Cost by treatment
| Treatment | How it is usually paid for | What you pay |
|---|---|---|
| TMS therapy | Covered by most major insurance plans for depression when you meet the plan's criteria. | Your plan's copay or coinsurance for each session, after any deductible. Self-pay rates are available on request. |
| Spravato | Covered by many commercial plans and Medicare, usually with approval in advance. | The medication and the monitored visit can be billed separately. We tell you your share of each. |
| Ketamine | Usually not covered by insurance for depression. | A self-pay price for each treatment. Ask us for the current rate. |
What insurance usually covers
- TMS. Most plans cover TMS for major depression once you have tried a set number of antidepressants, and often psychotherapy, without enough improvement. Approval in advance is common.
- Spravato. Many plans cover Spravato for treatment-resistant depression. They usually ask for a record of the antidepressants you have tried.
- Ketamine. Because its use for depression is off-label, most plans do not cover it.
Coverage differs from plan to plan, even within the same insurer. The only reliable answer is the one for your own plan, which is why we check it for you.
Self-pay options
If your plan does not cover a treatment, or you prefer not to use insurance, you can pay directly. We give you the full price in writing before you begin. Ask us about payment plans, and about using a health savings account (HSA) or flexible spending account (FSA).
What affects price
- your deductible and how much of it you have met this year
- your copay or coinsurance
- whether we are in network with your plan
- how many sessions your treatment plan includes
- for Spravato, whether the medication is billed through your medical or your pharmacy benefit
Check my coverage
Send us your insurance details and we will contact your plan, find out what is covered and tell you what you would pay. It is free and does not commit you to anything.