MDLIVE review

MDLIVE is a general telehealth company with a mental health line that works per visit rather than by subscription. You create an account, choose a licensed therapist or board-certified psychiatrist, and book a time, including nights, weekends and holidays. MDLIVE says your first therapy appointment can happen in a week or less, and you can keep the same professional or switch at any time. Pricing is listed upfront: $0 to $179 for an initial therapy visit depending on insurance, $140 for follow-ups before insurance, $0 to $299 for an initial psychiatry visit and $159 for psychiatry follow-ups. It accepts many major insurances, though not every plan covers every service. MDLIVE also treats children ages 10 to 17. There is no messaging plan, and the page does not describe matching beyond picking from its network, so it suits people who already know what they want.

Who it is for

Adults who want pay-per-visit therapy with evening, weekend and holiday appointments.

Price

$0 to $179 for an initial therapy visit depending on insurance; follow-ups $140 before insurance.

$0-179 for talk therapy
Quoted from the vendor pricing page on November 10, 2026.

Key features

• Talk therapy with licensed therapists
• Psychiatry with board-certified psychiatrists
• Appointments on nights, weekends and holidays
• Pick your own provider and keep or switch them
• Care for children ages 10 to 17

Strengths and weaknesses

• Strength: Price shown upfront before booking
• Strength: No subscription required
• Strength: First therapy appointment in a week or less
• Weakness: No messaging plan between sessions
• Weakness: Not all insurance plans cover all MDLIVE services
• Weakness: Psychiatry initial visits cost up to $299

Key facts

• Initial therapy: $0 to $179
• Therapy follow-up: $140 before insurance
• Initial psychiatry: $0 to $299
• Psychiatry follow-up: $159 before insurance

Where it ranks

MDLIVE is No. 8 in our Best Online Therapy Services verdict.