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Joyous vs Ria Health: Which Is Better?

Head-to-head comparison of Joyous 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 64/100), leading on trust & safety, experience, product range, reputation. Joyous comes out ahead on value. Joyous has the lower entry price (from $129/mo vs $200/mo), so the better value depends on which treatment you need.

64
Joyous
Fair

The most affordable at-home ketamine provider, offering very-low-dose (microdose) sublingual ketamine for depression, anxiety, and PTSD at $129/month.

Visit Joyous
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.

Visit Ria Health

Score Breakdown

DimensionJoyousRia Health
Overall Score64/10064.1/100 ✓
Trust & Safety30%60/10068/100 ✓
Value25%85/100 ✓58/100
Experience20%60/10064/100 ✓
Product Range15%55/10068/100 ✓
Reputation10%55/10062/100 ✓

At a Glance

Founded2021—
HeadquartersFoster City, CASan Francisco, CA
Publicly tradedNoNo
Treatment categories11
Treatments listed21
Starting price$129/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.

CategoryJoyousRia Health
Mental Health$129
Commitment Plan (3-month minimum)
$200–$400
Alcohol Treatment Program (medication + coaching + breathalyzer)

Joyous

+Most affordable at-home ketamine option at $129/mo — fraction of competitors' pricing
+Microdose approach: patients stay fully functional, no sitter required, compatible with SSRIs
+All-inclusive flat pricing: consultation, medication, provider access, portal, and check-ins bundled
−$400K privacy class action settlement (2025) for disclosing confidential customer data
−BBB C+ rating with 112 complaints — billing after cancellation is the top issue
−High provider turnover — patients rarely see the same clinician twice
Read the full Joyous 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 →

Joyous vs Ria Health — FAQ

Is Joyous better than Ria Health?

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Ria Health scores higher overall in our independent evaluation (64.1/100 vs 64/100), leading on trust & safety, experience, product range, reputation. Joyous comes out ahead on value. Joyous has the lower entry price (from $129/mo vs $200/mo), so the better value depends on which treatment you need.

Is Joyous or Ria Health cheaper?

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Joyous has the lower starting price (from $129/mo vs $200/mo for Ria Health). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Joyous and Ria Health both offer?

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

Still deciding?

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