Cerebral vs BetterHelp HSA Comparison (2026)

Online mental health platform offering therapy, medication management, and psychiatric care.

Subscription online therapy with licensed therapists via video, phone, or chat.

HSA Eligibility at a Glance

Cerebral

HSA-eligible

Cerebral therapy, psychiatry, and prescribed medications are HSA-eligible. The platform accepts HSA/FSA cards at checkout.

BetterHelp

HSA-eligible

BetterHelp therapy is HSA-eligible without an LMN for treatment of diagnosed conditions. HSA/FSA cards accepted at checkout.

Pricing

Cerebral

Therapy + medication: $325/mo. Medication only: $99/mo. Therapy only: $295/mo.

BetterHelp

$65-100/week, billed every 4 weeks ($260-$400/mo)

Which Should You Pick?

When to choose Cerebral

  • You need both therapy and medication management in one platform
  • You want a prescriber on staff, not just talk therapy
  • You prefer a clinical care-coordination model with messaging support

When to choose BetterHelp

  • You only need talk therapy, not psychiatric medication
  • You want unlimited messaging between live sessions
  • You prefer the larger therapist network and matching flow

Visit Each Vendor

Related Comparisons

Common Questions

Are Cerebral and BetterHelp both HSA-eligible?
Yes. Both qualify for HSA without an LMN when treating a diagnosed condition. Both accept HSA/FSA cards directly at checkout.
Which offers medication management?
Cerebral does, BetterHelp does not. If you need a prescriber, Cerebral or Talkspace are the options.
Is Cerebral more expensive than BetterHelp?
Pricing is similar at the full-service tier (~$320-325/mo). Cerebral offers a medication-only plan at $99/mo that BetterHelp doesn't match.
Does Cerebral accept insurance?
Cerebral accepts some insurance plans depending on state. Verify your specific plan during signup. BetterHelp does not accept insurance.
Can I use my HSA for ADHD medication via Cerebral?
Cerebral's ADHD-specific prescribing has shifted over time due to regulatory changes. Confirm current availability during intake. Prescribed medications are HSA-eligible when prescribed by a licensed provider.
How do I track these in HSA Trackr?
Set up a recurring expense for the monthly subscription. Upload monthly invoices and any prescription receipts so the full record sits in one place.

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More HSA Resources

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