Looking For Ketamine Therapy In Salt Lake City, Utah? Here Are Three Things You Need To Know
Do you live in the Salt Lake City area? Have you heard about the potential benefits of ketamine, but not sure if it’s right for you? Here are the three most common questions we receive at Restorative Health Primary Care in Sandy, Utah.
With decades of experience providing ketamine therapy in Salt Lake City, our clinicians can help you find out if it is right for you.
Contents of this article
- 1. Do Ketamine Clinics In SLC Take Insurance?
- Insurance Coverage For Ketamine Therapy In Salt Lake City – What Factors Play A Role?
- 2. The Cost Of Ketamine Therapy In Salt Lake City, Utah
- Ketamine Therapy In Salt Lake City: How Much Are Maintenance Doses?
- 3. What Conditions Are Affected The Most By Ketamine?
- How To Find A Ketamine Clinic In Salt Lake City, Utah
- Additional Helpful Information
- Why Is Ketamine Therapy Considered An Off-Label Medication If Ketamine Is FDA Approved?
1. Do Ketamine Clinics In SLC Take Insurance?
If you’re wondering whether or not insurance covers ketamine therapy, the answer isn’t exactly black and white. Ketamine clinics in Utah and throughout the country are not obligated to accept insurance. And in most cases, traditional health insurance does not cover ketamine treatments. This is due to the fact that Ketamine use for mood disorders and chronic pain is considered an “off-label” use. Which means the insurance companies are not required to cover these treatments.
However, like any rule, there are exceptions.
Every insurance company does things a little differently. Some insurance companies may cover an office visit. While others may get the expense applied to deductibles, some may have to pay in full out of pocket, and others may have the entire treatment covered. Sometimes even patients with the same health insurance provider will find different answers to these questions.
The truth is, it is not very uniform, and it will take some follow-up on your part.
Insurance Coverage For Ketamine Therapy In Salt Lake City – What Factors Play A Role?
Here’s a breakdown of the factors that could help determine whether or not insurance will reimburse your treatment.
If you can answer “yes” to most (or all) of the following points, your chances of getting compensated are higher. Likewise, if you answer “no”, the chances are lower.
1. You have met your health insurance deductible for the year.
(Tip: If you haven’t met your insurance deductible, that’s your first course of action.)
2. Do you have medical proof that you have tried (and failed) two or three other forms of conventional FDA-approved modalities for your diagnosis?
3. Do you have good out-of-network benefits? Network providers typically consider most Ketamine Clinics in SLC as out-of-network. Some plans have allowances that will cover a portion of an out-of-network service.
4. Do you have a Preferred Provider Organization (PPO) insurance plan? Patients with a PPO tend to have better outcomes than those who have a Health Maintenance Organization (HMO) insurance plan.
5. Have you been with your current insurance company for a long time? Of course, this isn’t always the case. But some patients have better luck if they’ve been in-network for a longer period. Especially if there is documentation that the patient has done all the traditional steps to alleviate their medical issues.
How To Submit Your Request To Your Insurance Company
You may still have to pay something out of pocket, even if insurance does cover your treatments. However, here’s what you need to do to submit your request.
Ask for a superbill from your Ketamine clinic. A superbill is a detailed invoice that outlines the service you received. Clinics can generate a superbill even when they are not on a patient’s insurance company’s panel. You can ask for a copy of your itemized receipt at the end of your appointment. In most cases, you (the client) submit the superbill directly to the health insurance company.
Tip: Consider getting prior authorization for your treatments. A prior authorization is getting pre-approved by your insurance to cover the cost of the ketamine treatment. Contact a case manager with your insurance to find out if this is possible.
2. The Cost Of Ketamine Therapy In Salt Lake City, Utah
Ketamine clinics in Salt Lake City are charging anywhere from $300 to $800 per infusion. The clinic, location, ketamine dose, infusion duration, and the condition being treated can influence your total cost.
For your health and protection, all ketamine IV therapy treatments in Salt Lake City should be:
- Approved for use only after a thorough evaluation
- Done at a clinic operating within their scope of practice in accordance with both state and federal guidelines
- Administered and supervised by an experienced provider on the premisis
Ketamine Cost For Depression, Anxiety, OCD And Other Conditions: Ketamine infusions for depression in SLC usually costs around $300 to $800 per treatment. Most ketamine clinics recommend six treatments over two to three weeks.
Depending on the price per infusion, patients can pay anywhere from $1,800 to $4,800 for a complete series of IV ketamine treatments for depression.
Ketamine Therapy In Salt Lake City: How Much Are Maintenance Doses?
After the initial treatments, some patients may need maintenance IV ketamine therapy to keep symptoms under control. Usually, clinics require maintenance treatment once per month (or as needed) and costs between $300 to $800 per treatment. Some clinics offer individual treatments while others require package treatments.
3. What Conditions Are Affected The Most By Ketamine?
With a series of ketamine infusions, symptomatic relief from mental disorders can last for weeks or months. If you’re unsure if ketamine therapy is right for you, here’s a shortlist of conditions most affected by ketamine therapy.
Anxiety: Anxiety affects 18 percent of adults in the U.S. alone. Ketamine therapy may be an option for patients that have not responded well to conventional anxiety medication or behavioral therapies.
Addiction: Ketamine can help lessen the effects of post-acute withdrawal symptoms from opioids and alcohol. Ketamine therapy can also help control future cravings to help maintain sobriety. Because ketamine not only regrows neuro connecting sites but also makes new ones, it has the postiential to help all forms of addiction.
PTSD: Some patients struggling with Post Traumatic Stress Disorder rely on ketamine for reducing symptoms. While taking ketamine, PTSD patients may feel safer exploring past trauma, ultimately paving the way for critical therapeutic work.
Chronic Pain: Ketamine has a unique ability to help repair neural pathways and malfunctioning neurons in the brain. Research shows that ketamine controls pain by reducing brain signals responsible for nerve related chronic pain.
Depression: Even low doses of ketamine have shown positive effects on individuals with clinical depression and suicidal ideation. Ketamine targets the physiological cause of depression and creates new neural pathways to foster healing.
OCD: Ketamine is one of the newer treatments available for Obsessive-Compulsive Disorder. Treatments can help people living with OCD control compulsions. Some patients even notice improvements after just one treatment.
How To Find A Ketamine Clinic In Salt Lake City, Utah
If you live with a mental health disorder, you know how difficult it can be to find a treatment plan that works well, continues to deliver relief over time, and doesn’t come with undesirable side effects.
SLC has an extensive network of verified Utah ketamine treatment providers. Schedule a consultation with a clinic to learn more about ketamine therapy, the costs, and if it’s the best course of action to begin your journey back to wellness.
Additional Helpful Information
Other Forms of Ketamine Therapy in Salt Lake City
Ketamine infusions or intravenous drip therapy isn’t the only way to receive ketamine therapy. Other, more cost-friendly treatment methods include intramuscular therapy (injection), nasal spray, or troche therapy (tablet held under the tongue).
Keep in mind that not all SLC ketamine clinics will offer these other forms of treatment. That said, ketamine IV infusions are the most common and have the highest bioavailability.
What Is Ketamine, And How Does It Work?
More people are turning to ketamine therapy to provide relief for mental health disorders resistant to traditional treatment and medication.
This alternative therapeutic treatment offers new hope for people struggling with mental illnesses, including depression, anxiety, PTSD, OCD, pain disorders and addiction.
Current research indicates that ketamine works by stimulating the regrowth of neuroreceptors in the brain, which assists in better utilization of serotonin and other neurotransmitters allowing the brain to heal by regrowing neuro connecting sites and creating new neural pathways. As the research surrounding ketamine and the human brain improves there will certainly be additional models explaining the mechanism of action.
Ketamine therapy provides lasting physiological and psychological alterations rather than simply masking the symptoms.
Before considering ketamine as a treatment option, it is important to note that ketamine is safe only when used under the direction of a skilled medical provider. Using ketamine recreationally can be hazardous.
The good news? There are plenty of safe, effective ketamine clinics in SLC.
If you are seeking ketamine therapy in or near Salt Lake City, you will most likely have a few questions about the process, such as insurance, costs, and what to expect during and after ketamine treatments.
- The Food and Drug Administration (FDA) has approved ketamine for general anesthesia.
- Ketamine used for mood disorders or chronic pain is considered an “off-label” use.
Why Is Ketamine Therapy Considered An Off-Label Medication If Ketamine Is FDA Approved?
Ketamine is an FDA-approved anesthetic and analgesic that is used primarily in operating rooms or emergency care centers. The World Health Organization (WHO) named is an “essential drug.”
Studies have shown ketamine infusion therapy improves symptoms of depression, anxiety, and chronic pain. However, the FDA has not approved ketamine for these uses. So most insurance companies consider it off-label use of medication and deny coverage.
At Restorative Health Ketamine Clinic we are passionate about improving our patients health and functional abilities. Our goals are to help facilitate increased functionality in day-to-day living for both pain and mental health so that you can engage in your life at the level you desire. We strive to work with our patients schedules and finances to provide affordable ketamine treatments.
Our cost for treatments are $195-$350 with the average being $250. We have been providing safe effective treatments since 2018. Rita Rutand, APRN, founder and owner.
If you’re looking for ketamine therapy in the Salt Lake City area, please feel free to set up a consultation with us at Restorative Health Primary Care in Sandy, Utah.