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Healthcare · head to head

Teladoc Health vs TheraNest

Teladoc Health logo

Teladoc Health

Healthcare

Virtual healthcare platform for telehealth and telemedicine

From
$89/visit
Rated
-
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-

The short version

  • Each has a real cost: Teladoc Health does not accept traditional Medicare or Medicaid, only Medicare Advantage and managed care plans; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • They diverge on capability: Teladoc Health covers Video Consultations, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Teladoc Health and TheraNest actually diverge.

Attributes where Teladoc Health and TheraNest differ
AttributeTeladoc HealthTheraNest
Starting price$89/visit$29/month
Pricing modelUnknownPer user per month
Founded2002Unknown

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 Teladoc Health

  • Video Consultations
  • Phone Consultations
  • Messaging
  • Prescription Services
  • Mental Health
  • Chronic Care
  • EHR Systems
  • Health Plans

Only in TheraNest

  • Progress notes and treatment plans
  • Insurance claims
  • Client portal
  • Telehealth
  • Group and family sessions
  • Payroll and staff reporting

What people use each for

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

Teladoc Health

  • Patient Carenot TheraNest
  • Medical Recordsnot TheraNest
  • Practice Managementnot TheraNest
  • Telehealthnot TheraNest

TheraNest

  • A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot Teladoc Health
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Teladoc Health
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Teladoc Health
  • A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot Teladoc Health

Where each one falls short

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

Teladoc Health

  • Does not accept traditional Medicare or Medicaid, only Medicare Advantage and managed care plans
  • Providers cannot prescribe DEA-controlled substances or certain medications including erectile dysfunction drugs
  • Cannot handle medical emergencies; users must call 911 for emergency care

TheraNest

  • The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
  • An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
  • Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
  • The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.

Pricing, plan by plan

Teladoc Health

$89/visit

No published plan breakdown. See the Teladoc Health review.

TheraNest

$29/month
  • Essentials$29/month
    • Per therapist
    • Scheduling and client portal
    • HIPAA aligned notes and documentation
  • Advanced$59/month
    • Per therapist
    • 30 insurance claims per month included
    • Custom forms
  • Premier$89/month
    • Per therapist
    • Unlimited insurance claims
    • Billing automation

Which should you pick?

Choose Teladoc Health if

  • You need video consultations.
  • You work on Web, iOS, Android.
  • You also want phone consultations.

Choose TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want insurance claims.

Questions people ask

Is Teladoc Health or TheraNest better?
Neither clearly leads. Teladoc Health starts at $89/visit and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Teladoc Health or TheraNest?
Teladoc Health starts at $89/visit and TheraNest at $29/month.
Does Teladoc Health or TheraNest run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
What is Teladoc Health best used for?
Teladoc Health is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what TheraNest is typically brought in for.
What can Teladoc Health do that TheraNest cannot?
Teladoc Health covers Video Consultations, Phone Consultations, Messaging, Prescription Services. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

Answered from the vendors’ own pages

Teladoc Health: Does Teladoc work with traditional Medicare or Medicaid?

No. Teladoc only works with Medicare Advantage and Medicaid managed care plans, not traditional fee-for-service Medicare or Medicaid programs.

Source
TheraNest: Is TheraNest still sold under that name?

Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.

Teladoc Health: How quickly can I get an appointment with Teladoc?

For ASAP visits, wait times are typically just a few minutes. For General Medical, most issues are resolved in 15 minutes or less.

Source
TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

Teladoc Health: What medications can Teladoc providers prescribe?

Providers do not prescribe DEA-controlled substances, erectile dysfunction medications, or certain other drugs. GLP-1 medications are only available through Primary Care or Condition Management programs.

Source
TheraNest: Are there hidden costs?

Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.

Teladoc Health: What is the cost of Teladoc visits without insurance?

General Medical visits cost 89 USD per visit without insurance. Other services like dermatology and mental health vary by service type.

Source
TheraNest: Does it support group practices?

Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.

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