Insurance Coverage for Ketamine Treatment

We are one of very few ketamine infusion clinics that accept major insurance plans for patients who have a valid pain diagnosis or are eligible for SPRAVATO® treatment. We are always working to expand access to ketamine therapy by growing the list of carriers who will work with us in covering this innovative, life-saving treatment.

ketamine insurance

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. If you have questions, please email us at insurance@ketaminewellnesscenters.com or call (855) KET-WELL. For more information, see our guide to coverage options.

 

KWC Clinic LocationInsurance CarrierWebsite
Phoenix, ArizonaBlue Cross Blue Shield
Cigna
Veterans Affairs
BCBS of AZ
Cigna of AZ
VA.gov
Mesa-Gilbert, Arizona

Blue Cross Blue Shield

United Healthcare

Medica

Cigna

Veterans Affairs

BCBS of AZ

UHC of AZ

Medica of AZ

Cigna of AZ

VA.gov

Tucson, Arizona

Blue Cross Blue Shield

Cigna

United Healthcare 

Veterans Affairs

BCBS of AZ

Cigna of AZ

UHC of AZ

VA.gov

Littleton-Denver, Colorado

Anthem Blue Cross Blue Shield

Cigna

United Healthcare

BCBS

Cigna

UHC of CO

Seattle – Federal Way, Washington

Cigna

Cigna

Burnsville-Minneapolis, Minnesota

United Healthcare

VA Community Care Network (CCN), MN (Pain & Mental Health) 

Veterans Affairs (Mental Health)

UHC of MN

VA.gov

VA.gov

Hurst-Dallas, Texas

Blue Cross Blue Shield

Cigna

United Healthcare

BCBS of TX

Cigna

UHC of TX

Houston, Texas

Aetna

Blue Cross Blue Shield

Cigna

Aetna

BCBS of TX

Cigna

Naperville-Chicago, Illinois

Blue Cross Blue Shield

Cigna

United Healthcare 

VA Community Care Network (CCN), IL

BCBS of IL

Cigna

UHC of IL

VA.gov

Salt Lake City, UtahRegence of Utah/BCBSRegence
Las Vegas, NevadaBlue Cross Blue ShieldBCBS

Frequently Asked Questions

To help patients afford treatment, KWC has partnered with a very flexible 3rd party financing company. This partner is a budget-conscious loan processor that utilizes innovative technology design, allowing them to process a diversity of credit levels and then connect you to the right partner lender. Learn more.

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 blog post on 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.

We are happy to provide a superbill upon request so that you can submit a claim to your carrier 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.

We can accept private health plans. The following are not considered private/commercial plans:

  • Medicaid/Medicaid replacement or supplement policies
  • Medicare/Medicare replacement or supplement policies
  • Tricare/Tricare Prime/Veteran’s Administration (VA)/CHAMPVA.

Didn’t find the answer? Any other questions?

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