Billing & Insurance

Please contact us for more detailed information on our rates, insurance, and other billing related questions.

Ketamine

Although our ketamine clinic is 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 our clinic 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 clinic with your questions.

TMS

The Cambridge Biotherapies™ TMS Clinic is in-network with Blue Cross Blue Shield of Massachusetts only. For all patients who are not insured by BCBS MA, you must have out-of-network coverage to have your TMS treatment covered at our clinic.

Unfortunately, we are not contracted with MassHealth plans, Medicare, or Medicare supplemental plans through private insurance companies.

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