Spruce Health

HIPAA-compliant phone, text, fax, video and team messaging platform for healthcare practices
2.7/5 · How we score · Last checked Oct 1, 2026

Score breakdown

12 of 24 checks passed. The score counts what Spruce Health publishes, not how well it performs.

2.7/5
Pricing transparency5.0
Terms and commitment4.0
Med spa fit1.0
Proof and track record2.0
Support and onboarding0.0
Show all 24 checks
Pricing transparency · 5/5
  • ✓Publishes a pricesource
  • ✓States how it chargessource
  • ✓States setup or onboarding feessource
  • ✓States extra costs such as add-ons or ad spendsource
  • ✓Lists what each plan or package includessource
Terms and commitment · 4/5
  • ✓States the minimum termsource
  • ✓Offers month to monthsource
  • ✓Publishes cancellation or return termssource
  • ✓Offers a free trial, demo, audit or consultationsource
  • –States how you get your data outnot found
Med spa fit · 1/5
  • –Has a page for this industrynot found
  • –Names this industry as its only or a core marketnot found
  • –Shows a named client or case study in this industrynot found
  • –Lists services or features built for this industrynot found
  • ✓States that it supports HIPAA compliance or offers a BAAsource
Proof and track record · 2/5
  • –Publishes a case study with a stated resultnot found
  • –Names its leadership or teamnot found
  • ✓Publishes its founding yearsource
  • –Has a third-party review profile with 10 or more reviewsnot found
  • ✓Names clientssource
Support and onboarding · 0/4
  • –Lists how to reach supportnot found
  • –States support hoursnot found
  • –Describes onboardingnot found
  • –Has a public help center or documentationnot found

In one line

Publishes per-user prices, a free trial, month-to-month billing with prorated cancellation and an automatic BAA; the site does not mention med spas or aesthetic practices on the pages checked.

About Spruce Health

Spruce Health was founded in 2013 and sells a communication platform for healthcare: phone, SMS, secure messaging, fax, video visits and internal team chat, organized in shared inboxes. The higher plan adds call flows, after-hours triage, integrations and API access. The site addresses primary care, mental health and other specialties without naming med spas.

Two plans are priced per user per month and a free trial needs no credit card. The site says contracts are month-to-month by default and can be cancelled within the product with a prorated final bill, while larger practices may be asked for an annual commitment and an onboarding fee. A BAA is included with every plan through the terms of service.

Who it is for

A solo provider or small practice that wants a compliant phone line, patient texting and shared inbox billed per user with no long commitment.

Pricing

BasicHIPAA BAA · Medical phone, text, video, fax and internal team chat · Customizable shared inbox · Auto-replies · AI-enabled voicemail transcription
$24 per user/mo
CommunicatorEverything in Basic · Self-service call flows (IVR) · Urgent escalation and after-hours triage · Integrations and API access · VoIP phone service
$49 per user/mo
Setup fee
An onboarding fee may be required for larger practices source
Extra costs
Listed prices do not include taxes or fees source
Minimum term
Month-to-month by default; larger practices may be asked for an annual commitment source
Cancellation
Month-to-month plans can be cancelled anytime within Spruce, with a prorated final bill source

Prices as published on Oct 1, 2026. Confirm current rates with Spruce Health.

Services

Medical phone systemSMS textingSecure app-based messagingSecure team chatVideo telemedicineFaxShared inboxes

Key features

Auto-repliesAI voicemail transcriptionMissed-call text-backCall flows (IVR)After-hours triageBulk (broadcast) messaging

What it publishes and what it doesn't

On its website

  • ✓ Publishes a price
  • ✓ States how it charges
  • ✓ States setup or onboarding fees
  • ✓ States extra costs such as add-ons or ad spend
  • ✓ Lists what each plan or package includes
  • ✓ States the minimum term
  • ✓ Offers month to month
  • ✓ Publishes cancellation or return terms
  • ✓ Offers a free trial, demo, audit or consultation
  • ✓ States that it supports HIPAA compliance or offers a BAA
  • ✓ Publishes its founding year
  • ✓ Names clients

Not found on its website

  • – States how you get your data out
  • – Has a page for this industry
  • – Names this industry as its only or a core market
  • – Shows a named client or case study in this industry
  • – Lists services or features built for this industry
  • – Publishes a case study with a stated result
  • – Names its leadership or team
  • – Has a third-party review profile with 10 or more reviews
  • – Lists how to reach support
  • – States support hours
  • – Describes onboarding
  • – Has a public help center or documentation

Sources

Every fact on this page was read on these pages on the date shown.

  1. sprucehealth.com/about
  2. sprucehealth.com
  3. sprucehealth.com/plans

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