Charm Health vs SimplePractice
SimplePractice scores 7.8/10 vs 7.0/10. 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 7.0/10. 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.
Charm Health 
SimplePractice Rank
#24 of 41
Rank
#10 of 41
Features
18/18
Features
18/18
Starting at
$0/mo
Starting at
$49/mo
User reviews
3.5/5 (160)
User reviews
3.9/5 (2943)
What they cost
| Charm 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, Charm 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 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 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 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
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?
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.
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 | Charm 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 Charm Health's 7.0/10 in our ranking. SimplePractice is the better pick for 1-10 clinicians. Charm Health is better if you need low-volume independent practices that want a pay-per-encounter model instead of flat monthly fees.
Charm 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.
Charm Health: Free tier available. SimplePractice: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
Charm Health covers 18 of 18 features we track. SimplePractice covers 18 of 18. Both are tied on feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Charm Health has a mobile app. SimplePractice does too.
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 Charm Health if...
Low-volume independent practices that want a pay-per-encounter model instead of flat monthly fees
Pick SimplePractice if...
Solo therapists or small group practices that want one platform for scheduling, notes, telehealth, and billing without stitching together multiple tools.