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Open your Wallet guide

Let’s walk through the phone and email fees so you know what to expect. There are 3 parts: a one-time fee, monthly fees, and what you pay as you use the system. These are separate from your ClinicMonk™ subscription.

We register your clinic for business texting so phone carriers recognize who your messages are coming from. This costs about $22 USD–$25 USD for the one-time registration. This is a standard fee for registering a local number for business texting in the U.S.

Your local ClinicMonk™ phone number is listed at $2.30 USD per month, per number. That keeps the number active. Some therapists prefer a toll-free number when their local area code isn’t available, so their number doesn’t suggest they’re based in another city. A toll-free number costs $4.30 USD per month, per number—$2 USD more than a local number. It is more expensive, and incoming calls also cost more than calls to a local number.

There’s also a standard phone carrier fee of between $1.50 USD and $10.50 USD per month to keep your clinic registered for business texting. This is separate from your ClinicMonk™ subscription.

The listed local-number call rates are 2.8 cents USD per minute for outgoing calls and 1.7 cents USD per minute for incoming calls.

Texts are 1.66 cents USD for each billable part of a message. A short text usually uses 1 part; longer messages and some emoji can use more. There’s no separate monthly email fee. Email costs 0.14 cents USD per billable email. Sending fewer emails keeps your usage costs down. Received and forwarded emails, including messages where your clinic is copied in, can also count toward usage.

For example, in a month, let’s say you make 20 consult calls lasting 20 minutes each and send 100 short texts. Using the listed rates, that comes to about $12.86 USD in basic usage when you make those calls in ClinicMonk. If those same 20 consult calls are instead incoming calls forwarded to your current phone service, with the same 100 short texts, the total is about $19.66 USD. That’s a difference of $6.80 USD for the month. These are usage amounts.

1. Keep your current provider and forward calls. Your ClinicMonk™ number is your public number, and its calls forward to your existing phone number. You pay for the call coming into ClinicMonk™ and the call that sends it on to your other number. Using the listed rates, that adds up to 4.5 cents USD per minute.

2. Move your existing number into ClinicMonk™ (porting) and answer in ClinicMonk™. Your old number becomes your ClinicMonk™ number. Answering in ClinicMonk™ generally costs less than forwarding calls to another phone service.

3. Switch completely to a new ClinicMonk™ number and answer in ClinicMonk™. The call costs are the same as option 2, but you need to update your number everywhere it appears.

You may not need 2 phone systems. If ClinicMonk™ covers your team’s calling and texting needs, answering there saves the external forwarding charge. After your move is complete, cancelling your other paid service can save that subscription cost too. Moving your number does not automatically cancel the old subscription.

Your wallet holds credit for these phone and email charges. When the balance gets low, your card tops it up automatically. That adds credit to use—it isn’t another service fee.

To see what you’ve spent, open Settings → Billing → Wallet & Transactions → Transactions.

Open Settings → Billing → Wallet & Recharge. “Auto Recharge with” is the amount added each time; “When balance lower than” is the balance that triggers a recharge. To add credit yourself, choose +Add. This charges your card and adds credit to your wallet.

Your subscription and wallet recharges can both appear as “ClinicMonk” on your card statement. Seeing 2 charges doesn’t automatically mean you were charged twice for the same thing. Check Settings → Billing → Wallet & Transactions → Transactions to see what each charge covers. Some charges can take 6–24 hours to appear.

We retry a failed recharge up to 7 times, once per day. If those attempts fail, you’ll be notified. Update your card and recharge manually, or ask Support for help. Phone and email services may pause if your wallet reaches zero.

If a balance or charge looks wrong, or you want to discuss unused credits, contact Support. We’ll check your account and remaining balance; a refund isn’t automatic.

These tech fees are separate from your subscription. The standard plan is $197 USD per month; eligible McCance Method users pay $177 USD per month. The annual plan is $1,970 USD per year, with the monthly discount applying only to monthly plans.

There is also a $99 USD one-time account setup fee with either plan. This covers the team’s configuration and onboarding work, including phone, forms, calendar, email and tracking setup. It is separate from the business texting registration fee and usage charges.

Our team manages your plan, features and billing. For help understanding a charge or your plan, use the Support Dashboard for live chat and office hours.

Join our office hours Monday to Friday, 12–1 PM EST. Visit the Support Dashboard to join.