Blueprint Health vs Charm 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.
Blueprint Health 
Charm Health Rank
#19 of 41
Rank
#24 of 41
Features
15/18
Features
18/18
Starting at
$0/mo
Starting at
$0/mo
User reviews
4.2/5 (45)
User reviews
3.5/5 (160)
What they cost
| Blueprint Health | Charm Health | |
|---|---|---|
| Starting at | Free /mo | Free /mo |
| Free trial | Free tier available | Free tier available |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, Charm Health looks cheaper at $0/month vs $0/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 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 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 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
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?
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.
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 | Blueprint Health | 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
Blueprint Health scores 7.2/10 vs Charm Health's 7.0/10 in our ranking. Blueprint Health is the better pick for 1-20 clinicians. Charm Health is better if you need low-volume independent practices that want a pay-per-encounter model instead of flat monthly fees.
Blueprint Health starts at $0/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.
Blueprint Health: Free tier available. Charm Health: Free tier available. Always test with your actual workflow before committing to an annual plan.
Blueprint Health covers 15 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, Blueprint Health 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 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.
Pick Charm Health if...
Low-volume independent practices that want a pay-per-encounter model instead of flat monthly fees