Directories price care differently. Zencare providers set their own rates, while Rula (about $15 copay) and Grow Therapy (about $21) show your cost upfront.
Medicare and Medicaid narrow your choices. Rula and Grow Therapy accept both (Rula's Medicaid in select states); SonderMind takes Medicare only, and Alma neither.
Therapy and psychiatry rarely sit together. Rula, Grow Therapy, Headway, Alma, and SonderMind pair both; directories like Zencare connect you to therapists only.
Speed and format vary by model. Rula books next-day and Grow Therapy in about two days; on a directory, your wait depends on the provider.
The best Zencare alternatives are Rula, Grow Therapy, and Headway. Rula pairs therapy and psychiatry with a low average copay and next-day openings, while Grow Therapy and Headway show your in-network cost before you book. Each one connects you to a therapist who takes your insurance.
Finding a therapist can feel harder than it should. Zencare makes browsing easier with vetted profiles and intro videos, but it works as a directory. That means insurance, price, and availability depend on each provider you contact — and many are out-of-network or self-pay.
The need for accessible care is real. The 2023 National Survey on Drug Use and Health found that 22.8% of U.S. adults (58.7 million) had any mental illness in 2023. Of them, 46.1% received no treatment that year.
This guide compares six Zencare alternatives on insurance, cost, services, network size, speed, and format. You'll see which platforms show your in-network cost before you book, which accept Medicare and Medicaid, and which pair therapy with psychiatry.
Why do people look for a Zencare alternative?
Zencare is a well-designed directory, and it does several things well. It's free to use, and its therapists are curated and vetted. Each profile includes an intro video, so you can get a feel for someone before you reach out. A matching quiz and an insurance filter help you narrow your search.
The trade-offs come from the directory model itself. Here are the main reasons people look for another option.
Each provider sets cost and insurance. Because Zencare lists independent therapists, insurance acceptance and price change from one profile to the next. Many providers are out-of-network or self-pay, so you often don't know your real cost until you contact them directly.
Medicare and Medicaid coverage isn't platform-wide. Zencare doesn't accept these plans across the board. Whether a therapist takes Medicare or Medicaid depends entirely on that provider, which makes coverage harder to confirm.
A directory doesn't coordinate your care. Zencare can connect you to a therapist, but it doesn't bring therapy, medication management, and support together in one place. If you may need psychiatry too, you have to arrange it yourself.
Availability depends on the provider you choose. There's no platform-wide time to first appointment, so wait times vary and can stretch to a few weeks. You also won't have a built-in care team backing you up.
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The 6 best alternatives to Zencare
This table compares Zencare with six alternatives on insurance, cost, services, network, access, and format.
1. Rula — Best for coordinated therapy and psychiatry
Services offered: Individual, couples, family, child (5+), and teen therapy; psychiatry and medication management; crisis support.
Insurance acceptance: 170 plans; Medicare; Medicaid in select states.
Pricing: About $15 average copay with insurance; $150 self-pay per session.
Rula coordinates therapy, psychiatry, and insurance verification under one platform, all in-network. You verify insurance and see an estimated copay upfront, then match on preferences like specialty, gender, language, and schedule. The platform accepts 170 insurance plans, including Medicare and Medicaid in select states, which gives you more coverage options than many competitors in this space.
Care is available by video and in person, with therapy from age 5 and psychiatry from age 13. Many people can meet by live video as soon as tomorrow, and the platform handles insurance verification before you book so you know what you'll owe per session.
Rula patients pay an average of $15 per session with insurance, with self-pay starting at $150 for individual therapy. The network includes 22,000 licensed providers across all 50 states, and 94% of patients found a provider they feel comfortable with, while 93% report feeling better about their symptoms after care.
For those who need psychiatry and medication management alongside therapy, Rula's care team coordinates treatment so your therapist and prescriber stay aligned.
That mix of insurance-covered therapy and psychiatry on one platform, plus the speed to first appointment, is why Rula takes the top spot among Zencare alternatives.
For a direct side-by-side breakdown, see the full Rula versus Zencare comparison.
2. Grow Therapy — Best for fast, insured booking (including Medicaid)
Services offered: Talk therapy and medication support; couples, family, and child/adolescent therapy.
Insurance acceptance: 125+ plans; Medicare; Medicaid.
Pricing: About $21 average copay with insurance; $75 to $200 self-pay per session.
Grow Therapy operates as a provider marketplace that shows transparent, in-network pricing before you book. You filter by insurance, specialty, and real-time availability, then choose between virtual or in-person care, including providers with evening and weekend hours.
The platform emphasizes user control: you browse profiles, compare providers, and select the therapist or psychiatrist who fits your needs. Grow Therapy accepts Medicaid and Medicare in select states, which gives it one of the broader government-insurance footprints among online therapy platforms.
With a network of approximately 26,000 providers, availability can still vary significantly depending on your location and insurance plan. If you're in a rural area or need a specific specialty, it's worth checking whether providers are available in your network before committing.
Self-pay rates run $75 to $200 per session, separate from the roughly $21 average copay with insurance.
Most people can book within about two days, and the platform handles both therapy and medication support in one place. For a direct side-by-side breakdown, see the full Rula versus Grow Therapy comparison.
3. Headway — Best for a large provider network
Services offered: Talk therapy and medication management; individual, couples, family, and child/adolescent therapy.
Insurance acceptance: Major plans; limited Medicare and Medicaid plans.
Pricing: $0 to $35 copay, depending on your plan.
Headway is a large national in-network marketplace that verifies your benefits and shows a calculated out-of-pocket cost before you book. You filter by insurance, location, and specialty, then choose between video or in-person care with providers who accept your plan.
The platform requires accepted insurance to book, so self-pay isn't a standard option. Once matched, you can schedule with therapists or psychiatrists based on your needs and their real-time availability.
Headway's network includes over 60,000 providers, and it reports that 71% of clients show measurable improvement within 30 days. Most people book within about five days, though availability varies by location and provider schedule.
Headway fits insured users who want a large in-network selection and transparent cost estimates upfront. For a direct side-by-side breakdown, see the full Rula versus Headway comparison.
4. Alma — Best for curated in-network matches and free consults
Services offered: Individual, couples, family, and child/teen (13+) therapy; medication management.
Insurance acceptance: Major plans; no Medicare; no Medicaid.
Pricing: Copay varies by plan; $130 to $380 self-pay per session.
Alma is a directory-style platform that matches you with in-network therapists and offers free 15-minute consultations. The platform emphasizes personalized matching, allowing you to filter by therapeutic approach, specialty areas, and provider identity markers to find someone who aligns with your needs and preferences.
You search by insurance and location, book a free consult, start therapy within three days, and switch providers anytime. Alma handles insurance verification on the backend, so you can see which therapists are in-network with your plan before you reach out. The platform also supports both individual therapy and medication management, though psychiatry availability varies by location.
Alma lists 24,000+ providers and reports that 80% of clients with anxiety or depression symptoms improve within six months. It does not accept Medicare or Medicaid, and its self-pay range runs from $130 to $380 per session. The platform's network spans all 50 states, with the highest concentration of providers in major metropolitan areas.
Alma suits people who want to browse curated in-network therapists and try a free consult first. The consultation model gives you a low-risk way to assess fit before committing to ongoing sessions, which can be especially helpful if you're new to therapy or have had difficulty finding the right match in the past.
5. SonderMind — Best for measurement-based care or standalone psychiatry
Services offered: Therapy, psychiatry, family, couples, and group care; medication management.
Insurance acceptance: Major plans; Medicare; no Medicaid.
Pricing: Average $25 copay; self-pay set by session length and state.
SonderMind is a nationwide network of more than 12,500 providers that pairs therapy and psychiatry with measurement-based care and a mobile app. The platform emphasizes tracking progress with standard questionnaires, so you can monitor how you're responding to treatment over time.
You complete an intake, and SonderMind's matching team pairs you with at least two providers within about 48 hours based on your preferences, insurance, and clinical needs. You then meet by video, in-person, or phone (audio is for self-pay only) and track your progress between sessions using the mobile app.
SonderMind lists 12,500+ providers and reports that 84% of clients see a measurable symptom reduction in two months, while 95% report a strong provider connection. The platform accepts Medicare but not Medicaid, and video sessions for couples or family are limited to two devices.
SonderMind fits people who want progress tracked with data or who need standalone psychiatry. It's a strong choice if you value measurement-based care and want a team to handle the matching process rather than browsing profiles yourself.
6. Mental Health Match — Best for a free, values-based directory
Services offered: Directory matching to therapists for individual, group, and couples therapy.
Insurance acceptance: Filter by insurance; find providers who take Medicare or Medicaid.
Pricing: $20-$50 average copay; about $100 to $250 self-pay per session.
Mental Health Match is a free, research-based matching survey that connects you with vetted, license-verified therapists.
You take the survey, filter by specialty, approach, insurance, language, and identity, and then schedule free consultation calls with your matches. The platform emphasizes values alignment and therapeutic fit, using a detailed questionnaire to surface providers who match your preferences and clinical needs. Unlike insurance-based marketplaces, Mental Health Match functions as a pure directory, so you contact providers directly to confirm availability and cost.
Mental Health Match lists 4,000+ therapists and offers therapy only, with no medication management. It serves adults 18+, and self-pay rates run about $100 to $250 per session. The platform does not handle insurance verification or booking, so you'll need to confirm coverage and schedule directly with each provider you contact.
Mental Health Match suits people who want another free, values-based directory to find a therapist. It also helps you compare online and in-person therapy options in one search. The trade-off is that you manage the outreach and coordination yourself, which can take longer than platforms that verify insurance and book appointments for you.
How much does therapy cost with these Zencare alternatives?
Cost usually comes in two forms: your copay with insurance, and the self-pay price you cover on your own. This matters most with a directory model, where the individual provider sets the price and you may not learn it until you reach out.
Here's how cost breaks down across each platform:
Rula: About $15 average copay with insurance; $150 self-pay per session.
Grow Therapy: About $21 average copay with insurance; $75 to $200 self-pay.
Headway: $0 to $35 copay, depending on your plan.
Alma: Copay varies by plan; $130 to $380 self-pay.
SonderMind: About $25 average copay; self-pay set by session length and state.
Mental Health Match: About $20-$50 average copay; about $100 to $250 self-pay.
Zencare: Varies by provider.
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Which Zencare alternatives accept Medicaid and Medicare?
Medicare and Medicaid narrow your options, because not every platform is in-network with them. That matters most for access, since coverage often decides whether you can afford care at all. About 137 million people live in mental healthcare shortage areas, where providers meet only about 27% of the need.
Here's where each platform stands:
Rula: Medicare in all states, and Medicaid in select states.
Grow Therapy: Both Medicare and Medicaid.
SonderMind: Medicare, but not Medicaid.
Headway: Limited Medicare and Medicaid plans.
Alma: Neither Medicare nor Medicaid.
Mental Health Match: Filter to find providers who take Medicare or Medicaid.
Zencare: Depends on the individual provider.
How do you choose the right Zencare alternative?
The best choice depends on your insurance, your budget, and whether you want therapy alone or therapy plus psychiatry. Match your situation to the options below.
You want the lowest, clearest in-network cost: Rula and Grow Therapy show low average copays before you book.
You have Medicaid: Rula (select states) and Grow Therapy have the broadest Medicaid footprints, and Mental Health Match can filter for Medicaid providers.
You have Medicare: Rula, Grow Therapy, and SonderMind accept Medicare.
You want therapy and psychiatry coordinated: Rula and SonderMind both offer standalone or combined psychiatry.
You want to browse and pick your own therapist: Alma and Mental Health Match offer directory-style search with free consultations.
You want the biggest network: Headway lists the most in-network providers.
Any of these Zencare alternatives can work, depending on your needs. Before you choose, run a few practical checks: confirm the provider takes your specific plan, ask about availability, and review the cancellation terms.
Frequently asked questions about Zencare alternatives
How do I find a therapist who takes my insurance?
Use an in-network platform or filter a directory by your plan, then find out if your insurance covers therapy before your first session. Insurance-based platforms like Rula and Grow Therapy confirm your plan and show your estimated copay upfront, so you know your cost before you book.
Does online therapy work as well as in-person therapy?
For many common conditions, yes. A 2024 systematic review and meta-analysis in the journal the Cognitive Behaviour Therapist compared the two formats. It found that video-call cognitive behavioral therapy (CBT) was non-inferior to in-person CBT for conditions like depression, anxiety, and PTSD.
What should I look for when choosing a therapist?
Check that the therapist is licensed, works with your specific concern, and feels like a good fit during an early session or consultation. Directories and platforms help you filter by specialty, approach, insurance, and identity so you can narrow your search faster.
Can I get therapy and psychiatry from the same place?
Yes, on several platforms. Rula, Grow Therapy, and SonderMind pair therapy with psychiatry, while directories like Zencare and Mental Health Match usually connect you to therapists only.
Find care with Rula
Rula makes it simple to start. You can verify your insurance and match with a provider based on your preferences. Then review your estimated copay and choose video or in-person care, often with next-day availability.
Therapy, psychiatry, and medication management are coordinated in one place, so your care stays connected as your needs change. When you're ready to find a therapist who takes your insurance, Rula will help you get started.
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.





