Our verdict: a solid insurance-based option for individual, couples and family therapy with 60-minute sessions; the sign-up and interface cost it points, 3.5 stars.
Rula Health (formerly Path Mental Health)3 is an online therapy platform offering individual, couples, and family counseling. In our independent review, it earned 3.5 out of 5 stars for its accessibility and range of services. With Rula, you can attend live 60-minute sessions via Zoom with a provider chosen from a curated list of licensed therapists in your state.
Rula is available in all 50 states and Washington, D.C., and it is in-network with more than 120 insurance plans, including Medicare. Rula says patients who use insurance pay about $15 a session on average, while self-pay sessions start at $150 (checked October 19, 2026). While the user interface and sign-up process were a bit tricky, I recommend Rula as a good option for a wide range of therapy services.
Rula at a Glance
Cost: About $15 per session on average with insurance. Self-pay therapy: $150 per session for individuals or $165 per session for families/couples; Psychiatry: $225 for intake sessions, $175 for follow-up sessions
Insurance Accepted: Yes, 120+ plans including Medicare
Pros & Cons of Rula
Pros
- Therapy for children (ages 5 and up), teens, adults, couples, and families
- Accepts several major insurance plans
- No monthly membership or sign-up fees
Cons
- Patient app is still in limited release
- Platform is not intuitive to use, especially during sign-up
- Many report issues with customer service and therapist no-shows
Preview Rula
Rula (formerly Path Mental Health) is an online therapy platform that offers per-session rates for individuals, couples, and families, as well as psychiatry for teens and adults ages 13 and up. With Rula, you are able to choose your provider from a curated list of licensed therapists in your state. Simply read through therapists’ profiles before you select one for a live session. All live sessions are typically 60 minutes long and held via Zoom, but can be adjusted based on patient/provider preferences.
Rula is in-network with more than 120 insurance plans, including commercial plans from most major carriers and Medicare, and Rula says its patients pay about $15 a session on average with insurance (confirmed by Rula, October 2026). Without insurance, Rula offers a cash rate of $150/session for individual therapy and $165/session for families or couples. The cash rate for psychiatry sessions is $225 for an initial 60-minute intake session and $175 for 30-minute follow-up sessions.
A unique offering from Rula is its family therapy option. Not all online therapy platforms offer this, with most platforms focusing on individual and couples therapy.
Rula is a good choice if you have an insurance plan that’s in-network with it, including Medicare or one of the Medicare Advantage plans it accepts. If your plan isn’t, you should try looking into Grow Therapy or Brightside Health, which both accept many insurance plans, including some Medicare and Medicaid. For even more options, read our full guide on the best online therapy platforms.
Rula vs. the alternatives we rate
| Platform | Cost | Insurance | What you get | Visit |
|---|---|---|---|---|
| Rula ★★★½☆ 3.5/5 |
Rula says about $15 a session with insurance; self-pay $150 (therapy), $225 intake and $175 follow-up (psychiatry) | Yes, 120+ plans including Medicare | Individual, couples and family therapy; psychiatry; 50 states | Visit Rula |
| Grow Therapy ★★★★½ 4.5/5Read our review |
$75 to $250+ a session, set by each provider | Yes | Therapy and medication, kids to couples | Visit Grow Therapy |
| Brightside Health ★★★★☆ 4/5Read our review |
$95 to $349 a month | Yes | Therapy, psychiatry or both; free assessment | Visit Brightside Health |
Prices and ratings as published in our reviews, checked October 2026. Links to our partners are sponsored.
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 Rula Review
Rula Health (formerly Path Mental Health) is an online therapy platform offering pay-per-session rates for individuals, couples, and families. You can browse a selection of licensed therapists practicing in your state and choose the one that feels like the best fit. Live sessions are typically held via Zoom and last around 60 minutes, though session length can be adjusted based on your needs or your provider’s recommendation.
Rula offers therapy to children ages 5 and up, teens, adults, couples and families, and psychiatry to teens and adults ages 13 and up, in all 50 US states and Washington, D.C. Provider availability still varies by location. Clinicians weighing the network can read our guide to how much Rula pays therapists.
Review our scoring criteria for online therapy platforms here.
Review our complete editorial policies here.
Individual Talk Therapy
Getting started with Rula was fairly straightforward, though many of the links they sent were time-sensitive. I had to reach out several times to request new links to browse therapists and complete patient forms. Update, October 13, 2026: Rula’s help center says its patient portal no longer uses emailed sign-in links. You now sign in with a password or with a Google or Apple account. Once I had access, I was able to find and connect with a therapist quickly. I received a list of available providers, some with openings as soon as the next day.
The day before my therapy session, I was emailed a Zoom link, and at the time of my appointment, I simply clicked that link and was sent to my private Zoom meeting. It was a very easy process and I had no issues getting into my live session. My therapist was on time, and the video and audio quality were great. After just 20 minutes, I felt safe, supported, and truly listened to by my therapist. At the end of our session, they gave me reasonable homework to complete independently and we were able to schedule my next session while on the call. If you later need to cancel or reschedule, our guide to Rula’s cancellation policy covers the fees and steps.
Family Therapy
A unique offering from Rula Health is their family therapy option. Many online therapy platforms don’t include this, as most concentrate on individual and couples sessions. Family therapy with Rula costs $165 per session cash-pay and with several insurance plans accepted as well.
Psychiatry
Rula Health recently expanded its psychiatry offerings to all 50 states. Clients can follow the same model as therapy on the platform to meet with a psychiatrist and get a range of medications if determined appropriate. However, Rula must follow state guidelines as far as prescribing controlled substances such as stimulants like Adderall and Ritalin and benzodiazepines like Xanax. Our guide to whether Rula prescribes controlled substances lists the rules state by state. Know your state’s laws before seeking out these medications from an online platform like Rula.
Cost & Insurance
With insurance, Rula says its patients pay about $15 a session on average, though your share depends on your plan’s copay, coinsurance and deductible (confirmed by Rula, October 2026). Rula checks your coverage when you sign up and emails you a cost estimate before your first appointment.
Without insurance, Rula Health costs $150 for an individual therapy session and $165 for a family or couples therapy session. All sessions are approximately 60 minutes long but can be adjusted based on patient/provider preferences. Rula psychiatry costs $225 per session for an initial evaluation, and then $175 per session for follow-ups.
Per-session cash-pay rates for Rula services are:
- Individual therapy – $150 per session
- Couples or family therapy – $165 per session
- Psychiatry initial evaluation – $225 per session
- Psychiatry follow-ups – $175 per session
Rula is in-network with more than 120 insurance plans nationwide, including Medicare (confirmed by Rula, October 2026). It accepts some Medicare Advantage plans nationwide, including plans from Aetna, Humana and UnitedHealthcare (Optum), plus a few Medicare Advantage plans that it accepts only in certain states.
For Medicaid, Rula takes some Medicaid managed care plans in select states, but it does not take traditional state Medicaid in any state yet. It accepts TRICARE West in California only (both confirmed by Rula, October 2026). Our guide to whether Rula accepts Medicaid lists the plans and states.
If Rula accepts your health insurance, your costs will be whatever your co-pay is for therapy, typically between $0 and $50 per session.
Who Does Rula Health Serve?
Rula Health serves children ages 5 and up, teens, adults, couples and families, and its services are available in all 50 US states and Washington, D.C. Rula Health offers individual therapy, couples therapy, family therapy, child therapy, and teen therapy. It also offers online psychiatry nationwide to teens and adults ages 13 and up (checked October 19, 2026).
Rula is mainly a telehealth service, but it also offers some in-person sessions at provider-operated offices. Its help center says in-person therapy is now available nationwide and in-person psychiatry in select states, depending on where you live, while its FAQ page still limits in-person visits to Kaiser Southern California and Anthem CA members (both checked October 13, 2026). Rula’s in-person scheduling team, at (213) 642-1035, can tell you whether a provider near you sees patients in person. Typically, sessions are 60 minutes but can be adjusted based on patient or provider preference.
What Rula Treats
Rula treats more than 90 conditions, according to its psychiatry page, including anxiety, depression, trauma and PTSD, ADHD, OCD and bipolar disorder. Its public therapist directory lets you filter by specialty and treatment approach before you sign up (checked October 13, 2026).
- OCD: Rula lists cognitive behavioral therapy, exposure and response prevention (ERP) and acceptance and commitment therapy as its OCD treatments, and it says you can meet a provider as soon as the next day.
- Trauma and PTSD: The directory has a filter for EMDR therapists. Many Rula providers offer EMDR by video, and Rula says a typical course is 6 to 12 sessions.
- ADHD: You can filter for therapists who work with ADHD, and Rula’s psychiatric providers diagnose and treat it, including with medication. Stimulants are controlled substances, so our guide to whether Rula prescribes controlled substances explains the state rules.
- Anxiety and emotional regulation: You can filter for therapists who use dialectical behavior therapy (DBT) or cognitive behavioral therapy (CBT).
Rula is outpatient care by video, with some in-person visits. If you need help in a crisis, call or text 988 instead of waiting for an appointment.
User Reviews
Out of user reviews found across multiple sources, the consensus among users about Rula Health seems to be that it is a well-implemented platform that helps with accessing services from high-quality therapists. Most negative reviews about Rula found online are centered around individual experiences and one-off issues, such as therapist appointment issues or odd billing problems. In general, users seem to have a good impression of Rula Health.
Reviews from Trustpilot - 4.5 out of 5 stars | 2.6k reviews
Positive reviews on Trustpilot indicate that the majority of users think that Rula is a huge help in finding therapists. Many users agree that providers on the platform tend to be of high quality and the platform is very well designed.
Negative reviews on Trustpilot tend to be centered around isolated incidents such as glitchy log-in problems and technical issues around appointments. Other issues included some insurance billing problems, but these seem to be isolated events. Most negative reviews noted that the complaint was with Rula as a platform, not with their individual therapists.
Reviews from Reddit | r/TalkTherapy
Positive reviews from Reddit users mention great experiences with their Rula therapists, with many saying they would recommend the service to friends and family.
Negative reviews from Reddit users highlight frustrations with inconsistent billing, unexpected charges, and unclear insurance coverage.
Alternatives & Competitors
While Rula may be a great choice for some, others will need to seek care elsewhere. Those who are brand new to therapy, don’t have in-network insurance, or are looking for a subscription-based service instead could likely find a better solution elsewhere.
BetterHelp - Best for Those New to Therapy
- Price: $280–$400 monthly
- Insurance Accepted: No
- Medication Available: No
While Rula Health sends you a list of potential providers, BetterHelp can automatically match you with a therapist after you answer a series of questions related to your mental health. This can make it easier for those who aren’t sure what they’re looking for or where to start on their mental health journey. Additionally, BetterHelp offers several resources, like a journaling space, additional webinars, and more for a more well-rounded approach to healing.
Learn more in our BetterHelp review.
Pros & Cons
Pros
- Very quick matching process
- Over 30k therapists on the platform
- Same-day appointments often available
Cons
- No insurance acceptance
- Limited choice over your first therapist
- Can be difficult to find a good fit
Grow Therapy - Best for Insurance Coverage
- Price: $75–$250+ per session
- Insurance Accepted: Yes
- Medication Available: Yes
If your insurance isn’t accepted by Rula Health, consider checking the Grow Therapy platform. You can filter its directory by insurance—or, if you’re paying with cash, you can sort by lower-price and sliding-scale therapists. Grow Therapy has over 15k providers on its platform, including therapists and psychiatrists.
Read more in our Grow Therapy review.
Pros & Cons
Pros
- Accepts the widest range of insurance plans, including some Medicare and Medicaid
- Can find providers who specialize in a wide range of services
- Tons of filters help you find the right therapist
Cons
- Cash-pay costs and insurance acceptance vary by provider
- Some states may have fewer options
Brightside Health - Best for Therapy + Medication
- Price: $95–$349 monthly
- Insurance Accepted: Yes
- Medication Available: Yes
Brightside Health offers a range of subscriptions depending on your needs: For people only needing mental health medication, a monthly subscription starts at $95. For those only wanting therapy, plans start at $299 monthly, and those needing both can get a discounted rate of $349 every month. While these rates might be a bit high for some, Brightside Health accepts a large list of insurance providers, so it could be a great option if Rula Health doesn’t accept your insurance.
Read more in our full Brightside Health review.
Pros & Cons
Pros
- Accepts a wide range of insurance providers
- Same-day and weekend appointments often available
- Bundled therapy + psychiatry subscription option
Cons
- Cash-pay rates are a bit pricey
- Customer service can be slow to respond
Why You Can Trust My Review
“Our team has spent years using and researching online therapy platforms, and I’ve personally spent time using all the major therapy players in the space. One of the best things about Rula is the number of services that are offered. Not a lot of platforms offer therapy for individuals, couples, families, and kids—plus psychiatry—all in one place.
Throughout my time utilizing Rula, I was disappointed with the overall user interface of the app—having to navigate two different patient portals was a bit of a pain. Nonetheless, once I was up and running, I found a great therapist and thought the Rula platform was supportive of a good therapy experience.”
Update, October 13, 2026: Rula’s help center now describes one patient portal for scheduling, billing, insurance and messages with your provider. Rula is also testing a patient app with small groups of patients.
History & News About Rula Health
- Year Founded: 2019
- Founders: Josh Bruno, Gabriel Diop, Greg Moore
Rula (formerly Path Mental Health) was founded by Josh Bruno, Gabriel Diop, and Greg Moore in 2019.1 At the time it first launched, Rula was a platform that gave employee health benefit programs access to specialized substance addiction treatment professionals.2 It is not clear when the company pivoted to offering online therapy to individuals, couples, and families.
In 2024, Path Mental Health rebranded into Rula Health and expanded its product line to include medication management in select states.3 By September 2024, Rula Health expanded its therapy services to include all 50 states,4 and by January 2025 it released nationwide psychiatric services.5
As of March 2025, Curative Insurance Company’s members can now access therapy and psychiatry on Rula Health with a $0 copay and $0 deductible.6
On May 6th, 2025, Rula announced a new partnership with Curai Health, giving Curai members access to mental healthcare through the Rula platform.7
Frequently Asked Questions
What Credentials Do Rula Therapists Hold?
All therapists on Rula Health currently have an LPCC, LPC, LISW, LPCC-S, LISW-S, LCPC, LMFT, LCSW, LP or LCMHC license in the state they practice.
How Do I Choose a Therapist on Rula?
With Rula, you will select your therapist from a list provided to you. You will be able to read the profiles of several therapists and choose the one you feel is best suited to your needs.
Can I Change Rula Therapists?
To request a change in your Rula therapist, email your therapist directly or email Rula customer service at: support@rula.com.
Can I use my FSA or HSA Funds with Rula?
Yes, you can use your FSA or HSA funds to pay for therapy with Rula to cover out-of-pocket expenses. You have the option to enter your card as the payment method on file, or you may submit a receipt to their HSA/FSA provider for reimbursement.
How Do I Cancel My Rula Health Account?
Rula is a pay-per-session platform and if you no longer wish to use it, you can simply tell your therapist you do not want to schedule with them further. If you want to cancel your therapy session, you can call Rula customer support at (323) 205-7088 or email them at support@rula.com
Does Rula Health Offer Refunds?
It was unclear whether or not Rula would offer refunds to clients who were dissatisfied with their care. If you think you deserve a refund, the best first step is to contact Rula customer service by phone at (323) 205-7088 or by email at support@rula.com.
Is Rula Health a HIPAA-Compliant Platform?
Yes, Rula Health is HIPAA-compliant and uses AdvancedMD and Zoom to conduct its live therapy sessions. All therapists will provide their clients with a HIPAA-compliant email address to reach them if needed.
For more information, you can read Rula’s Terms of Use or Privacy Policy.
How Much Does Rula Cost Per Session?
Rula costs about $15 per session on average with insurance, according to Rula, and $150 per individual therapy session without insurance (checked October 19, 2026). With insurance, you pay your plan’s copay or coinsurance, which is typically between $0 and $50 per session. Without insurance, couples or family therapy costs $165, and psychiatry costs $225 for the first evaluation and $175 for each follow-up.
Is Rula Better Than Grow Therapy?
Rula and Grow Therapy are similar insurance-first therapy marketplaces, and the better choice usually comes down to which platform accepts your insurance and has provider availability in your state. Rula’s self-pay rates are flat and predictable, while Grow Therapy’s providers set their own rates, which can run lower or higher. You can compare the two in our Grow Therapy review.
How Do I Contact Rula, and Is It a Crisis Service?
You can contact Rula through the live chat on its Patient Help Center, by email at support@rula.com, or by calling its Support Contact Center at (323) 205-7088, and Rula is not a crisis service. Rula’s support team works Monday to Friday from 5 a.m. to 10 p.m. Pacific and weekends from 9 a.m. to 6 p.m. Pacific (checked October 13, 2026). If you or someone you know is in crisis, call or text 988 to reach the 988 Suicide and Crisis Lifeline, or call 911 in an emergency.
Does Rula Have an App?
Rula has a patient app, but as of October 2026 it is open only to small groups of patients whom Rula invites by email. The app lets you manage appointments, message your provider, read session summaries your therapist shares, and practice exercises from a resource library between sessions. Everyone else uses the Rula patient portal in a web browser, and sessions run over Zoom.
Who Owns Rula?
Rula is privately owned: it is a venture-backed company whose legal name is Path CCM, Inc., and its co-founder, Josh Bruno, is its CEO. Its investors include Sequoia Capital and Hedosophia, which led Rula’s Series C funding round in July 2024. The company was founded in 2019 as Path Mental Health, took the Rula name in February 2024, and lists its business address in Santa Clara, California.
Does Rula Use AI?
Rula uses AI in two tools: Rula Recap, which drafts therapists’ session notes, and Thread, a chat tool in its patient app. With Recap, the therapist reviews and edits every note and stays responsible for it, and Rula tells therapists that clients can opt out at any time. Patients see a message in the Zoom waiting room saying their provider may use the tool. Thread is being tested with small groups of app users, and Rula says it is not a clinician and should not be used for crisis support.
How Do I Request My Rula Medical Records?
You request your Rula medical records through the Medical Records Request page on rula.com, which sends you to a secure form run by Datavant, the company Rula uses to process records requests. Some requests need a signed release of information, and Datavant delivers the records by secure email, fax or mail. Rula says most requests are fulfilled within several business days, and you can email records@rula.com with questions (checked October 13, 2026).
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.
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Crunchbase. (n.d.) Path – Crunchbase Company Profile. https://www.crunchbase.com/organization/path-2adb
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Shieber, J. (2019, Oct 23) Substance abuse affects about 15% of American employees, Path wants to ensure they get help. TechCrunch. https://techcrunch.com/2019/10/23/substance-abuse-affects-about-15-of-american-employees-path-wants-to-ensure-they-get-help/
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PR Newswire. (2024, Feb 5) Path Rebrands to Rula Health, focuses on improving mental healthcare outcomes. PR Newswire. Retrieved from: https://www.prnewswire.com/news-releases/path-rebrands-to-rula-health-focuses-on-improving-mental-healthcare-outcomes-302052844.html
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PR Newswire. (2024, Sept. 17). Rula Health Announces National Expansion with Covered Therapy Services Now Available in All 50 States and Washington, D.C. Retrieved from: https://www.prnewswire.com/news-releases/rula-health-announces-national-expansion-with-covered-therapy-services-now-available-in-all-50-states-and-washington-dc-302249591.html
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Rula Health. (2025, Jan. 28). Rula expands psychiatric services nationwide. Retrieved from: https://www.rula.com/blog/rula-expands-psychiatric-services/
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Business Wire. (2025, Mar. 20). Curative Partners With Rula Health to Deliver Unprecedented $0 Mental Health Services to Its Members Nationwide. Retrieved from: https://www.businesswire.com/news/home/20250320397836/en/Curative-Partners-With-Rula-Health-to-Deliver-Unprecedented-%240-Mental-Health-Services-to-Its-Members-Nationwide
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Curai Health. (May 6, 2025). Rula Health and Curai Health Partner to Expand Access to Mental Health Care. PR Newswire. Retrieved from: https://prnmedia.prnewswire.com/news-releases/rula-health-and-curai-health-partner-to-expand-access-to-mental-health-care-302447404.html
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Church, Matthew. (2025, Mar. 12). BetterHelp Review 2025: Cost, Pros & Cons, & My Experience. Retrieved from: https://www.choosingtherapy.com/betterhelp-review/
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Rueger, Abigail. (2025, Feb. 27). Grow Therapy Review 2025: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/grow-therapy-review/
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Church, Matthew. (2025, Mar. 18). Brightside Health Review 2025: Pros & Cons, Cost, & My Experience. Retrieved from: 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: ChoosingTherapy editorial team
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Added a scorecard strip with 1 CTA under the table of contents, a 3-row comparison table (Rula vs. Grow Therapy and Brightside Health) after the At a Glance block, and a mobile CTA bar; no review text changed (conversion template, TEAM-364 batch 1).
Author: Abigail Rueger, MA (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Updated Rula’s insurance details with facts Rula confirmed in October 2026, including Medicare, Medicare Advantage, Medicaid and TRICARE coverage and the average cost of about $15 a session with insurance, and corrected the ages and states Rula serves.
Author: Abigail Rueger, MA (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Updated Rula’s insurance details with facts Rula confirmed in October 2026, including Medicare, Medicare Advantage, Medicaid and TRICARE coverage and the average cost of about $15 a session with insurance, and corrected the ages and states Rula serves.
Author: Abigail Rueger, MA (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Corrected the insurance plan count, the patient portal and app details, and the psychiatry price on the comparison card, with dated notes beside the reviewer’s account. Added a section on what Rula treats and FAQs on contacting Rula, its app, ownership, AI tools and medical records.
Author: ChoosingTherapy.com Editorial Team
Primary Changes: Added FAQs covering per-session costs and how Rula compares to Grow Therapy; added internal links from related reviews.
Author: Abigail Rueger (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Updated psychiatry pricing; Updated insurance coverage information.
Author: Abigail Rueger (New author)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Added information about Rula Health’s psychiatric services (now available nationwide). Updated star rating from 3 to 3.5. Rewrote the “Alternatives & Competitors” section with more relevant information. Added recent news updates to “History & News About Rula Health.” Fact-checked and edited entire article for readability and clarity.
Author: Caitlin Bell, MA (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Reviewed entire article and revised where necessary to improve factual accuracy, clarity, and enhanced readability. Revised content regarding session length. Session lengths increased from 50 minutes to 60 minutes.
Author: Caitlin Bell, MA (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Updated article to reflect rebranding from Path Mental Health to Rula Health, added article summary block, reformatted star rating breakdown, added “Why You Can Trust My Review” section. Reviewed and revised for factual accuracy and readability.
Author: Caitlin Bell, MA
Medical Reviewer: Benjamin Troy, MD
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