Hello,
This is Dr. Tanya Dall MD and I have given myself 10 minutes to answer a question that affects every patient in our Orange County office, including our patients from Irvine.
Question: “Why isn’t ketamine always covered by my insurance”
Answer:
This is a frustrating topic for both doctors and patients. The medical world moves very slowly when it comes to insurance coverage. Even though the research for ketamine is incredibly strong, many insurance companies still classify IV Ketamine as “off-label” for depression and pain. However, the FDA has approved a version of ketamine called Spravato for depression, and we do see insurance coverage for that quite frequently.
For our IV infusions, we try to be as helpful as possible. We provide what is called a superbill. This is a detailed receipt with all the medical codes that you can submit to your insurance company. Depending on your specific plan and your out-of-network benefits, many of our patients are able to get a portion of their treatment costs reimbursed. We believe in total transparency, so we never want you to have a surprise bill after your treatment is finished.
When you look at the cost, I encourage you to think about the long term. Many of our patients have spent thousands of dollars over the years on medications that didn’t work, lost time at work, and co-pays for specialists that couldn’t give them answers. When you consider the value of getting your life back and functioning again, the cost of a ketamine series starts to look like a much more logical investment. We are here to help you navigate those financial questions during your initial consultation.
If you have more questions, feel free to email us at info@renewketamineinfusion.com or book a free consultation.
Cheers,
Dr. Justin Yanuck, MD & Dr. Tanya Dall, MD, Dr. David Richter, MD
Renew Ketamine Infusion
Tustin, San Juan Capistrano, Seal Beach
