How we review
Each review is built from 4-6 hours of evaluation across four axes: cost (entry price, monthly average, hidden fees), coverage (commercial insurance, state Medicaid, HSA/FSA, sliding-scale), clinician fit (Black-clinician availability, cultural-competency training, language match), and service experience (intake questionnaire quality, matching speed, switching policy, cancellation friction).
We score 0.0 to 5.0 on each axis and weight the result. Reviews are refreshed at least every 6 months or whenever a service materially changes its pricing or coverage. Affiliate relationships are disclosed on every review and do not influence rankings.