Hims & Hers Reviews, Pricing, and Alternatives (December 2025)

Checking out Hims & Hers usually means you’re looking for mental health support that’s simple and convenient. Their messaging-based care can work well for straightforward needs, but that $49 monthly fee can add up, especially when some telepsychiatry platforms may be covered by insurance, meaning you could pay a specialist copay or coinsurance depending on your plan. In this guide, we’ll break down how Hims & Hers compares to other mental health services across key factors like insurance coverage, treatment options, session formats, and overall cost. By the end, you’ll know whether Hims & Hers is the right fit or if another option offers more care for less.

TLDR:

• Hims & Hers mental health pricing starts around $49/month (often billed $147 every 3 months) and does not accept insurance

• Hims & Hers doesn't treat ADHD or prescribe stimulants, limiting options for common conditions

• Most Hims & Hers care happens through messaging, not live video appointments with providers

• Legion Health treats conditions like ADHD and offers both live video appointments and medication management, with costs depending on your insurance coverage

What Is Hims & Hers and How Does It Work?

Hims & Hers is a direct-to-consumer telehealth company offering online psychiatric services for anxiety, depression, sleep disorders, stress, and burnout through a fully digital care model.

You complete an online questionnaire about your symptoms and medical history, then receive care from licensed psychiatric providers through asynchronous messaging.​ Unlike virtual psychiatry services that offer live video appointments, Hims & Hers providers respond only via messaging, with some materials citing average response times of under 24 hours.

No live video appointments are available. Providers may respond via messaging, and some materials describe an average response time of around 12 hours, though timing can vary. If treatment is appropriate, medications ship directly to your door within days.

Pricing starts at $49/month and is commonly billed at $147 every three months via a cash pay model instead of through traditional insurance. This fee covers ongoing medication management and messaging access to your provider.

Hims & Hers does not treat bipolar disorder, schizophrenia, OCD, or ADHD, nor does it prescribe controlled substances like benzodiazepines or stimulants.

Why Consider Hims & Hers Alternatives?

Hims & Hers works for straightforward medication management for mild to moderate anxiety or depression through asynchronous messaging. The low monthly fee and quick turnaround make it convenient for simple cases.

The service has clear limitations, though. The biggest is cost. Hims & Hers doesn't accept insurance, including commercial plans, Medicare, or Medicaid. You pay $147 every three months out of pocket, even if your insurance would have otherwise covered psychiatric care.

The service excludes several common conditions. If you have ADHD, bipolar disorder, schizophrenia, or OCD, Hims & Hers won't treat you.

Medication options are limited. Providers can't prescribe controlled substances, which means no benzodiazepines for anxiety and no stimulants for ADHD. If your treatment plan includes these medications, you'll need to go elsewhere.

Most states don't offer live video appointments. You communicate only through messaging, with minimal information about your provider before starting care.

Best Hims & Hers Alternatives in December 2025

Here are five alternatives that tackle Hims & Hers' key limitations in insurance coverage, the scope of condition treatment, and appointment format.

Legion Health: Best Overall Alternative

We're a Texas-based telepsychiatry provider delivering virtual psychiatric care through board-certified psychiatric providers for adults with anxiety, depression, ADHD, and other mental health conditions. Unlike Hims & Hers' cash-pay model, we work directly with all major commercial insurance plans in Texas. Most patients pay less than $30 per visit.

We offer appointments within days, treat ADHD with responsible stimulant prescribing, and provide free FDA-cleared QbCheck testing for objective ADHD assessment. You'll see the same provider through live video appointments, not asynchronous messaging.

Best for Texas residents with commercial insurance seeking psychiatric care at copay rates instead of subscription fees.

Talkiatry

Connects patients with in-network psychiatrists for video-based medication management across most states. They accept many major commercial insurance plans and offer scheduled live video sessions with board-certified psychiatrists. Wait times for initial appointments can stretch longer than next-day availability, and they don't offer free objective ADHD testing.

Cerebral

Provides subscription-based medication management and therapy nationwide, starting at around $85 monthly. Following regulatory scrutiny by the Department of Justice, they no longer prescribe most controlled substances, including stimulants for ADHD. They don't accept insurance for most services.

Brightside Health

Offers psychiatry and therapy for anxiety and depression with limited insurance acceptance in select states. Brightside lists pricing such as $95/month for psychiatry and $299/month for therapy (self-pay), depending on the plan. They also state it does not prescribe controlled substances, including stimulants.

Mindpath Health

Operates hybrid in-person and virtual psychiatric clinics accepting insurance across multiple states. They treat ADHD but don't offer free objective testing. Availability varies, and many patients are seen within about 2–4 weeks of the initial referral request.

Feature Comparison: Hims & Hers vs Top Alternatives

The table below compares Hims & Hers against the top alternatives across factors that matter most when choosing a telepsychiatry service.

Insurance acceptance makes the biggest difference in costs. If you have commercial insurance, your copay with an in-network provider will almost always cost less than subscription services over time.

For ADHD treatment, both the ability to prescribe stimulants and access to objective testing narrow your options. Only a handful of services offer both.

Why Legion Health is the Best Hims & Hers Alternative

We solve two major gaps in Hims & Hers: cost through insurance and access to ADHD treatment.

Hims & Hers charges $147 every three months with no insurance coverage. Legion Health accepts all major commercial insurance in Texas, so you pay your standard copay. Most patients pay under $30 per visit.

We treat ADHD with responsible stimulant prescribing when clinically appropriate. Hims & Hers doesn't offer ADHD services or prescribe stimulants. Every patient receives free FDA-cleared QbCheck testing, which can be repeated as often as needed to track progress.

You meet with board-certified psychiatric providers via live video, not asynchronous messages. You see the same provider each visit, building continuity that improves outcomes. We coordinate with your primary care doctor when needed.

If you're in Texas with commercial insurance and need psychiatric care that includes ADHD treatment, we accept your coverage and provide the full scope of care. For United Healthcare members in Austin, we offer telepsychiatry services in Austin for United Healthcare with the same low copays.

Final thoughts on Hims & Hers and similar services

Reading Hims & Hers reviews shows a pattern: the service works until you need something it doesn't offer. Insurance acceptance, ADHD treatment, and live video appointments aren't extras. If you're in Texas, we accept all major commercial plans and provide the full scope of psychiatric care at your normal copay rates.

FAQs

Why would I look for alternatives to Hims & Hers?

The main reasons are cost and the scope of treatment. Hims & Hers doesn't accept insurance, so you pay $147 every three months out of pocket, even if your insurance covers psychiatric care. They also don't treat ADHD, bipolar disorder, or OCD, and can't prescribe controlled substances like stimulants or benzodiazepines.

What should I consider when comparing telepsychiatry alternatives?

Focus on insurance acceptance first, since copays typically cost far less than subscription fees over time. Then consider whether the service treats your specific condition (especially ADHD if relevant), offers live video appointments versus messaging only, and can prescribe the full range of medications your treatment might require.

When does it make sense to switch from a cash-pay service to an insurance-based provider?

If you have commercial insurance and plan to stay in treatment beyond a few months, switching can save you money quickly. Four visits with an in-network provider at $30 copay costs around $120 annually, versus $588 with most subscription services.

Can I get ADHD treatment through telehealth with my insurance?

Yes, several telepsychiatry providers accept insurance for ADHD treatment and can prescribe stimulants when clinically appropriate. Look for services that use objective testing alongside clinical evaluation to support accurate diagnosis and treatment monitoring.

How do live video appointments differ from messaging-only care?

Live video appointments let you have real-time conversations with your provider, ask questions immediately, and build a relationship over multiple visits. Messaging-only care means you submit information and wait for written responses, typically within 12-24 hours, with no face-to-face interaction.