Introduction: A Great Clinic Platform Isn't Always a Great Therapy EHR
Jane App is, by most accounts, a beautifully built product with beloved online booking and excellent support. It's founder-led (not private-equity-owned), and it earns real loyalty. The honest critique isn't about quality — it's about fit.
Jane was built for multi-discipline clinics: physical therapy, chiropractic, nutrition, and bodywork alongside mental health. That breadth is its strength for clinics and its limitation for psychotherapists. If you're a private-pay therapist who wants structured treatment planning, measurement-based care, and processor choice, several alternatives are worth a serious look.
This guide compares six Jane App alternatives for private-pay therapy, with specific pricing and honest trade-offs — including where our own platform falls short.
Why Therapists Look for Jane App Alternatives
The generalist tax
Jane handles many disciplines well, but psychotherapy-specific workflow is thin. There's no treatment-plan module — no goals, objectives, or measure tracking — and you build clinical templates from scratch. For process-based or measurement-based therapy, that's real friction.
The $54 plan is a decoy for therapists
The Balance plan ($54/month) caps at 20 appointments/month and excludes online booking and SMS reminders — the features therapists most want. The realistic entry point is the $79 Practice plan. Add the $15 AI Scribe and you're at ~$94/month.
Payments lock-in
In May 2026 Jane moved everyone onto Jane Payments (2.85% + $0.25). Reviews describe it as a forced change, and clients reportedly can't remove their own stored cards. If you want to keep your own processor, that matters.
Client and integration friction
A separate web login per clinic, a thin client app, no month-view calendar, roughly one-way calendar sync, and no open API are recurring notes from therapists. Jane was also built Canada-first, and some US clinics report a slower insurance-billing maturity.
Quick Comparison Table
| Platform | Best for | Monthly pricing | Treatment planning | Payments |
|---|---|---|---|---|
| CoralEHR | Private-pay therapy | $29 (AI-free) / $79 (AI included) | Yes — goals + objectives linked to assessments | Stripe (your own relationship) |
| Jane | Multidisciplinary clinics | $54 / $79 / $99 | No dedicated module | Jane Payments (forced) |
| SimplePractice | Mature UX + ecosystem | $49 / $79 / $99 | Yes | Built-in |
| TherapyNotes | Insurance + phone support | $69 / $79 + $50/clinician | Yes | Built-in |
| Sessions Health | Honest-value insurance | $39 + $29/seat | Manual text entry | Built-in |
| Upheal | Ambient AI scribe | ~$1/session, cap ~$69 | Limited | — |
6 Best Jane App Alternatives
1. CoralEHR — Best for Private-Pay Therapy
Pricing: $29/month Starter (no AI), $79/month Professional (full AI suite included), $35/clinician/month Practice (6+).
Where Jane is a clinic platform that allows therapy, CoralEHR is built around psychotherapy. It includes a real treatment-planning module — objectives with progress percentages tied to assessment metrics — plus 35+ auto-scored assessments with trends, modality builders (EMDR, IFS, ERP, ACT, and more), and in-session tools synced over the video channel. The $29 Starter tier has no appointment cap and includes group-capable telehealth, scheduling with self-booking requests, and SMS/email reminders. The $79 Professional tier includes the full AI suite — and the AI drafts from your typed notes, never a recording.
On payments, CoralEHR uses Stripe directly: you keep your own processor relationship at standard rates rather than being moved onto a platform's in-house processor. And there's a 30-day free trial, no credit card — something Jane doesn't offer.
Best for: Private-pay therapists who want structured treatment planning, measurement-based care, and processor choice.
Limitations: No insurance claims (superbills only), no native mobile app yet, portal secure messaging still coming, and it is HIPAA-compliant and signs BAAs but is not SOC 2 certified (Jane is). Multi-discipline clinics may still prefer Jane.
2. SimplePractice — Best for Ecosystem and Mobile
Pricing: $49 / $79 / $99. AI Note Taker +$35/clinician.
Mature UX, strong mobile apps, included 1:1 telehealth on all plans, and real treatment planning. Insurance-capable. To match all-included AI you'd pay roughly $114/month (Essential + Note Taker). A solid, broad choice if ecosystem maturity outweighs price.
3. TherapyNotes — Best for Insurance + Support
Pricing: $69 solo / $79 group + $50/clinician. TherapyFuel AI +$40/clinician.
Founder-owned, with the strongest 24/7 phone support and rock-solid insurance billing ($0.14/claim). Real treatment planning. The trade-offs are the private-pay tax, the $40 AI add-on, and per-text reminder fees. Best if insurance billing is central.
4. Sessions Health — Best Honest-Value Insurance Option
Pricing: $39/month + $29/seat. AI +$35/practitioner; telehealth +$10 (4-participant cap).
Grandfathered pricing, fast human support, free migration, included insurance e-claims, free SMS reminders, two-way Google sync. Treatment plans are manual text entry and there are no modality tools, but for value-minded insurance practices it's a strong pick.
5. TheraNest (Ensora) — Best for Insurance + Supervision
Pricing: $29 / $59 / $89 per therapist. AI +$35/provider on every tier.
Insurance billing/RCM, e-prescribing add-on, and supervisor/co-sign workflows Jane lacks. Watch the add-on maze and the rebrand churn (TheraNest → Ensora → TheraNest). Suited to insurance group practices needing supervision.
6. Upheal — Best for an Ambient AI Scribe
Pricing: ~$1/session, capped around $69/month, free tier available.
The deepest ambient scribe, now a real AI-native EHR. The core trade-off is that it records sessions and funds its free tier by training on session data; it also has no shipped insurance billing and no built-in assessments. Choose it if ambient capture is the priority and clients consent.
How to Choose
- Private-pay therapy with treatment planning + measurement: CoralEHR.
- Multi-discipline clinic: stay with Jane.
- Ecosystem + mobile: SimplePractice.
- Insurance is central: TherapyNotes, Sessions Health, or TheraNest.
- Ambient scribe above all: Upheal (with client consent).
Conclusion
Jane is excellent at what it's for — multi-discipline clinic management with gorgeous booking. For a psychotherapy practice that wants structured treatment plans, measurement-based care, and control over payments, a therapy-specific EHR usually fits better. Trial your top choice (CoralEHR's is 30 days, no card), and weigh the all-in cost and the workflow, not just the interface.
Take the Next Step
- Jane App vs CoralEHR — feature-by-feature comparison
- Best EHR for private-pay therapists (2026) — the full round-up
- What therapy EHRs actually cost in 2026 — all-in pricing math
- Compare all EHRs side by side — interactive comparison
Frequently Asked Questions
CoralEHR Team
CoralEHR Team