Although we are not in-network with any insurance companies and we cannot submit claims directly to any insurance provider, patients with Blue Cross Blue Shield of Massachusetts may be eligible for reimbursement with a prior authorization. If you are eligible, we will be happy to submit for authorization on your behalf.
MassHealth and Medicare plans (including the supplemental plans purchased through these platforms) will not provide reimbursement for out-of-network services, and Cambridge Biotherapies is not in-network with MassHealth or Medicare.
Where appropriate, Cambridge Biotherapies™ can submit a prior authorization to your insurance provider following your evaluation. If the prior authorization is approved, this will increase your likelihood of getting reimbursed. You would pay out of pocket for each treatment and submit itemized receipts or superbills to your insurance company for reimbursement.
If you have questions about insurance coverage for ketamine, please contact your insurance provider, ask if they have a formal policy about ketamine infusions for mental health, and then call the us with your questions.
The Cambridge Biotherapies™ TMS Center is affiliated with Blue Cross Blue Shield of Massachusetts for in-network coverage exclusively. If you are not covered by BCBS MA, you must possess out-of-network benefits to ensure the coverage of your TMS treatment at our facility.
Regrettably, we do not have agreements in place with MassHealth plans, Medicare, or private insurance companies offering Medicare supplemental plans.