Article Summary: If you are wondering if your insurance will cover ketamine treatments at our clinic or other clinics that offer ketamine treatments this article will go into the details of that question. Answer = sometimes yes and it almost always requires certain steps as determined by your health insurance policy.
Most pertinent questions regarding health insurance coverage for ketamine infusions
Tools that increase the likelihood insurance will cover ketamine infusions.
This is an example of what a superbill looks like. A superbill is an itemized receipt that is submitted to health insurance companies for reimbursement for medical expenses. The process works the smoothest if you remember to ask for and receive an electronic copy of your superbill at the end of your appointment and then immediately submit to your insurance company. Many health insurance companies' policy require submission of superbills within 90 and sometimes 30 days to qualify for reimbursement.
Background on FDA approval for Ketamine
Ketamine was approved by the FDA in 1970 as an anesthetic and analgesic in operating and emergency rooms under the brand name Ketalar. In recent years ketamine infusions have been changing the lives of people who struggle with medically resistant depression, anxiety as well as certain types of chronic pain.
Research on the efficacy of ketamine for the treatment of depression and other mood disorders is ongoing. As more clinical data is published the data has converged on ketamine's potency with a variety of medical applications. The number of diagnoses that ketamine improves continues to grow. We look forward to additional research that meets the policy standards insurance companies utilize to cover the medical cost of ketamine infusions.
Written by William Beesley