Insurance coverage for Spravato, ketamine and TMS by insurer
Covered Mind tracks written coverage policies for Spravato, ketamine therapy, TMS and ECT across 0 insurers, Medicare and all 51 state Medicaid programs, with 0 insurer and treatment combinations reviewed. Pick your insurer to see criteria, prior authorization steps, cost and clinics.
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
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