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ketamine therapy for depression

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Therapy with ketamine guide

How To Get Spravato’s Subsidy of $8,150

No matter which ketamine treatment you choose (IV ketamine infusion, injection, or the esketamine nasal spray), whether you’re 100% self-pay or have insurance, your out-of-pocket costs are going to run into the thousands ($3,000 to $10,000 or more).

If you have that kind of money, you should self-pay for IV infusions. They’re three times more effective than the nasal spray, deliver faster and more consistent relief with fewer side effects, allow for tailored dosing, and have a far lower dropout rate among patients. And in the long run, they’re cheaper.

If you don’t have that kind of money laying around, your best option (assuming you have commercial insurance) is the esketamine nasal spray if you can qualify for the manufacturer’s subsidies. Fortunately, it’s pretty easy to qualify.

esketamine nasal spray cost

MY PERSONAL EXPERIENCE

Ketamine IV infusion is 3x more effective than Spravato. It was my first choice but it wasn’t even on the table. I simply didn’t have the money. Spravato, the esketamine nasal spray, seemed like the next best option since my insurance covered it—or so I thought. My out-of-pocket costs for Spravato were actually higher than paying for IV infusions entirely on my own! I felt trapped, shut out of treatment, until a friend mentioned the Spravato subsidy program.

The program covers up to $8,150 per calendar year, and with my insurance and the subsidy combined, I ended up paying almost nothing for my entire course of treatment. What had felt impossible suddenly became manageable, and with it, a path to healing.

What Spravato’s Program Covers

  • Savings on Out-of-Pocket Costs: If you’re eligible, the program can help reduce costs like co-pays, co-insurance, or your deductible for the medication itself.
  • How Much You Pay: Most patients with commercial insurance pay $10 per treatment for Spravato, up to a yearly maximum benefit of $8,150.
  • Treatment Limits: The program covers up to three doses (called “devices”) per treatment day

Who Can Sign Up?

You’re eligible for the SPRAVATO withMe Savings Program if you:

  • Are 18 or older.
  • Have commercial or private insurance that covers Spravato, including plans from the Health Insurance Marketplace.
  • Are enrolled in the SPRAVATO Risk Evaluation and Mitigation Strategy (REMS) program (required for all Spravato users).

 

Who’s Not Eligible?

Unfortunately, you can’t use this program if:

  • You have government-funded insurance like Medicare, Medicaid, TRICARE, or VA benefits.
  • You’re under 18 years old.
  • You want to combine this offer with any other discounts or free trial programs.

How to Enroll

    • Visit JanssenCarePathPortal.com/express.
    • Check your eligibility and, if eligible, enroll in the program to receive a Savings Program card.
January 27, 2025Category: Cost and insurance
Previous Post:Ketamine infusion therapyWhy Insurance Doesn’t Cover IV Infusions or Injections
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