Spruce Health alternatives
5 Spruce Health alternatives from our directory, ranked by AIOP Score, with published pricing, HIPAA BAA status, best fit and when to switch. Admin and operations only.
Spruce Health listingFacts last checked up to 2026-10-21 · ranked by AIOP Score
About Spruce Health
Full listing →8.7/10From $24/user/moBAA available
- Pricing
- $24/user/mo Basic, $49/user/mo Communicator; 14-day trial (vendor site)
- HIPAA BAA
- Yes – automatic BAA for eligible organizations on every plan including trial (vendor help)
- Best fit
- HIPAA-grade phone, text, video and fax inbox for care teams. Integrates with athenahealth, DrChrono, Elation, Hint, ModMed, Dock and Guava; API on Communicator plan (vendor integrations).
- Last checked
- 2026-10-15 · sprucehealth.com · BAA: help.sprucehealth.com
Why practices look for Spruce Health alternatives
- Pricing is per user ($24/user/mo Basic, $49 Communicator), so cost rises with staff count.
- API access is on the Communicator plan.
Stay with Spruce Health if…
You want a HIPAA-grade phone, text, video and fax inbox with an automatic BAA on every plan, including the trial.
Quick picks
5 alternatives, ranked
All Patient Intake tools →- Free plan · from $0BAA available
- Pricing
- Free plan $0 (basic one-to-one video, BAA included); Premium reported $29/user/mo billed annually (third-party; vendor pricing page did not show a price to our checker, so unverified); no credit card for Premium trial (vendor site)
- HIPAA BAA
- Yes – free BAA for all users on Free and Premium; Free/individual BAAs cover one provider, multi-provider practices need a Clinic BAA (vendor help center)
- Best for
- Solo clinicians starting telehealth on a budget; the Free plan with an individual BAA covers basic video, and Premium adds intake, consent and notes.
- Last checked
- · hipaacompare.com · BAA: helpcenter.doxy.me
- From $300/moBAA available
- Pricing
- Core from $300/mo; AI & Automation from $500/mo; calling usage billed separately; Enterprise custom (vendor site)
- HIPAA BAA
- Yes – automatic BAA for every user covering texting, voice, video, forms and file sharing (vendor site)
- Best for
- HIPAA patient messaging and unified inbox with two-way SMS, voice/video, optional AI call automation, and one-click EHR documentation push.
- Last checked
- · www.ohmd.com
- From $20/user/moBAA available
- Pricing
- Reported VoIP Standard $20/user/mo billed annually ($25 monthly); VoIP Professional, which adds the HIPAA features, IVR and transcription, $25/user/mo annually ($30 monthly); SMS plans from $45/mo; All-in-One Suite $149/mo flat. Unverified – figures come from the vendor's blog; we found no pricing page on the vendor site (vendor blog)
- HIPAA BAA
- Yes – vendor's HIPAA page says customers who use PHI must sign a BAA with Emitrr; vendor blog says HIPAA compliance is on the Professional plan (vendor site)
- Best for
- Small practices that want phones, texting, reminders and reviews from one vendor; get a written quote and confirm the BAA covers the plan you buy.
- Last checked
- · emitrr.com · BAA: emitrr.com
- From $199/moBAA available
- Pricing
- Reported from $199/mo (third-party review; see vendor pricing page)
- HIPAA BAA
- Yes – BAA available to customers; published BAA addendum (vendor legal)
- Best for
- Unified patient communication platform (phone, text, payments, scheduling) built for healthcare practices. Integrates with dental/medical PMS and EHR systems via partner APIs (vendor site).
- Last checked
- · www.getweave.com · BAA: www.getweave.com
- From $33/user/moBAA available
- Pricing
- Business $33/user/mo ($23 billed annually) required for BAA; Scale $47/user/mo; Starter $19/user/mo has no BAA (vendor site)
- HIPAA BAA
- Yes – BAA on Business and Scale plans only; not on Starter (vendor support)
- Best for
- Business phone and texting app with shared numbers, AI call summaries and transcripts. Not healthcare-specific.
- Last checked
- · www.quo.com · BAA: support.quo.com
Spruce Health vs the top 3 at a glance
 Spruce Health | DDoxy.me | OOhMD | EEmitrr | |
|---|---|---|---|---|
| Pricing | $24/user/mo Basic, $49/user/mo Communicator; 14-day trial (vendor site) | Free plan $0 (basic one-to-one video, BAA included); Premium reported $29/user/mo billed annually (third-party; vendor pricing page did not show a price to our checker, so unverified); no credit card for Premium trial (vendor site) | Core from $300/mo; AI & Automation from $500/mo; calling usage billed separately; Enterprise custom (vendor site) | Reported VoIP Standard $20/user/mo billed annually ($25 monthly); VoIP Professional, which adds the HIPAA features, IVR and transcription, $25/user/mo annually ($30 monthly); SMS plans from $45/mo; All-in-One Suite $149/mo flat. Unverified – figures come from the vendor's blog; we found no pricing page on the vendor site (vendor blog) |
| What it does | HIPAA-grade phone, text, video and fax inbox for care teams. Integrates with athenahealth, DrChrono, Elation, Hint, ModMed, Dock and Guava; API on Communicator plan (vendor integrations). | Browser-based telehealth with a virtual waiting room and patient check-in (no patient download); Premium adds intake and consent workflows, assessments, patient routing, clinic management and a Scribe app for transcription and draft notes. | HIPAA patient messaging and unified inbox with two-way SMS, voice/video, optional AI call automation, and one-click EHR documentation push. | Patient communication platform for small practices: HIPAA-ready VoIP phones with IVR and missed-call auto-text, two-way texting, an AI agent that books, confirms and reschedules, online scheduling, intake forms, reviews and fax in one account. |
| HIPAA BAA | Yes – automatic BAA for eligible organizations on every plan including trial (vendor help) | Yes – free BAA for all users on Free and Premium; Free/individual BAAs cover one provider, multi-provider practices need a Clinic BAA (vendor help center) | Yes – automatic BAA for every user covering texting, voice, video, forms and file sharing (vendor site) | Yes – vendor's HIPAA page says customers who use PHI must sign a BAA with Emitrr; vendor blog says HIPAA compliance is on the Professional plan (vendor site) |
| Best fit | unverified | Solo clinicians starting telehealth on a budget; the Free plan with an individual BAA covers basic video, and Premium adds intake, consent and notes. | unverified | Small practices that want phones, texting, reminders and reviews from one vendor; get a written quote and confirm the BAA covers the plan you buy. |
| Last checked | · source | · source | · source | · source |
| Next step | Full listing Visit site ↗ | Full listing Visit site ↗ | Full listing Visit site ↗ | Full listing Visit site ↗ |
Facts come from vendor pages and third-party reviews, as labeled on each line. “Unverified” means we couldn't confirm it. Get the BAA for the exact plan you buy and confirm pricing with the vendor before you switch.
Frequently asked questions
What are the best Spruce Health alternatives for a small practice?
Ranked by AIOP Score among the 5 alternatives we track: Doxy.me (9.4), OhMD (8.3), Emitrr (8.0) and Weave (8.0). The score is editorial and calculated from published pricing, BAA status, small-practice fit, setup and features. Sponsorship never affects it.
Which Spruce Health alternatives include a BAA on every plan?
Per the vendors' own pages: OhMD. Confirm the BAA covers the exact plan you buy.
Does Spruce Health offer a HIPAA BAA?
Our data says: Yes – automatic BAA for eligible organizations on every plan including trial (vendor help). Last checked 2026-10-15.
Is there a free alternative to Spruce Health?
Doxy.me list a free plan, tier or free use. Check whether the free option is covered by a BAA before using it with patient information.
Disclaimer: This site covers administrative and operational workflows only. It is not clinical, legal, or compliance advice. Pricing and BAA status come from vendor sites or third-party reviews as of the date shown and can change – confirm directly with each vendor and your compliance advisor before using any tool with protected health information.