Pricing & insurance

Every number, before you commit

No "starting at," no intake fees, no cancellation fees, no surprise session charges. What's on this page is what you pay.

Sanctum Core

Messaging-first therapy

$260 /month billed monthly, cancel anytime

A dedicated licensed therapist, matched to you
Unlimited text, voice-note, and photo messaging
Therapist responses 5 days a week
Guided weekly check-ins and mood tracking
Switch therapists anytime, free

Best for: People who process best in writing, or want support woven through the week.

Choose Core

Sanctum Plus

Messaging + live sessions

$396 /month billed monthly, cancel anytime

Everything in Sanctum Core
4 live 45-minute sessions per month
Video, audio, or live-chat — your choice, per session
Priority rebooking if life gets in the way
Session notes recap in the app afterwards

Best for: People who want a scheduled hour that's theirs, plus support in between.

Choose Plus

Sanctum Flex

Pay per session

$95 /session 50 minutes · no subscription · book as you go

50-minute live video or audio sessions
Book one at a time — no subscription
Same therapist network and matching
Superbills provided for out-of-network claims
Upgrade to a plan whenever you like

Best for: People easing in, between plans, or who prefer session-by-session pacing.

Choose Flex

The math, out loud

What a week of care actually costs

Weekly cost comparison across Sanctum plans, billed monthly
Plan	You pay	A week of care includes	Per-week equivalent
Sanctum Core	$260 / month	Unlimited messaging, therapist replies 5 days/week	≈ $60 / week
Sanctum Plus	$396 / month	Everything in Core + one live 45-min session weekly	≈ $91 / week
Sanctum Flex	$95 / session	One 50-min live session, booked whenever you like	$95 / session

No signup, intake, or cancellation fees — ever
Pause your plan for up to 2 months, free
Unused Plus sessions roll over one month

Insurance

In-network? Your copay could be $0

Sanctum is in-network with a growing list of plans. Members with covered plans typically pay a $0–$35 copay per session instead of the membership price. Enter your insurer during signup and we'll show your estimated cost before you commit to anything.

Currently in-network with

Bluepeak Health Plans
Meridian Mutual
Cascade Benefits Group
Harborstone Health
Northlight PPO
Verity Employer Health

Fictional insurer names — this is a sample site.

Out of network?

We generate a monthly superbill — the itemized receipt many plans accept for out-of-network reimbursement. Members with out-of-network benefits often recover a meaningful share of their cost; your insurer can tell you exactly what yours covers.

HSA & FSA

Therapy is an eligible expense on most HSA/FSA plans, and Sanctum accepts HSA/FSA cards directly at checkout — pre-tax dollars, no paperwork.

Money should never be the reason you stop

If your circumstances change mid-plan, message support — options include pausing, moving to Core, or switching to pay-per-session. Two taps, no phone calls, no justification required.

Not sure which plan? Let the quiz do the math.

Answer three questions about budget and style — we'll suggest the plan that fits and you can change it at any point, including mid-membership.

Take the match quiz Pricing FAQ