Ketamine treatment begins with a psychiatric evaluation. Based on your needs, the doctors will recommend the number of infusions they believe are appropriate to treat your symptoms. Treatment usually begins with a series of six infusions. After your sixth infusion, you will meet with the doctor for a follow up visit to assess the results and develop a continuing treatment plan as necessary.
Though we aren't in network with any insurance providers for ketamine treatment, some may provide reimbursement directly to patients on a case-by-case basis. Since we are out of network providers, you will need to have out of network benefits through your plan to receive reimbursement. You must also meet a specific set of diagnostic criteria which you can call your provider about and ask for directly. (MassHealth, Medicare, and supplemental plans through these providers do not provide reimbursement for out of network providers.)
If appropriate, Cambridge Biotherapies can submit a prior authorization to your insurance provider following your evaluation. This will determine the coverage your insurance provider can offer. You would still pay out of pocket for each treatment, then submit superbills directly to your provider for reimbursement.
If you have questions about insurance coverage for ketamine, please first 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.
Please contact the clinic
for information about our rates.
Cambridge Biotherapies is an official member of the American Society of Ketamine Physicians