Apr 14, 2026
Written by:
Arthur MacWaters
Founder, Legion Health
TLDR:
Done charges $299 upfront plus $79/month with no insurance, adding up fast for ongoing care.
Done's CEO and clinical president faced federal charges in 2024 over controlled substance practices.
Legion Health accepts major Texas insurance and includes FDA-cleared QbCheck testing at no extra cost.
Most Done alternatives don't offer objective ADHD testing or treat co-occurring conditions together.
Legion Health serves Texas adults with insurance-based psychiatry and appointments within days.
Most people start looking for alternatives to Done ADHD care when they realize they're paying nearly $1,300 a year in membership fees alone, while their insurance mental health benefits go unused. Done. doesn't accept insurance, doesn't offer objective ADHD testing beyond self-report questionnaires, and won't treat anxiety or depression if those show up alongside your ADHD. If any of that applies to you, it's worth knowing what else is out there. Here's a breakdown of the strongest alternatives in April 2026, what they cost, which ones take insurance, and who they're actually designed to help.
What Is Done. and How Does It Work?
Done. is a subscription-based telehealth service focused on ADHD medication management for adults 18 and older. The process starts with an online symptom assessment, followed by a roughly 30-minute video appointment with a provider over HIPAA-compliant software.
Pricing is fixed and entirely out of pocket. The initial evaluation costs $299, with a $79 monthly membership fee after that. Done. does not accept insurance, though it provides superbills you can submit for potential reimbursement. Whether your plan covers any portion of that depends on your specific benefits.
What Done. does and doesn't cover
The service is narrow by design. It works reasonably well if you want a cash-pay, medication-focused option for ADHD and prefer not to involve insurance. Where it falls short:
There is no integrated support for co-occurring conditions like anxiety or depression, which frequently appear alongside ADHD in adults.
Care is scoped to medication management, so therapy or broader psychiatric support would require a separate provider.
Costs compound over time. At $79 per month, an ongoing membership runs nearly $1,000 per year before factoring in the initial evaluation fee.
For people whose ADHD care needs extend beyond prescribing, or who want insurance to offset costs, the model has clear gaps.
Why Consider Done. Alternatives?
Several factors lead patients to look for alternatives to Done.
The most pressing is legal. In June 2024, Done.'s CEO and clinical president were arrested and charged with allegedly participating in a scheme to distribute controlled substances online and submitting fraudulent reimbursement claims for stimulant prescriptions. For patients relying on Done. for ongoing care, that kind of regulatory exposure raises real questions about continuity.
The financial picture compounds things. Done. accepts no insurance. That's $299 upfront plus $79 per month, entirely out of pocket, before factoring in medication costs. For patients with employer-sponsored coverage expecting mental health benefits to apply, that's a frustrating gap.
There's also a diagnostic question worth asking. Done. relies on clinical interviews and symptom-based questionnaires, with no access to objective, FDA-cleared testing tools that measure attention, impulsivity, and activity patterns under standardized conditions.
Finally, Done.'s scope has hard limits. If your psychiatric picture grows more complex over time, such as a co-occurring mood disorder or trauma history, you'll need to start over with a different provider entirely.
Best Done. Alternatives in April 2026
Several services are worth considering depending on your location, insurance situation, and care needs. 46% of adults with ADHD use telehealth according to CDC data, making it a mainstream care option. Here's how the field looks right now.
Legion Health (Best Overall, Texas Adults)
Legion Health is a Texas-based virtual psychiatry clinic for adults, with evaluations and medication management covered by major Texas commercial insurance plans. Care is delivered by licensed psychiatric clinicians via video, with ADHD, anxiety, depression, and other conditions treated together instead of in isolation. Your care is led by clinicians, not software.
What they offer:
Includes FDA-cleared QbCheck ADHD testing at no additional cost during ADHD evaluations
Treats ADHD plus co-occurring conditions like anxiety and depression in one place
Appointments typically available within days, with direct online booking and upfront insurance verification
Accepts major Texas commercial insurance, with a cash-pay option if coverage changes
Good for: Texas adults who want insurance-based virtual psychiatry with objective ADHD testing and fast access.
Limitations: Only serves adults physically in Texas; patients who need ongoing therapy will need a separate therapist.
Bottom line: Legion Health is usually the best fit if you live in Texas and want comprehensive ADHD and mood care with QbCheck testing and short wait times instead of a cash-pay subscription.
Cerebral
Cerebral is a virtual mental health tool that offers psychiatry and therapy across all 50 states, with coverage through many commercial insurance plans and some government programs. After federal scrutiny over controlled substance prescribing, Cerebral no longer prescribes stimulant medications, which limits its role in ADHD treatment.
What they offer:
Virtual psychiatric evaluations and medication management for conditions like depression and anxiety
Therapy services in many states are often bundled or available as a separate track
Insurance-based pricing for many plans, plus cash-pay options
Good for: People who want virtual medication management and therapy for depression or anxiety in states where Cerebral is in network, and who do not need stimulant medications.
Limitations: No longer prescribes stimulants, ADHD evaluation depth varies, and objective ADHD testing is not part of standard care.
Bottom line: Cerebral can work for non-stimulant medication management and therapy, but it’s not ideal if stimulant treatment or structured ADHD diagnostics are important to you.
Talkiatry
Talkiatry offers virtual psychiatry across more than 40 states, with board-certified psychiatric providers and an insurance-first model. They focus on medication management for a range of conditions and do not include objective ADHD testing in their standard workflow.
What they offer:
Insurance-based psychiatric evaluations and follow-ups by telehealth
Broad geographic coverage with many commercial plans and Medicare accepted
Longer initial visits in many markets, with ongoing medication management
Good for: Patients outside Texas who want psychiatrist-led virtual care that runs through their insurance instead of a cash-pay subscription.
Limitations: No cash-pay fallback if you lose coverage, wait times often run 2+ weeks, and ADHD evaluation depth varies by clinician.
Bottom line: Talkiatry is a reasonable insured option for multi-state psychiatric care, but it doesn’t match Legion’s objective ADHD testing or typical access speed.
Ahead (formerly Minded)
Ahead focuses on ADHD and related mental health concerns using a subscription-based telehealth model. Pricing is generally lower than Done., but insurance acceptance is limited and varies by state.
What they offer:
Telehealth ADHD evaluations and follow-up visits
Subscription pricing that can be lower than Done.’s annual cost
Some support for anxiety and depression, depending on location and plan
Good for: Adults in supported states who want a cash-pay ADHD-focused subscription at a lower price point than Done.
Limitations: Limited insurance participation, no standardized objective ADHD testing, and state-level availability that can be patchy.
Bottom line: Ahead is a more affordable cash-pay ADHD option than Done., but it still leaves gaps in insurance use and objective testing.
Klarity Health
Klarity is a marketplace that connects patients with independent psychiatric providers across multiple states instead of a single, unified clinic. Costs, insurance acceptance, and clinical approach vary by individual clinician.
What they offer:
Access to a wide network of independent prescribers for ADHD and other conditions
A mix of insurance-based and cash-pay options, depending on the provider
Virtual visits in many states
Good for: Patients who are comfortable with a marketplace and want more choice in individual clinicians.
Limitations: No standardized ADHD testing or care protocols, quality and wait times vary, and insurance coverage depends entirely on the specific provider.
Bottom line: Klarity can be a fit if you find a strong individual clinician, but the experience is highly variable and less structured than a centralized clinic like Legion.
Brightside Health
Brightside Health provides virtual therapy and psychiatry with a focus on mild-to-moderate depression and anxiety, including both medication and therapy tiers. ADHD is not a primary focus, and there is no objective ADHD testing built into care.
What they offer:
Virtual therapy and medication management plans for ages 13 and up
Subscription and per-visit pricing structures, often with insurance coverage
Measurement-based care tools that track symptom change over time
Good for: People seeking structured virtual treatment for mild-to-moderate depression or anxiety, especially if they want therapy plus meds in one tool.
Limitations: Not designed around ADHD care, no objective ADHD testing, and more limited support for complex comorbid ADHD presentations.
Bottom line: Brightside is a solid choice for mood-focused virtual care, but it’s not optimized for adults whose main need is ADHD diagnosis and treatment.
Feature Comparison: Done. vs Top Alternatives
Feature | Done. | Legion Health | Talkiatry | Klarity Health | Cerebral | Brightside Health |
|---|---|---|---|---|---|---|
Insurance Accepted | No | Yes (major Texas commercial plans) | Yes (most major plans nationwide) | Variable by provider | Yes (major plans) | Yes |
Self-Pay Option | Yes (required) | Yes | No | Variable by provider | Yes | Yes |
Objective ADHD Testing | No | Yes (FDA-cleared QbCheck included) | No | No | No | No |
Initial Cost | $299 | Typical specialist copay | Typical specialist copay | Variable | Variable by plan | Variable by plan |
Monthly Cost | $79 | Per-visit copay | Per-visit copay | Variable | Subscription or per-visit | Subscription or per-visit |
Appointment Wait Time | Variable | Within days | 2+ weeks average | Variable by provider | Variable | Variable |
Treats Complex Comorbidities | No (ADHD only) | Yes | Yes | Variable by provider | Yes | Mild-to-moderate only |
Stimulant Prescribing | Yes | Yes (with safety protocols) | Yes | Variable by provider | No | Not core focus |
Geographic Coverage | 36 states + DC | Texas only | 43 states | Multi-state | All 50 states | Multi-state |
Provider Type | MDs, DOs, PMHNPs | Psychiatrists and PMHNPs | Board-certified psychiatrists | Variable marketplace | Psychiatrists and PMHNPs | Psychiatrists and therapists |
A few things stand out in this comparison. Done. requires self-pay and runs $299 upfront plus $79 per month, regardless of whether you have insurance. Most alternatives, including Legion Health and Talkiatry, bill through insurance, which can reduce your out-of-pocket costs to a standard specialist copay.
Legion Health is the only option in this table that includes FDA-cleared objective ADHD testing (QbCheck) as part of care. That matters if you want a more thorough diagnostic process beyond a clinical interview alone. The trade-off is geographic availability: Legion Health currently serves only Texas, while Done. covers 36 states, and Cerebral operates across all 50.
Why Legion Health Is the Best Done. Alternative
Legion Health fills gaps that Done. leaves open, and the differences are worth knowing before you choose.
Legion Health accepts major Texas commercial insurance plans, so most patients pay a standard specialist copay instead of $299 upfront and $79 per month after. Every ADHD evaluation includes FDA-cleared QbCheck testing, which measures attention, impulse control, and activity levels objectively, beyond self-report alone. That reduces the chance of a missed or imprecise diagnosis from the start.
Done. handles ADHD in isolation. Legion Health treats ADHD alongside co-occurring anxiety and depression as a matter of course, with no referrals out and no starting over with a new provider when your clinical picture gets more complex.
Legion Health's care is led by licensed clinicians, not software. Each treatment plan is built around a thorough evaluation instead of a one-size-fits-all protocol. When controlled substances are clinically appropriate, they are prescribed with the additional steps, documentation, and monitoring that responsible prescribing requires.
Who Legion Health is a good fit for
Texas adults with commercial insurance who want psychiatric care covered under their plan
People seeking an objective, FDA-cleared evaluation instead of a self-report-only assessment
Anyone managing ADHD alongside anxiety, depression, or other co-occurring conditions
Final Thoughts on Online ADHD Treatment
When you're comparing online ADHD treatment options, pay attention to what's actually included beyond the initial appointment. Done charges $79 per month regardless of your insurance situation, offers no objective testing, and stops at ADHD medication management. If you're in Texas with commercial coverage, book a psychiatric evaluation with Legion Health for care that treats the full picture, includes QbCheck testing at no extra cost, and bills through your insurance plan.
FAQs
Why do people look for alternatives to Done.?
The main reasons include legal and regulatory concerns following the June 2024 arrest of Done.'s leadership on federal charges, the requirement to pay entirely out of pocket with no insurance accepted, and the lack of objective ADHD testing or support for co-occurring conditions like anxiety or depression.
What should you look for when comparing ADHD telehealth services?
Look for insurance acceptance to reduce out-of-pocket costs, access to objective testing tools like FDA-cleared QbCheck for more accurate diagnosis, treatment for co-occurring conditions beyond ADHD alone, and clear safety protocols for controlled substance prescribing with licensed psychiatric providers.
When does it make sense to switch from a cash-pay ADHD service?
If you have commercial insurance that covers psychiatric care, switching can save you hundreds or thousands of dollars annually by reducing costs to a typical specialist copay instead of ongoing monthly fees, and you'll gain access to more thorough evaluations and broader psychiatric support if your needs change.
Can you get ADHD care through insurance instead of paying out of pocket?
Yes, most major insurance plans cover psychiatric visits for ADHD evaluation and treatment, typically at a specialist copay rate. Services like Legion Health in Texas and Talkiatry nationwide accept commercial insurance, making care more affordable than subscription-based cash-pay options.
How does objective ADHD testing differ from standard clinical interviews?
FDA-cleared tools like QbCheck measure attention, impulsivity, and activity levels under standardized conditions using objective data, complementing clinical interviews and self-report questionnaires to reduce the chance of missed or imprecise diagnoses based on subjective assessments alone.
How legion health Can Help You
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