Spruce Billing: Plans, Pricing, Payment Methods, and Invoice History

Sign Up for a Spruce Subscription

You can sign up for a Spruce subscription from the web or Android version of Spruce. 

On the Web

Navigate to your Settings, then select Billing. From there, you can review the plan options and select the appropriate one. After selecting your desired plan, enter the requested information and click Subscribe to complete the sign-up process.

On Android

Navigate to your Settings, then select Billing. From there, you can review the plan options and select the appropriate one. After selecting your desired plan, enter the requested information and tap Subscribe to complete the sign-up process.

You can view the Spruce plans and features included here.

Spruce Invoices

Administrators can locate past invoices by logging into Spruce on a desktop computer and then going to Settings > Billing > View Invoices. From here, you can download any past invoice by selecting the Download button.

Invoices are also delivered to the billing email address registered to your Spruce account. You can locate or update this email address by logging in to Spruce on a desktop computer and then navigating to Settings > Billing. If you are not able to locate an invoice sent to your email, try searching for support@sprucehealth.com or “Spruce Health.” To update your payment method or billing email address, follow the steps here. 

Spruce automatically bills you for the number of users/teammates in your account every month. Whenever you add a teammate on Spruce, we'll add a prorated charge for their cost to your next invoice. You will receive a new invoice anytime you make any changes to your subscription (e.g., upgrading or downgrading) or have additional charges (e.g., VoIP purchase). Learn more about Spruce invoicing

Update Billing Information (Credit Card, Address, Email)

Your billing information can be updated only via the web version of Spruce. Please log in from your computer by going to https://app.sprucehealth.com/ or you can click here to be redirected straight to the billing page.

Please note that only your organization's Spruce administrator can access your organization's billing information. The first teammate on your account is made an administrator by default and can promote others to be administrators. For more information about administrators on Spruce, please see our article on growing and managing your team on Spruce.

If you are an administrator for your organization, follow these steps to update your billing information:

1. Log in to Spruce on your computer and navigate to your Settings (gear icon).
2. Select Billing.
3. Under "Billing Details," select Edit next to "Payment Method" or "Billing Information," depending on which you want to update.
4. Update your information and select Submit.
5. Once you have updated your billing information, your new credit card, address, and/or email address will be reflected in your next billing cycle.

Tips for entering your Business Address

• Do not abbreviate parts of street or city names (e.g., enter 'Saint Louis', instead of 'St Louis').
• Use abbreviations for address suffixes where possible, such as "St" for "Street" or "Ave" for "Avenue" (E.g., 521 Main St). Do not use punctuation with any abbreviation.
• Do not use symbols like “&, @ #,” etc. in your Business Name or the Address Fields. It is okay to use these symbols in the secondary address field (such as a unit or office number).
• Only 32 characters are allowed for your Business Name.
• Enter a standard 5-digit ZIP code.
• Do not add extra spaces before or after any of the required address or name fields.
• You cannot use a P.O. Box for your business address. 

Per-User Pricing

Spruce is priced per user, per month. A user is any teammate you have added to your Spruce organization. Generally, this will include all clinicians, staff, and other employees (but not your patients). Spruce is not priced by the number of phone lines or the amount of feature usage.

All users in a single organization must be on the same billing plan.

Example: A clinic with 3 physicians, 2 nurses, 1 front-desk assistant, and 1 virtual assistant will have 7 total users on Spruce, all on the same plan and with the same cost per user.

Whenever you add a teammate on Spruce, we'll add a prorated charge for their cost to your next month's bill.

Whenever you remove a teammate, we'll add a prorated credit to your account.

For full details, please see the complete Spruce Plans & Pricing.

Managing or Canceling Your Subscription

Information on how to upgrade, downgrade, or cancel your subscription can be found in the "Cancel or Update Your Subscription" article.

Frequently Asked Questions

How is Spruce billing structured?

Spruce charges per user per month on the Basic or Communicator plan. Billing is month-to-month by default. Annual contracts are available for larger practices.

What additional fees can appear on my Spruce bill?

Additional charges include the one-time $19.50 SMS 10DLC registration, telecom taxes based on your business address, regulatory fees, and one-time VoIP hardware costs, if you order desk phones. 

How do I cancel or change my Spruce subscription?

Go to Settings, then Billing, to update or cancel your plan. Month-to-month plans have no cancellation penalty.