You may be eligible for Spravato (esketamine) if you're an adult living with treatment-resistant depression (TRD)—meaning you have not experienced adequate relief from at least two different antidepressant medications.
As one of the first FDA-approved therapies for treatment-resistant depression (TRD), Spravato offers new hope to adults who have not found relief with traditional antidepressants.
At Being Health in New York City, our clinical team conducts a thorough psychiatric consultation and screening process to determine if Spravato may be appropriate for you. We review your mental health history, current medications, and overall health to ensure the treatment is right for you. Here’s what you need to know about eligibility and screening.
Who Qualifies for Spravato?
Spravato is not a first-line treatment for depression. It is specifically designed for adults who have not had success with other treatments. You may qualify if:
- You have treatment-resistant depression (TRD) — meaning you’ve tried at least two different antidepressant medications without significant improvement.
- You have major depressive disorder (MDD) with suicidal thoughts or behaviors.
- You are an adult (18 years or older).
- You do not have medical conditions that would make Spravato unsafe (such as certain blood pressure or cardiovascular issues).
The Screening Process at Being Health
Determining whether Spravato is right for you goes beyond meeting basic criteriaa—it also involves a comprehensive psychiatric assessment to ensure Spravato is safe and appropriate for you.
Our Evaluation Includes:
- Understanding your symptoms
- Review of your current symptoms and how they affect your daily life
- Discussion of why you are considering Spravato for depression
- Mental Health History
- Past antidepressant trials and treatment response
- Psychiatric history (including diagnosis and severity of symptoms)
- Medical History & Screening
- Review of blood pressure, cardiovascular health, and general medical conditions
- Evaluation of current medications and possible interactions
- Personalized Treatment Planning
- Determining whether Spravato is the right next step for you
- Exploring alternative or complementary treatments, if appropriate
This process ensures that if you move forward with Spravato, your treatment plan is tailored, safe, and guided by your individual needs.
Insurance Approval: What to Expect
Most major insurers, including Aetna, Cigna, and UnitedHealthcare cover Spravato in NYC. However, approval typically requires:
- Documentation that you have treatment-resistant depression or MDD with suicidal ideation
- Records of at least two failed trials with other antidepressants
- A psychiatric evaluation confirming eligibility for Spravato
At Being Health, our administrative team manages the prior authorization process on on your behalf. We work directly with your insurance provider to confirm coverage and help minimize out-of-pocket costs, so you can focus on your care.
Spravato Eligibility Checklist
Use this list as a starting point to see if Spravato may be appropriate for you. A full psychiatric evaluation is always required to confirm eligibility.
- I am 18 years or older
- I have tried two or more antidepressants without relief
- I have a diagnosis of treatment-resistant depression or MDD with suicidal thoughts or behaviors
- I am willing to receive treatment in a REMS-certified clinic under medical supervision
- I understand that Spravato requires in-clinic monitoring for at least 2 hours after each session
If you meet these criteria, you may be a candidate for Spravato. At Being Health, our clinicians will complete a comprehensive evaluation to determine if this treatment is right for you.
Why Choose Being Health for Spravato Eligibility Screening?
At Being Health, our approach combines:
- Expertise: Board-certified psychiatrists with extensive experience in interventional psychiatry
- Safety: Gold-standard protocols and continuous monitoring during treatment
- Support: Insurance navigation and care coordination so you can focus on recovery
Next Steps
If you’re wondering whether Spravato could be right for you, the first step is to book an interventional psychiatry consultation with one of our psychiatrists.
For more personalized answers and to learn if Spravato is right for you, schedule a consultation with Being Health today or give us a call at 888-668-7600.
