What online therapy and psychiatry actually cost

Applies to One Medical Membership (the only subscription/recurring product; On-Demand Care visits are one-time, non-recurring, so there is nothing to "cancel" in the subscription sense). Per the Membership Purchase Terms: "You can cancel autorenewal of Memberships you purchased at any time by visiting the Membership subscription page" (health.amazon.com/prime/onemedical/settings). Text is in all-caps emphasis in the Terms: membership auto-continues and is auto-charged unless the customer updates auto-renewal settings on that page or cancels. Further cancellation detail is pointed to Amazon's general Help Center Cancellation Policy page (not a One-Medical-specific document).

Renews automatically until cancelled. Applies to One Medical Membership only. Explicit ALL-CAPS clause in the Purchase Terms: "UNLESS YOU UPDATE AUTO-RENEWAL SETTINGS ... OR CANCEL ... YOUR MEMBERSHIP WILL AUTOMATICALLY CONTINUE AND YOU AUTHORIZE US ... TO COLLECT THE THEN-APPLICABLE MEMBERSHIP FEE." On-Demand Care visits are one-time purchases with no recurring billing.

Membership: "The Membership fee is non-refundable except as outlined in the Cancellation Policy" (Amazon general Help Center policy, linked but not itself fetched as evidence). If Amazon terminates a membership at its own discretion (not for cause), "we will give you a pro-rated refund based on the number of full months remaining"; no refund if termination is for the customer's breach, fraud, or misuse. If a customer buys additional memberships (e.g., adding family members) later, "we will give you a pro-rated refund of each of the remaining original Membership's term" and restart all memberships on a single new term date. On-Demand Care (pay-per-visit, from the Help/FAQ page, not the Purchase Terms): payment is only charged "when a provider has reviewed your information and delivered a care summary" — if the provider determines you can't be treated after reviewing your intake, "your treatment will be canceled and you won't be charged" (no charge, not a refund, since payment hadn't yet been taken). Missed/uncompleted Video Care calls are auto-canceled with no charge. For completed visits, "Amazon One Medical won't issue a refund if a provider reviews your information and decides that prescription medication isn't the best treatment for you." For non-members who paid cash and are dissatisfied, "refunds are determined on a case-by-case basis" via Customer Care (1-888-663-6331) — no fixed refund window or percentage is published.

No fixed-duration free trial is published for the membership. The Purchase Terms mention only that "We sometimes offer certain customers various trial or other promotional memberships" at the company's discretion, cancelable anytime pre-conversion via the subscription settings page — no standard number of days stated. Separately, the homepage advertises an "introductory Prime offer" of free Direct Message Care for Prime members for "common conditions," with terms gated behind a JS modal not resolvable via static fetch (needs_recheck).

Terms Section 8: "You can cancel the subscription to the service at any time for any reason. Your membership must be canceled before it renews in order to avoid the next billing cycle." The ToS itself does not name a specific mechanism, but a public, unauthenticated cancellation form is live on betterhelp.com: press.md (fetched 2026-08-15, itself a 404 "Page not found" page, but the site-wide footer/modal chrome it served included a "Cancel Subscription" footer link and a "Subscription cancellation request" modal reading "Alternatively, if you would prefer to log in to process deletion you may do so here" — implying the no-login path is the primary route: submit account email, receive a confirmation "Cancellation request confirmed" message, "you will receive an email shortly." advice-customer-service.md corroborates: "You may cancel your BetterHelp subscription at any time through your account settings... The process can be completed through your account settings, and you will receive confirmation once the cancellation is processed." No phone call or live agent contact is required to initiate cancellation. Unused sessions in a billing cycle do not roll over (Terms Section 8 example). Late cancellations/no-shows (within 24 hours of a scheduled session) may incur a $15 fee per occurrence (Terms Section 8; advice-cost.md).

Renews automatically until cancelled. Terms Section 8: "Any type of subscription you choose will continue and automatically renew until you cancel the membership... you accept responsibility for all recurring charges prior to cancellation." BetterHelp reserves the right to change subscription prices with notice ("we may need to increase prices from time to time to accommodate inflation, increased operational costs and changes in market conditions"), with the member's remedy being cancellation.

No blanket refund policy is published; Terms Section 8 states only the cancellation mechanic (must cancel before renewal to avoid the next charge) and does not promise refunds for the current billing period. advice-customer-service.md (first-party "advice" article, not the ToS itself) states refunds are handled "on a case-by-case basis": "If you were dissatisfied with the services provided, you may contact customer service to discuss the possibility of receiving a refund," with an approved request directed to call 888-688-9296 to complete processing. Separately, Terms Section 8 publishes an EU/UK-style 14-day "cooling off" withdrawal right for members in countries that legally require it: "you must sufficiently complete this form and we will honor that request such that the contract will be reversed and you will be fully refunded" (via a dedicated betterhelp.com/withdrawal-form).

Terms Section 8, "Free Trials": "Occasionally, we offer free trials for our Therapist Services. Once a free trial expires, the paid membership will commence following a notice to you." No fixed duration, frequency, or eligibility criteria for free trials is published — availability appears to be at BetterHelp's discretion / promotional, not a standing offer.

Self-serve in-portal cancellation is the documented member flow, per FAQ: "If you'd like to cancel your Medication subscription, login to your Brightside Portal and select 'Settings' from the menu bar. From there you will want to select 'Manage Plan' and then 'Cancel My Medication Plan'" — and the identical flow for Therapy ("Cancel My Therapy Plan"). Terms of Use Section 9(c) additionally allows email cancellation: "To cancel Services, you can send an email to support@brightside.com or use the cancellation process in your account settings." Cancellation "will be effective at the end of the then current Subscription period" — access continues through the paid period, then terminates without further charges (ToU Section 9). Separately, a platform-wide "no-show" penalty applies for missed/late-cancelled appointments: "Members using insurance may be charged up to $200.00 for each missed appointment, based on appointment type... Proper notice of cancellation requires that you cancel or reschedule your appointment...at least twenty-four (24) hours prior to the appointment's start time" (ToU Section 9(d)); this no-show fee "is not reimbursable by your insurance carrier" and is charged directly to the payment method on file. Members enrolled through the monthly self-pay subscription instead "forfeit their ability to reschedule the appointment" on a late cancel/no-show, without an extra dollar fee. Members must also meet minimum engagement requirements (initial visit within 30 days of enrollment; ongoing psychiatry visits at least every 180 days; therapy visits at least every 60 days) or Brightside "reserve[s] the right to pause your services" (messaging/check-ins) until an overdue appointment is scheduled (ToU Section 11).

Renews automatically until cancelled. "If you purchase a Subscription, we (or our third-party payment processor) will automatically charge you each month on the day on which you created your Subscription (the 'Billing Cycle'), using the Payment Information which you provided, until you cancel your Subscription... your Subscription will incur recurring monthly charges" (ToU Section 9(b)). Therapy subscription fee "is billed monthly on the same day each month" (refund/cancel FAQ). Members paying via insurance are billed differently — "may not be charged monthly by Brightside, and instead may be responsible for their insurance copays and deductibles in accordance with payment schedules set forth by their insurance carrier" (ToU Section 9(b)).

Pre-first-visit refund window: "You may cancel a Transaction for a full refund at least twenty-four (24) hours before your first scheduled consultation with a Healthcare Provider. AFTER THAT POINT, YOUR PURCHASE IS FINAL AND YOU WILL NOT BE ABLE TO CANCEL THE PURCHASE OR RECEIVE A REFUND OF YOUR SUBSCRIPTION FEE" (ToU Section 9(c)). The consumer-facing refund FAQ frames this slightly differently: "we do not issue refunds after the time of your initial scheduled consultation with your psychiatric provider has passed, as Brightside providers take time to review your information and begin preparing a treatment plan prior to your initial scheduled video consultation." After that point: "All therapy subscription payments are non-refundable... EXCEPT AS SET FORTH ABOVE WITH RESPECT TO YOUR INITIAL SUBSCRIPTION PURCHASE, YOU WILL NOT RECEIVE A REFUND OF ANY PORTION OF THE SUBSCRIPTION FEE PAID FOR AT THE TIME OF CANCELLATION" (ToU Section 9(c)). Extra (add-on) video therapy sessions that are purchased and then canceled can be refunded on request via Member Services (refund FAQ). No-show/late cancellation fees (up to $200 for insured members) are explicitly excluded from refund/insurance reimbursement.

No named "free trial" of a paid plan exists. The closest equivalents are (a) the "Free Assessment" entry funnel — an intake questionnaire used to recommend a plan, not a trial of paid service — and (b) the 24-hour full-refund cancellation window before the first scheduled consultation described under refund_policy above, which functions as an implicit cooling-off period after purchase but before any care is delivered.

Terms and Conditions Section 1.4 ("Cancellations and Refunds"): "You can cancel by clicking 'Cancel Subscription' in your User Account no later than the day before your next scheduled billing date to cancel your Subscription. Step-by-step cancellation instructions can be found in our FAQs." Cancellation takes effect at the end of the current Subscription Period, not immediately: "you cancel only future charges ... the cancellation will become effective at the end of your current Subscription Period." If not canceled in time, "you will be charged for the next Subscription Period and your Subscription will be canceled in the following Subscription Period." Separately, canceling a Subscription does not delete the User Account/data ("canceling a Subscription will not operate to deactivate your User Account"); full account deactivation requires contacting support@cerebral.com. REGULATORY CONTEXT (not on Cerebral's own pages; recorded per collection brief from a primary regulatory source): the FTC's April 2024 complaint alleged that, historically, "[d]espite promising that consumers could 'cancel anytime,' Cerebral required its clients to navigate a complex, multi-step, and often multi-day process to cancel," continued charging consumers during the delay, and had removed an easier one-click cancel button two weeks after launching it in April 2020 "at [then-CEO] Robertson's direction" after seeing cancellations rise (FTC press release, April 2024). The resulting consent order requires Cerebral to provide "a simple way to cancel services." The self-serve "Cancel Subscription" button described in the current (Sept 2025) Terms and Conditions and in the current FAQ ("How do I cancel my subscription?" listed as a Popular Topic) is consistent with a post-settlement, simplified mechanism, though this collection pass did not test the actual in-account cancellation flow (out of scope per public-pages-only rule).

Renews automatically until cancelled. "Unless otherwise stated when you sign up for a Subscription, your selected Services will automatically renew for a further Subscription Period with the Subscription Fee (including any applicable taxes) and will continue to do so unless we are either no longer offering that Service ... or your Subscription has been canceled" (Terms and Conditions Section 1.2). Price-increase notice: "If the pricing for your Subscription increases, you will be notified and provided an opportunity to change or cancel your Subscription before applying those changes ... or charging you in connection with an automatic renewal."

Terms and Conditions Section 1.4: "All purchases are final and once paid, all fees, including Subscription Fees, are non-refundable regardless of whether Services are utilized, except as prohibited by applicable law." "Except as otherwise stated herein or required by applicable law, no refunds will be provided for a partial Subscription Period, but you will continue to have access to the Subscription until the next billing cycle." Discretionary exception: "We reserve the right to issue refunds or credits at our sole discretion. If we issue a refund or credit in one instance, we are under no obligation to issue the same refund or credit in the future." Company-initiated cancellation is treated differently: "Notwithstanding any other terms, the ... Medical Groups reserve the right to cancel your Subscription in its entirety at any time and for any reason ... If [they] exercise their right to cancel a Subscription, you will be refunded the current Subscription Period's Subscription Fee." Medication orders: "final once shipped by the Pharmacies, and the order cannot be returned or refunded," though orders "may be canceled before they are shipped."

No fixed-length free trial is advertised on any pricing/plan page checked. Terms and Conditions Section 1.2 ("Trials and Promotional Fees") describes the mechanism generally but does not commit to a specific duration: "We may periodically offer discounts to our Services in the form of free trial periods or promotional fees. The terms of those discounts will be stated at the time you sign up... Upon completion of your free trial, your Subscription will automatically convert into a paid Subscription... unless you have canceled." "You may only be permitted to use one free trial or promotional fee offer." The only currently-published discount mechanic found is the AFM20 code ("$20 off your first Affordable Meds cash plan," see medication offer) and the 3-month prepay discounts on Therapy ($795/3mo) and the Medication+Therapy bundle ($885/3mo) — neither is framed as a "trial."

Appointments (not memberships — there is no membership) are cancelled or rescheduled self-serve via the "Appointments" area of the mobile app or web portal ("Select 'Cancel' and confirm your cancellation reason, if requested"). Published fee schedule (help.circlemedical.com FAQ, updated "over a week ago" as of collection): a $50 fee applies if an appointment is cancelled with less than 24 hours' notice, or for a no-show; a separate $50 reschedule fee applies if rescheduled with less than 12 hours' notice; and a $50 no-show fee applies if the patient joins more than 10 minutes late (patient may then be asked to reschedule). If the provider fails to join, the appointment is cancelled at no charge to the patient after the scheduled end time, and the patient can rebook freely. No membership/subscription exists to cancel — "There are no membership fees or annual fees for patients receiving care from Circle Medical."

Does not renew automatically. Not applicable in the subscription sense — Circle Medical has no membership/subscription product to auto-renew; billing is strictly per-appointment ("No memberships or other fees" stated repeatedly across landing pages and the ToS-adjacent marketing pages).

No refund policy is stated in the Terms of Use (searched for "refund"/"non-refundable" language site-wide in the ToS; none found). The help-center billing FAQ states payment is billed only after the appointment is finalized ("You will not be charged until after your appointment is complete") and is "due in full once finalized by your insurance or if you have opted to self-pay," with self-pay invoices due within 48 hours of notice before being charged to the payment method on file. No explicit refund/cancellation-of-charge policy for completed, already-billed appointments was found on any public page. Flagged needs_recheck / medium confidence — absence of a published policy is recorded as a fact, not assumed to mean "no refunds ever."

General subscriptions: "You may cancel a subscription at any time in-app or through your online account under 'My Subscriptions' by contacting the Customer Help Center and directly requesting a cancellation, or by calling 1-800-368-0038 to cancel. Cancellation will take effect at the end of the current subscription period. Your subscription will automatically renew for another subscription period unless you cancel at least two (2) days before the applicable renewal processing date." Weight Loss Membership and Medication Plan: cancellable "in-app or through your online account under 'My Subscriptions', by contacting the Customer Help Center at support@forhims.com, or by calling 1-800-368-0038." Two-day pre-billing deadline applies, "calculated based on your originally scheduled billing date, regardless of whether your Weight Loss Membership or Medication Plan charge or shipment occurs early". "Cancelling your Medication Plan does not automatically cancel your Weight Loss Membership, which will continue to renew ... until you cancel." "Cancelling your Weight Loss Membership also cancels your Medication Plan." "If you cancel your Medication Plan, you will not receive any unshipped medication following your cancellation date." Gifthealth-filled weight-loss prescriptions must be cancelled directly with Gifthealth. Membership page FAQ: "You can cancel anytime, but canceling your membership will also cancel any active medication plan and access to care through the platform." Note: the customer-service email published for weight-loss cancellations on forhers.com is support@forhims.com (the hims-branded address).

Renews automatically until cancelled. Automatic renewal on all subscription products until cancelled; cancellation deadline is 2 days before the renewal processing date. "Your first renewal may be charged early to prevent any discontinuity in treatment. Your subsequent renewal charges and shipments ... may be charged and/or shipped up to two (2) days early." Pause is available and charging resumes automatically at the end of a pause period. Price changes require advance notice.

General: "We do not offer refunds for partially used subscription periods, although we may provide refunds on a case-by-case basis in our sole and absolute discretion." Weight loss: "Your first month Membership fee is non-refundable ... You will not be eligible for a refund for any medication after it has been shipped. You will receive a refund for your Medication Plan only if (1) for an initial order, you cancel your Medication Plan within 48 hours of submitting your payment information; or (2) for subscription renewals, you cancel your Medication Plan two (2) days before your next billing renewal date." Labs: full refund if requested within 48 hours of payment and no Testing Services received; after 48 hours case-by-case; no refunds after one year.

No free trial published. Nearest equivalents: the $39 first-month Hers Weight Loss Membership rate that auto-renews at $149/month, and "free" entry-point language on other lines ("free mental health assessment online", "Start my free skin evaluation", "Take our free hair quiz").

General subscriptions: "You may cancel a subscription at any time in-app or through your online account under 'My Subscriptions' by contacting the Customer Help Center and directly requesting a cancellation, or by calling 1-800-368-0038 to cancel. Cancellation will take effect at the end of the current subscription period. Your subscription will automatically renew for another subscription period unless you cancel at least two (2) days before the applicable renewal processing date of your subscription." Weight Loss Membership and Medication Plan: "You can view your renewal date and cancel your Weight Loss Membership and your Medication Plan, or just your Medication Plan, in-app or through your online account under 'My Subscriptions', by contacting the Customer Help Center at support@forhims.com, or by calling 1-800-368-0038." "Your Weight Loss Membership will automatically renew at the applicable billing cadence unless you cancel at least two (2) days before your next billing date. If you have been pre-shipped medication for a pre-paid multi-month Medication Plan, cancellation must occur at least two (2) days before the next billing date following the end of your currently shipped supply." "For the avoidance of doubt, the two (2)-day cancellation deadlines described in this section are calculated based on your originally scheduled billing date, regardless of whether your Weight Loss Membership or Medication Plan charge or shipment occurs early as permitted under this Agreement." "Cancelling your Medication Plan does not automatically cancel your Weight Loss Membership, which will continue to renew at the applicable billing cadence until you cancel." "Cancelling your Weight Loss Membership also cancels your Medication Plan." "If you cancel your Medication Plan, you will not receive any unshipped medication following your cancellation date." Gifthealth-filled prescriptions: "You must manage cancellations, billing inquiries, and refund requests associated with your medication directly with Gifthealth in accordance with its policies." "Your cancellation of any medication subscription with Gifthealth does not automatically cancel your Weight Loss Membership." Weight-loss membership page FAQ: "You can cancel anytime, but canceling your membership will also cancel any active medication plan and access to care through the platform."

Renews automatically until cancelled. "Certain products and services available for purchase through the Service require that you purchase the product and/or service on an automatically renewing subscription basis ... your payment device will be automatically charged at regular intervals ... until you cancel your subscription." "Your first renewal may be charged early to prevent any discontinuity in treatment. Your subsequent renewal charges and shipments, where applicable, may be charged and/or shipped up to two (2) days early to accommodate holidays or for other operational reasons." Cancellation deadline is 2 days before the renewal processing date. "We may change our subscription plans and prices from time to time; however, we will provide you advance notice of any price changes." Weight Loss Membership is required to be purchased "on an automatically renewing subscription basis". Pause is available: "If you do not cancel before the end of the pause period, charging to your payment device will resume automatically."

General: "We do not offer refunds for partially used subscription periods, although we may provide refunds on a case-by-case basis in our sole and absolute discretion." Weight loss: "Your first month Membership fee is non-refundable. Refunds for partially used Weight Loss Membership or Medication Plan periods are not guaranteed and may be provided in our sole and absolute discretion. You will not be eligible for a refund for any medication after it has been shipped. You will receive a refund for your Medication Plan only if (1) for an initial order, you cancel your Medication Plan within 48 hours of submitting your payment information; or (2) for subscription renewals, you cancel your Medication Plan two (2) days before your next billing renewal date." Labs: "If you request a refund within 48 hours of payment and you have not received any Testing Services, we will provide you with a full refund. After 48 hours from payment, refunds may be provided on a case-by-case basis in our sole and absolute discretion. After one year from payment, you will no longer be eligible for any refund."

No free trial found in the Terms and Conditions or on the product pages. The nearest equivalents published are (a) the $39 first-month Weight Loss Membership rate that auto-renews at $149/month, and (b) "free consultation" / "free assessment" framing on the hair, ED, skincare and mental-health entry points. The Non Prescription Hair Loss Kit card shows a "Try today" label next to "Subscribe at $37/mo" with no trial terms stated.

"Last updated: May 4th, 2026" (cancellation-policy.md). To cancel a scheduled visit, patients may request modification/cancellation any time before the visit to avoid visit fees; visit fees (where applicable, to select unspecified services) are non-refundable once a consultation is completed. To cancel Mental Health, Insomnia, or Hypertension memberships, or automatic recurring shipments/refills (e.g. ED, Birth Control), patients must request cancellation at least 48 hours before the next renewal/refill/billing date; cancellation takes effect at the end of the current membership period or final refill, not immediately. "If you would like to cancel your membership services or automatic, recurring shipments, for any reason, you may do so at any time in your account." Lemonaid may also suspend/terminate access unilaterally at any time without notice; if terminated for a patient's breach, no refund of prepaid recurring services.

"Last updated: September 27, 2023" (refund-policy.md). All fees and payments (memberships, auto-prescription refills, visits, or other product offerings) are stated as "non-refundable, non-cancellable, non-exchangeable, and non-creditable." No refunds for partially used services. Patient is fully liable for all account charges, including unauthorized charges (billing disputes routed to Patient Support via secure message or phone, not a self-serve refund flow).

No free-trial-period concept (e.g., "N days free") found on any public page fetched. Lemonaid instead publishes discounted first-cycle pricing per individual offer (e.g., mental health: $25 first month vs. $95/month recurring; hair-loss finasteride: $30 first 3-month supply vs. $60 recurring) — see each offer's first_vs_recurring field. No company-wide trial mechanism exists distinct from these per-product intro prices.

Terms of Use Section 4 (Updated July 10, 2026): Paid Membership can be cancelled "at any time by logging into your... Mochi account and selecting 'cancel subscription'" OR "by contacting us at (619) 648-1247 and requesting to cancel... over the phone." Explicitly: "Contacting us at hello@joinmochi.com is NOT an acceptable way to request to cancel... Requests to cancel subscriptions received via email... or through any other method not listed above will NOT be considered valid requests." Cancellation "will take effect at the end of the then current subscription term" (access continues until then); the account then "automatically revert[s] to a free membership subscription (a 'Free Membership')" rather than closing outright — Free Membership excludes 1:1 video visits and may exclude some treatment categories/Medications. Cancelling the Paid Membership also auto-cancels any active Medication Subscription that requires an active Paid Membership. Medication Subscriptions can separately be modified/cancelled "at any time prior to a refill request being sent to a pharmacy for fulfillment, by selecting 'Modify' from the medication page." If the Monthly Subscription Fee amount is going to change, Mochi must give 30 days' notice before charging the new amount, during which the user can cancel. Separate no-show policy (Patient Agreement Section 5): a missed appointment without 24 hours' notice may incur a $25.00 fee.

Terms of Use Section 4: "We do not offer refunds for partially used subscription periods, although we may provide refunds on a case-by-case basis in our sole and absolute discretion," capped at "the total fee amount paid... in the month preceding the refund request," and unavailable for any month in which the user received Mochi Provider services. Medication Fees "are not eligible for a refund, whether in part or in whole, once the order has been sent to a Pharmacy for dispensing." Separate Refunds page (refunds.md): "we cannot accept returns or issue refunds for prescription medications, as they cannot be reused or resold. Therefore, all prescription sales are final" (patient can still contact support if they believe a fill error occurred).

No time-limited free-trial concept found. Two related but distinct mechanisms instead: (1) a permanent, non-expiring "Free Membership" tier that a Paid Membership automatically reverts to on cancellation (limited features — no 1:1 video visits, may exclude some Medications/categories); (2) a new-subscriber-only first-month promotional membership price ($39 vs. standard $79/month) — see promotional/termsandconditions-first- month-promo.md and offer promo fields above. Neither is a conventional "free for N days, then billed" trial.

Two mechanisms are published: (1) in the PlushCare mobile app, "My Profile" page > "Delete My Account" (ToS Section 12, Termination); (2) contacting a PlushCare Care Team member, or emailing info@plushcare.com (ToS Section 14, Membership Fees: "YOU CAN CANCEL YOUR MEMBERSHIP AT ANY TIME BY CONTACTING INFO@PLUSHCARE.COM"). Recorded as self_serve_online since the in-app deletion path exists, but email/Care-Team contact is also explicitly offered as an equally valid route. If you cancel a paid membership, it remains active until the end of the current billing term and does not renew (no immediate loss of access).

Membership fees: non-refundable in the ordinary case ("All fees are in U.S. Dollars and are non-refundable," ToS Section 4). Exception: if PlushCare terminates your access for a reason other than your own breach, you receive a pro-rata refund of fees paid; if PlushCare terminates for your breach, no refund. Visit/appointment fees: full refund if PlushCare is unable to treat/assess you, connectivity issues prevent the consult, the doctor doesn't show within 10 minutes, a state licensing issue blocks the consult, or insurance verification was pending/unsuccessful at booking — refund excludes membership fees, medication, and lab costs. No refund once any clinical assessment, referral, or medical advice is given, even without a prescription resulting. Prescriptions: no returns/refunds, "all sales are final."

Two self-serve mechanisms published, plus a manual fallback. Web: go to sesamecare.com > Account > Visits or Programs > select the program/visit > "Cancel Appointment" or "Cancel Program." Mobile app: Home tab > View Program Details > Program Information tab > Subscription Details > Manage Subscription > Cancel Program (for subscriptions); or Visits tab > select visit > Visit Details > Cancel This Visit (for a single appointment). Fallback for either: email support@sesamecare.com or call +1 (877) 947-6411 (faq.md, terms-of-service.md). Subscriptions (Membership Services, and by extension Success by Sesame / Skincare Rx program subscriptions) can be canceled "at any time up to forty-eight (48) hours before the applicable renewal processing date." After cancellation, access continues through the end of the then-current billing period; the subscription does not renew again, and no prorated refund is given for the remainder of that period. Separately, the Success by Sesame weight-loss program has its own stated rule: full refund only if canceled at least 3 hours before the FIRST/initial visit; no refund for that first month once the initial visit has occurred.

Renews automatically until cancelled. Subscriptions (Membership Services, and the same recurring-billing language governs the Success by Sesame / Skincare Rx program subscriptions) auto-charge the payment method on file each period "until you cancel" (ToS Section 4, Membership Program). If Sesame raises a subscription's recurring fee, it commits to giving "advance notice" and letting the member choose to continue or cancel before the new price takes effect.

Per-visit refunds (faq.md / membership-perks.md, consistent across both): full refund if a virtual appointment is canceled at least 3 hours before its scheduled time, an in-person appointment at least 24 hours before, or (for labs/imaging/other appointments without a fixed date/time) within 10 days of purchase once the provider confirms the appointment did not take place. No refunds for: patient no-shows; cancellation requests inside those windows; requests to prescribe a specific medication or complete specific paperwork that is declined; surgical procedures with confirmed scheduling; labs not completed within 7 days of purchase; any refund request made more than 10 days after the scheduled visit. Subscription refunds: monthly/annual Membership Services subscriptions are not eligible for a prorated refund upon cancellation (access simply continues to the end of the paid period). Multi-month subscription plans (e.g. Success by Sesame's 3/6/12-month tiers) are prepaid at a discount; canceling before the committed term ends causes the fee already paid to be re-rated at the standard month-to-month price for each month actually used, with only any remaining balance refunded — per ToS, "in some cases the adjusted value of services used may equal or exceed the amount originally paid, in which case no refund will be issued." Prescription refill services: "the initial prescription cannot be cancelled or refunded"; refills can be canceled if not yet processed for delivery.

"From time to time Sesame may offer free trials related to Membership Services for a specific period of time." Only the membership subscription fee itself is waived/discounted during any trial period — "all other associated fees (i.e. provider visits, labs, etc.) will be charged during the Trial Period." No standard/default trial length is published; terms are set per-offer at the time a specific trial is run. If a trial converts to paid, the member can cancel by email or phone before conversion to avoid being charged.

Multiple channels are offered, per the "How do I cancel an appointment?" help article: (1) Email hello@talkiatry.com anytime with name, DOB, and email on file plus the appointment date/time to cancel; (2) Web chat via the purple chat icon on the Help Center, staffed Monday–Friday 9AM–5PM Eastern, connects to a Care Coordinator who can schedule/reschedule/ cancel; (3) Phone at 833-351-8255 (833-351-TALK), staffed Mon–Fri 7:30AM–9PM Eastern and Sat–Sun 8AM–5PM Eastern (press 1 for first visit, 2 if already seen). No self-serve online/in-portal cancel button is described on any fetched page (the healow patient portal is described for video visits, messaging, and health records, not appointment cancellation). Classified as "email" (schema enum) since email is listed first and is available anytime with no live-staff dependency; chat and phone are both real alternatives and are staffed, not self-serve. NO-SHOW / LATE-CANCELLATION FEE (known psychiatry-practice pattern, confirmed here): a known industry pattern of charging for missed appointments — Talkiatry publishes this explicitly. Per the "Cancellation policy / No-Show fee" help article and FAQ (identical language in both): "we charge a cancellation fee of $100 for cancelling or rescheduling an appointment with less than 48 hours' notice. The same cancellation fee applies for patients who miss an appointment or are not in an appropriate place for an appointment, including being out-of-state or not having a stable internet connection. Fees for late cancellation or missing an appointment will show up on your bill as a No-Show fee... Note that the cancellation fee cannot be covered by insurance." Terms of Use Section 17 ("Cancellation and Missed Appointment (No-Show) Policy") restates the same $100 / <48-hour rule and confirms the fee is charged automatically to the payment method on file. Terms of Use Section 12 also authorizes Talkiatry to auto-charge the stored payment method for "any applicable copayments, coinsurance, deductible amounts, missed appointment (cancelation/no show) fees or self-pay amounts owed." Cancelling with 48+ hours' notice incurs no fee (FAQ: "If you cancel more than 48 hours in advance, you won't be charged.").

Does not renew automatically. Not a subscription product — there is no recurring plan to auto-renew. What IS "automatic" is payment authorization: Terms of Use Section 12 states the patient's authorization to charge their stored payment method for copays/coinsurance/deductibles/no-show fees "is irrevocable with respect to services that have already been rendered... and for future services until you remove the Payment Method." To stop future charges, a patient must proactively cancel upcoming appointments and formally request discharge from care via hello@talkiatry.com or 833-351-8255 (Terms of Use Section 12/16) — there is no separate "cancel my plan" step because there is no plan, only an ongoing patient-provider relationship that continues until discharge is requested.

No subscription/plan refund policy exists (Talkiatry does not sell a subscription — it bills per visit through insurance). Two specific refund-adjacent commitments are published: (1) Billing-error refund, Terms of Use Section 5: "If a Service is mistakenly billed at the incorrect cost because of a typo or incorrect information from an insurance company or one of our partners, we reserve the right to cancel a medical appointment for the Service... If you have already paid for the Service that is incorrectly charged, we will promptly refund you the amount that was incorrectly charged." (2) "In-network guarantee" (Insurance page): "Before your first visit, we verify that we're in network with your insurance. If we make a mistake, we'll cover the full cost of your first appointment." Terms of Use also states that if Talkiatry itself cancels a confirmed, already-paid appointment (e.g. for billing/fraud-review reasons), "we will issue a credit to your card or other payment method for the amount charged."

Plan-Cancellation-and-Refund-Policy help article: "You can cancel your Talkspace plan at any time. After cancellation, you'll still be able to access your therapy room to view past messages." Out-of-pocket subscribers additionally have the option to pause instead of cancel (initial pause period, extendable in further 7-day increments via account settings); pausing is NOT available for insurance-benefit, EAP-benefit, employer/school/city-sponsored-benefit, or psychiatry plans — those must be canceled outright if the member wants to stop. The specific step-by-step cancellation article for each plan type ("How Do I Cancel My Out-Of-Pocket Subscription/Plan?" etc.) is gated behind member login ("Some content is only visible to members when signed in") and was NOT entered per collection rules (no authentication walls). cancellation_mechanism is recorded as self_serve_online based on the article's framing (managed "through your account settings" per the linked article titles) and pricing.md FAQ ("No, you can cancel your Talkspace plan or membership at any time... can cancel any time before your renewal date") — no phone call or email requirement is stated on any public page.

Renews automatically until cancelled. "All of Talkspace's therapy plans are recurring subscriptions — billed automatically on either a monthly, quarterly, or biannual basis— with frequency chosen by you when you sign up" (help-out-of-pocket- pricing.md). Psychiatry is explicitly NOT a subscription ("There's no subscriptions and you can cancel any time," pricing.md) — priced and charged per session/bundle instead.

Two Talkspace-owned pages state materially different refund positions, not reconciled here — flagged needs_recheck: (1) Terms of Use, "Refunds" section (last updated January 29, 2025): "Except as prohibited under applicable law, Talkspace may at its sole discretion provide a full, partial, or pro-rated refund for services rendered" — i.e., refunds for rendered services are possible, at Talkspace's discretion. (2) Plan-Cancellation-and-Refund-Policy help article (help.talkspace.com): "Talkspace is not able to grant refunds for services rendered, including... subscription costs... add-on session costs... copays and any remaining balances after a member's insurance has processed a claim... live sessions canceled or rescheduled with less than 24 hours' notice... missed or no-show live sessions" — i.e., refunds for rendered services are described as categorically unavailable. The same help article also states Support "can evaluate a request for a refund if it's received within 90 days of the charge's posting date," and that approved refunds are "usually processed within 3-5 business days" back to the original payment method only (no rebilling to a different method).

Terms of Use reference a "Trial Subscription" concept generically: "From time to time, Talkspace may offer a Trial Subscription... to receive introductory services. You may only receive one Trial Subscription" — no duration, discount depth, or eligibility criteria are stated in the Terms themselves, and no active trial offer for therapy or psychiatry was found advertised on any public pricing page at the time of collection. (The separate "Tee" AI chat product does advertise a specific "7-day free trial" on pricing.md, but Tee is not a therapy or psychiatry service and is out of scope here.)