Insurance and Financial FAQ’s

Is Ketamine covered by insurance?

Fortunately, Spravato is covered by most insurances, and we work with all insurance plans to gain approval. IV Ketamine is covered for veterans, under our agreement. All other insurances do not provide coverage for IV Ketamine, and it’s an out-of-pocket expense.

What insurance do you take?

We take almost all insurance plans. While we are not technically in-network with any insurance companies except the Veterans Health Administration (VA), we are able to request prior authorization for treatments, often allowing patients to utilize their in-network benefits for treatments at our clinic. 

Are any financing plans available for Spravato and IV Ketamine?

Yes, we work with several finance companies that provide finance options for copays, deductibles, and full treatment costs. Call our office to let us help with the heavy lifting.

Does the VA pay for Ketamine Services?

Yes - Palo Alto Mind Body has agreements with the Palo Alto VA and other surrounding VAs. We have a long-standing history of working with veterans and the Department of Veterans Affairs (VA).

Why is IV Ketamine not approved by private payers, Medicare, and Medicaid/Medi-Cal?

At this time, Ketamine is only FDA approved for use as a general anesthetic. As such, many insurance providers consider it “experimental” and do not cover the cost of treatment despite extensive research showing that it can be helpful for treating depression and other conditions. However, Spravato (intranasal S-ketamine) is also a very effective option that is approved by the FDA for the treatment of depression. As a result, almost all insurance plans will cover Spravato treatments, and available savings programs allow some patients to pay as little as $10 per treatment. If you're searching for a new path toward relief from depression symptoms, schedule a consultation at Palo Alto Mind Body to explore ketamine/esketamine in greater detail. You can request an appointment online or by calling or texting 650-681-2900.

Do you provide financing or a payment plan for treatments?

We understand that financial pressures can often make it difficult for patients to access this type of advanced, interventional care, and it is our mission to make these treatments affordable and accessible to all by billing insurance when possible. For patients who are paying out-of-pocket, we have financial counselors available to discuss costs and available financial aid to make sure you can get the treatments you need.

Can I still receive treatments if you are not in-network with my insurance?

Yes. We are able to request prior authorization for many patients, often allowing them to utilize their in-network benefits for treatments at our clinic. We also offer a sliding scale for patients who choose to self-pay.

How do treatment fees work at PAMB?

We understand that financial pressures can often make it difficult for patients to access this type of advanced, interventional care, and it is our mission to make these treatments affordable and accessible to all by billing insurance when possible. For patients who are paying out-of-pocket, we have financial counselors available to discuss costs and available financial aid to make sure you can get the treatments you need.

How much do IV Ketamine treatments cost and do you offer a sliding scale?

We understand that financial limitations can often make it difficult for patients to access this type of care, and it is our mission to make these treatments affordable and accessible by billing insurance. When that is not possible, we can offer financial assistance and a sliding scale for patients who are paying out of pocket.