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Octave: The $195M Bet on Insurance-Backed Therapy
A deep dive into the company redefining mental health access with a $86.8M war chest
While most mental health startups chase direct-to-consumer buzz, Octave is playing a different game entirely. They've built a $195M revenue engine by solving the hardest problem in therapy: making it affordable and accessible through insurance.
"Octave isn't just another telehealth app—they're building the infrastructure for insurance-covered mental health at scale."
The Growth Trajectory
With 569 employees and $195M in revenue, Octave has achieved what most mental health startups struggle with: sustainable scale. Their 38% organic search traffic suggests strong brand recognition, while 57% direct traffic indicates high user retention and word-of-mouth growth. The company isn't just growing—they're building a defensible moat through insurance partnerships.
The User Experience Paradox
Here's the tension: Octave's 2.2/5 Trustpilot rating (based on 21 reviews) reveals a critical gap between operational scale and user satisfaction. While they've mastered the business model—partnering with major insurers like Blue Shield and Anthem—consumer sentiment lags. This is the classic scaling challenge: can you maintain quality while growing from 0 to 569 employees and $195M in revenue?
The keyword data tells a revealing story. Octave dominates for branded terms ('octave therapy' 2,820 monthly searches, 'octave health' 1,340), but they're also competing for high-volume insurance terms like 'anthem blue cross' (96,480 searches). This suggests they're not just building a brand—they're positioning themselves as the mental health layer for major insurance providers.
- Tech stack is modern but conservative (Next.js, Tailwind, Cloudflare)—built for scale, not flash
- Social presence across TikTok, Instagram, Facebook, and LinkedIn indicates multi-channel marketing strategy
- Strong enterprise playbook: 57% direct traffic suggests B2B2C partnerships driving user acquisition
- Clinical operations scaled to 569 employees while maintaining individual, couples, and family therapy offerings
The Insurance Moat is Real
Octave isn't fighting the DTC mental health battle—they're winning the enterprise game. The $195M revenue proves insurance partnerships work at scale, but the 2.2/5 rating shows the hard part is just beginning: delivering quality at scale.
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Affordable in-person and virtual therapy built around your schedule | Octave
Octave is a modern online therapy solution creating a new standard for mental health with individual, couples & Family therapy that works with insurance.
Affordable in-person and virtual therapy built around your schedule | Octave
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Reviews (19)
Octave makes therapy SO easy
Octave makes therapy SO easy. I got really lucky with a wonderful therapist match straight away, but what's equally helpful is their easy online portal to control appointments, their efficient customer service team for billing help, and the overall ease of use. I recommend them to everybody!
Great experience
Great experience and speedy service. If you're anything like me, in a dark place and looking for something fast or someone to speak to fast, this may work for you.. thankfully they took my insurance. Consistency is important for me. So the fact that they book you out two months in advance to keep appointments set for you works for me.It may not work for others.. the only thing I question is i've been with my therapist for over 2 months now and have noticed she just lets me talk and talk and talk and vent, she doesn't really challenge me, she doesn't really dive down deeper into reasoning for things.. but maybe she's just letting me get it all out first? Overall still helping and I'm in a better place than I was before
Great Accessibilty and Service
Easy to manage and access therapy. Couldn't recommend more!
Hi Kelly, we're so happy to hear that you found it easy to get care at Octave. We hope that you continue to have a positive experience. Take care!
“My therapist is the best
“My therapist is the best! I could not have improved mentally as much as I have without her.”
We're so glad to hear that you're making strides with your therapist! Thank you for sharing your feedback.
Octave is kind of annoying to work with
Octave is kind of annoying to work with The good: Somewhat easy to book, consistency, if you find a therapist that works, my insurance hasn't been a huge problem The bad: Finding a good therapist that meets your needs is really tough, and they make it basically impossible to speak with more than 1 therapist to see how it is. The first session is always just a set of generic questions (no get to know you). There are no ways to judge whether a therapist is actually decent. Also, the client portal is awful for management, and the management of insurance is also awful.
Hello Yena, we’re sorry to hear about your frustrating experience. We strive to make the provider search process smooth, and we regret that this wasn’t the case for you. We understand the challenges you’ve mentioned, and we did reach out to connect with you directly about the situation. If you’d like to continue the conversation or need further support, please reach out via phone or email, and a Client Support Manager will assist you. Thank you for sharing your feedback.
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About findoctave.com
Octave is a modern online therapy solution creating a new standard for mental health with individual, couples & Family therapy that works with insurance.
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findoctave.com uses 15 technologies across their website including Cloudflare, Osano, DoubleClick Floodlight, Google Ads, and more.
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findoctave.com receives approximately 257.0K monthly visitors and ranks #149,851 globally. The website has a bounce rate of 57% with visitors viewing an average of 3.9 pages per visit. Users spend an average of 2:49 on the site.
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