Top Teleconsultation Software Platforms (August 2026 List)

Most teleconsultation shortlists treat every vendor as the same kind of product: a video window, a scheduling grid, an e-prescription button. In practice, buyers are choosing between two structurally different things. One is a subscription SaaS platform built for a generic virtual visit - useful, fast to deploy, and bounded by whatever workflow the vendor already shipped. The other is a purpose-built platform, engineered around a specific clinical workflow, EHR, or diagnostic device that an off-the-shelf tool was never designed to support. Picking the wrong category costs more than picking the wrong vendor inside the right one.

The eight teleconsultation software platforms on this list are Amwell, RaftLabs, MDLIVE, Doxy.me, Updox, VCDoctor, eConsult, and Gal3n. RaftLabs is on this list. We wrote our own entry with the same directness we applied to everyone else.

Quick answer: Evaluating teleconsultation software platforms comes down to secure video and messaging, e-prescriptions, EHR integration, and HIPAA-compliant data handling for non-emergency virtual care. For custom telemedicine builds beyond off-the-shelf platforms, RaftLabs delivers HIPAA-compliant healthcare software at 4.9/5 on Clutch and $29-$49/hr.

How we evaluated this list

No company paid for placement on this list.

The 8 companies

1. Amwell

Amwell (formerly American Well) is one of the largest publicly traded telehealth platforms in the US, connecting patients to board-certified physicians, therapists, and psychiatrists on demand. The company has scaled well beyond direct-to-consumer video visits into infrastructure that hospitals and health plans license to run their own virtual care programs.

Its platform is deployed across roughly 2,000 hospitals, 55 health plan partners, and 36,000 employers, and has delivered more than 24 million virtual visits to date. A 2019 joint venture with Cleveland Clinic, "The Clinic by Cleveland Clinic," runs virtual second-opinion consultations on Amwell's platform and has grown its case volume by roughly 75% year over year, now handling 275-300 patients a month.

Notable work: Amwell's Cleveland Clinic joint venture is its clearest proof point: a nationally recognized health system chose Amwell's infrastructure, not a homegrown build, to deliver virtual specialist second opinions at scale. Its urgent care line offers 24/7 access to board-certified doctors, and its behavioral health line covers therapists and psychiatrists on the same platform.

Pricing signal: Amwell's urgent care visits list at roughly $79 without insurance, with most patients paying a lower plan-negotiated rate through an employer or health plan. Health system and payer licensing runs on custom enterprise contracts, not a published self-serve tier.

What to watch: Amwell is built for scale, not for a single clinic that wants a lightweight video tool. A solo practitioner or small practice will pay for infrastructure and account management they don't need. It is the strongest fit when a health system or payer wants to license a proven virtual care platform rather than operate direct-to-consumer visits alone.

• Best for: Health systems and payers licensing virtual care infrastructure at national scale

• Specialization: Urgent care, behavioral health, specialist second opinions, payer-integrated virtual visits

• Pricing: ~$79/visit direct-pay (urgent care); enterprise licensing by contract

• Clutch: Not on Clutch - verify enterprise terms via direct reference

2. RaftLabs

Most teleconsultation platforms on this list solve the same problem the same way: a video call, a scheduling grid, maybe an e-prescription button. That model works until a health system needs something the SaaS platform wasn't built for - a nurse-mediated exam using connected diagnostic peripherals, a workflow that has to live inside an existing EHR instead of beside it, or a compliance architecture that has to be defensible in an audit, not just marketed as HIPAA-compliant. RaftLabs builds custom telehealth software for hospital systems and clinic networks whose requirements have outgrown what a subscription platform can flex to support.

The clearest example is Galen, a nurse-assisted, HIPAA-compliant telehealth platform RaftLabs built for a US healthcare client. A clinic nurse operates connected diagnostic peripherals - an examination camera, otoscope, and digital stethoscope - while a remote doctor conducts the consultation over live video, directs device placement through a shared body diagram, and issues an e-signed prescription. It is a full clinical examination conducted remotely, not a call where the physician works from a description alone.

Notable work: Galen has been adopted by 150+ hospitals, with 50+ clinics onboarded in the platform's first 12 weeks, including low-bandwidth rural sites. Since going live, in-person visits at participating sites dropped 60% and patient engagement rose 30%. The platform was built in 14 weeks on React, Twilio Video, HIPAA-eligible AWS Lambda, Hasura, and PostgreSQL, with two independent layers enforcing PHI access: role-based database permissions and a per-call authorization check inside every backend function. See the full case study.

Pricing signal: $29-$49/hr, fixed-price engagements. A scoping engagement runs two to four weeks and produces a fixed-price proposal before any development commitment, so the cost is known before the build starts.

What to watch: RaftLabs is not the right fit for a solo practitioner who needs a video tool running this week - Doxy.me or VCDoctor will get there faster and cheaper. RaftLabs is the right fit when the workflow itself is the problem: peripheral integration, EHR-native records, or a compliance architecture that has to hold up under scrutiny, not just a vendor's marketing claim.

• Best for: Hospital systems and clinic networks that need a purpose-built, EHR-integrated, or peripheral-connected telehealth platform a subscription tool can't support

• Specialization: Nurse-assisted telehealth, HIPAA-compliant architecture, EHR and diagnostic-device integration

• Pricing: $29-$49/hr, fixed-price engagements

• Clutch: 4.9/5

3. MDLIVE

MDLIVE is a 24/7 virtual care provider now operating as part of Evernorth Health Services, the health services division of the Cigna Group, which completed its acquisition of MDLIVE in 2021. The platform provides nonemergency medical and behavioral health visits, backed by a large network of licensed physicians, therapists, psychologists, and psychiatrists.

Because it sits inside Cigna's Evernorth portfolio, MDLIVE's primary distribution is through health plan members rather than direct-to-consumer signups, which gives it a different cost and access profile from independently operated platforms. Patients can review provider credentials before booking, and the platform advertises urgent care connections within 15 minutes.

Notable work: MDLIVE's integration into Evernorth expanded its virtual care access to Cigna health plan members nationally, positioning it as one of the larger payer-backed telehealth networks operating in the US. Its mental health bench spans social workers, counselors, marriage and family therapists, psychologists, and psychiatrists on one platform.

Pricing signal: Without insurance, urgent care visits are priced from $0-$89, therapy runs $140-$179 per session, and psychiatry runs $159-$299 per session, with the price shown before the visit starts. Most members pay a lower plan-negotiated copay.

What to watch: MDLIVE is built around payer distribution, so a practice or clinic looking to license its own branded platform is not the intended buyer - it functions as a benefit inside a health plan, not a white-label tool.

• Best for: Health plan members and employers wanting payer-integrated 24/7 medical and mental health visits

• Specialization: Urgent care, behavioral health, psychiatry, payer-distributed virtual visits

• Pricing: $0-$89/visit (urgent care), $140-$299/session (behavioral health), direct-pay

• Clutch: Not on Clutch - payer-distributed, verify terms via Evernorth

4. Doxy.me

Doxy.me is a browser-based telehealth platform built around a simple premise: a HIPAA-compliant video visit that a patient can join from a link, with no download and no account required on their end. That simplicity has made it one of the most widely adopted platforms among solo practitioners, therapists, and small clinics that don't need a full practice-management suite bolted on.

The platform offers a genuinely usable free tier - unlimited call minutes, HIPAA compliance, and a signed BAA - which is uncommon among competitors that gate compliance behind a paid plan.

Notable work: Doxy.me's free tier and no-download model made it one of the default platforms independent therapists and small practices adopted for telehealth visits, precisely because it removes the technical friction that stops non-technical patients from joining a call.

Pricing signal: Free (unlimited minutes, HIPAA-compliant, signed BAA included), Professional at $35/provider/month for HD video and screen sharing, Clinic at $50/provider/month for multi-provider practices, and custom Enterprise pricing for health systems.

What to watch: Doxy.me is deliberately narrow: it is a video visit tool, not a scheduling, billing, or EHR platform. Practices that need those functions bundled in will outgrow it quickly and should look at Updox or a broader platform instead.

• Best for: Solo practitioners and small clinics that want a simple, no-download video visit tool

• Specialization: HIPAA-compliant video visits, teletherapy, minimal-friction patient access

• Pricing: Free; $35-$50/provider/month for paid tiers; custom Enterprise

• Clutch: Not on Clutch - verify via direct reference and published reviews

5. Updox

Updox, now operating as Updox by EverHealth after EverCommerce's acquisition of the company, is a communication platform built around telehealth rather than a telehealth tool with communication features bolted on. It bundles HIPAA-compliant video visits with secure texting, electronic fax, patient reminders, and online payments (via a PaySimple integration) into one system practices use for both virtual and in-person patient communication.

Its scale is substantial: Updox reports more than 560,000 users across healthcare practices, health systems, and pharmacies, serving over 210 million patients.

Notable work: Updox's breadth - eFax, secure messaging, and patient payments alongside video visits - has made it a common choice for practices consolidating multiple point tools (a fax line, a reminder system, a separate telehealth app) into one platform.

Pricing signal: Plans start at $49/user/month for small practices, scaling up to roughly $4,900/month for larger practices and health systems, depending on user count and feature tier.

What to watch: Updox's breadth is also its constraint: a practice that only wants a video visit tool is paying for a communications suite it may not use. It is a stronger fit for practices actively trying to consolidate patient communication tools than for a clinic that just needs telehealth.

• Best for: Practices that want telehealth bundled with patient communication, billing, and eFax in one system

• Specialization: Telehealth, secure patient messaging, eFax, online patient payments

• Pricing: From $49/user/month, scaling to ~$4,900/month for larger practices

• Clutch: Not on Clutch - verify via Capterra/Software Advice published reviews

6. VCDoctor

VCDoctor is a white-label telemedicine platform built for clinics and healthcare organizations that want to launch a branded patient and provider app without building one from scratch. It covers the core telehealth workflow - video consultations, e-prescriptions, appointment scheduling, and patient record management - and lets buyers apply their own name and logo to the patient-facing experience.

Because it is white-label first, VCDoctor's buyer is typically a clinic, hospital, or healthcare network that wants control over branding and patient experience without the cost of a fully custom build.

Notable work: VCDoctor's white-label model has been adopted by clinics and hospital networks across multiple countries as a faster, lower-cost alternative to a fully custom telehealth build, with published case studies spanning solo-provider and multi-location clinic deployments.

Pricing signal: Plans start around $20/month for solo providers and $25/month for clinics, with custom pricing for white-label deployments at scale.

What to watch: VCDoctor's white-label flexibility comes with less architectural depth than a fully custom build - it fits a standard clinic workflow well but is not the platform for a health system that needs a non-standard clinical process, like device-integrated remote exams.

• Best for: Clinics and healthcare networks that want a branded, white-label telehealth app without a custom build

• Specialization: White-label patient/provider apps, e-prescriptions, appointment scheduling

• Pricing: From $20-25/month per provider; custom pricing for white-label

• Clutch: Not on Clutch - verify via Software Advice/Software Finder published reviews

7. eConsult

eConsult is a digital triage and online consultation platform built specifically for the UK's NHS primary care system, not a US platform adapted for UK use. Patients submit symptoms, medical history, and requests through a structured online form rather than a live video call, and the platform routes that submission to their own GP practice for clinical review.

Its NHS integration is deep: eConsult is live in more than 3,000 NHS GP practices and connects directly with the NHS App, giving patients a single point of access that ties back to their existing GP record rather than a separate account.

Notable work: eConsult's scale inside NHS primary care - over 3,000 practices - makes it one of the most widely deployed digital triage tools in UK general practice, a footprint no US-built platform on this list replicates.

Pricing signal: eConsult is free at the point of use for NHS patients; practices access it through NHS-funded primary care digital tooling arrangements rather than a direct consumer subscription.

What to watch: eConsult is form-based triage, not live video consultation, and it is built exclusively around NHS general practice workflows. It is not a fit for US clinics, private practices, or any buyer that needs a live video visit as the primary interaction.

• Best for: UK NHS GP practices running online triage and digital consultation requests

• Specialization: Structured digital triage, NHS App integration, GP practice workflow

• Pricing: Free to NHS patients; funded through NHS primary care digital arrangements

• Clutch: Not on Clutch - verify via NHS Digital published adoption data

8. Gal3n

Gal3n is a small, US-based telehealth company built around a different premise than a video-call platform: remote physical examination using connected, FDA-approved diagnostic peripherals. Its G-Cart, a mobile medical pedestal, carries the hardware needed to conduct an in-depth remote exam - not just a conversation - and is aimed at nursing homes, rural and global health settings, and hospitality or employer health programs rather than mainstream outpatient clinics.

Gal3n is a small, unfunded company (roughly 1-10 employees as of its most recent public profile), which is a materially different risk profile than the larger vendors on this list.

Notable work: Gal3n's device-integrated model targets settings where a video call alone isn't a substitute for an exam - long-term care facilities and remote or rural sites where getting a patient to a specialist in person is the actual barrier, not scheduling.

Pricing signal: Custom pricing based on deployment plan; the company does not publish a self-serve rate card, consistent with its focus on institutional buyers (nursing homes, employers, rural health networks) over individual practices.

What to watch: Gal3n's small team size means less bench strength for a large, multi-site rollout compared to Amwell, MDLIVE, or Updox. It is a fit for a specific need - remote diagnostic exams via connected devices - not a general-purpose telehealth platform.

• Best for: Nursing homes, rural health networks, and employer programs needing remote diagnostic exams via connected devices

• Specialization: FDA-approved diagnostic peripherals, remote physical examination, care coordination across settings

• Pricing: Custom, deployment-based

• Clutch: Not on Clutch - verify via direct reference

Side-by-side comparison

The question that separates off-the-shelf telehealth from a custom-built platform

The most common mistake in this category is scope mismatch: a buyer evaluates every vendor as if they are shopping for the same product, when the platforms on this list actually split into two different models with different failure modes.

Subscription SaaS platforms - Amwell, MDLIVE, Doxy.me, Updox, VCDoctor, eConsult, and Gal3n - all ship a fixed workflow you configure, not one you redesign. They are fast to deploy, priced predictably, and a strong fit when a standard video visit, form-based triage, or white-label patient app covers what the practice actually needs. The tradeoff is architectural: if the clinical workflow doesn't match what the vendor already built, there is no path to bend the platform to fit.

Custom-built platforms - RaftLabs operates here - start from the clinical workflow itself: a nurse-mediated exam using connected peripherals, a record system that has to live inside an existing EHR instead of beside it, or a compliance architecture that has to be defensible under audit. That flexibility costs more up front and takes longer to ship than signing up for a SaaS tier, but it is the only model that can support a workflow no off-the-shelf platform was built for.

Getting the model wrong is more expensive than getting the vendor wrong.

"In terms of usage, [telehealth demand] is quite substantial and sustained." - Oleg Bestsennyy, Partner, McKinsey & Company

McKinsey's claims-based analysis of Medicare, Medicaid, and commercially insured populations found that up to $250 billion, or roughly 20% of all outpatient, office, and home health spend, could shift to virtual or near-virtual care delivery. That estimate is the underlying reason so much investment has gone into both categories of platform on this list: the addressable shift toward virtual care is large enough that the choice between a subscription tool and a purpose-built platform now has real financial weight behind it, not just convenience.

The verdict

Amwell for health systems and payers licensing virtual care infrastructure at national scale.

RaftLabs for hospital systems and clinic networks that need a purpose-built, EHR-integrated, or device-connected telehealth platform a subscription tool can't support.

MDLIVE for health plan members wanting payer-integrated 24/7 medical and mental health visits.

Doxy.me for solo practitioners and small practices that want a simple, no-download video visit tool.

Updox for practices consolidating telehealth, secure messaging, eFax, and patient payments into one system.

VCDoctor for clinics and healthcare networks that want a branded, white-label telehealth app without a custom build.

eConsult for UK NHS GP practices running online triage and digital consultation requests.

Gal3n for nursing homes and rural health networks that need remote exams via connected diagnostic devices, not just video calls.

Most practices can answer this by asking one question first: does our workflow fit a platform that already exists, or does it need one built around it? That answer, more than any feature comparison, determines which half of this list to start with.

RaftLabs builds nurse-assisted, EHR-integrated telehealth platforms that off-the-shelf software can't replicate. No handoff gap. 4.9/5 on Clutch. Talk to a founder about your teleconsultation platform project.