Insurance coverage
Aetna (CVS Health)
Aetna covers Spravato for TRD with prior authorization and a documented two-trial history. Does not cover IV ketamine except in a handful of grandfathered fully-insured commercial plans. Aetna Better Health (Medicaid managed) covers Spravato in most states.
Coverage at a glance
| Modality | Status |
|---|---|
| Spravato (esketamine) | Covered |
| Ketamine IV infusion | Not covered |
| Ketamine IM injection | Not covered |
| Ketamine oral/lozenge | Not covered |
| Psilocybin (Oregon licensed) | Not covered |
| Psilocybin (Colorado licensed) | Not covered |
What the plan requires
- Two-drug step therapy (SSRI + SNRI at adequate doses and durations).
- REMS-certified site.
- No concurrent MAOI within 14 days.
Practical tips
- Aetna's clinical policy bulletin #0935 lays out exact criteria - bring a printed copy to your intake.
- Specialty pharmacy fills via CVS Caremark.
Providers accepting Aetna
Always confirm in-network status with both the clinic and your plan before your first session.
No verified providers currently list Aetna. This can mean the plan is typically self-pay, or that we have not yet surfaced plan acceptance - check back as we expand clinic onboarding.