Ketamine Therapy Covered by Insurance
At Noma, we're making ketamine treatment affordable for anyone who needs it by keeping medication costs low and offering insurance coverage for talk therapy and prescriber consults through most major commercial and Medicaid plans.
We proudly accept:
With Noma Therapy, you’ll enjoy:
A simple verification & authorization process
Multiple insurances accepted, including Medicaid
Affordable cash pay options available
Less expensive medication than most other ketamine providers
How does Noma Therapy compare to other available options?
We’re dedicated to offering results-driven treatment that is tailored to your specific needs, along with the best care possible at an affordable price. Take a look at how Noma stacks up against the alternatives and the choice becomes clear
By eliminating the need for clinic or hospital visits, at-home treatment with Noma offers a cost-effective, safe, and effective alternative for patients without compromising care quality.
Frequently Asked Questions
How much will my co-pays be?
Copays can vary depending on your insurance plan. For most patients with commercial insurance, copays tend to fall in the $20-$40 range per provider encounter. Patients with Medicaid generally have zero dollar copays. These copays typically apply to your initial evaluation, 1-on-1 therapy sessions, and follow-up appointments with a prescriber.
To give you the most reliable cost estimate, we'll contact your insurance provider during your free consultation and let you know your specific copays before you begin the Noma program.
What is the estimated total program cost for a patient with insurance?
The cost of the program can vary depending on your specific insurance plan. Here's a breakdown to help you get a general estimate:
Estimated costs for patients with commercial insurance:
Therapy: 7 sessions * $30 copay = $210
Prescriber consults: 5 consults x $30 copay = $150
Ketamine dosing sessions: 4 sessions x $90 per dose = $360
Estimated total cost: $720
Estimated costs for patients with Medicaid:
Therapy and prescriber consults: Fully covered, with zero-dollar copays
Ketamine dosing session: 4 sessions at up to $90 per dose = $360.
Maximum cost: $360
Estimated costs for patients without insurance
$3,560 (assumes 18 therapy and prescriber consults, and 4 ketamine dosing sessions)
We will provide you with a superbill so that you can seek out-of-network reimbursement.
These are just estimates, and we will contact your insurance company for a precise estimate prior to your starting the program.
What if I have a deductible?
Some insurance plans have a deductible, which is a fixed amount you must-pay out-of-pocket for covered services each year before your insurance plan starts contributing to the cost.
As part of your free consult, your guide will determine if you have a deductible and give you an accurate estimate of your cost to complete the Noma program.
What insurance plans do you accept?
Noma's ketamine therapy program is majority covered by major insurance plans, including:
Commercial insurance plans
Anthem Blue Cross Blue Shield of Colorado
UnitedHealthcare and Optum
Cigna
Aetna
Health First Colorado (Colorado's Medicaid) plans.
Colorado Access (Denver county)
Colorado Community Health Alliance (Boulder, Gilpin, Clear Creek, Jefferson, and Broomfield counties)
Rocky Mountain Health Plans (Archuleta, Delta, Dolores, Eagle, Garfield, Grand, Gunnison, Hinsdale, Jackson, La Plata, Larimer, Mesa, Moffat, Montezuma, Montrose, Ouray, Pitkin, Rio Blanco, Routt, San Juan, San Miguel, and Summit counties)
Northeast Health Partners ( Cheyenne, Kit Carson, Lincoln, Logan, Morgan, Phillips, Sedgwick, Washington, Weld, and Yuma counties)
Health Colorado (Alamosa, Baca, Bent, Chaffee, Conejos, Costilla, Crowley, Custer, Fremont, Huerfano, Kiowa, Lake, Las Animas, Mineral, Otero, Prowers, Pueblo, Rio Grande, and Saguache counties)
Your Medicaid plan is determine by the area in which you live. Consult this list to determine which plan you are covered by.
Medicare
We accept “original” medicare.
We do not accept any Medicare Advantage Plans at this time.
Veterans
We are proud to support veterans and are currently in the process of contracting with Triwest, and expect to be begin accepting Triwest patients soon.
If you have any questions about your insurance eligibility, please book a free consultation and we will determine your insurance coverage.
What if I don't have any insurance plans that you accept?
The full cost of our standard ketamine-assisted therapy program is $3,560. We can provide you with a superbill that you can submit to your insurance plan for possible reimbursement. Please keep in mind that you will only receive reimbursement if your health insurance plan includes out-of-network benefits, such as a PPO and have met any applicable deductible.
Does insurance cover the full cost of Noma's program?
Noma offers an integrated program that combined ketamine therapy with 1-on-1 psychotherapy and medication management. Our program is specifically designed for long-term improvements in mental health conditions such as treatment-resistant depression, anxiety and PTSD
Insurance covers the cost of the psychotherapy and medication management. However, it does not cover the cost of the ketamine itself. Noma uses a generic, sublingual form of ketamine, known as rapid dissolve tablets (RDTs). While insurance companies do not cover this form of ketamine, it is very affordable. Noma charges $90 per dose, with a standard program consisting of 4 doses (total cost of $360).
Insurance policies vary, and some companies do cover forms of ketamine that Noma does not provide, such as FDA-approved Spravato and off-label ketamine delivered by infusions (IV) or intramuscular (IM) injections. These forms of ketamine require patients to travel to an office to receive in-person care.
Can I use my FSA/HSA Account?
Yes, you can pay for Noma's ketamine treatments with your FSA or HSA accounts.
