Is there a free alternative to Spruce?

Yes — Chiron Health, Upvio, Coviu offer free tiers or trials suitable for small teams and individuals.

Last updated: July 21, 2026

6 Free Spruce Alternatives Ranked by Real Users (2026)

Q: What are the best alternatives to Spruce?

The top-rated alternatives to Spruce are Coviu, MyClinic, Doxy.me. Compare all 6 alternatives at https://www.spotsaas.com/list/spruce-free-alternative.

Explore 6 alternatives to Spruce — vetted by our editors with real user reviews, pricing, and feature comparisons.

The 6 leading free Spruce alternatives, compared

Quick answer

The best free replacements for Spruce are Chiron Health, Upvio and Coviu. Chiron Health ranks first with a SpotScore of 8.9. Compare all 6 on score, rating, and pricing below.

Comparing Spruce free alternatives doesn't have to be guesswork. These 6 telemedicine software options are ranked by SpotScore, which blends verified satisfaction with market presence, alongside ratings and pricing. Each tool clears editorial review. Use the table for a fast comparison, then read the full breakdown below.

Product	SpotScore	Rating	Pricing	Best for
Chiron HealthTransforming healthcare through innovative telemedicine.	8.9	Not yet rated	FreeFree Trial · Subscription · Quotation Based	teams of all sizes
UpvioStay healthy, stay home with Upvio.	8.4	Not yet rated	Freefrom $55 /user/month	teams of all sizes
CoviuBreaking barriers, bringing care home.	8.2	★★★★★ 5	FreeFree Trial · Subscription · Quotation Based	teams of all sizes
Doxy.meRevolutionizing healthcare, one virtual visit at a time.	9.8	★★★★☆ 4.3	FreeFree Trial · Subscription	teams of all sizes
MyClinicYour personalized healthcare solution, right at your fingertips.	8.7	★★★★★ 4.5	FreeFreemium · Subscription · Quotation Based	teams of all sizes
CarepatronConnect with patients anytime, anywhere.	8.2	★★★☆☆ 3.25(4)	FreeFreemium · Subscription	small & mid-size businesses

8.9

SpotScore

Chiron Health

Transforming healthcare through innovative telemedicine.

Best for: SMB teams · Mid-market · Enterprise

Start Free Trial

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What is Chiron Health?

Chiron Health is a telemedicine platform that enables clients to scale the quality of care that they offer their policyholders. By providing excellent, high-quality care at lower costs by harnessing the power of technology, it enhances the value of clients’ health insurance products and ...

Upvio

Stay healthy, stay home with Upvio.

Best for: SMB teams · Mid-market · Enterprise

Start Free Trial

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What is Upvio?

Upvio is a convenient and reliable way to look after your well-being without leaving your home. It uses sophisticated technology to measure important body readings such as resting heart rate, blood pressure and breathing levels from the comfort of your own living space. Designed to be used on ...

Coviu

Breaking barriers, bringing care home.

Best for: SMB teams · Mid-market · Enterprise

Start Free Trial

5.0

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What is Coviu?

Coviu is a telemedicine software platform that allows physician offices to expand their care into their communities. Coviu's proprietary technology brings a tablet and camera to every home, giving families instant access to their healthcare. Coviu's platform provides easy scheduling, secure ...

Doxy.me

Revolutionizing healthcare, one virtual visit at a time.

Best for: SMB teams · Mid-market · Enterprise

GDPR

HIPAA

Start Free Trial

4.3

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What is Doxy.me?

Doxy.me is telemedicine software that allows patients to interact with providers in real time from the convenience of their home. With Doxy.me, user can have secure real-time video visits online, easily organize medicine, track progress and even receive naloxone if needed. The doctor can keep ...

MyClinic

Your personalized healthcare solution, right at your fingertips.

Best for: SMB teams · Mid-market · Enterprise

GDPR

HIPAA

Try for Free

4.5

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What is MyClinic?

MyClinic is a full-service telemedicine platform that enables live video visits with a healthcare provider from anywhere in the world. This patented video platform ensures the highest picture quality and most reliable connection available, while the patent-pending software allows to talk in ...

Carepatron

Connect with patients anytime, anywhere.

Best for: SMB teams · Mid-market

GDPR

HIPAA

Try for Free

3.3

4 verified reviews

Add to compare

What is Carepatron?

CarePatron is a telemedicine software for care providers and medical staff to connect with patients. This health information technology (HIT) enables clinicians to remotely share progress notes, photos and supporting documents with referring providers and others. It permits medical staff to ...

Why each one belongs on this list

Chiron Health8.9Best for teams of all sizes

High-quality care delivery

Watch for: Complex setup process

Upvio8.4Best for teams of all sizes

Convenient remote monitoring

Watch for: Dependent on internet connection

Coviu8.2Best for teams of all sizes

Easy scheduling and tracking

Watch for: Limited customization options

Doxy.me9.8Best for teams of all sizes

Secure real-time video visits

Watch for: Limited customization options

MyClinic8.7Best for teams of all sizes

High picture quality

Watch for: Requires internet access

Carepatron8.2Best for small & mid-size businesses

Remote patient monitoring

Watch for: Limited to telemedicine

Why teams look for a Spruce alternative

The push to replace Spruce tends to come down to a few recurring frustrations:

May require training for users
Dependent on internet connection
Limited offline functionality

What to consider when replacing Spruce

Comparing the 6 free alternatives on the figures that matter: 6 offer a free tier; paid plans run $55, with Upvio the cheapest entry point; and Carepatron is the highest rated at 3.25★ across 4 reviews.

Our ranking, explained simply.

Frequently Asked Questions (FAQs)

Stuck on something? We're here to help with all the questions and answers in one place.

What are the best alternatives to Spruce?

The top-rated alternatives to Spruce are Coviu (5.0★), MyClinic (4.5★), Doxy.me (4.3★). Compare all 6 alternatives side-by-side above.

What features should I look for in a Telemedicine Software alternative?

When evaluating alternatives to Spruce, prioritize: Live Chat, Reminders, File Transfer, Payments, HIPAA Compliant, transparent pricing, free trial availability, and integrations with your existing tools. Use the filters above to compare by feature, budget, and team size.

How difficult is it to migrate from Spruce to an alternative?

Migration difficulty depends on how deeply Spruce is integrated into your workflows. Most alternatives offer data export/import tools and dedicated onboarding support. We recommend shortlisting 2–3 options, running a free trial, and checking each vendor's migration guides before committing.

Which Spruce alternative wins for your team?

On a budget / just exploring: start with a free tier — Chiron Health, Upvio and Coviu let you evaluate without paying upfront.
If real-user ratings matter most: Carepatron has the strongest star rating (3.25★) among the options with verified reviews.
Want the safest pick: Chiron Health has the highest Spotsaas Score (8.9) in this list — a strong default if you're unsure.

Switching from Spruce the smart way

Plan your Spruce migration around your data. Export it, confirm the new tool imports it without loss, and check that the workflows you depend on still work. Run a pilot on a free plan first, and keep Spruce open until the switch is complete.