Foresight Mental Health is an online and in-person therapy and psychiatry service available in five US states. We gave it 2.5 out of 5 stars. The insurance-friendly platform helps adults, kids, teens, couples, and families through a variety of treatment modalities, as well as virtual ADHD testing. Prices aren’t readily available on their website, but in our experience, per-session rates were $80 – $425.
Foresight at a Glance
Cost: $80 – $450 per session
Insurance Accepted: Yes
Pros & Cons of Foresight
Pros - Individual, family, & couples therapy available
- Psychiatry & medication management
- Accepts insurance, including Medicare
- In-person options available in select cities
Cons - Only available in five US states
- Out-of-pocket costs not listed on the website
- Onboarding process is a bit complicated
- No option to bundle psychiatry and therapy
- Provider directory is small and doesn’t have a lot of search filters
- No extra features like journal or webinars
Preview Foresight
Foresight Mental Health is an online therapy and psychiatry platform that offers services for a wide range of conditions and age groups. Currently, Foresight is only available in five states: AZ, CA, FL, GA, and TX. Costs are not readily shared on the website, but in our experience they range from $80 – $450 per session, depending on the service. Foresight accepts insurance from many major plans, including Medicare, which could lower costs.
Foresight has a small therapist directory that you can search through, filtering by state and name. According to the Foresight website, providers will be able to assess your symptoms, make a diagnosis, and prescribe medication if they deem it necessary. All live therapy and psychiatry appointments are held through a HIPAA-compliant Zoom meeting.
While Foresight has a nice variety of mental health services to offer, most people will not be a great fit for this service. Even if you are located within Foresight’s relatively narrow service area, the platform’s overall design and costs are bested by many of the best online therapy platforms and online psychiatrist platforms.
Brightside - Therapy & Medication Using Your Insurance
Together, medication and therapy can help you feel like yourself, faster. Brightside Health develops personalized plans that are unique to you and offers 1 on 1 support from start to finish. United Healthcare, Anthem, Cigna, and Aetna insurance are accepted.
Detailed Review of Foresight
Foresight Mental Health is an online therapy and psychiatry platform that offers services for a wide range of conditions and age groups. It earned 2.5 out of 5 stars during our review. Currently, Foresight offers individual, couples, and family therapy in five states. Costs with Foresight are $80 – $450 per session, depending on which service you select. Foresight accepts insurance from many major insurers, which could lower the cost significantly.
Review our scoring criteria for online therapy platforms here.
Review our complete editorial policies here.
What is Foresight?
Foresight Mental Health is an online therapy and psychiatry platform that serves a wide range of age groups in just a few states. It treats individuals, couples, families, kids, and teens in Arizona, California, Florida, Georgia, and Texas. Costs vary, but in our experience, they range between $80 – $450 per session. Foresight accepts insurance from several major insurers, which could lower costs.
Foresight providers will be able to assess your symptoms, make a diagnosis, and prescribe medication if necessary. You can choose a local pharmacy to pick up your medication, but it’s unclear if Foresight can ship directly.
Therapy
Foresight Mental Health uses online therapy to treat a wide range of conditions and age groups. Therapy costs are roughly $80 – $200 per session, depending on which service you select.
According to Foresight’s website, it offers the following modalities of therapy and more:
- Acceptance and commitment therapy (ACT)
- Art therapy
- Cognitive behavioral therapy (CBT)
- Dialectical behavioral therapy (DBT)
- Internal family systems (IFS)
- Play therapy
- Narrative therapy
How Does it Work?
On the website, select the button that says “Request Appointment.” From there, you will fill out a form with your demographic information, insurance information, days you are available, and which therapy type you are seeking. Once you submit this form, someone from Foresight is supposed to call you to set up an appointment.
When I filled out the form, someone called me back the next day. I asked a few basic questions about pricing and payment options, and the representative said a manager would follow up with me. However, I never received that call.
Psychiatry
Foresight also offers online psychiatry. You can request this appointment through the online form or by calling (888) 588-8995. In our experience, sessions cost $450 out-of-pocket for an initial assessment and $250 for a follow-up appointment. Like with therapy, if you have an in-network insurance plan, these costs could be lower.
Providers include medical doctors with the ability to prescribe, psychiatric mental health nurse practitioners (PMHNPs), and physician assistants (PAs). Depending on the provider, they can treat all age groups, and some May prescribe controlled medications, like Adderall for ADHD or benzodiazepines like Xanax for anxiety disorders. Initial assessments with Foresight take around 60 minutes and follow-up appointments last 30-45 minutes. If you end up being prescribed a controlled medication, note that you may need more frequent follow-ups, likely every three months or even sooner.
ADHD Testing, IOP and PHP, & TMS (Georgia Only)
In addition to its primary services, therapy and psychiatry, Foresight also offers ADHD testing, an intensive outpatient program (IOP) and partial hospitalization program (PHP), and transcranial magnetic stimulation (TMS) (in Georgia only).
- Virtual ADHD testing: Using a software called the Integrated Visual and Auditory Continuous Performance Test (IVA-2 CPT), Foresight can virtually evaluate whether or not someone has ADHD. However, this isn’t meant to replace a full neuropsychological evaluation and may not be sufficient for certain healthcare entities.
- In-person IOP & PHP: These Foresight programs, which are currently only available in-person, provide higher levels of care than general outpatient therapy. The site says it plans to offer this virtually in the future.
- In-person TMS (Georgia only): The platform offers this treatment, which uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of major depression, OCD, migraines, etc., in-person in Georgia only.
How Much Does Foresight Mental Health Cost?
While you can’t find Foresight costs on its website, in our experience, they range from $80 – $450 per session, depending on the service. Foresight accepts many insurance plans, including Medicare, which could lower the cost significantly. ADHD testing costs $200.
Note that you will be charged a $150 no-show fee if you don’t show up or cancel without 24 hours’ notice.
Who Does Foresight Mental Health Serve?
Foresight Mental Health offers online therapy and psychiatry to all ages. It does provide a minimum age; instead, it focuses on holistic care for children of any age. Its services are only available in five US states: AZ, CA, FL, GA, and TX.
If you aren’t located in a state that Foresight services, BetterHelp and Talkspace are two of the most accessible therapy options. If you’re looking for online psychiatry, Brightside Health is one of our favorites that is also available in all 50 US states.
User Reviews
Foresight does not have an Apple App or a Google App and there are not a lot of reviews available. On the Trustpilot website, there are only 9 reviews available (all negative) and the platform has a 2.1-star rating overall. Reddit users have had both positive and negative experiences with Foresight, but overall, they seem to recommend the service.
Reviews from Trustpilot | 2.1 out of 5 stars | 9 reviews
Negative reviews from Trustpilot call Foresight unresponsive. One user indicates that Foresight didn’t respond to their messages, phone calls, or voicemails.
Reviews from Reddit | r/AskSF
Positive reviews from users on Reddit say Foresight is good and reliable. The majority of users had a great experience. Note that this thread seems to be based around the San Francisco location.
Negative reviews from users on Reddit about Foresight report a disorganized scheduling and billing department. Some users say they wouldn’t recommend the platform.
Alternatives & Competitors
Ultimately, Foresight offers limited geographic coverage. It may be a solid option if you live in one of the five states they serve and your insurance plan includes them, but those outside these areas will need alternatives.
Best for Inexpensive Out-of-Pocket Costs - Klarity
Price: $80 – $150 per session
Insurance Accepted: Yes
Therapy & Psychiatry: Yes
Klarity operates in all 50 states as a directory and marketplace connecting users with independent, licensed medical and mental health professionals. Their network offers online and in-person services for adults, including psychiatry and therapy. Some providers accept insurance, which can be filtered by state and carrier.
Unlike Foresight, Klarity features transparent pricing. Users can sort providers by cost, though rates vary by provider. Initial visits start around $80, with ongoing sessions typically ranging from $100–$150. Some offer free 5–15 minute consultations.
For more, read our Klarity review.
Pros & Cons
Pros - Filter providers by price, insurance, specialty, & more
- Same-day appointments often available
- Providers can prescribe medication
Cons - In-person visit may be required for some medications
- Only available to kids on a case-by-case basis
Best for Virtual ADHD Testing - ADHD Online
Price: $99 – $220 per session
Insurance Accepted: No
Therapy & Medication: Yes
While Foresight offers virtual ADHD testing via the Integrated Visual and Auditory Continuous Performance Test (IVA-2 CPT) in five states, we recommend ADHD testing from ADHD Online. Still 100% virtual, ADHD Online’s assessment is available in all 50 states. An initial assessment costs $189 and involves a comprehensive questionnaire reviewed by a licensed psychologist. No live session is included, but results are widely accepted by physicians, and other services (e.g., coaching, therapy, and medication management) are available separately.
Read our ADHD Online review for more information.
Pros & Cons
Pros - Provides online ADHD diagnosis
- Assessment results available within days
- Can potentially prescribe stimulant medications
Cons - Does not accept insurance
- Not all services available in all states
- Relatively small provider selection
Best Comprehensive Care - Brightside Health
Price: $45 – $349 monthly
Insurance Accepted: Yes
Therapy & Medication: Yes
For all-around quality mental health care online, go with Brightside Health. It offers a range of services, including therapy, medication management, and even a Suicide Prevention Program for higher acuity cases. With Brightside, you’re going to see the same providers weekly, building an ongoing relationship over time. It even has a Psychiatric Maintenance plan for established patients that only costs $45 monthly.
We cover more details in our full Brightside Health review.
Pros & Cons
Pros - Accepts insurance, including Medicare & Medicaid
- Same-day, weekend, & evening appts.
- AI-assisted PrecisionRx tool used by psychiatrists for effective prescription
Cons - Customer service can be slow to respond
- Cash-pay may be too expensive for some
- Care for teens not yet available nationwide (38 states)
Why You Can Trust My Review
“I try to approach reviews with the goal of providing clear, honest insights based on research and real-world use. With Foresight, the platform’s service area is limited to just a handful of states, and its out-of-pocket rates are significantly higher than many competitors. A lack of pricing transparency, as well as difficulty communicating with customer service make it clear to me that this platform should not be a top choice for most people.
That said, I recognize that Foresight may be a worthwhile option for some, particularly if your insurance is in-network and you live in a state it serves, especially in a city with a physical clinic.”
History & News About Foresight
Year Founded: 2016
Founders: Doug Hapeman, Matt Milford
Headquarters: Berkeley, California
Foresight was originally founded in 2016 by Matt Milford and Douglas Hapeman as Genetic Foresight, a company that used genetics to match patients with the best mental health medication. Later, it pivoted to mental health electronic records (EHRs) before landing on outpatient care.1, 2, 3
In March of 2022, Foresight acquired The Chicago Personal Growth Institute.3 This move was made to further the number of mental health care providers available to those in need in the greater Chicago area.
By mid-2022, Foresight faced significant financial challenges, nearly running out of cash. The company underwent significant restructuring, including laying off approximately 20% of its workforce and appointing a new CEO, Greg Serrao.1 Since then, Foresight has narrowed its scope of services and limited geographic availability.
Frequently Asked Questions
What Credentials Do Foresight Providers Hold?
All Foresight Mental Health providers are fully licensed in the state they practice. Therapists hold credentials such as LMFT, LCSW, LPCC, and LPC, while psychiatric providers are MDs, PMHNPs, and PAs.
How Am I Matched With a Provider on Foresight?
You will be matched with a provider depending on your location and preferences. If you are seeking therapy, some of these preferences can be listed on the appointment request form; otherwise, you will need to tell the customer service representative over the phone.
What Medications Are Available?
Foresight can prescribe controlled medications, including SSRIs and SNRIs.
Where is Medication Management Available with Foresight?
Psychiatry with Foresight is available in five US states: AZ, CA, FL, GA, and TX.
How Do I Get My Medications?
Prescriptions can be mailed to the patient if their insurance participates in at-home deliveries. Otherwise, patients can pick up their medications at a pharmacy local to them.
Can I Use my FSA or HSA Funds?
Yes, you can use your FSA or HSA for mental health on Foresight.
How Can I Cancel My Account with Foresight?
It is unclear how to exactly cancel your account with Foresight, but the safest choice would be to call them at (888) 588-8995.
Does Foresight Offer Refunds?
It is unclear under what circumstances Foresight would offer refunds to clients. You can call (888) 588-8995 for more information.
Is Foresight Mental Health HIPAA Compliant?
Yes, Foresight is HIPAA compliant and all live therapy and psychiatry sessions happen via Telehealth Zoom. Read more about Foresight’s Privacy Policy.
ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
-
Larson, C. (July 20, 2022). “Foresight Mental Health Nearly Ran Out of Cash; New CEO Plots a Path Forward.” https://bhbusiness.com/2022/07/20/foresight-mental-health-nearly-ran-out-of-cash-new-ceo-plots-a-path-forward/
-
(2022, March). “Foresight Mental Health Announces It Has Acquired Chicago Personal Growth Institute. UCSF Rosenman Institute. https://rosenmaninstitute.org/blog/foresight-mental-health-announces-it-has-acquired-chicago-personal-growth-institute/
-
About Us. (n.d.) Foresight Mental Health. https://www.foresightmentalhealth.com/about-us
-
Foresight Mental Health on Crunchbase. (n.d) Crunchbase. https://www.crunchbase.com/organization/foresight-mental-health
-
Suarez-Angelino, L. (April 23, 2025). “Klarity Review 2025: Cost, Pros & Cons, & Who it’s Right For.” ChoosingTherapy.com. https://www.choosingtherapy.com/klarity-adhd-review/
-
Church, M. (May 15, 2025). “ADHD Online Review 2025: Pros & Cons, Cost, & My Experience.” ChoosingTherapy.com. https://www.choosingtherapy.com/adhd-online-com-review/
-
Church, M. (March 18, 2025). “Brightside Health Review 2025: Pros & Cons, Cost, & My Experience.” ChoosingTherapy.com. https://www.choosingtherapy.com/brightside-health-review/
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: Emily Adamek, BA (Change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Edited for clarity and accuracy; updated state coverage from 7 states to 5 states; removed nutritional counseling as a service; added Alternatives and Competitors, Klarity, ADHD Online, and Brightside Health.
Author: Caitlin Bell, MA (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Updated article to reflect Foresight’s reduction of service area from 11 states to 7 states. Updated to reflect Foresight’s closure of group therapy offering. Reformatted article to new style and format. Reviewed and revised entire article for factual accuracy, clarity, and enhanced readability.
Author: Caitlin Bell, MA (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Added review summary block, new format for star rating breakdown, and all related page features.
Author: Caitlin Bell, MA
Medical Reviewer: Benjamin Troy, MD
Your Voice Matters
Leave your own reviews!
Have you used an online therapy company? Have you tried an online psychiatry service? Do you use a meditation or mindfulness app? We’d love to hear about your experience!
We want to hear about the companies you love and the companies you wish you never used.
Leave your feedback for our editors.
Share your feedback on this article with ChoosingTherapy.com’s editors. If there’s something we missed or something we could improve on, we’d love to hear it.
Our writers and editors love compliments, too. :)