Foresight Mental Health Reviews, Pricing, and Alternatives (December 2025)
Foresight Mental Health Reviews (December 2025)
Written by:
Arthur MacWaters
Founder, Legion Health
Shopping for mental health care can feel like a maze, with hidden costs, long waitlists, and uncertainty about who actually takes your insurance. Legion Health was started to solve these exact problems.
Maybe you’ve been reading Foresight Mental Health reviews to see if it’s the right fit, or you’re simply trying to find care that feels accessible and affordable. We’re here to make that search easier by breaking down Foresight’s pricing and availability, and how it stacks up against other options, so that you can make a confident choice for your mental well-being.
TLDR:
Foresight Mental Health only operates in five states and uses a fee-per-visit model
Free QbCheck ADHD testing and primary care coordination set Legion apart from competitors
Most telepsychiatry providers lack objective diagnostic tools and safety protocols
Legion Health accepts all major Texas commercial insurance covering 17-18 million Texans
What Is Foresight Mental Health and How Does It Work?
Foresight Mental Health provides virtual and in-person mental health care in Arizona, California, Florida, Georgia, and Texas. The service connects patients with licensed therapists for psychotherapy and board-certified psychiatric providers for medication management.
Treatment covers anxiety, depression, trauma, PTSD, and grief. Additional services include psychological testing, evaluation, and nutrition counseling. Foresight accepts many major insurance plans, but coverage varies by plan and region.
Sessions follow a fee-per-visit model. You pay either your insurance copay or an out-of-pocket rate each time. Psychiatry appointments include symptom assessment, medication management, and brief supportive therapy. Prescriptions are sent to your pharmacy after each session.
Why Consider Foresight Mental Health Alternatives?
Foresight operates in just five states: Arizona, California, Florida, Georgia, and Texas. If you live elsewhere, the service isn't available.
Foresight does not consistently publish a universal self-pay fee schedule on its website, and the fees you pay depend on the type of appointment, provider credentials, and your insurance status.
The care model separates therapy from medication management. You'll work with multiple clinicians as opposed to receiving treatment from a single psychiatric provider.
For ADHD care, Foresight doesn't use objective testing or specialized protocols for stimulant prescribing. There's no coordination with primary care physicians or digital diagnostic tools to support treatment planning.
Best Foresight Mental Health Alternatives in October 2025
Legion Health (Best Overall Alternative)
Legion Health is a Texas-based telepsychiatry provider offering virtual psychiatric care with medication management for adults with anxiety, depression, ADHD, bipolar disorder, PTSD, and other mental health conditions through board-certified psychiatric providers.
What sets Legion Health apart:
Accepts all major commercial insurance plans in Texas, covering approximately 17-18 million Texans
Provides free FDA-cleared QbCheck objective ADHD testing that patients can take unlimited times to track progress over time
Rapid telehealth access with first appointments available within days, sometimes next-day, with flexible evening slots
Rigorous clinical standards with strict safety protocols for controlled substances and primary care coordination for safe prescribing
Typical co-pays are $30
AI-driven tech and automation that simplifies operations while board-certified specialists deliver personalized, whole-person care
Good for: Texas adults seeking affordable, insurance-covered psychiatric care with rapid access and medication management delivered by board-certified specialists.
Cerebral
Cerebral is a telehealth company providing online mental health services, including therapy, counseling, and medication management across all 50 states. Medication management plans cost $180 every three months, $175 monthly for therapy, and $365 monthly for medication plus therapy before insurance. The service accepts major carriers, including Aetna, Blue Cross Blue Shield, Cigna, Optum, and United Healthcare. Following regulatory scrutiny by the Department of Justice, they no longer prescribe most controlled substances, including stimulants for ADHD.
Good for: Individuals seeking nationwide availability who prefer subscription-based pricing and want combined therapy and medication management services.
Brightside Health
Brightside Health offers telepsychiatry and therapy services for individuals ages 13 and older. Pricing without insurance includes psychiatry at $95 per month, therapy at $299 per month for four sessions and unlimited messaging, and combined services at $349 per month. Brightside does not prescribe controlled substances, including stimulants, making it unsuitable for ADHD patients requiring front-line treatment.
Good for: Individuals seeking bundled therapy and medication management with unlimited provider messaging who do not require controlled substance prescriptions.
Talkiatry
Talkiatry connects patients with board-certified psychiatrists for medication management through video appointments. The service focuses exclusively on psychiatry without therapy and operates in multiple states with major insurance acceptance. Talkiatry does not provide free objective ADHD testing.
Good for: Individuals seeking longer appointments primarily with psychiatrists who want medication management without therapy services.
Feature Comparison: Foresight Mental Health vs Top Alternatives
Feature | Foresight Mental Health | Legion Health | Cerebral | Brightside Health | Talkiatry |
|---|---|---|---|---|---|
Geographic Availability | 5 states (AZ, CA, FL, GA, TX) | Texas only | All 50 states | All 50 states | Multiple states |
Insurance Accepted | Most major insurers | All major Texas commercial plans | Major national insurers | Major national insurers | Major insurers |
Typical Out-of-Pocket Cost | Varies; self-pay often reported $80-$450 per session | $30 co-pay | Varies by plan | $95-$349/month | Varies by insurance |
Appointment Availability | Within 48 hours | Within days, often next-day | Varies | Varies | Typically 1-2 weeks |
Objective ADHD Testing | No | Yes (free QbCheck) | No | No | No |
Controlled Substance Prescribing | Yes | Yes (with strict protocols) | No | No | Yes |
Primary Care Coordination | Limited | Yes | No | No | Limited |
Provider Type | Psychiatrists, PMHNPs, PAs | Board-certified psychiatric providers | Mixed providers | Board-certified psychiatric providers | Board-certified psychiatrists |
Pricing Model | Fee per session | Insurance copay per visit | Subscription | Subscription | Fee per session |
Why Legion Health is the Best Foresight Mental Health Alternative
Legion Health accepts all major Texas commercial insurance plans, bringing costs down to under $30 per visit for most patients, including ADHD treatment in Houston for United Healthcare members.
The service includes QbCheck objective ADHD testing at no cost with unlimited retakes to track progress over time.
Texas residents get faster appointment availability through board-certified psychiatric providers who coordinate with primary care physicians when appropriate. The clinical approach focuses on responsible prescribing with strict safety protocols for controlled substances.
Foresight Mental Health vs Legion Health: Which is Right for You?
For Texas residents, Legion Health offers next-day appointments with board-certified psychiatric providers for under $30 per visit through most major commercial insurance plans.
Foresight operates in five states with session costs ranging from $80 to $450. Legion provides free QbCheck objective ADHD testing with unlimited retakes and primary care coordination for safe prescribing.
Choose Foresight if you live in Arizona, California, Florida, or Georgia and need therapy or medication management. Choose Legion Health if you're in Texas and want affordable, rapid-access psychiatric care with evidence-based treatment protocols.
Final thoughts on Foresight Mental Health options
Choosing between Foresight Mental Health and alternatives depends on where you live and what you need from your care. Texas residents can access Legion Health for under $30 per visit with most major insurance plans, plus free QbCheck testing and next-day appointments with board-certified psychiatric providers. Foresight covers five states with therapy and medication management, while Cerebral and Brightside offer nationwide access. Look at what matters most for your treatment and go with that.
FAQs
Why would someone look for alternatives to Foresight Mental Health?
Foresight only operates in five states (Arizona, California, Florida, Georgia, and Texas), so it's unavailable to most people. Session costs range from $80 to $450, with unpredictable pricing, and the service doesn't offer objective ADHD testing or primary care coordination to support safer medication management.
What should you look for when comparing telepsychiatry providers?
Check whether they accept your insurance and what you'll actually pay per visit; verify the provider's credentials (psychiatrists vs. nurse practitioners); confirm appointment availability and timelines; and ask about safety protocols for controlled substances. For ADHD care, look for objective testing tools and primary care coordination.
When should you consider switching from your current mental health provider?
If you're waiting weeks for appointments, paying more than your budget allows, or not getting objective diagnostic testing for conditions like ADHD, it's time to search for other options. Geographic restrictions or lack of insurance acceptance are also valid reasons to switch.
Can telepsychiatry providers prescribe stimulants for ADHD?
Some can, but not all. Brightside Health doesn't prescribe any controlled substances. Responsible providers like Legion Health do prescribe stimulants when clinically appropriate, but only after thorough screening, objective testing, and with strict safety monitoring, never as a quick fix.
How quickly can you typically get your first telepsychiatry appointment?
Wait times vary widely by provider. Foresight schedules within 48 hours, Legion Health offers appointments within days (sometimes next-day), while others like Talkiatry typically require 1-2 weeks. If you're struggling now, faster access matters.
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