Ketamine therapy for depression and anxiety has become increasingly popular in recent years and is changing how we treat mental health conditions! But while the benefits of this fantastic treatment are clear, many people don’t know whether their insurance will cover it. In this post, we’ll answer your questions about insurance coverage for ketamine treatments.
What is Covered?
The good news is that some insurance companies do cover ketamine treatments. However, the exact coverage varies from provider to provider. Before you start ketamine, it is important to check with your insurance company to make sure that your plan covers ketamine treatments. The most common types of plans that do cover ketamine are PPO plans, HMO plans, and Medicare Advantage Plans.
What is not Covered?
Some insurance companies have yet to embrace ketamine treatments and may not provide coverage for them. Some of these companies include Aetna, United Healthcare, and Blue Cross Blue Shield. In addition, some providers may not cover the costs associated with ancillary services, such as lab tests or psychological evaluations needed before you can receive treatment.
Does Insurance Cover All Costs?
It is essential to note that in most cases, your insurance will only cover a portion of the cost associated with ketamine treatments. You should always be prepared to pay out-of-pocket expenses such as deductibles or coinsurance fees when seeking treatment with ketamine. It is also worth noting that some providers may require pre-authorization before they will pay for any part of the cost associated with your medicine. This means that you must obtain approval from your insurance company before receiving any treatment reimbursement.
Ketamine treatments can be highly effective at treating various medical conditions, but unfortunately, many people don’t know whether or not their insurance policies will cover them. As outlined above, each provider has different levels of coverage regarding ketamine treatments, so it’s essential to check with yours before starting any kind of therapy. With Safe Haven Health, we utilize sublingual ketamine, an effective and lower-cost option compared to in-person intravenous treatment. The average cost of two months in our program is $700, with in-person clinics charging between $7000-10000 for two months of treatment. You can learn more about our home ketamine treatment program here. If you have further questions about insurance coverage for ketamine treatments, don’t hesitate to contact us! We’re here to help!