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Health & WellnessMembershipHow we grade

Thriveworks

Pay-per-session, not a subscription - there's no free trial and no membership fee (Thriveworks dropped membership fees in 2023).

Exit grade D: No self-serve online cancel: you have to call to close the account.

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Quick answer

Thriveworks: Pay-per-session, not a subscription - there's no free trial and no membership fee (Thriveworks dropped membership fees in 2023). A credit card is required to start. Cancelling is moderate - about 8 minutes. Our take: Straight talk: this isn't a free-trial product, and we list it as therapy, not as something to sample and cancel.

Last verified: July 22, 2026

Our take

Straight talk: this isn't a free-trial product, and we list it as therapy, not as something to sample and cancel. Thriveworks is pay-per-session counseling - online or in person - that's in-network with a lot of insurance plans, so if you have coverage your out-of-pocket is often just a copay. There's no membership fee to escape, which is a point in its favor. The two things to know before you book: a card goes on file, and late-cancelling or no-showing an appointment inside 48 hours triggers a fee. If you're comparing insurance-based therapy options, it's a legitimate one.

What you get

The Thriveworks Individual therapy (online or in-person), pay-per-session plan

Included · 6

  • Online and in-person therapy across 49 states plus D.C., for individuals, couples, teens, and families

  • In-network with 360+ insurance plans - many clients pay only a copay per session

  • Pay-per-session model with no membership or subscription fee

  • Licensed therapists (not a chat-only app) with scheduled appointments

  • Psychiatry and medication management available in addition to talk therapy

  • HSA/FSA cards accepted alongside standard debit/credit

Worth knowing

  • A free trial or free session - you pay per appointment from the first one (copay or self-pay)

  • Flat-rate unlimited messaging - Thriveworks is appointment-based, not a subscription chat service

  • Guaranteed $0 cost - copays depend on your plan, and self-pay sessions run into the hundreds

  • Fee-free late changes - cancelling, rescheduling, or no-showing inside 48 hours incurs a late fee (around $135)

The honest data

By the numbers

Pricing
Pay-per-session, not a subscription - there's no free trial and no membership fee (Thriveworks dropped membership fees in 2023). Verified 2026-07-15: with in-network insurance most clients owe roughly a $0-$55 copay per session; self-pay runs about $160-$240 per therapy session (intakes at the higher end) and higher for psychiatry. Costs vary by provider, location, and your specific plan. HSA/FSA cards are accepted.
Card required
Yes
Cancellation
Medium
Time to cancel
~8 min

Cancellation guide

How to cancel Thriveworks

Documented · ~8 min

  1. 01

    There's no recurring subscription to cancel - you're only billed for appointments you book

  2. 02

    To stop future appointments or close your account, call Thriveworks at 855-641-1379 or email support@thriveworks.com

  3. 03

    Ask them to close the account fully if you also want your payment information removed

  4. 04

    To avoid a late fee on an existing appointment, cancel or reschedule it at least 48 hours in advance

Thriveworks free trial - frequently asked

How much does Thriveworks cost?
Pay-per-session, not a subscription - there's no free trial and no membership fee (Thriveworks dropped membership fees in 2023). Verified 2026-07-15: with in-network insurance most clients owe roughly a $0-$55 copay per session; self-pay runs about $160-$240 per therapy session (intakes at the higher end) and higher for psychiatry. Costs vary by provider, location, and your specific plan. HSA/FSA cards are accepted.
How do I cancel Thriveworks?
To cancel Thriveworks: 1. There's no recurring subscription to cancel - you're only billed for appointments you book; 2. To stop future appointments or close your account, call Thriveworks at 855-641-1379 or email support@thriveworks.com; 3. Ask them to close the account fully if you also want your payment information removed; 4. To avoid a late fee on an existing appointment, cancel or reschedule it at least 48 hours in advance. It takes about 8 minutes and is rated medium to cancel.
Do I need a credit card for the Thriveworks trial?
Yes - Thriveworks requires a credit card to start the free trial, so note when it converts to a paid plan.

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