Jane App vs Oli Health: an honest 2026 comparison for Canadian clinics

A single-practitioner Canadian clinic that signs up for Jane App's full advertised stack — the Thrive base plan, the AI Scribe, Insurance Billing, and Jane Websites — pays $193 CAD per month. That is not a worst-case configuration. It is what Jane's own pricing page presents as the headline set of features.

This is a head-to-head comparison of Jane App and Oli Health for Canadian clinics in 2026, built from each platform's public pricing and feature documentation as of April 2026. Jane is a legitimately good product and has earned its reputation in Canadian allied health; the argument here is narrower. Once a solo clinic turns on the features Jane advertises — and especially once it hires a second or third practitioner — the monthly math gets harder to defend than Jane's reputation implies.

What Jane does well

Jane has been shipping since 2014, with the product's origins going back to 2011–2012 inside Ali Taylor's multi-disciplinary clinic in North Vancouver. Over a decade of stability counts for something. For an EHR, reliability is the feature nobody wants to pay for until they have lost a day of charts — and Jane has built infrastructure clinics have stopped noticing. Clean Stripe reconciliations, no weekend-long outages, data integrity that has earned it something closer to muscle memory than a subscription.

The interface is also well-designed — clean, warm copy, a brand voice that does not feel like it was assembled by a private equity deck. Payments integration through Jane Payments is honest. The practitioner community on Facebook and Reddit is deep and genuinely helpful. Canadian data residency is the default, not an upgrade tier.

That list matters. If a clinic is small enough that the $99 base plan is the entire software budget and AI documentation is not on the roadmap, Jane is a defensible choice. Where the math gets harder is the step after that.

The Jane invoice, line by line

Here is what a solo practitioner pays when they turn on what Jane advertises. All prices sourced from jane.app/pricing, accessed April 2026.

The $193 figure is neither floor nor ceiling. A solo therapist can skip AI Scribe, skip Jane Websites, skip Insurance Billing, and sit at the Thrive plan alone for $99/month. On the other end, specialty add-ons and Group Telehealth push it higher. $193 is the cost of running Jane's own recommended feature set, with no extras, for one full-time practitioner. SMS appointment reminders come free with Practice and Thrive in supported regions, Mailchimp integrates as a free third-party connection, and custom domains are included with Jane Websites.

The AI Scribe deserves a separate note. Jane released it in 2025 and continues to expand the feature set, most recently in a November 2025 announcement, several years after competing platforms were already shipping AI notes. The free tier gives five AI-generated session notes per practitioner per month — enough to try the feature, not enough to run a practice on. For a solo therapist handling 80–150 appointments a month, the $15 unlimited tier is not an optional upgrade; it is the line between using the tool and performing it.

Cost at 1, 3, and 5 practitioners

One-seat comparisons miss the part that decides most migrations. Jane's bill scales non-linearly as a clinic hires. The Thrive base plan includes one full-time practitioner; each additional full-time practitioner is $40/month on Thrive, or $20 per additional part-time seat. AI Scribe is $15/month per opted-in practitioner. Insurance Billing is $20/month for the first full-time practitioner, plus $5 per additional full-time and $2.50 per part-time. Group Telehealth is $15/month per opted-in practitioner (1:1 telehealth is included free, so it is not in the table). Jane Websites stays flat at $59.

Oli's pricing is $19.95 CAD/month per practitioner, and that price includes every feature — conversational AI intake, AI scribe, patient overview, document OCR, 1:1 and group telehealth, insurance billing, patient portal. The marginal cost of a new practitioner seat on Oli is $19.95/month. On Jane's full advertised stack, the marginal cost of a new full-time seat is $40 + $15 + $5 = $60/month, with Group Telehealth another $15 on top.

Here is the same Jane stack — Thrive + per-seat Thrive add-on + AI Scribe (all seats) + Insurance Billing + Websites — compared against Oli at 1, 3, and 5 full-time practitioners. The Jane numbers match what Jane's own pricing calculator returns.

Those numbers assume all full-time seats, no part-time staff, and no Group Telehealth. Add Group Telehealth for two practitioners on a three-person clinic and the Jane bill climbs to $343/month, while Oli stays at $59.85 because group telehealth is already included. Add one part-time associate on Jane and the math shifts again.

A clinic billing $35,000/month does not close over a $250 line item, and that framing is worth keeping in view. But the clinics actually running this arithmetic are rarely $35k/month clinics — they tend to be solo or small-group practices where a $193 software invoice is roughly 4% of a quieter month's top-line revenue, which puts clinical software in the same budget-weight class as commercial rent. For a broader view across tools, the practice management software pricing comparison walks through five platforms including Jane at different practitioner counts.

Three years later

Monthly comparisons understate the decision. Software choices are sticky, and most clinics stay on a platform for at least three years once they have trained staff, imported records, and built templates. Here is what the same three-year commitment looks like on each platform.

A solo clinic on Oli spends $718 in software over three years — roughly three-and-a-half months of Jane at the full advertised stack. Three years of Jane at that stack runs $6,948 for the same solo clinic, $11,268 for a three-person practice, and $15,588 for a five-person clinic. Those totals rise once a practitioner turns on Group Telehealth or adds a part-time associate: for a five-practitioner clinic running two clinicians on group sessions, Jane's 3-year number pushes past $16,500.

Not every dollar of that delta is captured as cash — migration costs time, and some of it gets spent on template setup and retraining. What the three-year lens does reveal is that the "small monthly difference" framing misleads once a clinic hires. For a three-person practice, the gap is not $40/month at steady state; it is closer to $250/month, which compounds into an equipment-line expense rather than a utilities-line one over the life of a practice.

Feature coverage, honestly in both directions

Here is what both platforms currently cover as of April 2026, built from their own product documentation.

What Jane has that Oli does not. Jane's practitioner community is much bigger. If you want to post a weird billing-code question at 10pm and have an answer by midnight, Jane's user groups will deliver. Oli's community is less than a year old — young, energetic, and growing fast, but still small by comparison. For a clinic that has spent years building workflow inside a Jane peer network, that social cost of switching is real money.

Jane also ships a website builder as a first-class product. Oli does not. We decided early that we would not build two products when one of them already existed as a better third-party service, so Oli clinics run their websites on Squarespace or Framer. If you want your site and your EHR in one login and one invoice, Jane gives you that. I think that is a fair tradeoff against a $59/month line item, and reasonable people land on it differently.

The specialty-template library for chiropractic and pelvic floor physio is deeper on Jane right now. We are closing that gap with our custom-template builder, but I am not going to pretend the catalogue is identical.

What Oli has that Jane does not, and does not appear to be building toward.

Conversational AI intake that produces structured chart data before the patient walks in. Jane's intake forms are customizable digital questionnaires that save into the chart and auto-fill profile fields — not static PDFs, credit where credit is owed — but they are not conversational AI either. Oli's intake is a real-time conversation the AI conducts with the patient, and the output maps into discrete chart fields the first time. A naturopath running a celiac screening protocol gets the medications section filled correctly at sign-up instead of reconstructing it from verbal history at the top of the appointment. The conversational intake explainer walks through how that workflow produces structured data.

An AI patient overview. Every note, lab, intake answer, and document gets read and summarized into a pre-visit brief before the session starts. That workflow does not exist on Jane at any price tier.

Document OCR that extracts lab values, referral letters, and outside records into searchable, structured chart fields. Jane does accept document uploads (PDFs, Word docs, spreadsheets, images, even audio and video) — the files are stored and attached to the chart — but their contents are not machine-extracted into discrete, queryable fields the way OCR does it.

A telehealth session recording that flows directly into the AI scribe without a separate add-on. Jane's 1:1 telehealth is solid (and included free), but the telehealth-recording-to-AI-scribe pipeline is still in early testing on Jane's side.

And one thing worth knowing before signing up: Jane has no free trial, though it is not a gate either. A clinic can Sign Up directly from any plan's button on the pricing page, log into a shared Demo Clinic to poke around, or book an optional demo with Jane's team. What is missing is the risk-free "try the real product for 30 days" window most modern SaaS offers. Oli has that sandbox; Jane has a sign-up form and a demo clinic instead.

When Jane is still the right answer

I am not trying to talk anyone out of Jane. There are two scenarios where I would tell a clinic owner to stay, or to sign up fresh.

Your clinical workflow lives inside a specialty-template library Jane has already built out. Pelvic floor physio and chiropractic are the clearest examples. If you are using templates you would have to rebuild on Oli, and the rebuild costs you a weekend of template authoring, the ROI equation shifts. Sometimes significantly.

You have been on Jane for 6+ years with a stable 4+ practitioner team and a workflow nobody is complaining about. Migration is not free. Jane's data export is clean — credit where credit is owed — but retraining a mature team takes real time. If your current Jane math works for your revenue and no one on the floor is asking for AI notes, there is no emergency. Staying is a rational choice.

Those are the cases. They are specific on purpose. If you do not fit one of them and your Jane invoice is creeping past $180/month, the arithmetic starts asking for answers. The broader framework I use with clinic owners deciding between platforms is in how to choose an EHR for a solo practice.

Where Oli is the right call: paper, solo, or a 3-chair clinic leaning on telehealth

If you are coming from paper and Excel, Oli is the better landing spot — not Jane. This was the one scenario where I used to send clinic owners toward Jane's older, gentler onboarding. I was wrong. A clinic going from paper to its first real EHR does not need a platform whose architecture predates the AI era and had AI grafted on in 2025 — they need software that behaves like one coherent application, not a set of modules bolted together over a decade. Oli was built after the AI scribe, conversational intake, and document OCR were all obvious features a clinic would want, and the pieces were designed to speak the same language from the start. That matters most for the person who has never used clinical software before and cannot tell which friction is normal and which is legacy.

Paper-to-EHR clinics deserve the integrated experience. They are also the clinics least able to absorb a $193/month invoice while they are still figuring out insurance-remit timing. Oli's $19.95 per practitioner keeps the early-practice software line small, and the integrated design means a first-time user is learning one product, not several feature silos with their own naming conventions.

Solo clinics and small 3-practitioner clinics on Jane: even with long tenure, the switch is worth a sandbox afternoon, and it is worth the most if you do a lot of telehealth. I have watched loyal Jane users open Oli for the first time and describe it as the refreshing experience of using software that was designed for the work they do now, not the work EHR vendors imagined in 2014. If your practice runs heavy telehealth — pelvic floor follow-ups, virtual intake consults, travel-health pre-boarding calls — the difference is immediate: Oli records the session, drafts the SOAP note, populates the chart, and hands you a signed note for review before you stand up from your chair. On Jane, the telehealth video itself is free for 1:1 appointments, but the recording-to-AI-scribe pipeline is still in early testing, and Group Telehealth is a separate $15 per-practitioner add-on on top of that.

For the solo therapist who has been on Jane for five years, the sandbox test is not a betrayal of a platform that served them well. It is an afternoon of honest curiosity about what a 2026-native product feels like when you have been running a 2014-native one. The worst case is 20 lost minutes. The best case is rewriting the software line in your budget for the next decade.

Trying Oli without a sales call

The Oli sandbox is self-serve. From the pricing page, a clinic can stand up a test account in a few minutes — no credit card, no demo call, no gating. Jane's data export is clean (PDF and CSV), so importing a patient list takes a single upload. Record one practice session with a colleague as a stand-in patient, watch the AI draft a SOAP note in under 90 seconds, and edit the parts that do not match clinical judgment — the chart stays under practitioner control: the AI drafts, the clinician signs.

If the workflow does not change anything, the test cost 20 minutes. If it does, the sandbox converts to a real account, and a clinic can run Oli parallel with Jane for a full month before migrating anything. The decision usually makes itself by week two.