Plans we work with
We are confirming our list of in-network plans, and it will be posted here. In the meantime, send us your plan details and we will tell you whether we can work with your insurance and what your options are if we are out of network.
What is usually covered, by treatment
- TMS therapy. Covered by most major plans for depression that has not improved with antidepressants. Plans usually require approval in advance.
- Spravato. Covered by many commercial plans and Medicare for treatment-resistant depression, usually with approval in advance.
- Ketamine. Usually not covered for depression, so it is paid out of pocket.
Every plan sets its own rules. Two people with the same insurer can have different coverage.
How we check your coverage
- You send us your plan details. Your insurer, member ID and date of birth, by phone or on a free 20-minute call.
- We contact your plan. We ask what is covered, what approval is needed and what your share would be.
- We tell you the result. In plain numbers, before you commit to anything.
- We request approval. If your plan needs it, we send the paperwork and follow it through.
Self-pay
If your plan does not cover the treatment you need, or you would rather not use insurance, you can pay directly. We give you the price in writing first. See cost and pricing.
Frequently asked questions
Does insurance cover TMS?
Most major plans do, for major depression that has not improved after a set number of antidepressants. The exact criteria differ by plan. We check yours before you start.
Does insurance cover Spravato?
Many plans do, for adults with treatment-resistant depression. Plans usually ask for approval in advance and a record of the antidepressants you have tried.
Does insurance cover ketamine therapy?
Usually not. Ketamine's use for depression is off-label, so most plans do not pay for it. If cost matters, ask us whether Spravato or TMS would be covered for you.
What is prior authorization?
It is approval your insurer requires before it will pay for certain treatments. We prepare and send the request for you. It can take several days, so we start it as early as we can.