Insurance coverage for Spravato, ketamine and TMS by insurer
Covered Mind lists Spravato, ketamine therapy, TMS and ECT coverage by insurer after our editorial team checks the written policy. Use the coverage checker for the criteria most plans use until that insurer's page is reviewed.
State Medicaid programs
Each state sets its own preferred drug list and prior authorization rules.
How to read these pages
Each coverage page summarizes one insurer's written policy for one treatment. "Covered with prior authorization" means the plan pays when your clinic documents the criteria listed. "Not covered" means the plan excludes the treatment as experimental, so there is nothing to authorize. "Plan-dependent" means the answer varies by product, usually between commercial, Medicare Advantage and marketplace plans.
Treatments: Spravato · Ketamine therapy · Ketamine-assisted psychotherapy · TMS · ECT
Coverage checker · Am I a candidate? · Guides · Editorial policy · About Covered Mind