Insurance Coverage for Ketamine Treatment
Your in-network benefit coverage for care provided by Ketamine Wellness Centers is determined solely by the provisions of your specific medical benefit plan. Ketamine Wellness Centers may not participate in every product offering from the health plans listed and participation does not guarantee what coverage your plan will allow.
Disclaimer: Ketamine is FDA approved for anesthesiology, but its use in the treatment of mood disorders is still considered “off label,” severely limiting coverage of IV ketamine infusions.
In-Network Insurance Carriers
If your plan is not in-network, you may still be eligible for coverage. For more information, see our guide to insurance coverage. If you have questions, please email us at PLTeam@
KWC Clinic Location | Insurance Carrier |
|---|---|
Regence Blue Cross Blue Shield | |
KWC Clinic Location | Insurance Carrier |
|---|---|
VA Community Care Network (CCN) Spravato Only | |
Frequently Asked Questions
Ketamine infusion therapy for depression, post traumatic stress disorder, obsessive compulsive disorder, and other mental health conditions is considered an “off-label” use and is not a service that is typically reimbursed. As such, patients are expected to cover the costs of their treatments.
Please review our guide to working with your provider for more information about potential refunds and partial coverage.
Some carriers will cover a portion of the costs associated with ketamine infusion for particular diagnoses. However, reimbursement is entirely dependent upon individual medical plans and in/out-of-network stipulations. Our clinics will assist with verifying your health plan and outlining what your costs will be at the time of treatment. Our Billing Coordinator can assist all prospective and current patients in navigating their treatment coverage and reimbursement needs as it pertains to ketamine therapy for pain conditions.
Several Ketamine Wellness Centers clinics participate with the VA, VA-CCN, and other insurance groups to offer SPRAVATO®coverage. In order to receive insurance coverage, you must provide Ketamine Wellness Centers with a specific SPRAVATO®referral from your psychiatric provider. For a complete list of in-network carriers, see our insurance page or find a KWC location near you.
Yes. We can provide a superbill to any of our patients who request one, which will allow you to submit a claim to your insurance company for reimbursement. After rendering service, KWC’s internal insurance consultant can assist patients with seeking reimbursement for a small fee. Please call us at 855-KET-WELL for more information.
KWC has partnered with Advance Patient Financing, a flexible 3rd-party finance company that helps patients finance treatment payments. This partner is a budget-conscious loan processor that utilizes innovative technology design that allows them to process a diversity of credit levels and then connect you to the right partner lender. Learn more about financing your ketamine treatments.
Several KWC clinics now participate in Medicare, VA, and VA-CCN plans. See our insurance list or your clinic’s web page for more details.
At this time, KWC does not participate in Medicaid plans.
Yes! Our Hero Discount enables military personnel, EMTs, paramedics, and other front-line workers to access ketamine therapy at discounted rates.
Some insurance companies may require prior authorization to cover a specific treatment or service. For a prior authorization to be approved, the patient and provider must show a history of ineffective treatment or have a medical reason why they can not use approved treatment options.
