Insurance
Important Notice
As the leading ketamine provider in Washington state we feel obligated to protect not only our patients, but any patient seeking relief from their symptoms to not fall prey to insurance fraud. We are committed to transparency and integrity in all our billing practices to ensure you receive the care and coverage you deserve.
We urge patients to be cautious of clinics that advertise ‘in-network’ coverage. Often, these clinics may not bill the ketamine itself to insurance and will ask you to sign a form agreeing not to submit the ketamine codes for reimbursement. This allows them to be reimbursed for other codes that might otherwise be denied if billed in combination with the ketamine codes. Usually, an insurance company will require all services rendered during an appointment be submitted for reimbursement. Asking you not to submit these codes should raise concerns, as it may be an attempt to circumvent insurance policy terms. Providing false information to an insurance company to receive unauthorized benefits constitutes insurance fraud.
If an insurance company discovers that a clinic has improperly handled claims and demands repayment, the clinic might attempt to recover those costs from you if the services were rendered. If you or someone you know believes they may have been a victim of this type of billing, please submit a complaint with the Washington State Office of the Insurance Commissioner HERE.
Ketamine is out-of-network
Unfortunately, because this treatment is still considered “off-label” use by the FDA, most U.S. insurance companies do not cover ketamine treatment for mood conditions.
We’ll process out-of-pocket payments to hold the appointments when you schedule your treatment program. Then, when you come in for your appointment, we’ll generate a convenient “superbill” so you can submit it to your insurance for processing and reimbursement according to your plan.
We’ll run a benefits check
Our team is happy to run a benefits check to figure out the details of your out-of-network plan. If you want a more precise reimbursement estimate, we can provide treatment codes for you to share directly with your insurance company.
All we’ll need to run a benefits check is the name of your insurance company, your member ID (with prefix letters if applicable), and your date of birth.
Check with your insurance
Before starting ketamine therapy, you should check with your insurance provider to determine if they offer any coverage.
Even if coverage is limited, it may be helpful to submit a superbill for reimbursement. Even a small reimbursement will help cover or aid in offsetting the costs of ketamine treatment.
We offer discounts for military, medical, and first responders and occasionally offer specials or seasonal promotions. Financing is also available for those who qualify. Ask your intake coordinator for details.
We are a preferred partner with Care Credit, offering 6 months same as cash financing along with other low monthly payment options to fit your budget