- 21297 Foothill Blvd, Ste 203 Hayward, CA 94541 (by appointment only)
- (415) 636-9700
- hello@exxceedwellness.com
Yes, in most cases. Aetna generally covers Spravato for treatment-resistant depression once prior authorization is approved. We are in network with Aetna, so we bill them directly and handle the authorization for you.
Plans differ, but the checklist is almost always the same:
Once approved, you pay your normal specialist or outpatient cost share. That is usually a copay per session, or coinsurance until you hit your deductible.
There is also a manufacturer savings program. If you have commercial insurance, it can bring your cost down to as little as $10 per treatment. It cannot be used with Medicare or Medi-Cal.
See Spravato costs in California for the full picture.
You never get a surprise. We confirm the number before anything begins.
In the trial behind FDA approval, adults who added esketamine to a newly started antidepressant improved more than those on the antidepressant alone (Popova 2019). A follow-up study found continuing Spravato after improvement cut relapse risk by about half (Daly 2019). Response varies and is not guaranteed.
Generally yes, for treatment-resistant depression with prior authorization. Plans differ, so we verify yours.
Yes, and we bill Aetna directly.
Usually one to two weeks after we submit.
Most denials come down to missing documentation of earlier antidepressant trials. We can appeal with a fuller history.
If TMS is also on your mind, see whether Aetna covers TMS and whether you qualify for Spravato.
In person in Hayward or by telehealth across California. We verify your insurance benefits before your first visit.
Educational only, not medical advice. Coverage rules change and vary by plan. Confirm your specific benefits with your insurer and a qualified clinician. Results vary and no outcome is guaranteed.
Medically reviewed by Nefretiri Abat, J.D., PMHNP-BC, board-certified Psychiatric-Mental Health Nurse Practitioner.
