Alma offers more provider choice and session flexibility: With 24,000+ independent therapists and psychiatrists, Alma lets you browse and select your own provider, with both virtual and in-person options available across all 50 states.
Headspace combines clinical care with self-guided wellness tools: Beyond therapy and psychiatry, Headspace includes 1,000+ guided meditations, sleep content, and an AI companion, all accessible through a single mobile app.
Insurance coverage differs significantly: Alma accepts most commercial plans but excludes Medicare and Medicaid, while Headspace partners with major insurers and accepts select Medicare Advantage and managed Medicaid plans.
Pricing structures vary by platform: Alma's out-of-pocket costs range from $130–$380 per session, while Headspace offers more predictable pricing at $0–$35 with insurance or $149 without.
Rula as another option: Rula combines therapy and psychiatry across a large network of 21,000+ providers, accepting most major insurance plans and offering virtual and in-person care with clear upfront costs for many patients.
Alma vs. Headspace: Which is better for your needs?
Navigating the landscape of online therapy platforms shouldn't feel like solving a puzzle. Yet with so many mental health services available, deciding between options like Alma and Headspace requires understanding what each actually delivers and whether it matches what you need.
Both platforms aim to make mental healthcare more accessible, but they take different approaches. Alma connects you with independent therapists through a searchable directory, while Headspace combines clinical care with self-guided wellness tools in one app. In this guide, we'll break down their features, costs, and strengths so you can make a confident decision about your care.
You might also consider Rula when exploring your options. Rula connects you with over 21,000 licensed providers nationwide, accepts most major insurance plans, and offers both therapy and psychiatry. With insurance, many patients pay around $15 per session.
Alma vs. Headspace: Differences at a glance
Below is a side-by-side look at Alma and Headspace to help you understand how they compare and to make it easier to find a therapist if you're considering the best online therapy services.
Average cost per session:
Alma: $130–$380 per session out-of-pocket; varies with insurance copays
Headspace: $0–$35 per session with insurance; $149 per session without insurance
Number of providers:
Alma: 24,000+ providers (therapists, psychiatrists, and psychiatric nurse practitioners)
Headspace: The total number of providers is not publicly disclosed
Modes of communication:
Alma: Video sessions and in-person appointments
Headspace: Video sessions for therapy and text-based chat for coaching
Services offered:
Alma: Individual, couples, family, children therapy, and medication management through psychiatrists and psychiatric nurse practitioners
Headspace: Therapy, psychiatry, medication management, mental health coaching, guided meditations, sleep content, and Employee Assistance Program (EAP) services
Insurance acceptance:
Alma: In-network with most major insurance plans, including Aetna, Anthem BCBS, Cigna, and UnitedHealthcare; doesn't accept Medicare or Medicaid
Headspace: Partners with major insurers like Aetna, Cigna, and Anthem; accepts select Medicare Advantage and managed Medicaid plans
States covered:
Alma: All 50 states and Washington, D.C.
Headspace: All 50 states and Washington, D.C.
Number of specialties offered:
Alma: Multiple specialties, including anxiety, depression, trauma, PTSD, ADHD, autism spectrum disorder, and addiction and substance misuse
Headspace: Six core specialties, including anxiety, depression, stress, and relationships
Inclusivity and patient focus:
Alma: Offers therapy for teens (13+) and provides culturally responsive care training for its providers
Headspace: Focuses on culturally responsive care with a diverse coaching team and offers a free app for teens
Virtual-only or virtual + in-person availability:
Alma: Both virtual and in-person
Headspace: Virtual-only
Alma at a glance
Alma is a mental healthcare directory and membership community founded in 2017. It connects people with a network of over 24,000 independent therapists and psychiatrists across all 50 states and Washington, D.C. Alma's mission is to simplify access to high-quality, affordable mental healthcare by making it easier to find providers who accept your insurance. The platform supports individual, couples, family, and teen therapy, as well as medication management, with both virtual and in-person session options.
Finding a provider on Alma is designed to be quick and straightforward. You can search the directory based on your insurance, location, specialty, and availability, with the platform stating you can find matches in about five minutes. Alma also offers free 15-minute consultations, allowing you to speak with a provider before committing to care.
Headspace at a glance
Founded in 2010, Headspace is an everyday mental health companion that provides a wide range of services, from wellness tools to clinical care. Its mission is to give every person access to lifelong, personalized mental health support. The platform is known for its extensive library of over 1,000 guided meditations, sleep content, and mindfulness exercises, which it combines with mental health coaching, therapy, and psychiatry services. Headspace is available in all 50 states and delivers all its services virtually.
Headspace offers an integrated experience through its mobile app, where you can access both clinical care and self-guided tools. After completing an intake form, the platform matches you with a licensed therapist based on your needs, with appointments typically available within two days. Most members pay between $0 and $35 per session with insurance, and a pay-as-you-go option is available for $149 per session for those without coverage.
Rula at a glance
Rula is a mental health platform that helps people find licensed therapists covered by insurance and schedule appointments online. It connects patients with a nationwide network of more than 21,000 licensed providers across all 50 states and Washington, D.C., with telehealth appointments conducted via Zoom. Rula also offers in-person therapy appointments with eligible providers.
The platform supports individual, couples, family, child (ages 5+), teen therapy, and psychiatry for people ages 13+ where available. Patients typically pay about $15 per session with insurance (though costs vary by plan and benefits), and Rula provides an estimated out-of-pocket cost before the first appointment. You can browse provider profiles, filter for preferences, and book online, often with next-day availability.
The care you need, when you need it
Learn how Rula can support your mental health journey
Clinical outcomes and how they compare
When choosing a mental health platform, understanding its clinical outcomes helps ensure you are investing in care that delivers real results. Evidence-based approaches are key to making meaningful progress toward your mental health goals.
Alma clinical outcomes
According to Alma, 80% of individuals experiencing anxiety or depression symptoms show improvement within six months of working with an Alma therapist. The platform highlights that 97% of clients feel understood and supported by their provider.
Headspace clinical outcomes
Based on data reported by Headspace, 72% of members experience a reduction in anxiety symptoms after six weeks of treatment. During that same period, 75% of members see measurable progress in managing depression symptoms.
Rula clinical outcomes
Rula monitors improvements in symptoms alongside the quality of the therapeutic relationship: Platform data shows that 93% of patients report meaningful relief from their symptoms, 94% feel genuinely at ease with their provider, and 98% were matched with a clinician who addressed their specific needs — results that exceed national benchmarks by over 10%.
Cost and insurance coverage
Both Alma and Headspace accept major insurance plans, but they differ in their networks and out-of-pocket costs. Learn more about their coverage and cost differences below.
Insurance plans accepted
Alma insurance networks:
Aetna
AllSavers UHC
Allied Benefit Systems - Aetna
Anthem Blue Cross and Blue Shield
Cigna
Empire Blue Cross Blue Shield
UnitedHealthcare
Alma doesn't accept Medicare or Medicaid.
Headspace partners with many major health insurance providers, including Aetna, Blue Cross Blue Shield, Cigna, and Anthem. The platform also accepts select Medicare Advantage plans (Part C) and managed Medicaid care plans. Keep in mind that availability and cost may vary based on your location, age, and insurance coverage.
If you're also considering Rula, it's designed to make insurance-based care straightforward. Rula accepts commercial plans from many major insurance carriers, including Aetna, Anthem, Blue Cross Blue Shield, Cigna, Kaiser Permanente (by referral), Optum, Oscar, and UnitedHealthcare. Rula accepts Medicare Advantage, Medicare fee-for-service, and Managed Medicaid coverage. It provides an estimated out-of-pocket cost before your first appointment.
Out-of-pocket costs (with insurance)
With Alma, your out-of-pocket costs depend on your specific insurance plan and the provider's contracted rates. The platform doesn't publish standard copay amounts, but you can use its cost estimator tool to verify your costs before booking.
Headspace offers more predictable pricing, with most members paying just $0–$35 per session when using insurance. The platform provides cost transparency by allowing you to check your estimated cost per session before you book. This helps you know what to expect financially before committing to care.
HSA/FSA eligibility
Both Alma and Headspace make it easy to use pre-tax health funds. You can use health savings account (HSA) or flexible spending account (FSA) cards as a payment method on both platforms. For Headspace, you can pay directly with your card, but keep in mind that IRS guidelines may require a Letter of Medical Necessity from a provider to officially qualify the expense.
Self-pay pricing
If you're paying out-of-pocket on Alma, session costs typically range from $130 to $380, depending on the provider you choose. Many therapists in the network offer sliding scale fees for out-of-network payment, which can help make care more affordable.
Headspace offers a pay-as-you-go model at $149 per session if your insurance doesn't cover therapy, with no subscription required for therapy sessions. If you're interested in the platform's wellness tools, the Headspace app subscription — which includes meditations and other self-guided content — is available separately for $69.99 per year or $12.99 per month.
Mental health services offered
The range of services a platform offers is crucial for addressing your specific needs, from individual therapy to specialized treatment. While both platforms provide evidence-based therapy, they differ in the breadth of services and approaches available.
Therapeutic modalities available through Alma
Alma's network includes providers trained in a broad spectrum of therapeutic modalities. You can narrow your search using filters for treatment approach, mental health focus, and provider experience.
Therapeutic approaches you'll find among Alma providers:
Cognitive behavioral therapy (CBT)
Dialectical behavior therapy (DBT)
Eye movement desensitization and reprocessing (EMDR)
Psychodynamic therapy
Acceptance and commitment therapy (ACT)
Mindfulness-based therapy
Emotionally focused therapy (EFT)
Solution-focused brief therapy (SFBT)
Narrative therapy
Somatic experiencing
Trauma-focused CBT
Motivational interviewing
Exposure and response prevention (ERP)
Internal family systems (IFS)
Attachment-based therapy
Gottman Method
Alma's directory also includes psychiatrists and psychiatric nurse practitioners who provide medication management.
Treatment approaches offered by Headspace
Headspace's clinical team uses a range of evidence-based approaches to support mental health, including:
Cognitive behavioral therapy (CBT)
Acceptance and commitment therapy (ACT)
Mindfulness-based stress reduction techniques
Goal-oriented mental health coaching
Beyond one-on-one therapy, the platform offers text-based coaching (up to three sessions per month with an app subscription), an extensive meditation library, sleep-focused resources, mindfulness exercises, and an AI companion for support between sessions.
Headspace's licensed psychiatric practitioners provide medication management, but they cannot prescribe controlled substances.
Treatment approaches offered by Rula
Rula connects patients with licensed providers across 180+ clinical specialties and modalities, so care can be tailored to your goals and what you’re navigating. Depending on the provider you choose, treatment can include evidence-based approaches such as cognitive behavioral therapy (CBT), Acceptance and commitment therapy (ACT), and dialectical behavioral therapy (DBT)).
This range of expertise addresses many different concerns, from anxiety and ADHD to autism, PTSD and trauma, OCD, and addiction. Rula provides individual therapy, couples therapy, and family therapy, along with psychiatry services (medication management) for individuals ages 13 and up in all states where Rula operates.
Inclusivity and specialized care
Finding a provider who understands your unique background and identity is essential for building trust and making progress. Both Alma and Headspace prioritize culturally responsive care, but they do so in different ways.
Alma inclusivity and specialization overview
Licensure types: Alma's network includes licensed therapists, psychologists, psychiatrists, and psychiatric mental health nurse practitioners (PMHNPs). This provides access to a wide range of credentials for both therapy and medication management.
Specializations offered: The platform offers extensive specialty filtering for conditions like anxiety, depression, trauma, ADHD, and addiction. This allows you to find providers with expertise in your specific concerns.
Languages available: Alma's directory includes a language filter to help you find providers who speak your preferred language, though a complete list of available languages is not published.
Inclusivity factors: Alma prioritizes culturally responsive care and allows you to filter for providers based on identity. The platform serves individuals, couples, families, and teens ages 13 and older.
Headspace inclusivity and specialization overview
Licensure types: Headspace's team includes licensed therapists, psychiatrists, and nationally board-certified mental health coaches. Coaches hold Master's-level degrees in psychology-related fields or have completed rigorous training programs.
Specializations offered: The platform focuses on six core areas: anxiety, depression, stress, relationships, sleep, and grief. Therapists are matched to patients based on these needs.
Languages available: Headspace offers services in English, Spanish, and French, providing multilingual access to its therapy, coaching, and wellness content.
Inclusivity factors: Headspace is committed to culturally inclusive care, with 54% of its coaches identifying as BIPOC. The platform primarily serves adults, but it also offers Headspace for Teens (free for ages 13–18 in the U.S.).
The care you need, when you need it
Learn how Rula can support your mental health journey
Platform availability and access
How quickly you can access care and the ease of scheduling can significantly impact your therapy experience. Both platforms prioritize reducing wait times, but they use different models: Alma uses a searchable directory, while Headspace uses an intake-based matching system.
Therapy with Rula is available in all 50 states and Washington, D.C., with appointments often as soon as the next day.
How access works with Alma
States served: Alma is available in all 50 states and Washington, D.C., with both virtual and in-person options.
Matching process: You search a directory of 24,000+ providers using filters for insurance, specialty, availability, and more. You have full control over selecting a provider and can book a free 15-minute consultation to ensure a good fit.
Session formats: Both virtual (video) and in-person therapy sessions are available, depending on the provider.
Scheduling: You can filter providers by availability to find convenient appointment times. According to Alma, therapy can start within three days.
App/portal experience: Alma has a client portal for secure messaging but does not currently offer a mobile app.
Provider switching: You can change therapists at any time until you find the right match.
How access works with Headspace
States served: Headspace is available in all 50 states with virtual-only services.
Matching process: You complete an intake form, and the platform matches you with a licensed therapist based on your needs and preferences.
Session formats: Therapy is conducted via video sessions, while mental health coaching is done through text-based chat.
Scheduling: Appointments are typically available within two days, with scheduling available on evenings and weekends. You can also adjust your session frequency as needed.
App/portal experience: Headspace offers a mobile app that integrates therapy with its library of meditations, sleep content, and other wellness tools.
Provider switching: Headspace supports switching providers if the first one isn't a good fit.
What each platform does best
Understanding what each platform does best can help you choose with confidence based on your priorities. Whether insurance acceptance, the ability to select your own provider, or access to wellness resources matters most to you, knowing where each platform excels makes it easier to find the right match.
Alma excels when you need:
A large insurance network with most major plans
The ability to choose from a massive network of 24,000+ providers
Both virtual and in-person session options
Free 15-minute consultations to check for fit before committing
Access to couples therapy, family therapy, or therapy for teens
Quick access to care, with therapy often starting within three days
Headspace excels when you need:
Coverage through select Medicare Advantage or managed Medicaid plan
Transparent, predictable pricing, whether using insurance or paying out-of-pocket
Between-session support from meditations, sleep content, and an AI companion
Multilingual services in English, Spanish, or French
A mobile-first experience for accessing care and wellness tools anywhere
Summary: Is Alma or Headspace right for you?
Alma and Headspace represent two distinct approaches to mental healthcare. Alma is a comprehensive provider directory that helps you find an independent therapist, offering both virtual and in-person care. Headspace is an integrated digital platform that combines virtual therapy and psychiatry with a library of self-guided wellness tools in a single app.
Alma may be the better fit for people who value extensive provider choice, want the option for in-person sessions, or prefer to take the lead in vetting their own provider. Headspace tends to work well for people who want predictable flat-rate pricing or an all-in-one app that blends clinical care with daily wellness practices like meditation.
Rula is also worth considering for people who want insurance-based care with the option of therapy or psychiatry through a single platform. Rula supports therapy for ages 5+ and psychiatry for ages 13+ across all 50 states and Washington, D.C., with sessions held via Zoom and in-person therapy. Patients receive an upfront estimate of their out-of-pocket cost before their first appointment, and appointments are often available as soon as tomorrow.
FAQs
How does getting started differ on Alma vs. Headspace?
On Alma, you search a directory of 24,000+ providers and can book a free 15-minute consultation to determine if a therapist is a good fit before committing to care. On Headspace, you complete an intake form and the platform matches you with a licensed therapist based on your needs, with appointments typically available within two days.
Can I switch providers on Alma and Headspace?
On Alma, if you don't click with the first therapist you meet, you can note what you did or didn't like and use that information to inform your future searches in the directory. Headspace supports switching providers if the first match isn't a good fit, allowing you to find a better match.
How much does Alma cost compared to Headspace?
With Alma, your out-of-pocket costs depend on your specific insurance plan and the provider's contracted rates. Headspace members typically pay $0–$35 per session with in-network insurance, or $149 per session without insurance. Headspace provides upfront cost estimates before booking.
Why choose Rula for quality of care?
Rula puts measurable outcomes front and center, with 93% of patients reporting they feel better about their symptoms after receiving care, alongside a nationwide network of 21,000+ licensed providers. It offers therapy (including individual, couples, family, child ages 5+, and teen) plus psychiatry (medication management) for ages 13+, with virtual and in-person options. Rula accepts most major insurance plans, and many patients pay about $15 per session with insurance.
Find care with Rula
Choosing between mental health platforms is an important decision — one that shapes not just your access to care, but your entire experience of getting better. If you're ready to move forward, Rula makes it straightforward to start. You can verify your insurance coverage in minutes, browse providers who specialize in what you're navigating, and see your estimated out-of-pocket cost before your first appointment. Many patients book appointments as soon as the next day, so you can begin making progress without delays.
Rula’s editorial process
Rula’s editorial team is on a mission to make science-backed mental health insights accessible and practical for every person seeking to better understand or improve mental wellness.
Members of Rula’s clinical leadership team and other expert providers contribute to all published content, offering guidance on themes and insights based on their firsthand experience in the field. Every piece of content is thoroughly reviewed by a clinician before publishing.





