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7405 Shallowford Rd STE 240

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Is Ketamine Treatment Covered By Insurance?

Ketamine was first created as an anesthetic/analgesic for surgical procedures. The use of ketamine in treating mood disorders is still considered to be an “off-label” use. Therefore, its use in helping treat depression and other mood disorders is irrelevant until the drug undergoes reclassification. Insurance companies are not obliged to reimburse for ketamine infusion therapy until this happens. However, the therapy does fall under the umbrella of a medical expense and we are able to accept payment from HSA or FSA accounts.

How Can I Make The Cost Work?

​We find that most insurances will reimburse you for ketamine infusion therapy when used as a form of pain management. Many of our patients have had success obtaining partial reimbursement for treatment of mood disorders. Upon completion of treatment, we will offer a superbill that you can use to pursue reimbursement.

We understand the necessity of making the cost more affordable throughout the treatment process. As a result, Scenic City Neurotherapy offers a 0% interest payment plan option which allows you to spread the cost of treatment over 12 months. We have crunched some numbers below that should give you a general idea about how this payment plan might look.

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Mood Disorder Protocol

Initial Loading-Dose Infusions (6 total Infusions):

- $2100 with a 0% interest payment plan
- $2000 when paid in full
- Single Booster Infusions  - $350 Per Booster (As Needed)

Neuropathic Pain Protocol

Initial Loading-Dose Infusions (4 total Infusions):
- $2600 with a 0% interest payment plan
- $2400 when paid in full
- Single Booster Infusions  - $350 Per Booster (As Needed)

Now Working With Osmind

You can use the Osmind app to submit a claim to your insurance company for reimbursement.

“Pay As You Go” Payment Plan

We understand the necessity of making the cost more affordable throughout the treatment process. Our payment plan does not require a credit check. There is no penalty for early payoff, and there are no hidden interest rates or fees. The only requirement to utilize the payment plan is a 10% down-payment of the initial loading-dose treatment which comes to $210. Please note the payment plan is applicable only to the six loading-dose infusions.

The individual booster infusions must be paid in full on the infusion date. Not every patient requires a booster infusion. There are those who only require a maintenance infusion every few months. Some start with maintenance infusions every 6 weeks and then can go longer and longer between treatments. The cost of treatment over time is relative to each patient’s individual needs. Your progress is measured by the self-reporting you provide during your follow-up. You are in charge of your treatment schedule.

Heroes Discount

We Offer Special Pricing For Law Enforcement, Veterans, And First Responders.

Tips For Working To Get Your Infusions Refunded By Insurance

Be persistent!

You may get a different decision from each representative you talk to, but keep trying and tell them your story. Explain how well this treatment has worked for you and others. Education is important in spreading Ketamine’s effectiveness and acceptance, not only to insurance companies and agents but to the general public as well.

Mention the insurance gap

Since insurances do not have a coverage plan for any Ketamine providers, you can point out that this is a gap in overall coverage. In addition, you can suggest that they treat the infusions as they would any out-of-network provider. Don’t lose hope on coverage or yourself.

Your Deserve To Be Happy

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