# Doxy.me vs Spruce Health

**Leader by Vioscale score:** Doxy.me

| Attribute | Doxy.me | Spruce Health |
|---|---|---|
| **Vioscale score** | 65.8 (61% (medium)) | 48.3 (46% (low)) |
| deployment.options | `{"cloud":true}` | `{"cloud":true}` |
| description.long | A HIPAA-compliant telemedicine platform that enables healthcare providers to deliver virtual care with built-in clinical workflows, automated documentation, and care coordination tools. Designed for solo practitioners to multi-clinic organizations. | 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. |
| features.capabilities | `{"epcs":false,"hipaa":true,"hitrust":false,"deployment":"cloud","care_setting":"ambulatory","product_type":"telehealth","onc_certified":false,"pricing_model":"per_seat","revenue_cycle":false,"patient_portal":true,"target_segment":"clinic","deployment_model":"cloud_web_app","interoperability":"none","telehealth_builtin":true,"virtual_waiting_room_triage_queue":true,"multi_participant_family_group_calls":true,"secure_1080p_hipaa_video_conferencing":true,"hipaa_baas_business_associate_agreement":true,"screen_sharing_and_medical_image_review":true}` | `{"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}` |
| market.availability | `{"primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` | `{"primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` |
| platform.support | `{"web":true}` | `{"web":true}` |
| pricing | `{"type":"subscription","plans":[{"free":true,"name":"Free","summary":"Free","description":"For providers just getting started or who don't use telehealth frequently","contactSales":false},{"free":false,"name":"Premium","summary":"Billed annually per user per month","features":["Unlimited calls","Chat during sessions","Screen sharing","Picture-in-picture","Virtual backgrounds","Pause session","Photo capture","File transfer","HD reliable video","Group calls up to 25 participants","Automated notetaking and session summaries","Virtual waiting room and patient queue","Invite patients via email","Real-time notifications","Shared Rooms for team-based care","Patient transfer and routing between providers","Invite patients via SMS","Multi-user capable","Roles and permissions","Shared clinic URL structure","Centralized clinic settings","Clinic-level reporting and analytics","Custom branding","Session history and continuity","Intake and consent workflows","HIPAA compliant with BAA","Secure privacy-first infrastructure"],"commitment":"annual","description":"Built for care, not just calls. Workflows for any size team, plus clinical tools providers can rely on.","contactSales":false},{"free":false,"name":"Custom","contactSales":true}],"summary":"Free tier available. Premium plan billed annually at a per-user monthly rate","currency":"USD","freeTier":true,"sourceUrl":"https://doxy.me/pricing","retrievedAt":"2026-08-24T22:36:19.367Z","billingPeriods":["month","year"]}` | `{"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"]}` |
| pricing.free_tier | yes | no |
| pricing.model | freemium | commercial |
| pricing.price_level | low | mid |
| pricing.starting_price | - | `{"amount":24,"currency":"USD"}` |
| pricing.transparent | no | yes |
| reliability.sla_pct | 99.9 | - |
| reliability.status_page | yes | - |
| security.gdpr | yes | - |
| security.hipaa | yes | yes |
| security.soc2 | yes | - |

## Capabilities (Telemedicine)

| Capability | Doxy.me | Spruce 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 | per_seat | Flat monthly subscription |

*Source: Vioscale. Generated 2026-09-01T17:29:04.305Z. "-" = undocumented, not absent.*