0-89 per visit with insurance
    • Immediate care access
  • Primary CareFree
    • $0 wellness screenings for eligible insurance plans
    • Upfront pricing shown before appointment
  • Mental Health Talk Therapy$null/visit
    • $0-179 initial appointments
    • $140 follow-up sessions before insurance
  • Mental Health Psychiatry$null/visit
    • $0-299 initial appointments
    • $159 follow-up sessions before insurance

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 MDLive if

  • You need video consultations.
  • You want to start without paying.
  • You work on Web, Mobile.
  • You also want mental health services.
MDLive 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 MDLive or Spring Health better?
Neither clearly leads. MDLive starts at Free and Spring Health at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, MDLive or Spring Health?
MDLive has a free tier; the other does not. Paid plans start at Free for MDLive and On request for Spring Health.
Does MDLive or Spring Health run on more platforms?
MDLive runs on Web, Mobile. Spring Health runs on Web, iOS, Android.
Can I use MDLive for free?
Yes. MDLive has a free tier, so you can try it without paying. Spring Health starts at On request.
What is MDLive best used for?
MDLive is most often used for telemedicine urgent care visits, mental health counseling and psychiatry, dermatology consultations, primary care wellness screenings. Of those, telemedicine urgent care visits and mental health counseling and psychiatry are not what Spring Health is typically brought in for.
What can MDLive do that Spring Health cannot?
MDLive covers Video Consultations, Mental Health Services, Psychiatry, Prescription Services. Spring Health covers Precision matching, Sponsored session model, Psychiatry and medication management, Coaching tier.

Answered from the vendors’ own pages

MDLive: What is the cost of an urgent care visit through MD Live?

Urgent care visits cost $0-89 per visit depending on insurance coverage. Pricing is shown upfront before confirming appointment. Most major credit and debit cards accepted for uninsured patients.

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.

MDLive: What cancellation fees apply if I need to reschedule?

Wellness visits incur $25 cancellation fee if cancelled within 24 hours. Routine care $25 if cancelled within 2 hours. Mental health $50 if cancelled within 24 hours. Medicaid and Medicare members exempt from fees.

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.

MDLive: Are follow-up mental health sessions cheaper than initial appointments?

Talk therapy follow-ups are $140 before insurance (versus $0-179 for initial). Psychiatry follow-ups are $159 before insurance (versus $0-299 for initial). Insurance copays may apply on top of these base rates.

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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