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.
All prices below are in USD.
1. One-time fee
We register your clinic for business texting so phone carriers recognize who your messages are coming from. This costs about $22–$25 for the one-time registration. This is a standard fee for registering a local number for business texting in the U.S.
2. Monthly fees
Your local ClinicMonk™ phone number is listed at $2.30 per month, per number. That keeps the number active. You don’t need a toll-free number.
There’s also a messaging fee of up to $10.50 per month to keep your business texting registration active.
3. What you pay as you use it
The listed call rates are 2.8 cents per minute for outgoing calls and 1.7 cents per minute for incoming calls.
Texts are 1.66 cents 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 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 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. That’s a difference of $6.80 for the month. These are usage amounts.
Your 3 phone options and what they cost
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 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
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.
Recharge your wallet
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.
Understand a charge
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.
If a recharge fails
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.
Questions about your wallet?
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.
Your ClinicMonk™ subscription
These tech fees are separate from your subscription. The standard plan is $197 per month; eligible McCance Method users pay $177 per month. The annual plan is $1,970 per year, with the monthly discount applying only to monthly plans.
There is also a $99 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.
