For example: If your insurance covers 60% of the cost, your 40% co-insurance is applied to a lower, negotiated rate, not the self-pay fee listed here.
Insurance Coverage
Overview
How insurance works at Elevium
Many of our treatments are eligible for full or partial insurance reimbursement. We work with most major insurance providers and can assist you with coverage verification, pre-authorization, and billing support before your first appointment.
We currently work with: Aetna, Horizon, Blue Cross Blue Shield of New York, United Healthcare, and Cigna - among others.
Spravato (Esketamine)
Insurance Only
Spravato is an FDA-approved treatment for treatment-resistant depression.
- Prior authorization is required from your insurer
- Our team handles the authorization process with you If uninsured,
- Ketamine Infusion Therapy is the recommended alternative
TMS Therapy
Standard TMS for Depression
Covered by most insurance plans with pre-authorization.
- Sessions/week over 6 weeks (36 sessions total)
- FDA-approved protocol
- Prior authorization is typically required - we assist with this process
- Covered diagnoses usually include major depressive disorder (MDD)
Standard TMS for OCD
Insurance eligibility varies - please get in touch with us for verification.
- 29 sessions with specialized OCD protocol
- FDA-cleared for OCD - coverage depends on your specific plan
- We will verify your eligibility before you commit to treatment
Accelerated TMS
May not be covered by insurance due to condensed format.
Contact us to discuss whether your plan may include this option.
Check Your Insurance Coverage for TMS
Not sure if your insurance covers TMS Therapy?
Take our quick TMS Insurance Coverage Quiz - it takes just 1 minute and will help you understand whether you're likely to qualify for coverage.
Psychotherapy
Our licensed therapists offer CBT, DBT, and other modalities. Sessions are tailored to individual needs.
- Most major insurance plans include outpatient psychotherapy benefits
- Coverage varies by plan, diagnosis, and provider network status
- We will confirm your benefits before scheduling
Medication Management
We provide personalized psychiatric care with a focus on safety, education, and regular monitoring.
- Psychiatric evaluations and follow-ups are often covered by insurance
- Coverage depends on your plan and whether the provider is in-network
- Our team will verify your benefits and walk you through expected costs
How We Help With Insurance
What We Do
- Coverage verification before your first appointment
- Pre-authorization submission and follow-up
- Explanation of your expected out-of-pocket costs
- Billing support and claims assistance
What You Need to Know
- Coverage is plan-specific - we can't guarantee reimbursement without verifying your individual plan
- Your actual cost depends on deductibles, copays, and coinsurance
- We work with most major insurers, but we cannot guarantee in-network status for all services
