Hopscotch Reviews, Pricing, and Alternatives (December 2025)
Hopscotch Reviews & Alternatives (December 2025)
Written by:
Arthur MacWaters
Founder, Legion Health
Mental health care for children and teens has increasingly moved online, and services like Hopscotch are designed for that demographic. For families looking for therapy-focused support for kids, it can be a strong option. But Hopscotch isn’t a fit for every situation. If you’re an adult seeking psychiatric care, medication management, or ADHD treatment, Hopscotch won’t meet those needs. And if your child requires medical evaluation or prescription support versus therapy alone, you’ll need a different type of provider. Below, we break down what Hopscotch actually offers, where its limitations are, and therapy alternatives that make more sense depending on who needs care and what kind of treatment is required.
TLDR:
Hopscotch offers therapy for kids and teens but doesn't provide adult care or medication management.
Adults needing psychiatry should consider alternatives that prescribe and manage medications.
Legion Health accepts all major Texas insurance with under $30 copays and next-day appointments.
Legion Health provides free FDA-cleared QbCheck ADHD testing, unlike other telehealth services.
Texas adults get board-certified psychiatric care for anxiety, depression, and ADHD within days.
What Is Hopscotch and How Does It Work?
Hopscotch is a telehealth service for children and teenagers needing mental health support. It connects young people with licensed therapists through virtual sessions.
The service treats anxiety, depression, ADHD, behavioral challenges, and difficult life transitions. Hopscotch works with major insurance plans, though coverage and in-network availability vary by provider and state. Parents fill out a questionnaire about their child's needs, then receive matches with three clinicians to choose from. Hopscotch works with a large national network of licensed therapists, including clinical social workers and marriage and family therapists. Appointments can be scheduled within the week.
Hopscotch also offers an app called Hopscotch Play, where therapists assign worksheets, games, and activities for kids to complete between sessions.
The service operates in Delaware, Florida, New Jersey, New York, Ohio, Pennsylvania, and Texas. Insurance partnerships include UnitedHealthcare, Aetna, Cigna, and several Blue Cross Blue Shield companies.
Why Consider Hopscotch Alternatives?
Hopscotch works well for families seeking therapy-focused care for kids and teens, especially those who value interactive digital tools between sessions. But the service has clear boundaries that send many families looking elsewhere.
The biggest limitation is age. Hopscotch only treats children and teenagers. Adults dealing with anxiety, depression, or ADHD can't access the service.
Hopscotch focuses on talk therapy through counselors and social workers. It doesn't provide psychiatric medication management from board-certified psychiatric providers. That means no prescriptions, no medication adjustments, and no psychiatric evaluations. Families who need ADHD testing or medication support will hit a wall.
While Hopscotch supports children with ADHD-related challenges through therapy, it does not provide diagnostic testing or medication management.
Best Hopscotch Alternatives in December 2025
Legion Health: Best Overall Alternative
Legion Health is a Texas-based telepsychiatry service offering virtual psychiatric care and medication management for adults with mental health conditions including anxiety, depression, and ADHD. Unlike therapy-focused services, Legion delivers psychiatric evaluation and treatment by board-certified psychiatric providers.
What we offer:
Board-certified psychiatrists and psychiatric nurse practitioners providing medication management
Accepts all major commercial insurance plans in Texas with typical copays under $30
Rapid appointment access within days, often next-day availability
Free FDA-cleared QbCheck objective ADHD testing, the only major telehealth service to offer this
Treatment for anxiety, depression, ADHD, bipolar disorder, PTSD, and insomnia
Rigorous prescribing protocols for ADHD medications with safety-first methodology
Coordination with primary care physicians for treatment approach
Good for: Adults in Texas with commercial insurance who need psychiatric medication management, especially those with ADHD seeking objective testing and responsible prescribing.
Bottom line: Legion Health is the superior alternative for adults requiring psychiatry versus therapy, offering faster access, objective ADHD assessment, broader insurance coverage in Texas, and medication management that Hopscotch cannot provide.
Talkiatry
Talkiatry provides virtual psychiatry appointments with board-certified psychiatrists for adults across multiple states, focusing on medication management for conditions like depression, anxiety, and ADHD.
What they offer:
Virtual psychiatric appointments with prescribing psychiatrists
Insurance coverage accepted for many commercial plans
Treatment for anxiety, depression, bipolar disorder, and ADHD
Good for: Adults in states where Talkiatry operates who need psychiatric care and have insurance plans in their network.
Key limitation: Appointments typically take longer to schedule. Does not provide objective ADHD testing. Limited to specific insurance networks.
Cerebral
Cerebral is an online mental health service offering therapy and medication management for adults with anxiety, depression, and ADHD through monthly subscription plans.
What they offer:
Virtual therapy and psychiatric medication management
Subscription-based pricing model with monthly plans
Treatment for anxiety, depression, insomnia, and ADHD
Good for: Adults seeking a combination of therapy and medication management through a subscription model in states where Cerebral operates.
Key limitation: Operates primarily on a cash-pay subscription model versus an insurance-based model, resulting in higher out-of-pocket costs. Cerebral also faced regulatory scrutiny over ADHD medication prescribing practices and no longer prescribes stimulant medications. It does not provide objective ADHD testing.
Mindpath Health
Mindpath Health operates in-person and virtual psychiatric clinics across multiple states, providing psychiatric care through full-time psychiatrists and psychiatric nurse practitioners.
What they offer:
Both in-person and telehealth psychiatry appointments
Medication management for various mental health conditions
Multi-state availability with physical clinic locations
Good for: Patients who prefer the option of in-person visits alongside telehealth or who live in states where Mindpath has physical locations.
Key limitation: Appointment availability can be weeks out, much slower than next-day scheduling. Does not provide free objective ADHD testing.
Feature Comparison: Hopscotch vs Top Alternatives
Feature | Hopscotch | Legion Health | Talkiatry | Cerebral | Mindpath Health |
|---|---|---|---|---|---|
Patient Population | Children & teens only | Adults only | Adults only | Adults only | Children & adults |
Provider Type | Therapists, counselors | Board-certified psychiatric providers | Psychiatrists | Prescribers & therapists | Psychiatrists & therapists |
Service Type | Therapy-focused | Medication management & psychiatry | Medication management & psychiatry | Therapy & medication | Therapy & medication |
Insurance Accepted | Major plans (7 states) | All major Texas commercial plans | Select insurance plans | Limited, primarily cash-pay | Select insurance plans |
Objective ADHD Testing | No | Yes (free QbCheck) | No | No | No |
ADHD Medication Management | No | Yes | Yes | No | Yes |
Adult Services | No | Yes | Yes | Yes | Yes |
Typical Cost | Insurance copay | Under $30 copay | Insurance copay (in-network only) | $99-$325/month | Insurance copay |
Why Legion Health is the Best Hopscotch Alternative
We built Legion Health to solve a gap that services like Hopscotch can't: accessible, insurance-covered psychiatry for adults who need medication management, not simply therapy.
If you're an adult in Texas dealing with ADHD, anxiety, or depression, you'll get an appointment within days, often next-day. We accept all major commercial insurance, so most patients pay under $30 per visit.
Our free QbCheck objective ADHD testing sets us apart from every other telehealth psychiatry service. This FDA-cleared assessment gives you and your provider concrete data about your symptoms, improving diagnostic confidence and tracking progress over time.
You're not getting rushed through an appointment or handed prescriptions without proper evaluation. You're getting board-certified psychiatric care that's both rigorous and compassionate.
Final thoughts on selecting mental health care
Finding the right mental health service depends on what you actually need. Therapy alternatives like Hopscotch work for pediatric counseling, but adults need psychiatric medication management from board-certified providers. Legion Health serves Texas adults with next-day appointments, free objective ADHD testing, and insurance coverage that keeps your costs low. You can get quality psychiatric care without the wait.
FAQs
What's the main difference between Hopscotch and Legion Health?
Hopscotch provides therapy for children and teens through counselors and social workers, while Legion Health offers psychiatric medication management for adults through board-certified psychiatric providers. Hopscotch cannot prescribe medications or treat adults.
When should you consider switching from a therapy-only service to psychiatric care?
If you need medication management for conditions like ADHD, depression, or anxiety, or if therapy alone hasn't provided enough relief after several months. Psychiatric care includes evaluation, diagnosis, and prescription management that therapists cannot provide.
What should you look for when comparing telehealth psychiatry alternatives?
Look for insurance acceptance to keep costs low, appointment availability (ideally within days), provider credentials (board-certified psychiatric providers), and whether they offer objective diagnostic tools like ADHD testing. Also check if they operate in your state and treat your specific condition.
Why do some adults need psychiatry instead of therapy?
Many mental health conditions respond best to medication management, either alone or combined with therapy. Board-certified psychiatric providers can diagnose conditions, prescribe medications, adjust dosages, and monitor your progress in ways that therapists are not licensed to do.
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