Seven Starling treats it. Phia helps catch it, and gets you there.

Seven Starling is an online mental health clinic for women, with therapy, groups and medical evaluations from fertility through menopause, covered by many insurance plans. Phia is a perinatal medical group you text, with mood screening, nurses and referrals built into one thread.

Key takeaway

These do different jobs. Seven Starling delivers the treatment: weekly therapy with perinatal specialists, with a first appointment in about 7 business days on average. Phia works earlier and around it: screening by text, a nurse the same day when a score is high, and a referral into therapy that Phia tracks until you’re seen.

Treatment, or the watch that gets you to it.

Seven Starling

What it is

A therapy clinic: individual and group therapy, with medical evaluations.

A therapy clinic: individual and group therapy, with medical evaluations.

How it starts

A free consult with a care coordinator, then matching with a therapist.

A free consult with a care coordinator, then matching with a therapist.

How fast

First therapy appointment within 7 business days on average.

First therapy appointment within 7 business days on average.

Spotting a problem

PHQ-9 and GAD-7 every 8 weeks once you’re in care.

PHQ-9 and GAD-7 every 8 weeks once you’re in care.

Where

20+ states and Washington, D.C., including Pennsylvania. Delaware is not on its list.

20+ states and Washington, D.C., including Pennsylvania. Delaware is not on its list.

What it costs

Seven Starling says 98% of patients use insurance. It also accepts Medicaid in many states.

Seven Starling says 98% of patients use insurance. It also accepts Medicaid in many states.

Phia

What it is

A care team by text for the whole pregnancy and first year, mental health included.

A care team by text for the whole pregnancy and first year, mental health included.

How it starts

Send a text. Screens arrive on a private page and are scored on the spot.

Send a text. Screens arrive on a private page and are scored on the spot.

How fast

A nurse answers in about 6 minutes on average, day or night.

A nurse answers in about 6 minutes on average, day or night.

Spotting a problem

Depression and anxiety screens on a set schedule, and every message read for warning signs.

Depression and anxiety screens on a set schedule, and every message read for warning signs.

Where

Pennsylvania and Delaware.

Pennsylvania and Delaware.

What it costs

Free for 30 days, then $19 a month. Partner therapy may need separate enrollment and depends on your insurance.

Free for 30 days, then $19 a month. Partner therapy may need separate enrollment and depends on your insurance.

Based on publicly available information as of November 2026. Seven Starling services, coverage and cost vary by plan and location. Seven Starling is a trademark of its owner. Phia is not affiliated with Seven Starling.

Same words. A different answer.

Ask both about a headache at 34 weeks. One is a therapy clinic. The other is a care team for the whole pregnancy.

Seven Starling

I’ve had a headache since this morning.

Seven Starling’s care happens in therapy sessions. For a headache at 34 weeks, you’d call your OB.

Outside their scope

Specialists in mental health. Not built for this.

Seven Starling treats anxiety, depression and trauma. Physical symptoms in pregnancy sit with your OB.

Phia, with your record

34 weeks pregnant

High blood pressure last week

I’ve had a headache since this morning.

With your reading last week, I want to check this now. Can you take your blood pressure?

Care team alerted

Phia acts on it.

Phia links the headache to last week’s blood pressure, asks for a reading, tells you to call your doctor today and lets your care team know.

Seven Starling

I’ve had a headache since this morning.

Seven Starling’s care happens in therapy sessions. For a headache at 34 weeks, you’d call your OB.

Outside their scope

Specialists in mental health. Not built for this.

Seven Starling treats anxiety, depression and trauma. Physical symptoms in pregnancy sit with your OB.

Phia, with your record

34 weeks pregnant

High blood pressure last week

I’ve had a headache since this morning.

With your reading last week, I want to check this now. Can you take your blood pressure?

Care team alerted

Phia acts on it.

Phia links the headache to last week’s blood pressure, asks for a reading, tells you to call your doctor today and lets your care team know.

An example of how each one responds.

Phia nurse wearing a headset
Phia nurse wearing a headset

Phia answers first. A nurse steps in.

When it matters, a maternity nurse joins your thread. Day or night.

Text Phia

Text Phia

Who each is best for.

Seven Starling

Women who know they want therapy with a perinatal specialist and live in a state Seven Starling serves.

Phia

Moms in Pennsylvania and Delaware who want someone watching between visits, and help getting into therapy if they need it.

The bottom line

If you already know you want therapy, start with Seven Starling. If you’re not sure what you need, text Phia.

Common questions.

Does Seven Starling take insurance?

Yes. Seven Starling says 98% of its patients use insurance, that it accepts most commercial plans and Medicaid in many states, and that coverage varies by state and plan. Its free consult includes a benefits check.

Is Seven Starling available in Pennsylvania?

Yes. Pennsylvania is on Seven Starling’s list of 20+ states. Delaware was not listed as of November 2026.

Does Phia provide therapy?

Phia screens for depression and anxiety, brings a nurse in when a score is high, and connects you with therapy through partners like Rula, then follows up until you’ve been seen. If you are in crisis, call or text 988.

Sources: Seven Starling home page, FAQ, Pricing & Insurance and provider referral pages, sevenstarling.com. Accessed November 2026.

Start with one text.

Available in Pennsylvania and Delaware, in any language. Phia is not an emergency service. If you need help now, call 911.

Text Phia