Does Aetna Cover Spravato Treatment?
Yes! Aetna covers Spravato (esketamine) for members with treatment-resistant depression. Here's what you need to know about getting Aetna approval.
Aetna's Coverage Criteria
Aetna requires:
- Diagnosis of treatment-resistant depression (TRD)
- Documentation of at least 2 failed antidepressant trials
- Each trial must be adequate dose and duration (6-8 weeks)
- Prior authorization before treatment begins
What Aetna Members Pay
| Plan Type | Typical Copay |
|---|---|
| Aetna PPO | $25-$100 |
| Aetna HMO | $20-$60 |
| Aetna Medicare | $0-$50 |
Prior Authorization Timeline
- Submission: 1-2 business days
- Aetna review: 5-15 business days
- Expedited review: 24-72 hours (for urgent cases)
How We Help Aetna Members
- Free Aetna benefits verification
- Complete PA documentation
- Direct communication with Aetna
- Appeal support if needed
Get Your Aetna Coverage Verified
Call (678) 437-1659 or contact us online for a free Aetna benefits check.
Related Topics
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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.