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Ria Health vs Talkiatry: Which Is Better?

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

Our Verdict

Talkiatry scores higher overall in our independent evaluation (65.8/100 vs 64.1/100), leading on trust & safety, value. Ria Health comes out ahead on experience, product range.

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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Insurance-only virtual psychiatry practice with 800+ psychiatrists in 45 states, able to prescribe controlled substances including ADHD stimulants where state law allows.

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Score Breakdown

DimensionRia HealthTalkiatry
Overall Score64.1/10065.8/100 ✓
Trust & Safety30%68/10070/100 ✓
Value25%58/10072/100 ✓
Experience20%64/100 ✓58/100
Product Range15%68/100 ✓60/100
Reputation10%62/10062/100

At a Glance

Founded—2019
HeadquartersSan Francisco, CANew York, NY
Publicly tradedNoNo
Treatment categories11
Treatments listed13
Starting price$200/mo$20/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.

CategoryRia HealthTalkiatry
Mental Health$200–$400
Alcohol Treatment Program (medication + coaching + breathalyzer)
$20–$50
Psychiatric Evaluation & Medication Management

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 →

Talkiatry

+Board-certified psychiatrists (not only NPs) with 60-minute adult and 75-minute child/teen intake visits
+Can prescribe controlled medications, including ADHD stimulants, in states where telehealth law permits
+In-network with major commercial plans and Medicare; typical copays are $20-50 per visit
−No self-pay option, and Medicaid and TRICARE are not accepted
−Weak independent ratings (Trustpilot about 2.7/5, BBB about 1.1/5) concentrated on billing and customer service
−$100 fee for cancelling or rescheduling within 48 hours
Read the full Talkiatry review →

Ria Health vs Talkiatry — FAQ

Is Ria Health better than Talkiatry?

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Talkiatry scores higher overall in our independent evaluation (65.8/100 vs 64.1/100), leading on trust & safety, value. Ria Health comes out ahead on experience, product range.

Is Ria Health or Talkiatry cheaper?

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Talkiatry has the lower starting price (from $20/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 Ria Health and Talkiatry both offer?

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

Still deciding?