Getting Spravato Covered Through Your Employer's Insurance
Most employer-sponsored health plans cover Spravato. Here's how to navigate the process.
Employer Insurance Coverage
Large employers (500+ employees): Usually cover Spravato Small employers (under 50): Coverage varies Self-insured employers: May have custom policies
How to Check Your Coverage
- Review your Summary of Benefits
- Check the formulary for Spravato/esketamine
- Call member services
- Or let us verify for you
Working with HR
Your HR department can help:
- Clarify mental health benefits
- Explain prior authorization process
- Provide information on EAP programs
- Connect you with benefits administrator
Privacy Concerns?
Good news: Your employer cannot see your specific claims. They only receive aggregate data, not individual treatment information.
Protecting Your Job
FMLA may protect your time off for treatment:
- Up to 12 weeks unpaid leave
- Job protection
- Continued health benefits
We Work with All Employer Plans
At Next Step Psychiatry, we verify benefits and handle prior authorizations for all employer-sponsored plans.
Call (678) 437-1659 or contact us for free benefits verification.
Related Topics
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.