licensedpsychedelics

Insurance coverage

Humana (Medicare Advantage)

Humana's commercial footprint is small; its Medicare Advantage program is large. Humana MA plans cover Spravato under Part B / medical benefit, with standard prior authorization and step therapy.

Coverage at a glance

ModalityStatus
Spravato (esketamine)Covered
Ketamine IV infusionNot covered
Ketamine IM injectionNot covered
Ketamine oral/lozengeNot covered
Psilocybin (Oregon licensed)Not covered
Psilocybin (Colorado licensed)Not covered

What the plan requires

  • MA enrollment.
  • TRD documentation.
  • REMS site.

Practical tips

  • Humana MA preferred specialty pharmacy is CenterWell.

Providers accepting Humana

Always confirm in-network status with both the clinic and your plan before your first session.