Autopay

Overview

Autopay is a simple, hassle-free way to manage your payments. By enrolling in Autopay, when an invoice for your insurance payment responsibility, or out-of-pocket payment responsibility from your provider is created, Alma will automatically charge this to the card you have enrolled.

• As of September 22, 2025, all insurance clients are required to enroll a valid payment method in Autopay during intake with an Alma provider.
  • Please note, clients receiving care in Connecticut are not required to enroll in Autopay per state law
• If you have a Client Portal account, you can enroll and update your payment method on file directly from your Portal.
• If you have not created a Client Portal account yet, you can request an Autopay enrollment link from your provider or create an account using the link in any unpaid invoice or appointment reminder email.
• Clients using Employee Assistance Program (EAP) benefits are not eligible for Autopay, as their employer covers EAP sessions. If you choose to continue care with your Alma provider after your EAP benefits are complete, you can then enroll in Autopay to manage your payment.

Enrolling via the Client Portal

If you’re enrolling in Autopay for the first time,

• Navigate to the Tasks to Complete list on the Alma Client Portal homepage
• Click Complete next to Autopay Enrollment
• Add your credit or debit card information and click Enroll. 
  • HSA, FSA, or HRA cards can be used to enroll.
• Done! We will send you and your therapist a confirmation email

Enrolling via Email

All new clients are sent a single welcome email from Alma with a list of intake documents and a secure link to complete them. You can enroll in Autopay through this secure intake link. More information on this intake experience can be found in What to Expect from Your Intake Paperwork.  

If you are interested in enrolling in Autopay after intake, ask your therapist to send you an Autopay enrollment email and complete the following steps:

• Open the email and click the Enroll in Autopay button
• Confirm your identity by entering your phone number
• Add your credit or debit card information and click Enroll
• If you’re adding an HSA, FSA, or HRA card, check the box next to This is an HSA/FSA/HRA card after entering in your card information
• Done! We will send you and your therapist a confirmation email

Enrolling via Unpaid Invoice

You can also enroll in Autopay the next time you pay an invoice online. 

• Locate an unpaid invoice in your inbox
• Confirm your identity by entering your phone number
• Add your credit or debit card information in the payment portal
• If you’re adding an HSA, FSA, or HRA card, check the box next to This is an HSA/FSA/HRA card after entering in your card information
• Before you click the Pay button, select the checkbox that says Enroll in Autopay
• Done! We will send you and your therapist a confirmation email

After Enrolling in Autopay

• Your card will be charged for future sessions within 24 hours of your therapist submitting an invoice
• You will receive an invoice receipt after every payment, including a downloadable version for your records
• If you receive a cost adjustment for a previous session, Alma will notify you 10 days before automatically charging the card we have on file.
• You and your therapist will receive a confirmation email each time you enroll in Autopay or update your card on file

Updating Your Card or Unenrolling

From an Invoice Receipt

To update your payment method:

• Locate your Autopay confirmation email or any Alma invoice receipt
  • If you’re having trouble locating this, search your inbox for the subject line "Your receipt from Alma"
• Click the update your card link 

From the Client Portal

• Click on Profile and then select Insurance and payment
• Click Update in the 'Autopay’ box
• Select Update from the dropdown menu

If you are no longer paying through insurance and would like to unenroll your payment method, work with your provider to remove your insurance information and unenroll from autopay. If you still need help unenrolling, please reach out to our Support Team by clicking the Help button in our Support Center and creating a support ticket. 

If you pay for your sessions out of pocket, Alma recommends having a valid payment method on file, but it is not required, and you can unenroll from Autopay at any time.

FAQs 

Beginning September 22, 2025, all insurance clients are required to enroll a payment method in Autopay during intake with an Alma provider. 

Why is Autopay required at Alma?

Autopay helps ensure that your provider is paid on time after each session. This makes it easier for your provider to focus on your care instead of being disrupted due to unpaid invoices.

That being said, while Alma now requires insurance clients to enroll in Autopay, you do not need to enroll in Autopay before your insurance benefits are verified. Once you receive your completed Eligibility Check and you confirm that you would like to schedule a session, you can then enroll in Autopay. Whenever you enroll in Autopay, you can rest assured that your payment method will not be charged until a claim is submitted for a billable session or you are charged a cancellation fee (if applicable). 

If you are unable to enroll in Autopay, please discuss this with your provider and they can outline options. 

What payment methods can I use with Autopay?

You can use any major credit/debit card (i.e. Visa, Mastercard, American Express, Discover, etc.), as well as FSA, HSA, and HRA cards. You’ll be able to update or change your payment method at any time in your Alma Client Portal, or by following the steps above to update from an invoice receipt. 

I’m not comfortable saving a card — can I still receive care?

To help ease the transition to Autopay, we are offering more flexible options to pay for care, including storing FSA, HRA and HSA cards as your Autopay payment method. Many clients now have access to the Alma Client Portal, which can help you manage and update your payment information more easily. 

If you are worried about the cost of care, it's important to have an open conversation with your provider. Together, you can come up with a plan that works for your situation, whether that means adjusting the frequency of appointments or finding another solution that feels manageable. Your provider will still be able to schedule appointments with you in the meantime.

Do I need to enroll in Autopay if I am paying out-of-pocket, or have a $0 copay?

If you are paying out-of-pocket, you are not required to enroll in Autopay.

If you’re using insurance, having a payment method on file is generally required even if your current copay is $0. This helps ensure that if you later become responsible for a balance (e.g., due to a deductible reset or a change in coverage), there’s a secure way for your provider to collect payment. We also offer flexible options, including FSA and HSA cards, as valid payment methods.

Note: If you receive care in Connecticut, you are not required to keep a payment method on file per state law. Alma’s Autopay requirement does not apply to Connecticut-based clients. If you are a Connecticut-based client and would like to unenroll from Autopay, please click the green “Help” icon in the Alma Portal or Support Center and request to be connected to an Alma support agent.

What happens if my card fails or expires?

You’ll be notified by email and asked to update your card. If your card isn’t updated before your next session, your provider may choose to delay or cancel care to avoid unpaid charges.

If I’m seeking care via an Employee Assistance Program (EAP), do I need to enroll in Autopay?

EAP client sessions are covered by their employer, and therefore you are not required to store a payment method on file while you are utilizing your EAP benefits. If you choose to continue care after your EAP sessions are used or expired, you will be required to store a payment method on file.