Is Spravato Covered by Medicare?
Yes! Medicare Part B covers Spravato treatment. At Next Step Psychiatry, we help Medicare patients access this treatment every day.
How Medicare Covers Spravato
Medicare Part B Coverage
- Covers the medication
- Covers administration/monitoring
- Subject to standard Part B cost-sharing
Your Typical Costs
With Medicare Part B:
- 20% coinsurance after deductible
- Janssen savings program may help further
With Medicare Supplement (Medigap):
- May cover your 20% coinsurance
- Check your specific plan
Requirements for Coverage
Medicare requires:
- Prior authorization
- Documentation of treatment-resistant depression
- Treatment at a REMS-certified facility like Next Step Psychiatry
How We Help at Next Step Psychiatry
Our team at Next Step Psychiatry handles:
- Prior authorization paperwork
- Communication with Medicare
- Enrollment in savings programs
Getting Started with Medicare
Contact us at (678) 437-1659. We'll verify your coverage and explain your costs. Learn about our full psychiatric services at Next Step Psychiatry.
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Ready to Explore Spravato Treatment?
If you're struggling with treatment-resistant depression, Spravato could be the breakthrough you've been waiting for. Contact Next Step Psychiatry in Atlanta for a consultation.