Or browse by what you are trying to figure out. Every article is written and reviewed by Nefretiri Abat, PMHNP-BC, JD.
New to this? These answer the questions almost everyone asks first.
Whether your plan pays, what it costs, and what to do if you are denied.
How TMS, Spravato and medication differ, and how to choose between them.
Next steps after a partial response, a relapse, or no response at all.
Sessions, side effects, timelines and what to expect day to day.
Evaluation, treatment and living with adult ADHD.
Understanding depression, including when it has not responded to treatment.
Anxiety, OCD and other conditions we treat.
The first Spravato appointment takes about two hours. Patients self-administer the nasal spray in the clinic under supervision,
The first TMS appointment is a consultation and mapping session lasting one to one and a half hours.
Key facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC Spravato prior authorization is decided on the
Key facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC Spravato coverage is usually approved in phases
Key facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC Most Spravato denials come down to documentation,
Key facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC Spravato (esketamine) can only be given in
Key facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC TMS prior authorization is decided on the
Key facts Updated August 2026 · Reviewed by Nefretiri Abat, PMHNP-BC A standard insurance-authorized TMS course is 36
Depression can return after a successful course of TMS, and most insurance plans anticipate that. Coverage for a
TMS is FDA-cleared as an adjunct treatment for obsessive-compulsive disorder, so coverage for OCD is legitimate rather than
If the clinic you want is not in network with your plan, you are not automatically out of
With a complete submission, most California plans decide a standard prior authorization request for TMS or Spravato within
Before you start TMS or Spravato, three things decide whether treatment is covered: whether the benefit exists on
Anthem Blue Cross plans in California generally cover Spravato (esketamine) for treatment-resistant depression when medical necessity criteria are
Nearly every insurance decision about TMS or Spravato turns on one phrase: an inadequate response to two adequate
Anthem Blue Cross plans in California generally cover TMS therapy for major depressive disorder when medical necessity criteria
