Feb 23, 2026
Written by:
Yash M. Patel
Co-Founder & CEO, Legion Health
TLDR:
Legion Health includes free FDA‑cleared ADHD testing with every evaluation in Texas.
Both services accept major insurance, and many patients pay around $30 per visit, depending on their plan.
Legion Health provides board-certified psychiatric clinicians for ADHD, depression, and anxiety, with a model built around overlapping conditions.
Talkiatry operates in 47 states with a network of 500+ psychiatrists, so it can reach people outside Texas.
Legion Health runs an AI‑native psychiatry network in Texas that works with most major commercial insurance plans.
You’re comparing Legion Health and Talkiatry because you need psychiatric care that actually fits your life and leads to a clear treatment plan. Both services provide online visits covered by insurance for conditions like ADHD, anxiety, and depression, but they structure diagnosis, follow-up, and coordination very differently. In this guide, you’ll see how each service approaches ADHD evaluations, ongoing medication management, insurance coverage, and appointment access so you can decide which option makes the most sense for your situation in February 2026.
What is Talkiatry?
Talkiatry is a virtual psychiatry service that connects patients with licensed psychiatrists via video for evaluations and medication management. The service treats adults and children 5 and older for conditions like ADHD, anxiety, depression, bipolar disorder, OCD, and PTSD through recurring telepsychiatry visits.
Talkiatry operates in 47 states and has built a network of more than 500 psychiatrists, giving many patients access to in‑network psychiatric care that might not exist locally. The company partners with over 100 insurance plans, and most patients with compatible coverage pay a copay of around $30 per visit, though actual costs depend on plan design and deductibles. There is no self‑pay route, so people without qualifying insurance cannot book care.
New patients can often schedule an initial appointment within days, but wait times vary by location and provider availability. Care typically includes a 60‑minute intake visit followed by shorter follow‑ups focused on medication management and symptom monitoring.
What is Legion Health?
Legion Health is a Texas‑based online psychiatry clinic built for patients who want thorough evaluations, structured follow-up, and insurance‑covered care in one place. The clinic provides psychiatric evaluations, medication management, and ongoing treatment for adults dealing with ADHD, depression, anxiety, and related outpatient conditions.
Care is delivered by board‑certified psychiatric clinicians, including psychiatric nurse practitioners and psychiatrists, who regularly manage both straightforward and complex presentations involving multiple diagnoses. Legion Health works with most major commercial insurance plans in Texas and verifies coverage before the first appointment so patients understand expected costs upfront. Many visits end up costing a typical specialist copay, and cash‑pay options are available when a plan is out of network.
Appointments are often available within days, with evening slots for people balancing work, school, or caregiving responsibilities. The care model focuses on detailed initial evaluations, tailored treatment planning, and structured follow‑up schedules calibrated to clinical need. For ADHD, Legion Health has structured history‑taking, a review of functional impact, and objective testing before developing a treatment plan.
Feature | Legion Health | Talkiatry |
|---|---|---|
Geographic Availability | Texas only, serving approximately 17-18 million residents | 47 states with over 500 psychiatrists on the network |
ADHD Diagnostic Testing | Includes FDA-cleared QbCheck computerized testing at no extra cost with every ADHD evaluation to measure inattention, impulsivity, and hyperactivity | Clinical evaluation through video appointments based on symptom assessment and clinical interview, without systematic objective testing |
Insurance Coverage | Accepts most major commercial insurance plans in Texas with coverage verification before first visit; cash-pay options available for out-of-network or self-pay patients | Works with over 100 insurance providers across 47 states; insurance is required to book care, with no self-pay option available |
Typical Copay | Most copays are under $30 per session, depending on specific plan benefits | Approximately $30 copay per visit for most patients, varies by insurance plan |
Appointment Availability | Initial appointments typically available within days, with evening slots; follow-up scheduling based on clinical need | Initial appointments are often available within days, though some patients report wait times exceeding two weeks, depending on location and provider availability |
Provider Type | Board-certified psychiatric providers, including psychiatric nurse practitioners and psychiatrists for complex cases | Licensed psychiatrists available for medication management and psychiatric evaluations |
Conditions Treated | ADHD, depression, anxiety, and other outpatient mental health conditions with a focus on overlapping diagnoses | ADHD, anxiety, depression, bipolar disorder, OCD, PTSD for adults and children aged 5 and older |
Initial Evaluation Length | Thorough initial evaluations with detailed diagnostic processes, including symptom history and functional impairment assessment | 60-minute first visits with a psychiatric evaluation |
ADHD Evaluation and Diagnostic Rigor
Both Legion Health and Talkiatry diagnose and treat ADHD, but their methods differ in the amount of objective data they use.
At Talkiatry, psychiatrists conduct ADHD assessments through a clinical interview over video, asking about symptom patterns, history, and day‑to‑day impairment. Providers can prescribe stimulants and non‑stimulants when clinically appropriate, following standard telepsychiatry protocols and controlled‑substance regulations. Public information does not describe built‑in computerized ADHD testing for every patient, so diagnostic decisions appear to rely mainly on history and clinician judgment.
Legion Health adds FDA‑cleared computerized ADHD testing (QbCheck) to every ADHD evaluation in Texas at no extra cost. This test measures activity level, attention, and impulse control, providing clinicians with a numerical profile that complements the clinical interview. The evaluation also screens for mood symptoms, substance use, sleep issues, and other conditions that commonly overlap with ADHD and influence medication safety. When stimulants are considered, clinicians can include vitals, lab work, and shorter‑interval follow‑ups to monitor response and tolerability.
Speed to Care and Appointment Availability
Both services aim to get patients into care quickly, but they handle ongoing access in different ways.
Talkiatry’s large network allows many patients to book an initial visit within days, especially in areas with strong psychiatrist coverage. However, patient reviews and industry surveys describe variable follow‑up timing, with some people waiting more than two weeks to reconnect with their psychiatrist once a schedule fills up. That variability can matter when a new ADHD or mood medication is being adjusted, and symptoms are still shifting.
Legion Health was built with a focus on reliable follow‑up as part of clinical quality. First appointments are commonly available within days, and evening slots give patients more options outside standard work hours. Follow‑up visits are planned on a cadence that matches clinical need, for example, closer intervals during medication titration and longer intervals once a regimen is stable, so patients are not left waiting weeks when something changes.
Insurance Coverage and Geographic Availability
Talkiatry and Legion Health both work with insurance, but they differ in where they operate and how flexible they are on payment.
Talkiatry covers a broad footprint, operating in 47 states and partnering with more than 100 insurance plans. Many patients pay a copay of around $30 per visit when their plan is in network, but there is no self‑pay route for people without qualifying coverage. Some reviews describe confusion about eligibility checks and surprise bills when benefits were not fully understood before the first visit.
Legion Health focuses exclusively on Texas and accepts major commercial insurance plans that cover roughly 17 to 18 million residents statewide. Insurance is verified before the first appointment,c so patients have a clear sense of expected charges, and many copays are under $30 per session for in‑network plans. For people whose insurance is not a match or who prefer a simple self‑pay option, Legion Health offers transparent cash‑pay pricing.
Complex Comorbidity and Longitudinal Care
Many patients seeking psychiatry have more than one diagnosis, and treatment often spans months or years.
Talkiatry psychiatrists manage ADHD, anxiety, depression, bipolar disorder, OCD, and PTSD, and they can combine medication management with talk‑based appointments for eligible patients. First visits often run about an hour with shorter follow‑ups that focus on medication response and symptom tracking. Therapy availability is linked to ongoing psychiatric care, so patients typically access both through the same tool.
Legion Health treats overlapping conditions as the starting assumption, not an edge case. Clinicians look at how ADHD interacts with anxiety, how mood symptoms relate to sleep and work stress, and how trauma history alters the picture. Follow‑up visits assess whether medications are helping in real life, adjust regimens when progress stalls, and proactively manage refills to prevent interruptions in treatment. This longitudinal structure is designed to reduce the chance that someone drops out of care because visits are too far apart or administrative steps are unclear.
Why Legion Health is the Better Choice
For people outside Texas with compatible insurance who want a virtual psychiatrist, Talkiatry offers a broad geographic reach and a large panel of physicians. It can be a useful option when local psychiatrists are booked out for months, and you need in‑network telepsychiatry access.
For Texas residents with commercial insurance, Legion Health offers a different model centered on objective ADHD testing, insurance clarity, and structured follow‑up. QbCheck testing comes standard with every ADHD evaluation, aligning with growing scrutiny around diagnostic quality and stimulant prescribing. Insurance verification, refill planning, and appointment timing are core parts of safe clinical care, not background paperwork.
If you live in Texas and want psychiatry that integrates diagnosis, treatment planning, and follow‑up into a single, connected process, Legion Health is designed for that need. You can request a psychiatric evaluation online and meet with a board‑certified clinician to review your symptoms, history, and goals for treatment.
Final Thoughts on Virtual Psychiatry Services
Choosing between Legion Health and Talkiatry comes down to where you live, how much structure you want around ADHD testing and follow-up, and whether you prefer an insurance-first clinic focused on Texas. Talkiatry offers wide reach and psychiatrist-led video care across much of the U.S., which can help if you’re outside Texas and already have compatible coverage. Legion Health focuses on Texas residents who want objective ADHD testing, clear insurance expectations, and reliable access to board-certified psychiatric clinicians through virtual visits. If you’re ready for clinician-led, insurance-friendly psychiatry in Texas, you can see whether Legion Health is a fit and schedule your first visit.
FAQs
How do I choose between Legion Health and Talkiatry for ADHD care?
If you live in Texas and want ADHD testing that includes an FDA‑cleared computerized assessment along with the clinical interview, Legion Health uses QbCheck with every ADHD visit, focused on diagnosis at no extra cost. If you live in one of the 47 states where Talkiatry practices and have compatible insurance, Talkiatry can connect you with a psychiatrist for a video‑based ADHD assessment and medication management.
What’s the main difference in how they diagnose ADHD?
Legion Health combines a detailed clinical interview with QbCheck testing to capture objective measures of attention, activity level, and impulse control. Talkiatry relies on video visits and symptom review without an advertised standard objective test for every ADHD patient, using clinician judgment and patient history to shape the treatment plan.
Who is each service best for?
Talkiatry works well for people across the U.S. who live in a covered state, have in‑network insurance, and want psychiatrist‑led telehealth visits. Legion Health focuses on Texas residents with commercial insurance who want outpatient psychiatric care that includes objective ADHD testing, overlapping diagnoses, and dependable follow‑up as part of the core model.
What should I know about insurance before choosing?
Talkiatry requires in‑network insurance and does not list a self‑pay route, so it’s important to confirm benefits and eligibility before scheduling. Legion Health accepts major commercial plans in Texas, runs coverage checks ahead of time, and offers cash‑pay pricing when your plan is not a fit.
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