Array Behavioral Care Reviews and Alternatives (December 2025)

Shopping around for mental health providers means comparing a lot of moving parts at once. Array Behavioral Care has a nationwide presence, but that doesn't automatically make it the best choice for everyone. If you're in Texas and need psychiatric medication management, there are some key differences worth knowing about before you commit to a provider.

TLDR:

• Array Behavioral Care operates nationwide but has a 7-10 day wait and an F BBB rating

• Legion Health serves Texas only, with appointments within days and costs under $30 per visit

• You get FDA-cleared ADHD testing (QbCheck) at no extra cost with every ADHD evaluation

• Legion accepts most commercial insurance plans in Texas and coordinates with your primary care doctor when appropriate

What is Array Behavioral Care?

Array Behavioral Care is a virtual mental health provider offering psychiatry and therapy services nationwide. Array partners with healthcare organizations to provide mental health support for their patient populations, versus focusing on individual patients.

The company works with over 450 healthcare facilities across all 50 states. Healthcare systems contract with Array when in-house mental health specialists are unavailable or overbooked, using Array to fill these gaps in care delivery.

Array is in-network with insurance plans covering more than 90 million Americans. This allows the company to bill insurance directly for services provided through partner institutions. Individuals can also access Array directly for telehealth appointments, including psychiatric medication management and therapy sessions.

What is Legion Health?

Legion Health is a Texas-based telepsychiatry provider offering virtual appointments with board-certified psychiatric providers for medication management across conditions like anxiety, depression, ADHD, bipolar disorder, PTSD, and insomnia.

We accept most major commercial insurance plans in Texas, allowing most patients to pay only their standard copay per visit, typically under $30. There are no upfront cash payments or monthly subscriptions.

You can typically book your first appointment within days, with evening and weekend slots available. Prescriptions are sent electronically to your pharmacy after your video visit.

For ADHD, we integrate objective testing through QbCheck, an FDA-cleared digital assessment tool that adds measurable data to the diagnostic process. This helps confirm accurate diagnoses and appropriate treatment while maintaining clinical safety standards around controlled substances.

Insurance Coverage and Accessibility

Array accepts commercial and Medicare Advantage plans nationwide, plus Medi-Cal in California. They don't work with Medicaid programs outside California. Their nationwide presence spans all 50 states and Washington, D.C., and they partner with most major health plans.

Patients typically wait 7 to 10 days for appointments. Out-of-pocket costs vary depending on your specific plan and how Array bills through their partner institutions.

Legion Health operates exclusively in Texas. This focus allows us to accept most major commercial insurance plans in the state, covering roughly 95% of commercially insured Texans (about 17 to 18 million people).

Operating in one state allows deeper insurance integration and more predictable costs. Most patients pay under $30 per visit, just their standard copay. We can schedule appointments within days.

If you're a Texas resident with commercial insurance, Legion Health's state-focused model delivers faster access and lower costs than national providers, spreading resources across multiple markets. If you're outside Texas or on Medicaid, Array's broader geographic reach may better suit your needs.

Appointment Wait Times and Access to Care

The median wait time for telepsychiatry appointments in the US reaches 43 days. Array offers appointments seven days a week, including evenings and weekends. Patient feedback indicates scheduling experiences vary, with care coordination becoming difficult during provider transitions.

Continuity of care affects treatment outcomes. Provider changes mid-treatment require reestablishing rapport, repeating medical history, and potentially adjusting medications.

Legion Health maintains appointment availability within days across Texas. Evening and weekend slots remain consistently open because our Texas-focused model allows more predictable capacity management than multi-state providers.

ADHD Testing and Treatment

Array provides psychiatric evaluations for ADHD through its psychiatric nurse practitioners and psychiatrists. Their diagnostic process uses clinical interviews and patient-reported symptoms. The service prescribes ADHD medications when clinically appropriate and offers ongoing medication management through telehealth visits.

How Legion Health Approaches ADHD Diagnosis

Legion Health includes QbCheck in every ADHD evaluation at no additional charge. This digital assessment measures attention, impulsivity, and activity levels, creating objective data that supplements clinical interviews. The quantifiable results help distinguish ADHD from conditions with similar symptoms and create baseline metrics for tracking treatment progress.

Our board-certified psychiatric providers require proper medical clearance before prescribing stimulants. Before starting medications like Adderall or Vyvanse, we verify that you've had a recent physical exam with your primary care doctor, including vital signs and any necessary laboratory tests. This coordination protects your overall health and safety.

We maintain rigorous screening protocols. If ADHD treatment is clinically appropriate, we'll prescribe it. If not, we'll look at other diagnoses and treatment options.

For patients needing ADHD care, objective testing combined with primary care coordination delivers more accurate diagnoses and safer medication management than evaluations based on self-reported symptoms alone.

Clinical Quality and Provider Standards

Array hires clinicians as W2 staff instead of using independent contractors, creating more consistent care standards across its network. The company has earned Joint Commission accreditation, a quality benchmark for healthcare organizations.

Their team includes psychiatrists, psychiatric nurse practitioners, therapists, and counselors who treat various mental health conditions. Patients can access both medication management and therapy services from one provider.

However, Array has faced criticism regarding billing practices, as reflected in mixed consumer reviews on platforms like the BBB.

Legion works with board-certified psychiatric providers who undergo vetting before joining the team. Every clinician follows evidence-based treatment protocols with quality controls and clinical oversight built into the care process.

Legion specializes in psychiatric medication management. The care model doesn't include therapy, which allows providers to focus on diagnosis and pharmacological treatment.

Legion tracks patient progress using standardized assessments and adjusts treatment plans based on measured improvements. This outcomes-driven model stops ineffective prescriptions and changes medications based on actual results.

Why Legion Health is the Better Choice

Array Behavioral Care operates across all 50 states, offering both therapy and psychiatry services to healthcare organizations and individual patients.

For Texas residents with commercial insurance who need psychiatric medication management, Legion Health offers distinct advantages. Our Texas-only model accepts insurance from 95% of commercially-insured Texans, with appointments available within days and typical costs under $30 per visit.

We provide FDA-cleared ADHD testing at no additional cost, coordinate directly with your primary care physician when needed, and maintain strict safety protocols for controlled substances like ADHD medications. Our focus on evidence-based prescribing and clinical quality sets us apart in a field where some providers have faced regulatory concerns.

If you're in Texas and need psychiatric care that balances clinical standards with real affordability and fast access, Legion Health is built for you.

Final thoughts on selecting mental health services

Array Behavioral Care serves patients nationwide with both therapy and psychiatry, while Legion Health focuses on Texas residents who need psychiatric medication management. When you're looking for behavioral health services, consider your location, insurance type, and whether you need therapy or just medication management. We built our Texas-only model to deliver faster appointments and lower costs for commercially-insured residents who want evidence-based psychiatric care.

FAQ

How quickly can I get an appointment with Legion Health?

Most patients can book their first appointment within days, with next-day slots often available. We offer flexible evening and weekend times to fit your schedule, which is faster than the 43-day median wait time for telepsychiatry appointments nationwide.

What does Legion Health's ADHD evaluation include?

Every ADHD evaluation includes QbCheck, an FDA-cleared digital assessment that measures attention, impulsivity, and activity levels at no additional cost. This objective testing supplements clinical interviews to improve diagnostic accuracy and helps distinguish ADHD from conditions with similar symptoms.

Does Legion Health accept my insurance?

If you have commercial insurance in Texas, we likely accept your plan. We work with all major commercial insurers, covering about 95% of commercially insured Texans. Most patients pay under $30 per visit (just their standard copay), with no upfront cash payments or monthly subscriptions required.

Can I get ADHD medication through Legion Health?

We prescribe ADHD medications when clinically appropriate, but we maintain rigorous safety protocols. Before prescribing stimulants, we require a recent physical exam with your primary care doctor and conduct thorough screening to confirm an accurate diagnosis through both clinical interviews and objective QbCheck testing.

What's the difference between Legion Health and Array Behavioral Care?

Legion Health operates exclusively in Texas with deep insurance integration, faster appointment access (days vs. 7-10 days), and lower predictable costs (typically under $30). We specialize in psychiatric medication management with objective ADHD testing included, while Array offers both therapy and psychiatry nationwide, but with less state-specific insurance optimization.