Guide to Getting Spravato Approved by Medicare

Cut Through the Bureaucracy and Access the Treatment You Need

Getting Spravato covered by Medicare shouldn’t feel like a battle—but for most people, it does. The process is frustrating, confusing, and filled with endless red tape that can make you want to give up before you even start. One rep tells you it’s covered. Another says it’s not. The clinic says they’ll bill Medicare, but then you get hit with a massive bill. It’s enough to make anyone scream.

That’s exactly why I wrote this guide. To save you hours of frustration, wasted phone calls, and dead-end conversations. Inside, you’ll find strategies, insider knowledge, and word-for-word scripts that can dramatically increase your chances of getting Medicare to cover your Spravato treatment—without the runaround.

Here’s what you’ll find inside:

1. The Secret to Medicare Approval (That No One Tells You)

Did you know one wrong phrase can get your claim denied? On page 14, I’ll tell you exactly what language your doctor needs to use when submitting documentation—and what one key sentence can make all the difference.

2. The #1 Mistake That Gets Patients Stuck in a Denial Loop

If you’ve been told, “Medicare doesn’t cover Spravato under Part B,” someone is either lying or doesn’t understand the rules. Page 22 explains why this happens and how to cut through the nonsense and get the right answer—fast.

3. How to Pay Little to Nothing for Treatment (Even if You’re Broke)

Spravato is expensive, and Medicare only covers 80% of the cost. That remaining 20% can be thousands of dollars—unless you know the workarounds. On page 32, I break down three ways to drastically cut your out-of-pocket costs, including one trick that clinics won’t tell you about.

4. What to Do If Your Claim is Denied—And How to Fight Back

Medicare denies coverage? Don’t panic. Most denials can be overturned—if you know what to say. On page 38, I give you a word-for-word script to use when calling Medicare, plus an email template you can send to your doctor to get the right documentation.

5. How to Spot Billing Lies

Some Spravato clinics tell patients they accept Medicare—but then they bill you incorrectly and leave you holding the bag. On page 47, I reveal the two questions you MUST ask before your first appointment to make sure you’re not getting screwed.

Medicare does cover Spravato. But if you don’t know the system, you’ll get lost in a maze of misinformation, denials, and unexpected bills. This guide gives you the roadmap you need to get the treatment you deserve—without the headache.

Ready to make Medicare work for you? Download the guide now.