Ketamine infusions are becoming well-known as an effective treatment for mental health conditions in the medical community. Insurers are slowly adapting to scientific and real-world evidence of their benefits, and New Pathways Clinic is actively working to accelerate this process. We will help you maximize the coverage for the treatments, and you will always know your coverage before treatment.
With our experience working with insurance companies for ketamine infusions, we will always do our best to maximize your insurance coverage for the treatments. Based on experience, we know most patients will have a significant portion covered.
Insurance coverage varies from patient to patient, even if they have the same health insurance plan. Because ketamine is not an FDA-approved treatment for mental health, we cannot guarantee that there will be coverage. However, we will work closely with you to help maximize any available benefits and explore all options.
As an independently operated clinic, we require upfront payment for co-pays, co-insurance, deductibles, and out-of-pocket costs. HSA/FSA cards, credit cards, debit cards, money orders, or patient financing with Advanced Care are all acceptable forms of payment.
Advanced Care is a financing service with zero interest, monthly payment installments, and flexible terms. This allows you to pay for your course of treatments over time without extra cost. To learn more and apply, visit the link below. Our team can also help assist you in applying upon request.
Please click here or below to utilize the financing services of Advanced Care.
New Pathways Clinic is proud to support our veterans, first responders, and vulnerable populations by offering special discounts. If you believe you may qualify, please ask about these options during your free phone consultation.
We also offer a $200 discount for patients who choose to pre-pay their infusion treatment plan in full.
Spravato may be fully covered by insurance when approved by your provider. Our team will work closely with your insurance company to help make the pre-authorization process as smooth and stress-free as possible. Copays and out-of-pocket costs will vary depending on your specific plan.
We also encourage all patients with private insurance to explore eligibility for Janssen’s CarePath Savings Program, which may reduce copays to as little as $10 for qualifying patients.
Upon request, you may obtain a Good Faith Estimate (GFE) of expected charges before scheduling services with us.
Under the federal No Surprises Act, patients have the right to receive a GFE outlining the anticipated cost of care. In addition, Ohio licensing board regulations require us to provide a written informed consent form detailing the actual costs of services before treatment begins. You will receive this information prior to your first appointment and before any billing occurs.
Because treatment needs vary from person to person, it is often not possible to predict the exact number of sessions required until your concerns have been fully evaluated. The length of treatment will also depend on your progress and engagement in the therapeutic process. You are free to discontinue services at any time, and services may also be terminated in accordance with the terms outlined in the informed consent form.
A cancellation made with less than a 48-hour notice significantly limits our ability to make the appointment available other patients in need. This is why, to remain consistent with our mission, we have instituted the following policy:
1. Please provide our office with a 48-hour notice if you need to reschedule your appointment. A message can always be left with the answering service to avoid a cancellation fee being charged.
2. A “no-show,” “no-call,” or missed appointment without proper 48-hour notification may be assessed a $75 fee.
3. This fee is not billable to your insurance.
If you have any questions regarding this policy, please let our team know.
With clinical studies showing significant improvement in depressive symptoms for many patients with treatment-resistant conditions, ketamine infusion therapy has emerged as a promising option for individuals who have not responded to traditional treatments.
Do medications feel like they only address surface-level symptoms?
Have you tried medications or therapy without experiencing meaningful or lasting relief?
Schedule a free phone consultation with our experienced team at New Pathways Clinic to learn whether ketamine treatment is right for your care.
