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 nationwide and accepts several major insurance plans as well as self-pay appointments starting at $150 per session. While the user interface and sign-up process were a bit tricky, I recommend Rula is a good option for a wide range of therapy services.
Rula at a Glance
Cost: Therapy: $150 per session for individuals or $165 per session for families/couples; Psychiatry: $350 for intake sessions, $150 for follow-up sessions
Insurance Accepted: Yes
Pros & Cons of Rula
Pros - Therapy available for individuals (ages 5 and up), couples, and families
- Accepts several major insurance plans
- No monthly membership or sign-up fees
Cons - No mobile app available for on-the-go access
- Platform is not intuitive to use, with two patient portals to navigate
- 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 everyone over the age of 13. 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 accepts commercial plans from most major insurance carriers, and patients typically pay a $15 copay per session. 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 $350 for an initial 60-minute intake session and $150 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. 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.
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.
Therapy from Rula is available to anyone above age 5 and psychiatry for those 13+ in all 50 US states, but provider availability may vary by location.
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. 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.
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. Know your state’s laws before seeking out these medications from an online platform like Rula.
Cost & 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. If Rula accepts your health insurance, your costs will be whatever your co-pay is for therapy, typically Between $0–$50 per session. Rula psychiatry costs $350 per session for an initial evaluation, and then $150 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 – $350 per session
- Psychiatry follow-ups – $150 per session
Who Does Rula Health Serve?
Rula therapy services are available to anyone above the age of 5, and services are available in all 50 US states. Rula Health offers individual therapy, couples therapy, family therapy, child therapy, and teen therapy. It also offers online psychiatry nationwide to patients 13+.
While Rula is primarily a telehealth provider, they offer limited in-person therapy with select partners. Typically, sessions are 60 minutes but can be adjusted based on patient or provider preference.
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.”
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
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: [email protected].
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 [email protected]
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 [email protected].
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.
Choosing Therapy 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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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: 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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