If you are considering trying Ketamine Infusions for Depression or you have already experienced the positive anti-depressant effects from them, cost can still be a big factor or hurdle for some patients looking to continue to utilize them for their treatment needs.
Many patients have expressed how frustrating it can be to finally find a depression treatment that works then hearing back from their insurance companies that they won't cover the cost of the treatment.
Keep reading to discover how you can use your insurance to pay for your Ketamine infusions.
At AyaFusion, our main goal is to help anyone and everyone, who has felt hopeless in finding an effective treatment for their depression, in finding relief.
We believe that patients should be able to benefit from this treatment without cost being a factor.
ALL INSURANCES ARE DIFFERENT
While we cannot guarantee that your insurance will refund you for your treatments, we can share how other patients have had some of their treatments covered by insurance along with a few other tips on utilizing insurance for your Ketamine infusion therapy.
A Ketamine Patient's Advice On Using Insurance
"I had my initial treatments in 2016 and heard insurance was unlikely to cover anything. It was disappointing, but, with how much better I was feeling, I had the energy to try and get something covered and I knew it was worth a shot.
First, I asked for the super bill at my infusion. The way it is broken down by different codes for very specific steps of the procedure (for example, a specific code for the office visit, for the IV and for the Ketamine itself) seems to be an aiding factor in the insurance company’s decision. After submitting the claim to my insurance after my treatments (my insurance is a Blue Cross Blue Shield PPO plan for reference), I called the customer service line.
After many long call waiting tunes, I was connected and explained the situation and educated the agent. I emphasized that they have covered many bills of unsuccessful treatments and that it would be more cost effective for them to cover Ketamine infusions that do work for me.
The agent I spoke with in this instance was kind and understanding, which is not always the case. She was able to get two follow up infusions reimbursed. However, I have spoken with agents who refuse to do so because of “policy”. I have heard that mentioning the gap in coverage of Ketamine providers has been a successful way patients with other insurances have gotten some infusions covered as well.
TIPS TO GET YOUR KETAMINE INFUSIONS REFUNDED BY INSURANCEBelow are some important tips for working to get your Ketamine infusions refunded or partially paid by your insurance company:
1- BE relentless
Each insurance representative you talk to may have different advice or understanding regarding Ketamine infusions, but keep trying and tell them your story about how well this treatment has worked for you and others.
Education and first hand accounts are so crucial for spreading Ketamine’s effectiveness and acceptance in the medical community.
Education about Ketamine is not only needed for insurance companies and agents, but the general public as well.
2- Discuss THE INSURANCE GAP
The fact is that insurances do not have coverage plans for any Ketamine providers. So, in light of this, you can use this to your advantage and point out that this is a gap in overall coverage.
You can also suggest they classify the infusions as they would any out of network provider.
3- PROTECT YOUR PRIVACY
Make sure your clinic of choice respects your privacy and keep your records, data, and treatment information confidential.
Your privacy matters, verify that your ketamine infusion clinic is 100% HIPAA Compliant.
Want To Learn More?
Don't lose hope on coverage or for yourself in finding relief from your depression.
If you are suffering and have been considering Ketamine infusions, contact Ayafusion and ask how we can provide more information.
We are a leading provider of Ketamine Infusions and IV Therapy Infusions.
We Provide Effective Treatment For The Following Conditions: Major Depressive Disorders, Post-traumatic Stress Disorder (PTSD), Bipolar Depression, Obsessive Compulsive Disorder (OCD), Chronic Migraines, Severe Anxiety, Fibromyalgia and Chronic Pain Syndromes. We also offer treatments to aid in energy boosts, hangover remedy, performance and recovery infusions, immunity boosters and more.