Does Voksha charge extra for handling crisis calls or is that a separate add-on?

For Mental Health Practices

No, crisis protocol handling is part of the standard call handling on every plan, not a separate add-on or premium feature. A crisis-flagged call, meaning one where the caller's language matches your configured risk-screening criteria, is billed the same as any other call under your plan's included call count and per-call overage rate. There is no per-minute surcharge for a longer crisis-adjacent call, and there is no additional fee to configure the 988 Suicide and Crisis Lifeline number, local emergency services routing, or your practice's specific emergency contact protocol into the call flow. This matters for budgeting because practices sometimes assume specialized handling for sensitive call types comes with specialized pricing, the way some answering services charge extra for triage or nurse-line style calls. Voksha's pricing is structured entirely around call volume and plan tier ($14/month Starter with 15 calls, $99/month Premium with 150 calls, $990/month-and-up Enterprise with custom volume), not call type or complexity. The clinical protocol itself, meaning what Voksha says, what resources it provides, and when it escalates, is something you configure once during setup with your practice's actual policy, and it applies consistently to every call that matches those criteria going forward at no incremental cost. This is worth confirming directly with your account setup since crisis protocol accuracy is the single most safety-critical configuration a mental health practice will do, but the pricing structure itself does not change based on it.