Blueprint Health vs SimplePractice
SimplePractice scores 7.8/10 vs 7.2/10. Best for: Solo therapists or small group practices that want one platform for scheduling, notes, telehealth, and billing without stitching together multiple tools.
SimplePractice scores higher overall at 7.8/10 vs 7.2/10. Buy SimplePractice if you want the most widely-used platform with solid telehealth and a genuine mobile app that works between sessions. Skip if you care about customer support speed or need advanced insurance billing without per-claim fees.
Blueprint Health 
SimplePractice Rank
#19 of 41
Rank
#10 of 41
Features
15/18
Features
18/18
Starting at
$0/mo
Starting at
$49/mo
User reviews
4.2/5 (45)
User reviews
3.9/5 (2943)
What they cost
| Blueprint Health | SimplePractice | |
|---|---|---|
| Starting at | Free /mo | $49 /mo |
| Free trial | Free tier available | 30 days |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, Blueprint Health looks cheaper at $0/month vs $49/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 SimplePractice wins
- 30-day free trial with no credit card required, so you can actually test it with real clients before paying
- Telehealth included on all plans, even the $49/mo Starter, which most competitors charge extra for
- Mobile app handles progress notes, scheduling, and telehealth between sessions without needing a laptop
- 225,000+ practitioners use it, which means community forums, YouTube walkthroughs, and third-party templates are everywhere
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 SimplePractice falls short
- G2 rating dropped to 3.9/5, which is low for the market leader and points to real frustration among power users
- No e-prescribing without a DrFirst add-on, so psychiatrists and prescribers will need another tool
- Support response times have slipped according to recent reviews, with some users waiting days for non-urgent tickets
- API access is locked behind the Plus plan at $99/mo, so automating workflows on the cheaper plans is not possible
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.
SimplePractice
Target: 1-10 clinicians
Buy SimplePractice if you want the most widely-used platform with solid telehealth and a genuine mobile app that works between sessions. Skip if you care about customer support speed or need advanced insurance billing without per-claim fees.
Feature comparison
| Feature | Blueprint Health | SimplePractice |
|---|---|---|
| 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
SimplePractice scores 7.8/10 vs Blueprint Health's 7.2/10 in our ranking. SimplePractice is the better pick for 1-10 clinicians. Blueprint Health is better if you need therapists who want a genuinely free ehr with the option to add ai note-writing at $0.
Blueprint Health starts at $0/month. SimplePractice starts at $49/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. SimplePractice: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
Blueprint Health covers 15 of 18 features we track. SimplePractice covers 18 of 18. SimplePractice 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. SimplePractice 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 SimplePractice if...
Solo therapists or small group practices that want one platform for scheduling, notes, telehealth, and billing without stitching together multiple tools.