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Ketamine infusions for pain covered by insurance (Medicare)?
Has anyone had ketamine infusions for pain covered by medicare insurance?
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Has anyone had ketamine infusions for pain covered by medicare insurance?
Interested in more discussions like this? Go to the Chronic Pain Support Group.
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@medicare94,
Welcome to Mayo Connect. I am sure you have already searched for an answer, but I did a little research as well.
Before Medicare will consider approving a drug, it must first be approved by the FDA for use in treating a specific condition. Ketamine is a Schedule III controlled substance that is FDA-approved for the induction and maintenance of general anesthesia. There are some references to a nasal spray for treatment-resistant depression.
I suggest you contact Medicare at 1-800-MEDICARE (1-800-633-4227) for the latest information.
You might also read the comments in this discussion about Ketamine for pain:
https://connect.mayoclinic.org/discussion/ketamine-for-chronic-pain/
@medicare94 you need to be more specific as to what is being treated. Ketamine comes I different formulations to treat different illnesses. Medicare does cover Ketamine for depression and PTSD just off the top of my head. It may also be covered to treat chronic pain but not by infusion.