Frequently Asked Questions
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Currently, insurance companies do not typically cover Ketamine infusions. However, the landscape for treatment coverage is changing quickly, and we hope reimbursement will be available in the future.
Yes, Spravato is covered by insurance. Spravato is FDA-approved for treating Major Depressive Disorder with Suicidal thoughts and treatment-resistant depression.
We accept the following insurance:
- Aetna PPO
- Blue Cross Shield of Illinois PPO
- Cigna PPO
- Devoted Insurance
- Guide Health
- Humana
- Imagine 360
- MultiPlan PHCS
- Medicare – Cigna (Evernorth) Medicare Advantage, United Healthcare (Optum) Medicare Advantage, Aetna Medicare Advantage, BCBS Medicare Advantage PPO and HMO Network
- Pathways Behavioral Health Network
- Tricare
- United Healthcare/Optum Behavioral Health
We accept traditional Medicare* for general psychiatry, Deep TMS, Spravato, and many more treatment services!
We do not currently accept Medicaid.
*Traditional Medicare plan only at this time, no advantage plans.
The National Institute of Mental Health (NIMH) conducted a significant study on Ketamine treatments. It indicated up to 70% of patients experienced relief after six Ketamine treatments. (This is much higher than traditional antidepressants, which take weeks to work and only have a 33% success rate.)
Ketamine has a solid 40-year track record and is used worldwide as an anesthetic, particularly for children. When administered by infusion for psychiatric treatment, it uses far lower doses than an anesthetic. Any side effects are typically limited to the day of treatment and resolve within hours. At Hopemark Health, we have safely infused hundreds of patients over the past 7 years.
Hopemark Health has designed its Ketamine infusion protocols to effectively minimize the potential for tolerance or addiction.
We do not endorse receiving ketamine in any other way outside of the safe environment of a medical setting and under medical supervision.
Hopemark Health’s medical providers will guide you on what changes to make and when. It is important to accurately assess your response to treatment with ketamine. This can be difficult if medication changes are occurring at the same time. Therefore, we recommend that no medication changes be made immediately before, during, or shortly after the infusion course if you already have a prescribing provider (i.e., psychiatrist, nurse practitioner, PCP). Certain medications like benzodiazepines (Xanax, Clonazepam), lamotrigine, or MAO-I inhibitors, and stimulants may require adjustments.
A typical infusion course involves six treatments over 2 to 3 weeks. The response length varies between individuals. Some return regularly for infusions; others do not.
Some patients do not need additional Ketamine therapy after their initial six infusions. Other patients may come back at the 4-6 week mark post last treatment date. Your experience will be unique as responses vary from patient to patient.
It’s possible to feel improvement after the first infusion or at any point during the therapy. Most patients feel better after the third or fourth infusion. Results vary, and each patient experience is different.
It is a good idea to take the day off from regular activities after Ketamine infusion therapy. You will not be able to drive for the rest of the day following an infusion. You should also not operate heavy machinery and avoid making important decisions. You can return to these activities and your regular work schedule after a good night’s rest.
Frequently Asked Questions
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At APS, we recognize the importance of comprehensive psychiatric care in recovery from depression and anxiety disorders. We have board certified Psychiatrists, and offer Psychiatric services including medication management for active Ketamine treatment patients. Due to the complexity of medications, and the intricate nature of depression of anxiety disorders, we know how important all aspects of mental health are both at the time of treatment as well as the periods between treatments. Our team of mental health professionals, nurses, management, and caring staff work together to create a warm and inviting environment for patients and encourage the healing. In our state of the art facilities, our infusion rooms are designed to be exceptionally quiet and serene. We use electronic devices that allow connection to a variety of options for music or white noise. Patients relax in our motorized reclining chairs for optimum comfort. We make every effort to maintain a positive healing environment.
Currently, insurance companies do not typically cover Ketamine infusions. However, the landscape for treatment coverage is changing quickly, and we hope reimbursement will be available in the future.
Yes, Spravato is covered by insurance. Spravato is FDA-approved for treating Major Depressive Disorder with Suicidal thoughts and treatment-resistant depression.
We accept the following insurance:
- Blue Cross Shield of Illinois PPO
- Aetna PPO
- Cigna PPO
For more information about IV Ketamine & Spravato coverage, please contact the clinic.
The National Institute of Mental Health (NIMH) conducted a significant study on Ketamine treatments. It indicated up to 70% of patients experienced relief after six Ketamine treatments. (This is much higher than traditional antidepressants, which take weeks to work and only have a 33% success rate.)
Ketamine has a solid 40-year track record and is used worldwide as an anesthetic, particularly for children. When administered by infusion for psychiatric treatment, it uses far lower doses than an anesthetic.
Although Ketamine is not proven to be addictive, it’s possible to develop a tolerance due to abuse. APS has designed its Ketamine infusion protocols to effectively minimize the potential for tolerance or addiction.
It is important to accurately assess your response to treatment with Ketamine. This can be difficult if medication changes are occurring at the same time. Therefore, we recommend that no medication changes be made immediately before, during, or shortly after the infusion course if you already have a prescribing provider (i.e., psychiatrist, nurse practitioner, PCP).
Certain medications like benzodiazepines (Xanax, Clonazepam), lamotrigine, or MAO-I inhibitors, may require adjustments. APS’ medical providers will guide you on what changes to make and when.
A typical infusion course involves six treatments over 2 to 3 weeks. The response length varies between individuals. Some return regularly for infusions; others do not.
Some patients do not need additional Ketamine therapy after their initial six infusions. Other patients may come back at the 4-6 week mark post last treatment date. Your experience will be unique as responses vary from patient to patient.
It’s possible to feel improvement after the first infusion or at any point during the therapy. Most patients feel better after the third or fourth infusion. Results vary, and each patient experience is different.
It is a good idea to take the day off from regular activities after Ketamine infusion therapy. You will not be able to drive for the rest of the day following an infusion. You should also not operate heavy machinery and avoid making important decisions. You can return to these activities and your regular work schedule after a good night’s rest.