Spravato FAQ
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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.