Billing and Insurance
We bill the entire visit to your insurance. We bill your insurance the following: time with the doctor, cardiac monitoring, IV fluids and other medications, if needed. We are one of the only Ketamine clinics in Chicago that bills the mood disorder visit to your insurance.
For Depression, PTSD, Anxiety Protocol
Mental Health Treatments consist of a series of 6 infusions over a 2-week period. Each IV infusion lasts approximately one hour.
- With Insurance: copay and coinsurance* (no additional add-on costs)
- Self-pay price: $450 per infusion
For Chronic Pain Protocol
Chronic Pain Disorder Treatments involve a higher dose of Ketamine and last 2-3 hours. These treatments typically consist of at least 3 infusions depending on the type of pain syndrome you have but may require as many as 6 total sessions.
- With Insurance: $300 per pain infusion + copay and coinsurance*
Self-pay price: $600 per infusion
Accepted Insurance Companies List
|Aetna**||PPO, NAP, EPO, POS, Advocate HMO|
|Aetna Advantage, Aetna Classic, Aetna Basic, Aetna Open Choice||PPO|
|Beechstreet, Inc.(PPO Next)||PPO|
|Blue Cross Blue Shield PPO* Bronze, Silver, Gold (B, S, G), Blue Choice B, S, G, Blue PPO B, S, G, Blue Security PPO, Basic, Solution, Premier Multi-State Plan, Blue Options, Blue Edge, Blue Precision HMO, Advocate BCBS HMO, HMO Illinois||PPO|
|Blue Cross Medicare Advantage||Medicare HMO|
|Blue Precision and Blue Advantage||PPO|
|Cigna/ChoiceFund/Network/Great-West Healthcare||PPO, EPO, POS|
|Coventry (Personal Care)||PPO, POS, HMO|
|Humana, Humana National Preferred – ChoicePOS, Humana Advocate Centered HMO Plan, Humana HMO Premier/Open Access HMO, Humana HMO Select/Illinois Platinum HMO, Humana Medicare Advantage, Humana Illinois Coordinated Care Network (ICCN)||PPO, POS|
|Humana National Preferred – ChoicePOS||POS|
|United Healthcare (UHC)||PPO, POS, Navigate|
|United Healthcare Medicare and United Healthcare Medicare Advantage||PPO|
|Land of Lincoln: National Freedom, National Choice, National Preferred, National Complete, National Premier, National Confidence, National Elite SEIU – Local 4, UFCW Local 1546 Health & Welfare Fund (Union Medical Center)||PPO|
Additionally, we will accept any other PPO plan not on the above list. However, if we are not in-network with the PPO (not one of the companies listed above), the patient may be responsible for a larger portion than if they see a physician that is in their network.
We Now Take Blue Cross Blue Shield of Illinois HMO Advocate Plans.
List of Insurances We Do Not Take:
***We do not take IlliniCare Health Plans
***We do not take Blue Cross Blue Shield Community Family Health Plan
***We do not take Aetna Better Health, Aetna Premier Care, Aetna Managed Choice, Cigna HealthSpring ICP, Community Care Alliance, Community Care Plan, Family Health Network, Harmony / WellCare FHP Plan, Illinicare, Illinois Department of Public Aid, Meridian FHP/ACA Expansion, Meridian ICP, Meridian Health Plan, Molina ICP, Next Level ACA/FHP and anything that has FHP (Family Health Plan) or Community on the card
The HMO issue is a difficult one. Here’s our interpretation: If your BCBS HMO card has an affiliated hospital with it (Advocate, like Illinois Masonic) then we will take it. Other HMOs (Presence Health) will not cover your visit with us. Here’s what you need to do: Contact your insurance company. We suggest contacting your insurance company’s customer service department by calling the number located on your card to help you locate a provider.