Sunday, November 8, 2026 · Customer reviews of US businesses
The Fair Hearing score
Great
165 reviews
OctaveSelect a line to read only those reviews.
Honesty, pricing, process and quality scores appear once 5 customers have rated them.
Octave Mental Health is transforming premium mental health care into a standard practice. By connecting patients to a curated network of providers vetted for clinical excellence and therapy plans focused on outcomes, Octave is helping more people find clarity, faster. With in-person and virtual clinics in 23 states and increasing coverage by major insurance companies, our modern therapy model gives patients, providers, and payors agency.
Octave (findoctave.com) has 165 customer reviews on The Fair Hearing, with an average rating of 4.4 out of 5.
165 approved reviews, newest moderated first
Ease of scheduling and the quality of the practitioner.
By Mrs. F.
Response from Octave· Feb 19, 2026
Hi Mrs. F - We’re delighted that you found a talented therapist and that our scheduling process is easy to use. Thank you for sharing!
I have the best therapist. Thank you Dr Kurt
By Jacki A.
Response from Octave· Feb 19, 2026
Hi Jacki - We are so happy to hear that you have had such a positive experience with your therapist. Knowing you’ve found a therapist who is the right fit for you makes our day. Thank you for taking the time to share this feedback!
Octave is either wildly incompetent or maliciously deceitful. They have not submitted any claims to my insurance, despite initially confirming in-network coverage, and refuse to acknowledge that they have overcharged me by hundreds of dollars. It has been months of filing tickets with customer service, and the only result so far has been them marking the issue as “resolved” every time despite taking no action to fix the issue. I’d urge anyone considering care with them to instead find a provider who will not manipulate and mislead you, as they have done to me.
By Patient
Response from Octave· Feb 18, 2026
Thank you for reaching out and sharing this feedback. We take concerns regarding billing and insurance coverage very seriously. We’re sorry to hear that your experience has not met expectations, and we’d like the opportunity to make things right. If you would be interested in connecting with a member of our team, please reach out to us directly at [email protected] so we can personally look into this for you and ensure your concerns are fully addressed.
Didn't vet my insurance before meeting with me. Unable to clearly explain why they rejected me.
By Anna
This company mislead me that my insurance would be covered. They claim they sent me information before my appointment that they could not take my insurance. I never received that message. I had no way to know. They should not be advertising that they take most of the insurances they do. It's predatory. I was charged $200 for an intake that my insurance would not cover and they would not budge. It's a predatory scam.
By Tylor L.
Response from Octave· Oct 21, 2025
Hi Tylor - Thank you for taking the time to share your feedback with us. We are sorry to hear that you had a negative experience. We understand how important clear communication is when seeking mental healthcare, and how troubling it can be to receive an unexpected bill. While we are in-network with many major carriers, there are instances where a specific plan is managed by a separate, distinct network or third-party administrator with whom we unfortunately do not have a direct contract. We sincerely regret that the notification regarding this specific network exclusion did not reach you clearly before your initial intake appointment, leading to an unexpected out-of-pocket expense. If interested, someone from our team would be happy to reconnect with you further on this topic. Please feel free to reach out to us at [email protected] or by phone at 415-360-3833.
I’m mirroring what others have posted on various review sites. I was under the impression that insurance was covering my sessions until I was hit with a bill for hundreds of dollars. They did offer a payment plan but no reduction in what is owed. You cannot trust the billing portal as it will inform you that you are caught up on payments when clearly you aren’t. This business seems very shady and I would avoid it considering there’s other platforms with better customer care.
By Brent A.
Response from Octave· Nov 6, 2025
Hi Brent - We are sorry to hear about your frustrating experience and understand how upsetting it can be to receive an unexpected bill. Octave is dedicated to making therapy affordable by working in partnership with insurance companies. However, verifying insurance can be a slow-moving process due to insurance companies taking up to 45 business days to share updated information with their partners, like Octave. We recognize the confusion the portal message caused during this transition period, and sincerely apologize for the confusion. Our team is aware of this billing discrepancy and is actively working to improve the experience, providing a clearer understanding of insurance and billing matters within the portal. Thank you for taking the time to share your feedback. If interested, someone from our team would be happy to connect with you further on this topic. Please feel free to reach out to us at [email protected] or by phone at 415-360-3833.
I was unaware that Octave did not accept my insurance until months after I began therapy with them. I relied on their billing portal, which still — to this day — reads: “No outstanding payments. You’re all set!” I copy-pasted that directly from my portal. Here’s the problem: Octave does not verify insurance in real time. Instead, they delay verification for months, hoping to either collect a lump sum from your insurance company later or bill the patient directly. In my case, I was told in an email: “During a verification of benefits, it was found that your new insurance is out-of-network with Octave, therefore, your sessions starting in July were turned to self-pay charges. A statement was sent to you on 09/17/25.” That means nothing was verified from July through mid-September. Meanwhile, my portal continued to show “You’re all set.” Because of this misleading system, I now owe over $1,400 for therapy I reasonably believed was covered. When I requested a reduction in my payment plan due to their misleading billing portal, I was denied. This is a highly unethical practice. The fact that Octave’s billing UI is designed to reassure users while they quietly rack up out-of-network charges is alarming. Octave markets itself as an empathetic mental health service, but its business practices feel more like a tech company exploiting patients who are seeking care. Do yourself a favor: don’t just take my word for it. Read other reviews here and elsewhere. You’ll see many warnings about the same shady billing practices.
By Colin M.
Response from Octave· Oct 3, 2025
Hi Colin - We are sorry to hear about your frustrating experience. We understand how upsetting it can be to receive an unexpected bill. Octave is dedicated to making therapy affordable by working in partnership with insurance companies. However, the verification of insurance can be slow-moving due to insurance companies taking up to 45 business days to share updated information with their partners, like Octave. We recognize the confusion the portal message caused during this transition period, and sincerely apologize for the confusion. We are actively working to improve this experience, providing a clearer understanding of insurance and billing matters. Thank you for taking the time to share your feedback. If interested, someone from our team would be happy to reconnect with you further on this topic. Please feel free to reach out to us at [email protected] or by phone at 415-360-3833.
This company itself is a scam. They do not communicate properly and charge whatever amount they want without informing you. When you try contacting them they do not respond. My therapist was great but unfortunately the company ruined it for me.
By Amanda
