Spravato FAQ
Get all of your questions answered by searching below, or contact us and we would be happy to help.
Is spravato covered by insurance?
Yes! It is covered by insurance for patients that have a history of 2 oral antidepressants in their medication history. Our practice is in network with all major commercial insurances (including Aetna, BlueCross BlueShield, cigna, Independence, Keystone Health Plan East, Medicare, Tricare, and UnitedHealthcare) and Medicare, with the exception of Medicaid plans.
What does Spravato cost?
While Spravato is covered by insurance and each patient is subject to their copay, we enroll each patient in the “Savings Program”. This is a funded assistance program that allots $8,000 per year to each patient’s treatment course. This program will cover the difference of the treatment cost and your responsibility, allowing for a cost of just $10 per treatment with the exception of deductibles.
How do I know if my insurance will cover it?
Typically for anyone who struggles with depression and has a history of antidepressants, there is little resistance from insurance. Once you have been cleared medically by one of our providers, our team will handle the entire administrative process. This includes a benefit investigation, verification of benefits, and the submission of a prior authorization if necessary.
Is Spravato actually ketamine?
Yes! Ketamine is made of two identical structures, we call these the “enantiomers”. Each is labeled, one the “S” enantiomer and the other the “R” enantiomer. Scientists split off the “S” portion of the structure, isolated it, and named this singular version esketamine. Spravato is the marketed commercial name of esketamine!
Is Spravato FDA approved?
Yes! Spravato was FDA approved and released to the market in 2019 with a specific focus on the treatment of treatment - resistant depression.
My insurance says I need a Prior Authorization for Spravato. How do I get that?
Our team will handle the entire process with your insurance. We have crafted our Spravato consents to gather specific information requested by most insurance plans. We’ll submit that data along with the note from the initial evaluation appointment with us to support the authorization request!
What are the side effects of Spravato (esketamine)?
Spravato generally has a limited range of side effects, and most are short-lived—typically occurring only on the day of treatment. The most commonly reported effects include mild sedation, dissociation, nausea, and a temporary increase in blood pressure…
How often are each of my Spravato treatment sessions?
Treatment begins with twice-weekly appointments for the first month, followed by once-weekly sessions for the second month. After that, we’ll work with you to determine a frequency that best fits your needs.
Each appointment lasts about two hours, with our attentive nursing staff available throughout your entire visit to ensure comfort and safety.
Can I drive myself to and from my Spravato treatment sessions?
No, patients are not permitted to drive themselves after a Spravato treatment. Because the medication can temporarily affect coordination and alertness, it’s important that transportation is arranged in advance. Our first recommendation is…
Can I get Spravato treatments in my home?
No, Spravato is strictly approved as an outpatient treatment and must be administered in person at approved treatment centers like ours.