Doxy.me vs SimplePractice: Which Is Better in 2026?

At a glance

	Doxy.me	SimplePractice
Best for	Providers who want simple browser-based video visits	Therapists who want telehealth inside their practice software
Starting price	Free; Premium by quote	$49 / month (Starter)
Free plan or trial	Free plan with a business associate agreement	Free trial of up to 30 days
Product type	Standalone video platform	Practice management software with built-in video
Deployment	Browser-based, nothing for patients to install	Cloud platform with a client portal
Group video	Up to 25 participants on Premium	Listed with the Plus plan ($99 / month)
Scheduling, notes, and billing	Not included	Included
Contract	Premium billed per user per month on an annual contract	Published monthly plan prices; additional practitioners on Plus at $74 / month
Ideal size	Solo providers to clinics adding video to existing systems	Solo and small-group therapy and wellness practices

Doxy.me is the better fit for providers who want the simplest possible video visit and already run scheduling, notes, and billing in other software, while SimplePractice suits therapists and small-group clinicians who want video built into the same system as their calendar, notes, and payments. These are different kinds of products, so the choice is less about video quality and more about how much of your practice you want in one place.

Here is how they compare on the things clinicians weigh when choosing telehealth software.

What each product is

Doxy.me is a browser-based telehealth platform and nothing more. Patients click your room link and wait in a virtual waiting room, with no app or account to create. You get a personal room link, email invitations, and one-to-one video on the free plan. Premium adds group calls and clinic management tools.

SimplePractice is practice management software for therapists and other solo or small-group clinicians. Video visits are one feature among many, alongside a client portal, online booking, notes and documentation, and payments. You use it to run the whole practice, and telehealth comes with it.

Winner: depends on what you already have. If you have an EHR you like, Doxy.me adds video without disrupting it. If you are starting fresh or replacing scattered tools, SimplePractice covers far more ground.

Video visit experience

Doxy.me is built around making the visit easy for the patient. There is nothing to download, and patients who are not comfortable with technology can join from a link. The virtual waiting room lets you see who has arrived and bring them in when you are ready. For practices that see older patients or people on unreliable phones, that simplicity is the main reason to choose it.

SimplePractice’s built-in video works inside the client’s existing relationship with your practice. Clients who already use the client portal for forms and booking stay with a practice they know, and each session is tied to an appointment on your calendar.

Winner: Doxy.me for the visit itself. It is the easier option for patients who struggle with technology, and that matters more than any other feature in telehealth.

Practice features beyond video

This is where SimplePractice pulls ahead. Scheduling, online booking, notes, a client portal, and payments all sit in one login. A therapist can book a client, send intake forms, run the session, write the note, and collect payment without leaving the system. SimplePractice also handles insurance claims, and add-ons such as AI note tools and e-prescribing are available for an extra fee.

Doxy.me does no scheduling, notes, or billing. You will need other software for all of that, and someone will need to send room links and record visits in your chart.

Winner: SimplePractice, clearly, for anyone who wants one system for the practice rather than a video room.

Group sessions

Group therapy, family sessions, and visits with interpreters need multi-party video. Doxy.me Premium adds group calls for up to 25 participants. SimplePractice lists group telehealth with its Plus plan, which costs $99 a month.

Winner: tie. Both put group video behind a paid tier. SimplePractice has a published price for it, which makes budgeting easier, while Doxy.me Premium requires a quote.

Pricing and total cost

Doxy.me’s free plan covers one-to-one video calls, your own room link, email invitations, and a business associate agreement at no cost. That is hard to beat for a solo provider who only needs video. Premium is billed per user per month on an annual contract, and Doxy.me does not publish the price, so you will need a quote.

SimplePractice publishes its pricing. Starter costs $49 a month, Essential costs $79, and Plus costs $99, with each additional practitioner on Plus at $74 a month. New accounts get a free trial of up to 30 days. Add-ons such as AI note tools and e-prescribing cost extra, so check which features are in the tier you choose. If you bill insurance, the per-claim fees that SimplePractice charges also belong in your monthly estimate.

Comparing them fairly means pricing the whole setup. Doxy.me’s free plan plus a separate scheduling, notes, and billing system can cost more than SimplePractice alone. Doxy.me on its own is cheaper only if you already pay for that other software.

Winner: Doxy.me for video alone, since the free plan with a BAA costs nothing. SimplePractice wins on value if you would otherwise pay for separate practice software.

Insurance billing

If you bill insurance for virtual sessions, the gap between these two widens. SimplePractice handles insurance claims inside the same system that holds the appointment and the note. From October 1, 2026, every SimplePractice plan pays $0.39 per electronic claim, with lower rates at higher volume, so include that fee in your monthly estimate if you file many claims.

Doxy.me does no billing at all. A therapist using it would need separate software or a billing service to create claims, apply the right telehealth place of service code and modifiers, and track payments. That is fine for a practice that already has that setup, and extra work for one that does not.

Winner: SimplePractice for clinicians who file their own insurance claims.

Growing beyond one clinician

As a practice adds clinicians, the cost picture changes. SimplePractice Plus charges $74 a month for each additional practitioner, and each one gets the same calendar, notes, and video tools. Doxy.me Premium adds clinic management tools for teams, billed per user on an annual contract, but the rest of the practice still runs elsewhere.

Winner: SimplePractice for small therapy groups that want everyone in one system. Doxy.me fits larger clinics that already standardize on another EHR and just need video for every provider.

HIPAA and security

Both vendors offer a business associate agreement. Doxy.me includes one on its free plan, which is one of its biggest strengths. SimplePractice provides a BAA to its customers, and because video, notes, and payments sit in one system, you have one vendor agreement covering the whole practice rather than separate agreements for each tool.

Whichever you choose, confirm the agreement is in place before the first session, turn on multi-factor sign-in, and check how each vendor stores session data.

Winner: tie. Doxy.me makes compliance free for video-only practices. SimplePractice reduces the number of vendors handling patient data.

Ease of setup

Doxy.me takes minutes to set up: create an account, share your room link, and start seeing patients. There is almost nothing to configure. SimplePractice is also easy for solo clinicians, but setting up a full practice system takes longer, since you are building your calendar, intake forms, note templates, and billing settings at the same time.

Winner: Doxy.me for speed. SimplePractice takes longer but replaces more tools once it is running.

Which one to choose

Pick Doxy.me if you already have practice software and only need a dependable video room that any patient can join. Pick SimplePractice if you are a therapist or wellness clinician who wants video, notes, scheduling, and payments together. Both let you try before you pay: Doxy.me through its free plan and SimplePractice through a free trial of up to 30 days, so run a week of real sessions on each before you decide. To compare four more options, including budget and communication-first tools, see our full ranking of telehealth platforms.

Pros and cons

Doxy.me

SimplePractice

Which should you choose?

Frequently asked questions