Insurance coverage
UnitedHealthcare + Optum
United covers Spravato for TRD through Optum Behavioral Health. Prior authorization is required and Optum runs a concurrent review. IV ketamine is generally not covered except where your employer has added it as a supplemental benefit.
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 failed antidepressant trials.
- Optum Behavioral prior auth.
- REMS site participation.
Practical tips
- Optum Rx is the pharmacy side. Some employers carve out behavioral to a different vendor.
- UnitedHealthcare Community Plan (Medicaid) coverage varies by state.
Providers accepting UnitedHealthcare
Always confirm in-network status with both the clinic and your plan before your first session.
No verified providers currently list UnitedHealthcare. 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.