# How to Get Off Insurance and Build a Cash Pay Practice Without the Income Dip [Ep 163]

Page: https://stenobird.com/podcast/the-bad-therapist-show-6258887/how-to-get-off-insurance-and-build-a-cash-pay-practice-without-the-income-dip-ep-163
Text version: https://stenobird.com/podcast/the-bad-therapist-show-6258887/how-to-get-off-insurance-and-build-a-cash-pay-practice-without-the-income-dip-ep-163.md
Podcast: [The Bad Therapist Show](https://stenobird.com/podcast/the-bad-therapist-show-6258887)
Published: 2026-04-27T13:00:00+00:00
Episode link: https://the-bad-therapist-show.captivate.fm
Audio file: https://episodes.captivate.fm/episode/fe4c69fb-07c9-4efa-92c4-c6bcf4c58440.mp3
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JSON: https://stenobird.com/v1/public/podcasts/the-bad-therapist-show-6258887/episodes/how-to-get-off-insurance-and-build-a-cash-pay-practice-without-the-income-dip-ep-163
Duration seconds: 1175

## Resource

Building a cash pay practice while you're still fully dependent on insurance can feel like trying to jump off a moving train. In today's episode, I'm walking you through how to make that jump without blowing up your income in the process. I break it down into three stages - prep, process, and pipeline - and walk you through a simple framework for modeling exactly how much money you stand to lose before dropping a single insurance panel. The numbers might surprise you! I also get into why so many therapists take insurance in the first place - and it has far less to do with values than we like to tell ourselves. Plus, I reveal the marketing truth insurance has been quietly covering up and what happens when that safety net disappears. If you've been waiting for a sign to finally start moving toward a cash pay practice, consider this your no-guilt permission slip to make the move. Topics covered on this episode: The real reason so many therapists end up on insurance panels has nothing to do with values Before you drop a single insurance panel, there are three financial scenarios every therapist needs to model for their cash pay practice transition The de-paneling process takes longer than most therapists expect and there are rules still binding you to insurance even after you've submitted your notice Insurance has been doing a lot of heavy lifting for you and switching to cash pay practice will expose exactly where your marketing gaps are The three marketing channels that cash pay practices are quietly building right now to stay consistently full Resources from this episode: Get my freebie & join the email list: The Magic Sheets Liberated Business: www.thebadtherapist.coach/liberatedbusiness Connect with Felicia: Instagram: @the_bad_therapist Website: www.thebadtherapi…

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## Transcript

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