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BetterHelp vs Ria Health: Which Is Better?

Head-to-head comparison of BetterHelp and Ria Health based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Ria Health scores higher overall in our independent evaluation (64.1/100 vs 54.5/100), leading on trust & safety, product range, reputation. BetterHelp comes out ahead on experience.

55
BetterHelp
Below Average

BetterHelp is Teladoc Health's online talk-therapy platform, matching users with licensed therapists for messaging, chat, phone and video sessions; it does not prescribe medication and operates under a 2023 FTC order over sharing health data with advertisers.

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64

Ria Health is a San Francisco-based, Joint Commission-accredited online alcohol-treatment program combining medication (naltrexone, acamprosate and off-label options), recovery coaching and a Bluetooth breathalyzer, billed mainly through insurance.

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Score Breakdown

DimensionBetterHelpRia Health
Overall Score54.5/10064.1/100 ✓
Trust & Safety30%45/10068/100 ✓
Value25%58/10058/100
Experience20%70/100 ✓64/100
Product Range15%50/10068/100 ✓
Reputation10%50/10062/100 ✓

At a Glance

Founded2013—
HeadquartersMountain View, CASan Francisco, CA
Publicly tradedYes (TDOC)No
Treatment categories11
Treatments listed11
Starting price$280/mo$200/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryBetterHelpRia Health
Mental Health$280–$400
Online Therapy (messaging, chat, phone, video)
$200–$400
Alcohol Treatment Program (medication + coaching + breathalyzer)

BetterHelp

+Large licensed-therapist network with messaging, live chat, phone and video in one membership
+Therapist switching is self-serve and frequently praised in reviews
+Weekly price range ($70–$100) published on the FAQ; insurance accepted in a growing number of states (average $23 copay)
−2023 FTC order: shared users' mental-health data with Facebook, Snapchat, Criteo and Pinterest for advertising despite privacy promises; paid $7.8M in consumer refunds
−No medication management: therapists cannot prescribe or formally diagnose
−Cash price of about $280–$400 per month is high relative to per-session pay-as-you-go therapy
Read the full BetterHelp review →

Ria Health

+Widest medication menu among online alcohol programs reviewed: naltrexone, acamprosate, topiramate, baclofen, gabapentin
+Bundles recovery coaching and a Bluetooth breathalyzer (shipped at no extra charge) with medical management
+In-network with several major insurers (Anthem/BCBS, UnitedHealthcare/Optum, Carelon, select Medicare Advantage); Joint Commission accreditation displayed
−Self-pay price is not published; requires a sales/intake call to learn cost
−17% of Trustpilot reviews are 1-star, citing charges after cancellation and insurance confusion; company responds to only ~26% of negative reviews
−Reports of missed appointments and onboarding communication gaps
Read the full Ria Health review →

BetterHelp vs Ria Health — FAQ

Is BetterHelp better than Ria Health?

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Ria Health scores higher overall in our independent evaluation (64.1/100 vs 54.5/100), leading on trust & safety, product range, reputation. BetterHelp comes out ahead on experience.

Is BetterHelp or Ria Health cheaper?

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Ria Health has the lower starting price (from $200/mo vs $280/mo for BetterHelp). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do BetterHelp and Ria Health both offer?

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Both platforms treat Mental Health. BetterHelp covers 1 treatment category total and Ria Health covers 1.

Still deciding?

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