Alma vs Charm Health
Both score 7.0/10. Compare features and pricing below.
Both score 7.0/10. 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.
Alma 
Charm Health Rank
#23 of 41
Rank
#24 of 41
Features
14/18
Features
18/18
Starting at
$125/mo
Starting at
$0/mo
User reviews
4.1/5 (92)
User reviews
3.5/5 (160)
What they cost
| Alma | Charm 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, Charm 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 Charm Health wins
- Free tier handles 50 encounters/month with no time limit
- Pay-per-encounter model at $0.50 each is unique and budget-friendly for low-volume practices
- MU3-certified EHR with 256-bit encryption
- Full insurance billing with ERA/EOB posting included
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 Charm Health falls short
- Only 9 G2 reviews with a 3.5 rating suggests limited market presence
- Telehealth is a $20/mo add-on, not included in base price
- AI Scribe costs $125/provider/mo on top of everything else
- E-prescribing and EPCS are separate add-ons totaling $265+/year
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.
Charm Health
Target: 1-50 providers
Buy Charm Health if you run a low-volume practice and want the pay-per-encounter model, or if you need a free tier that actually lets you see patients. Skip if you want telehealth and e-prescribing included in the base price.
Feature comparison
| Feature | Alma | Charm 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
Both score 7.0/10. Alma fits 1 provider, while Charm Health fits 1-50 providers. Pick based on your team size and the features you need most.
Alma starts at $125/month. Charm 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. Charm Health: Free tier available. Always test with your actual workflow before committing to an annual plan.
Alma covers 14 of 18 features we track. Charm Health covers 18 of 18. Charm 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. Charm Health does have one.
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 Charm Health if...
Low-volume independent practices that want a pay-per-encounter model instead of flat monthly fees