# Spruce Health vs Teladoc Health

**Leader by vioscaleAI score:** Spruce Health

| Attribute | Spruce Health | Teladoc Health |
|---|---|---|
| **vioscaleAI score** | 66.4 (49% (low)) | 36.6 (23% (low)) |
| content.faq | `[{"answer":"Spruce Health consolidates phone, text, video, and secure messaging for healthcare practitioners in one platform. It includes HIPAA compliance, business associate agreements, and tools to automate workflows while keeping patient communications secure and compliant. It is indexed under Telemedicine.","source":"https://sprucehealth.com/plans","question":"What is Spruce Health?","confidence":0.6},{"answer":"Spruce Health offers a free tier, so you can start without paying. Paid plans start at $24 per user per month. Prices are published openly on the vendor's own pricing page. Pricing changes often, so verify at source before relying on it.","source":"https://sprucehealth.com/plans","question":"Is Spruce Health free?","confidence":0.6},{"answer":"We have confirmed browser-based access to Spruce Health. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://sprucehealth.com/plans","question":"What platforms does Spruce Health support?","confidence":0.6},{"answer":"We have only confirmed a cloud / SaaS deployment for Spruce Health, so it appears to be vendor-hosted. If a self-hosted option exists we have not found it documented publicly.","source":"https://sprucehealth.com/plans","question":"Can Spruce Health be self-hosted?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for Spruce Health. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as Spruce Health not holding them. Always confirm compliance directly before you rely on it.","source":"https://sprucehealth.com/plans","question":"What security certifications does Spruce Health have?","confidence":0.6},{"answer":"Spruce Health is available worldwide. Its primary market is the United States.","source":"https://sprucehealth.com/plans","question":"Where is Spruce Health available?","confidence":0.5}]` | `[{"answer":"A cloud-based telehealth platform that provides remote medical consultations, behavioral health support, chronic disease management, preventive care, and specialist access integrated with health plans and employer benefits. It is indexed under Telemedicine.","source":"https://teladochealth.com","question":"What is Teladoc Health?","confidence":0.6},{"answer":"Teladoc Health does not publish its prices. Pricing is quoted on request, so the figure depends on your seat count and requirements. We record this as a pricing-transparency signal rather than guessing a number. Pricing changes often, so verify at source before relying on it.","source":"https://teladochealth.com","question":"How much does Teladoc Health cost?","confidence":0.6},{"answer":"Teladoc Health supports the web, iOS and Android. Platforms we have not confirmed are simply not listed here rather than ruled out.","source":"https://teladochealth.com","question":"What platforms does Teladoc Health support?","confidence":0.6},{"answer":"We have only confirmed a cloud / SaaS deployment for Teladoc Health, so it appears to be vendor-hosted. If a self-hosted option exists we have not found it documented publicly.","source":"https://teladochealth.com","question":"Can Teladoc Health be self-hosted?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for Teladoc Health. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as Teladoc Health not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.teladochealth.com/newsroom/press/trustmark-health-benefits-partners-with-teladoc-health-to-launch-new-virtual-first-health-plan-services","question":"What security certifications does Teladoc Health have?","confidence":0.7},{"answer":"Teladoc Health is available in the United States. Its primary market is the United States.","source":"https://teladochealth.com","question":"Where is Teladoc Health available?","confidence":0.75}]` |
| deployment.options | `{"cloud":true}` | `{"cloud":true}` |
| description.long | Spruce Health consolidates phone, text, video, and secure messaging for healthcare practitioners in one platform. It includes HIPAA compliance, business associate agreements, and tools to automate workflows while keeping patient communications secure and compliant. | A platform that brings together diverse virtual care delivery models—including primary care, urgent care, specialty consultations, remote monitoring, and mental health services—into a single system to reduce fragmentation and enable AI-enabled clinical workflows. |
| features.capabilities | `{"pricing_model":"flat_monthly_subscription","deployment_model":"cloud_web_app","secure_asynchronous_text_messaging":true,"secure_1080p_hipaa_video_conferencing":true,"hipaa_baas_business_associate_agreement":true}` | `{"hipaa":true,"deployment":"cloud","care_setting":"ambulatory","product_type":"telehealth","pricing_model":"enterprise_quote_based","patient_portal":true,"target_segment":"enterprise","deployment_model":"cloud_web_app","telehealth_builtin":true,"e_prescribing_erx_integration":true,"secure_asynchronous_text_messaging":true}` |
| market.availability | `{"primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` |
| platform.support | `{"web":true}` | `{"ios":true,"web":true,"android":true}` |
| pricing | `{"type":"subscription","plans":[{"free":false,"name":"Basic","summary":"$24/user/month, month-to-month billing","features":["Advanced medical phone system","SMS texting","Secure app-based messaging","Secure team chat","Video telemedicine","Scheduled messages","AI transcription","Auto-replies","Customizable shared inbox","Advanced spam call control","Business Associate Agreement (BAA)","User access management controls","Contact & conversation tags","Contact and patient list management"],"commitment":"monthly","components":[{"kind":"per_unit","unit":"user","amount":24,"period":"month","currency":"USD"}],"description":"Core communication tools to streamline patient interactions, simplify daily workflows, and stay compliant.","contactSales":false},{"free":false,"name":"Communicator","summary":"$49/user/month, month-to-month billing","features":["Everything in Basic, plus:","Self-service customizable call flows (IVR)","Urgent escalation and after-hours triage","Integrations & API access","VoIP phone service","AI-enabled transcription & summarization","Call recording","Missed-call text-back","Scheduled auto-replies and call routing","Bulk (broadcast) messaging","Task assignment and management","Internal paging (mentions)","Assignments oversight dashboard","Mobile payments","Dedicated support"],"commitment":"monthly","components":[{"kind":"per_unit","unit":"user","amount":49,"period":"month","currency":"USD"}],"description":"The advanced toolkit to automate workflows, enhance team collaboration, and optimize practice productivity.","contactSales":false}],"summary":"From $24/user/month. Free 14-day trial with no credit card required. Month-to-month billing.","currency":"USD","freeTier":false,"sourceUrl":"https://sprucehealth.com/plans","retrievedAt":"2026-08-21T16:45:04.244Z","freeTrialDays":14,"startingPrice":{"unit":"user","amount":24,"period":"month","currency":"USD"},"billingPeriods":["month"]}` | `{"type":"quote","freeTier":false,"sourceUrl":"https://teladochealth.com","retrievedAt":"2026-08-21T16:39:46.535Z"}` |
| pricing.free_tier | yes | no |
| pricing.model | freemium | quote |
| pricing.price_level | low | unknown |
| pricing.starting_price | `{"amount":24,"currency":"USD"}` | - |
| pricing.transparent | yes | no |
| security.hipaa | yes | yes |

## Capabilities (Telemedicine)

| Capability | Spruce Health | Teladoc Health |
|---|:--:|:--:|
| **Capabilities** |  |  |
| Deployment model | Cloud web app | Cloud web app |
| HIPAA baas business associate agreement | ✓ | - |
| Secure 1080p HIPAA video conferencing | ✓ | - |
| Virtual waiting room triage queue | - | - |
| E prescribing ERX integration | - | ✓ |
| Secure asynchronous text messaging | ✓ | ✓ |
| EHR epic cerner two way sync | - | - |
| Multi participant family group calls | - | - |
| Screen sharing and medical image review | - | - |
| Integrated insurance eligibility checks | - | - |
| SOC2 type ii | - | - |
| ISO 27001 | - | - |
| Pricing model | Flat monthly subscription | Enterprise quote based |

*Source: vioscaleAI. Generated 2026-10-16T20:15:40.355Z. "-" = undocumented, not absent.*