Spravato (Esketamine)

Spravato is a prescription medication for Treatment-Resistant Depression (TRD) and Major Depressive Disorder (MDD) with Suicidal Ideation.

Spravato (Esketamine) Treatment

We Are A Janssen Certified Spravato Treatment Center

SPRAVATO™ is an FDA approved prescription medicine, used with oral antidepressants, for treatment-resistant depression (TRD) and Major Depressive Disorder (MDD) with Suicidal Ideation in adults. Spravato must be administered at a REMS certified treatment center. Not only is Ketamine Health Centers REMS certified, but it was also the first clinic in Florida to administer. If you would like to have this treatment in a private room with field experts, you have found the right place.

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Spravato (Esketamine) FAQ:

How much does it cost?

The medication is typically covered in full or will have a copayment based on your insurance coverage plan. There is a monitoring period of two or more hours with our medical staff which has a flat fee of $150 per visit. Throughout the duration of this period, you will be in a private room with constant supervision. We will always provide our patients with a detailed superbill inclusive with CPT and Diagnosis Codes for insurance reimbursement.

What are the side effects?

The side effects include: dissociation, dizziness, nausea, and sedation.

How soon can I start?

Start time from initial moment of inquiry is dependent on how fast we get all the required documentation from your medical history. Many times your existing psychiatrist will need to send us this information and that is out of our control. Once all the necessary paperwork is gathered and submitted, it can take several weeks for insurance to get back with the approval.

What insurance companies have approved these treatments?

Thus far, Humana, Care Plus, United Health Care, Medicare Health Insurance, Preferred Care Partners, and Molina Insurance.

What if my insurance does not approve Spravato?

We take on the responsibility of appealing the denial letter; however, this process could take an additional 1-2 weeks. We will always keep you informed every step of the way!

How To Get Started

Step 1: Complete Form

Fill out and submit the three-step form found below.

Step 2: Initial Consultation

One of our staff members will contact you to schedule your initial consultation with our medical team.

Step 3: Gather Consultation Information

Copy of driver’s license & insurance card
Personal medical information: treatment history & name of concomitant oral depressant
Medical records of past tried & failed treatments
Medication list with start/end dates & dosage information

If this information is not supplied or is incomplete, your application is likely to be denied due to lack of proof.

Spravato Initial Patient Form

Step 1 of 4

Patient Information
Name*
First Last
Location of Interest*
Address*
Street Address Address Line 2 City State ZIP Code
Patient Email*
Patient Phone*
Date of Birth*
Month
Day
Year
Sex*
- Male
- Female
Preferred Language*
- English
- Spanish
Caregiver Name*
A caregiver/contact is someone who can be contacted in place of the patient.
Relationship to Patient*
Caregiver Phone*

Psychiatrist Information
Are you currently seeing a psychiatrist?*
- Yes
- No
What is his/her name?
What is his/her phone number?

Insurance Information
Primary Insurance Provider*
Cardholder Name*
First Middle Last
Policy #*
Group #*
Upload An Image Of Your Government Issued ID
Drop files here or

Max. file size: 20 MB.
Upload An Image of Your Insurance Card (Front & Back)
Drop files here or

Max. file size: 20 MB.

Authorization
Redisclosure
I understand that my Protected Health Information may be redisclosed by Ketamine Health Centers for the purposes outlined above -- to my health plan(s) or other third-party payer(s), my healthcare providers, and any individual designated as a caregiver -- and I specifically authorize such redisclosures.
I agree to these terms
Patient Signature*
Type your full name below. This serves as your signature that you agree with all terms and conditions.
Date
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Spravato (Esketamine) Treatment

We Are A Janssen Certified Spravato Treatment Center

Spravato (Esketamine) FAQ:

How much does it cost?

What are the side effects?

How soon can I start?

What insurance companies have approved these treatments?

What if my insurance does not approve Spravato?

How To Get Started

Step 1: Complete Form

Step 2: Initial Consultation

Step 3: Gather Consultation Information

Spravato Initial Patient Form

Step 1 of 4

Patient Information

Psychiatrist Information

Insurance Information

Authorization

Schedule Consultation

Call Us

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