- 21297 Foothill Blvd, Ste 203 Hayward, CA 94541 (by appointment only)
- (415) 636-9700
- hello@exxceedwellness.com
Depression can return after a successful course of TMS, and most insurance plans anticipate that. Coverage for a second acute course, usually called re-treatment, is common when you responded the first time, symptoms have returned,
Read MoreIf the clinic you want is not in network with your plan, you are not automatically out of options. Many PPO plans reimburse a share of out-of-network care after a separate deductible, and a superbill
Read MoreWith a complete submission, most California plans decide a standard prior authorization request for TMS or Spravato within a few days to about two weeks. California law also provides for expedited review when waiting would
Read MoreBefore you start TMS or Spravato, three things decide whether treatment is covered: whether the benefit exists on your plan, whether you meet the medical necessity criteria, and whether the authorization is submitted with complete
Read MoreAnthem Blue Cross plans in California generally cover Spravato (esketamine) for treatment-resistant depression when medical necessity criteria are met, and prior authorization is required in essentially all cases. Approval turns on three things: documented treatment-resistant
Read MoreNearly every insurance decision about TMS or Spravato turns on one phrase: an inadequate response to two adequate antidepressant trials. Patients are often surprised to learn that medications they took for years may not count.
Read MoreSpravato (esketamine) almost always requires prior authorization, and approval turns on documentation: proof of treatment-resistant depression, meaning an inadequate response to at least two adequate antidepressant trials, plus confirmation that treatment will be given at
Read MoreDepression and insomnia feed each other. Poor sleep is not just a symptom of depression; it independently raises the risk of developing depression and of staying depressed through treatment. If you are treating one and
Read MoreIf your depression keeps coming back, or antidepressants make you feel wired, irritable, or strangely worse, one question should be asked before trying yet another medication: is this actually bipolar disorder? The distinction is not
Read MoreDepression alongside a chronic illness like diabetes, heart disease, or an autoimmune condition is common, worsens the course of both conditions, and is frequently left untreated because everyone is focused on the physical disease. If
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