Alma vs Blueprint Health
Blueprint Health scores 7.2/10 vs 7.0/10. Best for: Therapists who want a genuinely free EHR with the option to add AI note-writing at $0.
Blueprint Health scores higher overall at 7.2/10 vs 7.0/10. Buy Blueprint Health if you want the lowest-cost entry point in the category with a free EHR and optional AI add-ons. Skip if you need e-prescribing, a native mobile app, or want a platform with a longer track record.
Alma 
Blueprint Health Rank
#23 of 41
Rank
#19 of 41
Features
14/18
Features
15/18
Starting at
$125/mo
Starting at
$0/mo
User reviews
4.1/5 (92)
User reviews
4.2/5 (45)
What they cost
| Alma | Blueprint Health | |
|---|---|---|
| Starting at | $125 /mo | Free /mo |
| Free trial | No | Free tier available |
| Number of plans | 2 | 3 |
What the pricing really means
At first glance, Blueprint Health looks cheaper at $0/month vs $125/month. But sticker price is only part of the story. Look at what is included on the base plan, how many users you get, and whether you need add-ons to get the features you actually need. The $99/month plan that requires $200 in add-ons is actually more expensive than the $250/month plan that includes everything.
Where Alma wins
- Flat $125/mo includes insurance credentialing that normally takes months and costs thousands
- Built-in referral network sends clients directly to your profile
- AI Note Assist for session recording and transcription
- Handles both insurance and out-of-pocket billing in one place
Where Blueprint Health wins
- Core EHR is completely free with no client limits, no session limits, and no trial expiration, which is unmatched in the category
- Pay-per-session AI pricing means you only pay $0.99-$1.49 when you actually use the AI scribe, not a flat monthly fee
- Built-in telehealth included free on all plans, while competitors like TherapyNotes charge $15/mo extra
- Over 70,000 therapists already use the platform, and the 600+ evidence-based intervention library adds real clinical value
- 5 free Pro session credits on signup let you test the AI features before spending anything
Where Alma falls short
- Must credential with Aetna, Cigna, or Optum — no flexibility to pick other panels
- No group practice support (individual memberships only)
- No mobile app, web-based only
- 3.6 Capterra rating with only 26 reviews is concerning
Where Blueprint Health falls short
- Newer platform with limited review history on G2 and Capterra, so long-term reliability is harder to assess
- No e-prescribing, so psychiatrists and prescribers will still need another system
- No native mobile app yet, so documentation between sessions means opening a browser
- Insurance claims and payment processing have per-transaction fees that could add up for high-volume practices
Who is each product built for?
Alma
Target: 1 provider
Buy Alma if you're a solo therapist who wants insurance credentialing done for you and a steady stream of referred clients. Skip if you run a group practice, want to pick your own insurance panels, or need a mobile app.
Blueprint Health
Target: 1-20 clinicians
Buy Blueprint Health if you want the lowest-cost entry point in the category with a free EHR and optional AI add-ons. Skip if you need e-prescribing, a native mobile app, or want a platform with a longer track record.
Feature comparison
| Feature | Alma | Blueprint Health |
|---|---|---|
| Compliance & Security | ||
| HIPAA compliant | ||
| Telehealth / video sessions | ||
| Secure messaging | ||
| Scheduling & Clients | ||
| Online scheduling | ||
| Client portal | ||
| Intake forms / assessments | ||
| Automated reminders | ||
| Clinical | ||
| Progress notes / documentation | ||
| Treatment plans | ||
| E-prescribing | ||
| Outcome measures / assessments | ||
| Billing & Payments | ||
| Insurance billing / claims | ||
| Payment processing | ||
| Superbill generation | ||
| Automated billing | ||
| Platform | ||
| Group practice support | ||
| Mobile app | ||
| Integrations / API | ||
Common questions
Blueprint Health scores 7.2/10 vs Alma's 7.0/10 in our ranking. Blueprint Health is the better pick for 1-20 clinicians. Alma is better if you need solo therapists in private practice who want insurance credentialing done for them and a built-in referral network to fill their caseload.
Alma starts at $125/month. Blueprint Health starts at $0/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Alma: No free trial. Blueprint Health: Free tier available. Always test with your actual workflow before committing to an annual plan.
Alma covers 14 of 18 features we track. Blueprint Health covers 15 of 18. Blueprint Health has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, Alma does not have a mobile app. Blueprint Health does not have one either.
Yes. The main effort is migrating your data (customer lists, job history, invoices). Plan for 1-2 weeks of overlap where you run both. Most healthcare practice management tools can import CSV data. Ask both vendors about migration support before you sign.
The bottom line
Pick Alma if...
Solo therapists in private practice who want insurance credentialing done for them and a built-in referral network to fill their caseload
Pick Blueprint Health if...
Therapists who want a genuinely free EHR with the option to add AI note-writing at $0.99 per session only when they need it.