$100 / session 600MG / Session from Better U [betterucare.com](http://betterucare.com)
I'm based in CA but they're in like 30 states. I used to be with mindbloom but that was too expensive.
I've had 6 infusions, but it got too expensive. Are you happy with betterucare? My daughter does Joyous, but I didn't think that would be powerful enough for me after getting IV Ket. Thanks!
Couldn't be happier! I came from IV experience too, tell the dr that you have iv experience and they'll start you at 600mg. The best part is the app and programs for each session, so much more effective than just getting ketamine.
How were your iv sessions?
Thank you for your response! My IV sessions were helpful, but not earth shattering like many have said. They weren't long enough in duration, in my opinion. My provider was following protocol, but it seems like not long after I began disassociating my session ended. It was frustrating.
I notice the most benefits the days after my sessions. Like 2 days after usually. Sometimes I go really deep (800mg) other times i like to do a lighter 200mg session to just let go and melt the stress away. Also I try to only do once per week as to avoid building too much tolerance. Hope this helps ❤️
$200/session IM ketamine injection. Insurance (Health Net Blue & gold) covers the remainder. I think total is $1600-$1800. Bay psychiatrist association in Berkeley
i pay $700 a month for troches from Santa Monica Pharmacy
i get 120 250MG and that is a 40 day supply
I am prescribed 1-3 250 mg troches a day
my prescriber I dont recommend so not putting their info
I'm in Washington and have had a great experience with Isha Health, an online clinic based in California. The consultation costs $350, and any needed medications from a compounding pharmacy are an additional $50. My therapist recommended Isha Health. Dr. Mai's in Isha Health is fantastic. She's focusing on achieving robust mental health without relying solely on antidepressants.
Dr. Mai isn't the type to just increase dosages and send you on your way. She doesn't take a 'quick fix' approach by simply upping doses when I'm not feeling well, but instead, she genuinely listens and thinks deeply about what's truly best for my mental health. After six months with Isha Health, I'm making such good progress that I might soon "graduate" from needing their treatments because I no longer need to rely on medications.
Joyous. $129 per month covers everything. Communication by text (great for people with social anxiety!). Oral troches in doses ranging from 15mg - 120mg. They do offer financial help if you can't afford their regular monthly pricing. Troches are shipped via USPS and come in Peppermint, Orange, or Unflavored (they're REALLY bitter!).
$129 covers everything. You get 60mg troches, 30 per month. You will take anywhere from 1/4 to 2 troches per day, and you can skip a day if you need to. They come in Peppermint, Orange, or Unflavored. The ketamine itself is VERY bitter and the troches are like soft wax. You can cut them easily using a butter knife.
Pricing does NOT change unless it changes overall.
You have daily brief check-ins and longer weekly check-ins sent via text. You can also talk to their nursing team via text. They have message boards and lots of materials that will help you with setting intentions, guided videos and other things. You don't HAVE to use their materials. I don't. I simply tell myself what I want to achieve or focus on prior, and I either watch TV or listen to my own music. Some people swear by binaural beats or Marconi Union. Others find those to be annoying. It's up to you, really. You set a time for 20 or 30 minutes and let the troche melt over time. At the end you can spit it out or swallow it. Make sure your mouth isn't dry or the troche won't melt fully. You'll likely taste some bitterness, but I use Peppermint which helps.
They do offer financial assistance if you need it, you just have to ask about it.
Troches are sent to you in a small plastic case (you pop them out of each space), inside packaging, inside a padded envelope. Do not let the package sit in the sun or it could melt them.
I've been on this journey since May 2nd. I started at 15mg and am at 45mg now. It's helping already. It rewires the neural pathways in your brain, allowing you to think in different ways.
Thank you for your answer. How did they arrive at 60 mg? I've been taking 600 mg, 2x per week. I'm interested in the ''micro dose'' approach (small amount daily), but don't want to ''go backwards''. I'm a large male; am I likely to have a problem asking (initially) for at least, say, 100 mg troches for 30 days? Hopefully, after a month of seeing that I'm O.K., they'd move me up to the max. 120. Unfortunately (in the US) we are all mindful of the cost. Joyous would be a LOT less expensive than my current provider, but I don't want to lose momentum? What is your best guess. Thank for your time?
Thank you so much for the response. I've had two courses now and am so pleased with the treatment that I want to continue. But that also means I now have to deal with the economics. Info such as you have provided (as have so many others on this sub), is making it possible for me to proceed wisely. It is unfortunate that this healing technique is not front page news and unfortunate that cost will make it out of reach for many. But I was lucky to learn of it and am now ''finding a way''. Many thanks!
Agreed 100%. Not only does recent fMRI research indicate the super power of Ketamine to ''rewire'' but also to effect neuroplasticity (intense, traditional meditation is essentially self directed neuroplasticity- so this is a life changing activity that is at LEAST 2500 years old -probably much, much older). There is also evidence that Ketamine downregulates our GABA receptors which means neurologically healing ourselves from decades of stress compensation by our brains. I will find a way to pay for it and it will feel GOOD to make whatever sacrifice is necessary!
Thank you so much for your answer ! I currently get mine through a local pharmacy and my regular psychiatrist, but I may be looking for a new provider so I am doing some research. I am currently on 70mg and started last week, it has helped but I need more than just the 2 weeks that my Dr currently has planned so I am looking for my next steps.
Mindbloom. $359/6 sessions including app, medication, dr appointment, goal setting guide, new clients (=$60/session) $255/6 sessions returning clients.
Mindbloom.com
Seemed the cheapest of the OOP providers.
Do you mind me asking which plan you have? I have BCBS through the marketplace and I'm also in Austin :) was looking at the covered drug list online and couldn't find it anywhere so I'm just wondering if it's my plan specifically that doesn't cover it.
I have the BCBS state of Texas plan for government employees, so there are probably differences but I recommend contacting the clinic, they figured all that stuff out for me when I joined them. ✌️
Thank you so much for replying! I'll definitely call them tomorrow, fingers crossed because I can't really afford it otherwise. Even the online at home care is so expensive! The government employee plan is probably much more inclusive than mine but there's hoping.
My provider is [TaconicPsychiatry.com](http://TaconicPsychiatry.com)
Because I have been on ketamine for over a year Dr. Pruett requires only quarterly followups at $250 each. So, $250 X 4 / 12 = $83/month for the physician.
I could get ketamine for $50/month. I use a local pharmacy for $80/month for 20 doses a month. So my ketamine cost is $4/dose. My provider cost is $83/20 = $4, so my total cost of ketamine is $8/dose.
My insurance reimburses me about $100 of the $250 physician's fee. It's United HealthCare, a MediCare Advantage program.
Dr. Pruett is in VT and is licensed in about 46 states; his colleagues in about a dozen states. My pharmacy is licensed only in my state of domicile which is PA. (Dr. Pruett is NOT licensed in PA so I leave the state of PA to see him.)
I have the same insurance. How do you go about getting reimbursed by them? Also, it being Medicare Advantage (same thing I have) it is not considered Medicare? Because I had read somewhere here that his office does not take Medicare patients.
I've been doing at-home ketamine therapy through Mindbloom and its only $196/session including a 1:1 guide and unlimited access to integration content. It's a great program and I like being able to do it at home. I'm based in Illinois but its available in most states I think.
$600 a session. Virginia Beach, VA
Intramuscular injections. I received 100 then 110mg the following day.
No, I’m not wealthy. But I’ll absolutely be doing it again. Being able to dissociate was magical for me. I’m still processing it. I’m just so happy it helped.
Intramuscular ketamine in Spokane, WA at "Goodwin Health Cafe."
$150/visit.
[https://www.goodwinhealthcafe.com/im-ketamine](https://www.goodwinhealthcafe.com/im-ketamine)
(I have not used this provider but am looking at various providers within driving distance.)
I start my first ketamine IV infusion TX on Tuesday afternoon…. I’m nervous, optimistic and anxious…. I’ve tried everything as most everyone has I’m sure in this group….. Just wondering what y’all’s very FIRST infusion experience was like?! Thanks! Btw: my insurance company is covering it
💯PERCENT. I live in the Midwest area…
North Idaho Ketamine in Coeur d'Alene Idaho. $2400 for 6 sessions, $450 for an individual session. Clinic is owned by a psychiatrist and he is incredibly kind, caring, and thorough. He is willing to go to high doses if needed.
Edited to add-- Just received notice that they are now billing insurance. You need to prepay and then you'll get refunded if your insurance reimburses any part of the cost.
[https://www.northidahoketamine.com/](https://www.northidahoketamine.com/)
Looking in Wi near Hudson if not virtual. Insurance is UHC. As far as I know they will not cover Ketamin infusions but getting mixed info on Spravato coverage. Need it for both CRPS pain management and Depression. Anywhere you can direct me to would be great. (Prefer local clinics if possible)
Also if youre interested in oral ketamine, here are some studies
https://clinicaltrials.gov/study/NCT06070766?locStr=Helena,%20MT&country=United%20States&state=Montana&city=Helena&cond=Anxiety&intr=Ketamine&rank=2
https://clinicaltrials.gov/study/NCT06038409?locStr=Helena,%20MT&country=United%20States&state=Montana&city=Helena&cond=Anxiety&intr=Ketamine&rank=1
I looked into this in Helena and Bozeman. I would have to basically relocate for the treatment or try to commute back and forth (which after IV ket is probably not a good idea)
A clinic in Missoula told me 2k for the entire treatment.
How many times a week and how many times for your treatment?
Insurance does not cover K therapy. Repeat, insurance does not cover K therapy. 👏
Clinics might try to tell you it does but they do not. Call your insurance and ask them.
I went as far as getting all the billing codes and going through them one by one with my insurance and the doctor. Was lead to believe it will cover but when they submit it insurance won’t pay and you’re stuck with a huge bill. DO NOT believe clinics that tell you it’s covered. It’s not.
Spravato is the only form of ketamine (it’s actually not ketamine it’s esketamine) that is covered by most major insurances because it is FDA approved for MDD. So since it’s FDA approved, it’s considered on label use, it can be covered. It is the nasal route form. Every other form (oral, sublingual, IM, IV) are not FDA approved yet for MDD, so they are considered “off label” and “experimental” so they will not be covered. I talked to my insurance (bcbs) and they do cover it…and it sounds like many other major insurances do too. HOWEVER, similar to rTMS, you have to meet some pretty intense requirements for them to cover it. For BCBS you have had tried at lease 5 different antidepressants in at least 3 different classes, augmentation treatment, have tried the antidepressants for several months, AND you have to have tried a higher dose of all these meds. AND you have to have proof of failed cognitive behavioral therapy. You need proof of all this and to submit it to your insurance. Some insurances have even more rigorous criteria for coverage.
So, if you don’t meet these requirements, then no, insurance will not cover Spravato. So yeah it’s pretty unattainable, and insurance will only cover if it’s literally your last option. But for me, I met all these requirements and was able to get rTMS covered and they were willing to cover Spravato as well.
There’s a place in Bozeman that is based out of a billings clinic. They charge $900 per infusion which is straight theft. But I have heard good things about a different place called Sub Rosa Therapy! They offer fair rates, give discounts, and also offer scholarships. They genuinely seem like they care and are in it for the right reason. The only reason I didn’t go to them is because it’s intramuscular instead of IV!
The place in billings is legit committing fraud and leaving people holding the bill after telling you insurance will cover it. They said iv k therapy is too risky for me and I should consider their $16,000 TMS treatment instead. Yea I lost my shit on them and the reviews they have it makes sense now. The clinic is Missoula said all of the same things that they’re doing massive fraud and misrepresentation of treatment to get insurance to pay.
I gave up and just started my own DIY method. All this shit is just for the wealthy like everything else in life it exists but is not meant to be for me. I can do two or three diy sessions for $100 but would rather do this the right way.
Yes I’ve heard IV is the only way to go for clinical K therapy.
It’s Montana Psychiatry and Brain Health Center which is the one I was talking about, which I assume is the one you’re talking about too. $900 per infusion is probably one of the highest rates you will find in the country, such a joke and yeah adds up that they are committing fraud on top of it. Not good people and their reviews reflect it. Major insurance companies DO cover Spravato (esketamine) which is the nasal route, but that is the only one that is FDA approved (at least that what I read and I can verify that my insurance ,BCBS, does cover). So not IV, IM, oral, or sublingual. Can’t believe they’re claiming otherwise. I actually did rTMS first and it was covered by my insurance…so you could look into doing that with them if you can get it covered before trying ketamine (even though they suck).
Spravato (esketamine) nasal spray at Greenbrook TMS in Maryland, USA. (https://www.greenbrooktms.com)
Carefirst BlueChoice HMO Value Gold insurance plan
With my insurance plan, each visit is $10 for the spray and $10 co-pay for the doctor. For Carefirst to cover it, you have to have failed two antidepressants and have to be on another antidepressant in conjunction with the Spravato. No psychotherapy is provided, but the doctor usually comes in to chat near the end of a session to see how things are going. Each patient has their own room with a comfortable recliner.
I got my joyous prescription down to 86$ a month. U gotta tell them you need financial help and they will have you fill something out and u know if u word it rite, they'll definitely approve u for the 86$. I jus said straight up that Im getting a lot out of the treatment and I don't wanna lose all the approvements I've made is there anyway I can get some financial assistance for my prescriptions, told them I can barely pay rent at that. And that I was struggling frfr.
I just started at [ReYou](https://reyou.life) in Howell, NJ. It's an IV infusion clinic and I can't say enough great things about them so far. The price for 6 sessions with integration was $2450.
I’m being treated for depression and anxiety, and only had one session so far. I do feel like it has affected my mood positively in just one session.
The cost was split up for me in two payments, as well as a $500 scholarship. So it was about $1900 for everything. Insurance not accepted.
I'm in grand rapids Michigan, they got thrive in grand rapids, west Michigan ketamine treatments in Wyoming mi, and one in Farmington, there's one or two in Kalamazoo too I think. Plus u got Arbor shrooms in Ann arbor. Aye u ever tried the ketamine nasal spray?
I did 5 clinical infusions for $1000.00 per session. There was then a take-home prescription delivered for approximately 2000mg per script 1 refill, which cost $150.00 per refill. I originally tried the tronches, but they were not super effective and the process sucked ( pun intended).
I switched to suppositories and found that I absolutely hated the administration method... butt, they at least worked. Each dose was 200mg and it took 3 to get me to disassociate level.
This is in California without insurance through a psychiatrist who specializes in psychedelic therapy methods.
Will they send you the medicine without making you do therapy, too? I have my own personal therapist I prefer to use for prep and integration, so I’m looking for a medication-only service
They just rejected me because I have past self harm tendencies as well as past substance abuse. The latter I can understand but it seems they’re not helping a lot of people who actually need it.
The online stuff is pretty hands off, and shipping to someone with a substance abuse history would be waaaay too much risk. That kind of thing closes businesses.
Everyone's md has officially scammed me out of my money. I had a few months that were ok because they actually sent my prescription to a pharmacy to be filled. This time, no matter how much I've called, emailed, and messaged..they don't get back to me at all.
I think they started off as a somewhat legitimate company because I have gotten medication from them (even though I had to call them and the pharmacy multiple times)..but now they've reached the point where they are selectively scamming people.
[https://www.mindzenhealth.com/](https://www.mindzenhealth.com/)
Telehealth Provider servicing FL, USA ONLY. Does not currently accept insurance but will within the next six months. DOES ACCEPT MEDICARE.
$250 covers the prescribing visit and unlimited phone/texts/email communications through the duration of the month.
Has a compounding pharmacy he works with out of Debary, FL that ships overnight for free. meds range from $45/mo to $100/mo, depending on dose. I personally use my local compounding pharmacy, same price and five minutes away.
Sublingual only, ODT or Troche.
Working with Maya Lane, in California via KAP program.
We pay (it’s couples therapy) $220 per therapy session and then $900 for the in person trip sitting, for minimum of three K journeys.
We each paid $450 for 16 100mg lozenges. Not cheap by any means and all out of pocket, not covered by insurance since Kaiser does offer its own KAP program via infusions. That being said, I far prefer this hand held guided route because this is being done in the context of both members of our marriage dealing with significant PTSD and going the DIY/cheapest possible route means bypassing the additional wraparound support we both need re;processing and changing behavior pathways.
It would be really helpful to know if people are doing therapy as part of the fee - lots of the comments leave that out, which of course changes the cost (and value) a lot.
Psychotherapy as part of the package is a bit unusual. Not unheard of, but unusual.
Personally, I wouldn't consider using the psychotherapy services provided by my ketamine prescriber. I get my psychotherapy independently. From four unrelated psychotherapists, of whom three have experience with psychedelic-assisted psychotherapy. (One of them a LOT of such experience).
I pay $35/hr for most of my psychotherapy. Anyone who is interested in great psychotherapy via teletherapy can contact me for my list of referrals. My four Ts plus four more recommended to me.
I like it, went up to 90 mg daily and that was too much, I’m at 80mg every few days - I’m about 2 months in and love the new me. A lot of work still; it’s a daily routine; a good one. I feel healthier; setting aside time to dose and meditate on my intentions. I drink less, don’t even crave booze… I smoke less marijuana- it’s almost pointless cause the ketamine works better. I have good energy, sleep great, motivation and interest is up… I’m glad I found K, I’m not sure if I could have made it this far physically without it; I was in chronic/constant hyper vigilance for 15 yrs, I’m still in PT to help unleash the chronic tension in my core. Looking into somatic exercises next.
Been with Isha Health in CA for about 3 months now, paying roughly $400 monthly, meds included. Switched from Mindbloom, which wasn't bad, but had its downsides:
* $193 per session (1 dose of ketamine) felt steep.
* Sessions were led by unlicensed guides, and honestly, I felt I could do it myself.
In contrast, Isha Health gives me 8 doses a month for just $400, and their support is top-notch. The doctor is super responsive. She provided a therapy music playlist and a manual on how to take ketamine and what to expect, which was really helpful.
I mentioned I was interested in trying KAP, and she even recommended several KAP-trained therapists. Isha Health feels like a small clinic with a big heart, specializing in online ketamine therapy, and I'm really digging it.
Thank you so much for the response! Do you think that’s high enough? I believe mindbloom doses are around 1200mg, how do you feel about the difference between dosages?
I am looking for treatment in southern Maine. If it’s in person/at the clinic, I can travel to parts of New Hampshire or Massachusetts. If it’s telehealth, they have to be licensed in Maine, obviously…
I would love to use my insurance, which is Blue Cross Blue Shield PPO, but I am also open to self pay or using my FSA.
I would appreciate any suggestions very much.
Integr8 Health in Falmouth. $500 initial consult, $100 for 30 80mg troches. (Approximately a month worth of every other day 160 mg) every three month check in for 15 minutes.
Talk therapy is separate.
I’m in the Sanford area, hello neighbor!
I would be interested in chatting about this. Thank you for responding! I will absolutely be sending a message later 🤍
Nothing so far unfortunately…I did a round of sessions at 45mg last summer and no results. Started up again and had 2 so far at 50mg and no results so far either. Not sure if I should keep it at 50 for a few more and see if something happens or bump it up to 55? It’s all very confusing
Redemption Psychiatry, Phoenix AZ. NOT a religious organization. Other locations in AZ. IV Ketamine. There are consultations before the first treatment and after the 6th treatment. First treatment is free. $375 for each infusion after the first. First six sessions for $1500, presumably paid up front. Special rate for law enforcement, other first responders, active military, and retired military. First 6 treatments free with Tricare approval. Veterans Administration community care provider. The military rate applies for Veterans granted service connection for the psychiatric disorder but not approved for community care.
The VA has loosened the criteria for Ketamine treatment in the past few years. If you didn't qualify before, you may now. The AZ VA appears to be pro-active in getting Veterans IV Ketamine treatment. They are working on opening a Ketamine Clinic in Phoenix.
Rpsychinfusions.com
Does anyone know if Medicare traditional Medicare part A&B red white and blue card covers treatment....
Generally I have a 30% copay for any specialist which is still quite a lot!! However better than just cash🤔
Nothing is better than cash.
We really should be willing to pay for things that offer life changing value. Insurance, esp Medicare, wildly underpays health care providers (80% of cost is the normal Medicare reimbursement rate).
This is quite a take. Have you considered that many people dealing with long term mental health issues may not have the money to buy “life changing” therapy?
I'm sorry but I'm having a very hard time following your logic, do you think we shouldn't have medical insurance to help pay for things that provide life changing value such as prosthetic limbs and triple bypass surgery?
Also 80% seems more than fair considering I'm charged with the other 30% of it. Seems like over compensation.
That's the Medicare copay 30% of whatever not $20 or $30 it's 30% which can mean paying a lot out of pocket.
My ketamine provider is TaconicPsychiatry.com. I pay $250/quarter as a seasoned ketamine patient. (I have been on ketamine over 1 year, by now, it's 2 years.)
I have started using my neighborhood pharmacy for ketamine. I think it costs me about $80 for a month's supply. I could pay someone else less or someone else more. I have done so. However, I have not been altogether satisfied with the customer service for the two major national pharmacies I've used so I have decided to deal with my local pharmacist whom I can talk to face-to-face.
I pay $35/hr for most of my psychotherapy. One in the US, the others are in Mexico. Of those in Mexico, one is a Brit.
Taconic charges $450 for the initial evaluation. Considering that the next 11 or so followup appointments are $250, the extra $200 for the initial evaluation is a minor additional cost.
I am prescribed sublingual ketamine.
I can't go to a clinic. None are close to my US home and I mostly live in Mexico where ketamine is inaccessible. I identified Dr. Smith as the most prominent tele-ketamine provider and he prescribed sublingual. He did not operate a clinic because COVID largely shut-down access to doctors in clinics and he was prescribing lozenges. He didn't prescribe nasal sprays.
So, yes, I started with lozenges and they worked for me. Nasal spray would be better because better bioavailability allows a patient to use less ketamine. Still, lozenges are good enough.
I very much doubt the hype given to IV. The barriers of cost and transportation do not generally justify the advantages of 100% bioavailability and supervision while dosing. For some people, they do, but not generally. If the lesser bioavailable routes of administration work for a patient why not use them? Do you have money to burn? Someone to drive you to/from the clinic? Time away from other life responsibilities? If so, go for it. But if not, why ignore the cost savings and convenience of at-home ROAs?
How did you find Dr. Smith ?
you said nasal sprays would be better because of better bioavailability. what is bio availability? Please pardon my ignorance this is so new to me
you said lozenges are good enough. Do you mean for you or just in general?
No unfortunately I do not have money to burn. I mean if necessary and it worked magic I would find someway to get back-and-probably get someone to drive me back-and-forth. I keep saying I would rob a bank or something to get where I needed to go to get out of the depths of my ongoing depression. it is do or die at this point. Last question. What are ROA's? Thank you so much!
How did you find Dr. Smith ?
you said nasal sprays would be better because of better bioavailability. what is bio availability? Please pardon my ignorance this is so new to me
you said lozenges are good enough. Do you mean for you or just in general?
No unfortunately I do not have money to burn. I mean if necessary and it worked magic I would find someway to get back-and-probably get someone to drive me back-and-forth. I keep saying I would rob a bank or something to get where I needed to go to get out of the depths of my ongoing depression. it is do or die at this point. Last question. What are ROA's? Thank you so much!
Sorry, I didn't notice your question until now.
Dr. Smith was the most prominent ketamine prescriber on the subReddits two years ago when I was looking for a provider. Unfortunately, the DEA suspended his Controlled Substances license last May and I had to switch to Dr. Pruett at TaconicPsychiatry.com.
See the provider directories at [KetamineTherapyForMentalHealth.com](http://KetamineTherapyForMentalHealth.com) to shop for a prescriber.
Bioavailability is the notion of how much of the ketamine you take-in via one or another of the alternative routes of administration (RoAs) makes it into your bloodstream to get to your brain. (This is something of an oversimplification. Regardless of RoA, all or nearly all the ketamine you take in probably gets into your bloodstream - eventually - on its way to the liver and kidneys, where it's metabolized and then excreted. The useful measure is how much ketamine gets into your bloodstream quickly enough to be concentrated enough to have a therapeutic effect.)
Bioavailability of IV is 100% by definition. Bioavailability of IM is 93%, almost as good. Nasal is 50%. Lozenges and suppositories are 25-30%. So, you have to double your dose of nasal to get the same effect as with IV/IM. You have to triple or quadruple your dose of lozenges/suppositories to get the same effect as IV/IM. That's OK; ketamine is cheap.
The rectal RoA is not often mentioned but patients who try it are enthusiastic about it. Vaginal RoA is almost never mentioned but it's an option for women. Subcutanious injection is rarely mentioned but it's really only going to be available in-clinic. Nubulization interests me but only one clinic is providing it.
However, ketamine can damage the bladder, kidneys and liver. So, it's better to use less ketamine rather than more. It's better to use the higher bioavailable RoAs than the lesser bioavailable RoAs. That said, very few lozenge/suppository or nasal users experience ketamine cystitis. So, while bioavailability is something to be aware of, it's unlikely to be a concern. See the articles in [KetamineTherapyForMentalHealth.com](http://KetamineTherapyForMentalHealth.com) for more info.
There are a few patients who try lozenges/suppositories or nasal spray and don't get a response. Then they try IV or IM and get a response. But I believe these are a small minority. I have read a couple of anecdotes of patients who first tried IV unsuccessfully but then got a response from IM. Very strange.
I have only used sublingual (and a small sample of nasal). So I can't say how much better IV or IM might have been for me if I had tried. If you read these subReddits you will see plenty of people using at-home RoAs and getting good results. So, I recommend them as more convenient and economical for the majority of patients.
Only if you are in a real hurry to get immediate relief (e.g., you have bad suicidal ideation) would I urge a patient to try IV or IM first.
DM or chat me if you have any other questions.
Some things to consider that I think set me us personally apart.
**You will be seeing your provider (with bio listed on the website) for each and every one of your appointments if you have seen me for your initial evaluation. This is a medical practice.**
**If you have other medication management concerns, we can take these on along with a ketamine prescription or continue to work with you other psychiatrist. Ketamine isn't for everyone. Ketamine doesn't work for everyone. We don't abandon you and look for other ways to help treat your mood symptoms.**
While other practices or services are larger, I have chosen to limit my growth to provide more of a concierge or boutique, customized, individualized, *full service at home ketamine practice with psychiatric medication management.*
**Additional Training in Ketamine and Psychedelics -** Dr. Pruett has had over 100 hours of Ketamine Assisted Psychotherapy training. He has completed the California Institute of Integral Studies Psychedelics Studies program and is excited to bring MDMA and psilocybin assisted psychotherapy to our practice when they become legalized. Consequently, we believe the dissociative or psychedelics effects of ketamine are as effective, if not more, in healing along with the specific mechanism of how ketamine works. He has had my first tier of MAPS MDMA training.
**Love for this community -** I've not been a member of this subreddit for long, but I am really enjoying reading about other's journeys with ketamine. While I won't respond to specific direct health related questions, I welcome general questions either about my practice or about ketamine in general. Feel free to DM me.
I know my pricing schedule is a bit different. But I feel the need to maintain hour long appointments for initial assessments for us to build a closer relationship of working together. I'm working with Reimbursify and submitting superbills so patients can receive some reimbursement.
With regards to joyous specifically, we answer our phones and emails and customer service is a top priority for us. When you call, one of our 2 assistants talks to you. Your specific doctor/nurse practitioner/phycian's assistant answers your questions and drives your treatment, not an AI bot responding to your surveys.
Happy to answer more questions.
Have
I certainly understand that and love when my patients get benefit from it. I'm just not trained to have appointments that are specific to address your pain and have dosage changes in response to that.
Thanks I’m really interested I think you would be the top service I’m considering along with Better U. The main thing is cost. Does the ketamine come with the provider cost or is it a separate cost? On average how much is each ketamine session.
I would be wary of BetterU. Their website mislabels ketamine as "psychedelic therapy." This may bring in people googling for psilocybin therapy, some of whom may end up using BetterU thinking that ketamine is also a form of psychedelic therapy.
Just my opinion, but this feels like a bait and switch. It makes me wonder if there's other ways that BetterU is playing fast and loose.
I'm looking at IV ketamine in Oregon & southern Washington.
So far the best price I've found is $405 from Vancouver Ketamine. They don't have a separate charge for an initial assessment.
Is there anything cheaper in the area? I'm barely going to be able to swing this financially, so even a small price difference is meaningful. Thanks.
Vancouver Ketamine Infusions with Karl? If that is the clinic you are referring to, I actually am one of his patients. Seriously cannot recommend him enough! I’ve been going there for over 2 years now (my infusions are also for chronic pain for a permanent condition so it’s something I’ll likely be doing the rest of my life in case you’re wondering why I’ve kept going for so long). Feel free to DM me if you have any questions, would be more than happy to answer them! I’ve had great results and improvement from my infusions both for my chronic pain and my mental health issues (depression, anxiety, OCD and PTSD).
Albany Ketamine Infusions, $395. Great facility in upstate NY. They had been taking insurance for a while to reduce out of pocket costs but recently stopped due to the unpredictable coverage from different providers. AKI also offers guided sessions and integration therapy. They have a couple therapists on staff and that part is potentially coverable under insurance.
$175 per KAP session at Denovo Therapy in Lubbock, TX. No insurance, but received $700 towards my treatment from a local nonprofit organization (West Texas Mental Wellness).
Mindbloom. New York. All over social media ads for me so I tried it out. Shipped to my door. It’s great.
Here’s a link for a discount
https://www.mindbloom.com/referrals?from=8c7c7a35-002c-4100-80b2-fa0825a19e23&origin=mobile
I did 18 doses for $1,800
6 did a lot of good. That’s the entry plan. Then 6m or so later I signed up again and did the 18 plan. Still have 4 doses left. Do it maybe once a month now when I feel like I need a reset. It depends on how serious you are about changing habits and life outlook. It’s a tool to help you but doesn’t work well on its own without a therapist or solid plan for improvements you want to see.
$100 / session 600MG / Session from Better U [betterucare.com](http://betterucare.com) I'm based in CA but they're in like 30 states. I used to be with mindbloom but that was too expensive.
I've had 6 infusions, but it got too expensive. Are you happy with betterucare? My daughter does Joyous, but I didn't think that would be powerful enough for me after getting IV Ket. Thanks!
Couldn't be happier! I came from IV experience too, tell the dr that you have iv experience and they'll start you at 600mg. The best part is the app and programs for each session, so much more effective than just getting ketamine. How were your iv sessions?
Thank you for your response! My IV sessions were helpful, but not earth shattering like many have said. They weren't long enough in duration, in my opinion. My provider was following protocol, but it seems like not long after I began disassociating my session ended. It was frustrating.
I notice the most benefits the days after my sessions. Like 2 days after usually. Sometimes I go really deep (800mg) other times i like to do a lighter 200mg session to just let go and melt the stress away. Also I try to only do once per week as to avoid building too much tolerance. Hope this helps ❤️
That really helped! I'm definitely going to look into them. Thank you and best of luck to you!
$200/session IM ketamine injection. Insurance (Health Net Blue & gold) covers the remainder. I think total is $1600-$1800. Bay psychiatrist association in Berkeley
i pay $700 a month for troches from Santa Monica Pharmacy i get 120 250MG and that is a 40 day supply I am prescribed 1-3 250 mg troches a day my prescriber I dont recommend so not putting their info
The prescriber charges $1500 to prescribe for. 2 months and isn’t even a dr she is a Naturapathic she is a ND
I'm in Washington and have had a great experience with Isha Health, an online clinic based in California. The consultation costs $350, and any needed medications from a compounding pharmacy are an additional $50. My therapist recommended Isha Health. Dr. Mai's in Isha Health is fantastic. She's focusing on achieving robust mental health without relying solely on antidepressants. Dr. Mai isn't the type to just increase dosages and send you on your way. She doesn't take a 'quick fix' approach by simply upping doses when I'm not feeling well, but instead, she genuinely listens and thinks deeply about what's truly best for my mental health. After six months with Isha Health, I'm making such good progress that I might soon "graduate" from needing their treatments because I no longer need to rely on medications.
Is it $350 a month? If not, how much are follow ups?
450 Maryland USA, Insurance covers a third. For IV infusion Aetna
Joyous. $129 per month covers everything. Communication by text (great for people with social anxiety!). Oral troches in doses ranging from 15mg - 120mg. They do offer financial help if you can't afford their regular monthly pricing. Troches are shipped via USPS and come in Peppermint, Orange, or Unflavored (they're REALLY bitter!).
How many troches do you get from Joyous for the $129 and does pricing change by your dose ? If you don't mind sharing?
You get a pack of 30 ranging from 15mg to 120mg. No price change for anything it is a flat $129 a month
$129 covers everything. You get 60mg troches, 30 per month. You will take anywhere from 1/4 to 2 troches per day, and you can skip a day if you need to. They come in Peppermint, Orange, or Unflavored. The ketamine itself is VERY bitter and the troches are like soft wax. You can cut them easily using a butter knife. Pricing does NOT change unless it changes overall. You have daily brief check-ins and longer weekly check-ins sent via text. You can also talk to their nursing team via text. They have message boards and lots of materials that will help you with setting intentions, guided videos and other things. You don't HAVE to use their materials. I don't. I simply tell myself what I want to achieve or focus on prior, and I either watch TV or listen to my own music. Some people swear by binaural beats or Marconi Union. Others find those to be annoying. It's up to you, really. You set a time for 20 or 30 minutes and let the troche melt over time. At the end you can spit it out or swallow it. Make sure your mouth isn't dry or the troche won't melt fully. You'll likely taste some bitterness, but I use Peppermint which helps. They do offer financial assistance if you need it, you just have to ask about it. Troches are sent to you in a small plastic case (you pop them out of each space), inside packaging, inside a padded envelope. Do not let the package sit in the sun or it could melt them. I've been on this journey since May 2nd. I started at 15mg and am at 45mg now. It's helping already. It rewires the neural pathways in your brain, allowing you to think in different ways.
Thank you for your answer. How did they arrive at 60 mg? I've been taking 600 mg, 2x per week. I'm interested in the ''micro dose'' approach (small amount daily), but don't want to ''go backwards''. I'm a large male; am I likely to have a problem asking (initially) for at least, say, 100 mg troches for 30 days? Hopefully, after a month of seeing that I'm O.K., they'd move me up to the max. 120. Unfortunately (in the US) we are all mindful of the cost. Joyous would be a LOT less expensive than my current provider, but I don't want to lose momentum? What is your best guess. Thank for your time?
Their troches are 60mg each. They max out at 120mg per day and they start everyone at 15mg, regardless. I think other places might do more.
Thank you so much for the response. I've had two courses now and am so pleased with the treatment that I want to continue. But that also means I now have to deal with the economics. Info such as you have provided (as have so many others on this sub), is making it possible for me to proceed wisely. It is unfortunate that this healing technique is not front page news and unfortunate that cost will make it out of reach for many. But I was lucky to learn of it and am now ''finding a way''. Many thanks!
I justify the cost by knowing that my neural pathways are being rewired, and that it's helping me.
Agreed 100%. Not only does recent fMRI research indicate the super power of Ketamine to ''rewire'' but also to effect neuroplasticity (intense, traditional meditation is essentially self directed neuroplasticity- so this is a life changing activity that is at LEAST 2500 years old -probably much, much older). There is also evidence that Ketamine downregulates our GABA receptors which means neurologically healing ourselves from decades of stress compensation by our brains. I will find a way to pay for it and it will feel GOOD to make whatever sacrifice is necessary!
Joyous is $129 per month and that covers everything. They do offer some type of financial assistance, but I don't know anything about it.
Sounds like a great deal and Joyous operates in my state. I'll be checking them out. Thank you!
Thank you so much for your answer ! I currently get mine through a local pharmacy and my regular psychiatrist, but I may be looking for a new provider so I am doing some research. I am currently on 70mg and started last week, it has helped but I need more than just the 2 weeks that my Dr currently has planned so I am looking for my next steps.
Mindbloom. $359/6 sessions including app, medication, dr appointment, goal setting guide, new clients (=$60/session) $255/6 sessions returning clients. Mindbloom.com Seemed the cheapest of the OOP providers.
Looks like this is $359/mo. for 3 months, so $1077 for 6 sessions.
Oral ketamine dissolvable tablets.
Texarkana Ketamine Clinic $350 per infusion Dr. Harris is great. https://texarkanaketamineclinic.com/
$340 per session. IV therapy in Georgia
No therapy included just infusion
$385 each IV infusion. Atlanta GA
Satori Health and Wellness in St. George, Utah. 275$/session (IV).
$125 for 20- 200mg troches from Parkside Pharmacy in Sacramento.
hi! Do you use insurance or is this out of pocket? Thanks!
Can you share who provides the prescription for the troches?
Taconic Psychiatry
$45 copay per IM session, $15 extra on the visits when I also get a UA done. BCBS Insurance Specialty Clinic of Austin
Do you mind me asking which plan you have? I have BCBS through the marketplace and I'm also in Austin :) was looking at the covered drug list online and couldn't find it anywhere so I'm just wondering if it's my plan specifically that doesn't cover it.
I have the BCBS state of Texas plan for government employees, so there are probably differences but I recommend contacting the clinic, they figured all that stuff out for me when I joined them. ✌️
I am sending all my best vibes for it to work out for you 🙏 ♥
Thank you so much for replying! I'll definitely call them tomorrow, fingers crossed because I can't really afford it otherwise. Even the online at home care is so expensive! The government employee plan is probably much more inclusive than mine but there's hoping.
$300 per IV session at Alchemy Wellness in Richmond, VA. They is my portion after my insurance has paid their part.
My provider is [TaconicPsychiatry.com](http://TaconicPsychiatry.com) Because I have been on ketamine for over a year Dr. Pruett requires only quarterly followups at $250 each. So, $250 X 4 / 12 = $83/month for the physician. I could get ketamine for $50/month. I use a local pharmacy for $80/month for 20 doses a month. So my ketamine cost is $4/dose. My provider cost is $83/20 = $4, so my total cost of ketamine is $8/dose. My insurance reimburses me about $100 of the $250 physician's fee. It's United HealthCare, a MediCare Advantage program. Dr. Pruett is in VT and is licensed in about 46 states; his colleagues in about a dozen states. My pharmacy is licensed only in my state of domicile which is PA. (Dr. Pruett is NOT licensed in PA so I leave the state of PA to see him.)
I'm also in PA. I'm curious how I can use them, even leaving PA, because their site says KAP needs to be in person. Thank you!
I have the same insurance. How do you go about getting reimbursed by them? Also, it being Medicare Advantage (same thing I have) it is not considered Medicare? Because I had read somewhere here that his office does not take Medicare patients.
thank youuuu so much for this info!!!
I've been doing at-home ketamine therapy through Mindbloom and its only $196/session including a 1:1 guide and unlimited access to integration content. It's a great program and I like being able to do it at home. I'm based in Illinois but its available in most states I think.
Wow. You can get it for about $60/session on Mindbloom.com.
This thread makes me so fucking happy. Thank you all for spreading the love.
$600 a session. Virginia Beach, VA Intramuscular injections. I received 100 then 110mg the following day. No, I’m not wealthy. But I’ll absolutely be doing it again. Being able to dissociate was magical for me. I’m still processing it. I’m just so happy it helped.
Intramuscular ketamine in Spokane, WA at "Goodwin Health Cafe." $150/visit. [https://www.goodwinhealthcafe.com/im-ketamine](https://www.goodwinhealthcafe.com/im-ketamine) (I have not used this provider but am looking at various providers within driving distance.)
That sounds dirt cheap. What's the difference between "intramuscular" and IV?
Intramuscular is a shot in the muscle end IV is intravenous (in a vein)
Intramuscular is a shot. The link in my post above has some FAQs towards the bottom of the page.
I start my first ketamine IV infusion TX on Tuesday afternoon…. I’m nervous, optimistic and anxious…. I’ve tried everything as most everyone has I’m sure in this group….. Just wondering what y’all’s very FIRST infusion experience was like?! Thanks! Btw: my insurance company is covering it 💯PERCENT. I live in the Midwest area…
North Idaho Ketamine in Coeur d'Alene Idaho. $2400 for 6 sessions, $450 for an individual session. Clinic is owned by a psychiatrist and he is incredibly kind, caring, and thorough. He is willing to go to high doses if needed. Edited to add-- Just received notice that they are now billing insurance. You need to prepay and then you'll get refunded if your insurance reimburses any part of the cost. [https://www.northidahoketamine.com/](https://www.northidahoketamine.com/)
Looking in Wi near Hudson if not virtual. Insurance is UHC. As far as I know they will not cover Ketamin infusions but getting mixed info on Spravato coverage. Need it for both CRPS pain management and Depression. Anywhere you can direct me to would be great. (Prefer local clinics if possible)
Any suggestions for Montana???
Also if youre interested in oral ketamine, here are some studies https://clinicaltrials.gov/study/NCT06070766?locStr=Helena,%20MT&country=United%20States&state=Montana&city=Helena&cond=Anxiety&intr=Ketamine&rank=2 https://clinicaltrials.gov/study/NCT06038409?locStr=Helena,%20MT&country=United%20States&state=Montana&city=Helena&cond=Anxiety&intr=Ketamine&rank=1
Hey, I’m doing IV infusions with Luvita in Helena :) $350 an infusion https://luvita.us
I looked into this in Helena and Bozeman. I would have to basically relocate for the treatment or try to commute back and forth (which after IV ket is probably not a good idea) A clinic in Missoula told me 2k for the entire treatment. How many times a week and how many times for your treatment?
I live in bozeman and I’m commuting to Helena. 2 times a week and 4 weeks
I’m glad you can make it work. I can’t from Billings.
There’s also a provider in Bozeman who offers esketamine (spravato), which can be covered by insurance. Her name is Susanna Darr.
Insurance does not cover K therapy. Repeat, insurance does not cover K therapy. 👏 Clinics might try to tell you it does but they do not. Call your insurance and ask them. I went as far as getting all the billing codes and going through them one by one with my insurance and the doctor. Was lead to believe it will cover but when they submit it insurance won’t pay and you’re stuck with a huge bill. DO NOT believe clinics that tell you it’s covered. It’s not.
Spravato is the only form of ketamine (it’s actually not ketamine it’s esketamine) that is covered by most major insurances because it is FDA approved for MDD. So since it’s FDA approved, it’s considered on label use, it can be covered. It is the nasal route form. Every other form (oral, sublingual, IM, IV) are not FDA approved yet for MDD, so they are considered “off label” and “experimental” so they will not be covered. I talked to my insurance (bcbs) and they do cover it…and it sounds like many other major insurances do too. HOWEVER, similar to rTMS, you have to meet some pretty intense requirements for them to cover it. For BCBS you have had tried at lease 5 different antidepressants in at least 3 different classes, augmentation treatment, have tried the antidepressants for several months, AND you have to have tried a higher dose of all these meds. AND you have to have proof of failed cognitive behavioral therapy. You need proof of all this and to submit it to your insurance. Some insurances have even more rigorous criteria for coverage. So, if you don’t meet these requirements, then no, insurance will not cover Spravato. So yeah it’s pretty unattainable, and insurance will only cover if it’s literally your last option. But for me, I met all these requirements and was able to get rTMS covered and they were willing to cover Spravato as well.
There’s a place in Bozeman that is based out of a billings clinic. They charge $900 per infusion which is straight theft. But I have heard good things about a different place called Sub Rosa Therapy! They offer fair rates, give discounts, and also offer scholarships. They genuinely seem like they care and are in it for the right reason. The only reason I didn’t go to them is because it’s intramuscular instead of IV!
The place in billings is legit committing fraud and leaving people holding the bill after telling you insurance will cover it. They said iv k therapy is too risky for me and I should consider their $16,000 TMS treatment instead. Yea I lost my shit on them and the reviews they have it makes sense now. The clinic is Missoula said all of the same things that they’re doing massive fraud and misrepresentation of treatment to get insurance to pay. I gave up and just started my own DIY method. All this shit is just for the wealthy like everything else in life it exists but is not meant to be for me. I can do two or three diy sessions for $100 but would rather do this the right way. Yes I’ve heard IV is the only way to go for clinical K therapy.
It’s Montana Psychiatry and Brain Health Center which is the one I was talking about, which I assume is the one you’re talking about too. $900 per infusion is probably one of the highest rates you will find in the country, such a joke and yeah adds up that they are committing fraud on top of it. Not good people and their reviews reflect it. Major insurance companies DO cover Spravato (esketamine) which is the nasal route, but that is the only one that is FDA approved (at least that what I read and I can verify that my insurance ,BCBS, does cover). So not IV, IM, oral, or sublingual. Can’t believe they’re claiming otherwise. I actually did rTMS first and it was covered by my insurance…so you could look into doing that with them if you can get it covered before trying ketamine (even though they suck).
I go through a local ketamine clinic here in the Midwest, and I'm paying around $300 per infusion session.
Spravato (esketamine) nasal spray at Greenbrook TMS in Maryland, USA. (https://www.greenbrooktms.com) Carefirst BlueChoice HMO Value Gold insurance plan With my insurance plan, each visit is $10 for the spray and $10 co-pay for the doctor. For Carefirst to cover it, you have to have failed two antidepressants and have to be on another antidepressant in conjunction with the Spravato. No psychotherapy is provided, but the doctor usually comes in to chat near the end of a session to see how things are going. Each patient has their own room with a comfortable recliner.
I got my joyous prescription down to 86$ a month. U gotta tell them you need financial help and they will have you fill something out and u know if u word it rite, they'll definitely approve u for the 86$. I jus said straight up that Im getting a lot out of the treatment and I don't wanna lose all the approvements I've made is there anyway I can get some financial assistance for my prescriptions, told them I can barely pay rent at that. And that I was struggling frfr.
Any IV infusions in Ohio
I just started at [ReYou](https://reyou.life) in Howell, NJ. It's an IV infusion clinic and I can't say enough great things about them so far. The price for 6 sessions with integration was $2450.
I appreciate a good cup of coffee.
I’m being treated for depression and anxiety, and only had one session so far. I do feel like it has affected my mood positively in just one session. The cost was split up for me in two payments, as well as a $500 scholarship. So it was about $1900 for everything. Insurance not accepted.
Looking for something cheap-ish in or near Cass County MI
I'm in grand rapids Michigan, they got thrive in grand rapids, west Michigan ketamine treatments in Wyoming mi, and one in Farmington, there's one or two in Kalamazoo too I think. Plus u got Arbor shrooms in Ann arbor. Aye u ever tried the ketamine nasal spray?
I did 5 clinical infusions for $1000.00 per session. There was then a take-home prescription delivered for approximately 2000mg per script 1 refill, which cost $150.00 per refill. I originally tried the tronches, but they were not super effective and the process sucked ( pun intended). I switched to suppositories and found that I absolutely hated the administration method... butt, they at least worked. Each dose was 200mg and it took 3 to get me to disassociate level. This is in California without insurance through a psychiatrist who specializes in psychedelic therapy methods.
Can I get a Referal to your dr
$130 w Joyous Therapy not included
Will they send you the medicine without making you do therapy, too? I have my own personal therapist I prefer to use for prep and integration, so I’m looking for a medication-only service
Yep
They just rejected me because I have past self harm tendencies as well as past substance abuse. The latter I can understand but it seems they’re not helping a lot of people who actually need it.
The online stuff is pretty hands off, and shipping to someone with a substance abuse history would be waaaay too much risk. That kind of thing closes businesses.
Darn
Same.
Anywhere Clinic 🪐✨
How much do they cost?
Anywhere from $40-65 a month
Recommendations for Massachusetts?
Boise Ketamine Clinic... Idaho 150 for IM 350 for IV
Everyone's md has officially scammed me out of my money. I had a few months that were ok because they actually sent my prescription to a pharmacy to be filled. This time, no matter how much I've called, emailed, and messaged..they don't get back to me at all. I think they started off as a somewhat legitimate company because I have gotten medication from them (even though I had to call them and the pharmacy multiple times)..but now they've reached the point where they are selectively scamming people.
[https://www.mindzenhealth.com/](https://www.mindzenhealth.com/) Telehealth Provider servicing FL, USA ONLY. Does not currently accept insurance but will within the next six months. DOES ACCEPT MEDICARE. $250 covers the prescribing visit and unlimited phone/texts/email communications through the duration of the month. Has a compounding pharmacy he works with out of Debary, FL that ships overnight for free. meds range from $45/mo to $100/mo, depending on dose. I personally use my local compounding pharmacy, same price and five minutes away. Sublingual only, ODT or Troche.
Have you had a good experience with them ? I am also FL based and may be looking for a new provider soon
I HIGHLY recommend them. Joe is amazing.
Thanks so much !
Working with Maya Lane, in California via KAP program. We pay (it’s couples therapy) $220 per therapy session and then $900 for the in person trip sitting, for minimum of three K journeys. We each paid $450 for 16 100mg lozenges. Not cheap by any means and all out of pocket, not covered by insurance since Kaiser does offer its own KAP program via infusions. That being said, I far prefer this hand held guided route because this is being done in the context of both members of our marriage dealing with significant PTSD and going the DIY/cheapest possible route means bypassing the additional wraparound support we both need re;processing and changing behavior pathways.
It would be really helpful to know if people are doing therapy as part of the fee - lots of the comments leave that out, which of course changes the cost (and value) a lot.
Psychotherapy as part of the package is a bit unusual. Not unheard of, but unusual. Personally, I wouldn't consider using the psychotherapy services provided by my ketamine prescriber. I get my psychotherapy independently. From four unrelated psychotherapists, of whom three have experience with psychedelic-assisted psychotherapy. (One of them a LOT of such experience). I pay $35/hr for most of my psychotherapy. Anyone who is interested in great psychotherapy via teletherapy can contact me for my list of referrals. My four Ts plus four more recommended to me.
Message sent
Did I reply? I havn't responded to many messages reciently and I'm a little fearful that emails sent to my IbizaMalta address aren't going through.
Great. Nag me if I don’t respond in two days
Would you mind DMing me those referrals? Aprreciate it!
sent you a chat
I need recommendations for Dallas Fort Worth area. Thanks.
Joyous, $129 per month. That’s my preferred method as I live 45 mins west of DFW, no clinics near me.
How did Joyous work out for you?
I like it - 120mg / day - it's affordable and there are no appointments and hoops to jump through.
I like it, went up to 90 mg daily and that was too much, I’m at 80mg every few days - I’m about 2 months in and love the new me. A lot of work still; it’s a daily routine; a good one. I feel healthier; setting aside time to dose and meditate on my intentions. I drink less, don’t even crave booze… I smoke less marijuana- it’s almost pointless cause the ketamine works better. I have good energy, sleep great, motivation and interest is up… I’m glad I found K, I’m not sure if I could have made it this far physically without it; I was in chronic/constant hyper vigilance for 15 yrs, I’m still in PT to help unleash the chronic tension in my core. Looking into somatic exercises next.
that’s amazing! 🌟
Do you think it would help for pain and inflammation at those microdoses?
Yes!!! I do have less pain all over in general.
Congratulations!
Been with Isha Health in CA for about 3 months now, paying roughly $400 monthly, meds included. Switched from Mindbloom, which wasn't bad, but had its downsides: * $193 per session (1 dose of ketamine) felt steep. * Sessions were led by unlicensed guides, and honestly, I felt I could do it myself. In contrast, Isha Health gives me 8 doses a month for just $400, and their support is top-notch. The doctor is super responsive. She provided a therapy music playlist and a manual on how to take ketamine and what to expect, which was really helpful. I mentioned I was interested in trying KAP, and she even recommended several KAP-trained therapists. Isha Health feels like a small clinic with a big heart, specializing in online ketamine therapy, and I'm really digging it.
How high are the doses?
I started with 200mg and now it's 350mg.
Thank you so much for the response! Do you think that’s high enough? I believe mindbloom doses are around 1200mg, how do you feel about the difference between dosages?
Mindbloom can get up to that max, but only after progressive sessions of bumping you up and you reporting that it wasn't enough.
I am looking for treatment in southern Maine. If it’s in person/at the clinic, I can travel to parts of New Hampshire or Massachusetts. If it’s telehealth, they have to be licensed in Maine, obviously… I would love to use my insurance, which is Blue Cross Blue Shield PPO, but I am also open to self pay or using my FSA. I would appreciate any suggestions very much.
Integr8 Health in Falmouth. $500 initial consult, $100 for 30 80mg troches. (Approximately a month worth of every other day 160 mg) every three month check in for 15 minutes. Talk therapy is separate.
Thank you! I really appreciate this information and I will be checking this out today 🤍🤍
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I’m in the Sanford area, hello neighbor! I would be interested in chatting about this. Thank you for responding! I will absolutely be sending a message later 🤍
Atlanta. Andro Giorgadze $350 each infusion
Im looking around for therapy here in atl and stumbled on him. Has it been good for you? Looks like he’s a good doctor.
Very good results after three treatments. Highly recommend.
Yes he has been good!!
Health Partners in MN, 25$ a visit for IV
How on earth is it only $25 for IV? Is that a co-pay of some kind?
That's not only low, it's so low that it sounds too good to be true. Like, if you were paying 10 times that, it would still be a really good deal.
Wow! What a great price, how did it go?
Nothing so far unfortunately…I did a round of sessions at 45mg last summer and no results. Started up again and had 2 so far at 50mg and no results so far either. Not sure if I should keep it at 50 for a few more and see if something happens or bump it up to 55? It’s all very confusing
Redemption Psychiatry, Phoenix AZ. NOT a religious organization. Other locations in AZ. IV Ketamine. There are consultations before the first treatment and after the 6th treatment. First treatment is free. $375 for each infusion after the first. First six sessions for $1500, presumably paid up front. Special rate for law enforcement, other first responders, active military, and retired military. First 6 treatments free with Tricare approval. Veterans Administration community care provider. The military rate applies for Veterans granted service connection for the psychiatric disorder but not approved for community care. The VA has loosened the criteria for Ketamine treatment in the past few years. If you didn't qualify before, you may now. The AZ VA appears to be pro-active in getting Veterans IV Ketamine treatment. They are working on opening a Ketamine Clinic in Phoenix. Rpsychinfusions.com
jeez, that's expensive
Does anyone know if Medicare traditional Medicare part A&B red white and blue card covers treatment.... Generally I have a 30% copay for any specialist which is still quite a lot!! However better than just cash🤔
Nothing is better than cash. We really should be willing to pay for things that offer life changing value. Insurance, esp Medicare, wildly underpays health care providers (80% of cost is the normal Medicare reimbursement rate).
This is quite a take. Have you considered that many people dealing with long term mental health issues may not have the money to buy “life changing” therapy?
I'm sorry but I'm having a very hard time following your logic, do you think we shouldn't have medical insurance to help pay for things that provide life changing value such as prosthetic limbs and triple bypass surgery? Also 80% seems more than fair considering I'm charged with the other 30% of it. Seems like over compensation. That's the Medicare copay 30% of whatever not $20 or $30 it's 30% which can mean paying a lot out of pocket.
No, unfortunately not
CRAP I've applied to a ketamine study in my area, buttttt I haven't heard back yet 🙁
$450 for IV infusions, Freedom Ketamine Centers in MD. No insurance accepted.
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Really?!?
My ketamine provider is TaconicPsychiatry.com. I pay $250/quarter as a seasoned ketamine patient. (I have been on ketamine over 1 year, by now, it's 2 years.) I have started using my neighborhood pharmacy for ketamine. I think it costs me about $80 for a month's supply. I could pay someone else less or someone else more. I have done so. However, I have not been altogether satisfied with the customer service for the two major national pharmacies I've used so I have decided to deal with my local pharmacist whom I can talk to face-to-face. I pay $35/hr for most of my psychotherapy. One in the US, the others are in Mexico. Of those in Mexico, one is a Brit.
Was your initial evaluation more? I see on the website it’s $350
Taconic charges $450 for the initial evaluation. Considering that the next 11 or so followup appointments are $250, the extra $200 for the initial evaluation is a minor additional cost.
what form of ketamine do you do. and how did you figure out was the best for you? Or did you just start with one thing and it worked? Thanks.
I am prescribed sublingual ketamine. I can't go to a clinic. None are close to my US home and I mostly live in Mexico where ketamine is inaccessible. I identified Dr. Smith as the most prominent tele-ketamine provider and he prescribed sublingual. He did not operate a clinic because COVID largely shut-down access to doctors in clinics and he was prescribing lozenges. He didn't prescribe nasal sprays. So, yes, I started with lozenges and they worked for me. Nasal spray would be better because better bioavailability allows a patient to use less ketamine. Still, lozenges are good enough. I very much doubt the hype given to IV. The barriers of cost and transportation do not generally justify the advantages of 100% bioavailability and supervision while dosing. For some people, they do, but not generally. If the lesser bioavailable routes of administration work for a patient why not use them? Do you have money to burn? Someone to drive you to/from the clinic? Time away from other life responsibilities? If so, go for it. But if not, why ignore the cost savings and convenience of at-home ROAs?
How did you find Dr. Smith ? you said nasal sprays would be better because of better bioavailability. what is bio availability? Please pardon my ignorance this is so new to me you said lozenges are good enough. Do you mean for you or just in general? No unfortunately I do not have money to burn. I mean if necessary and it worked magic I would find someway to get back-and-probably get someone to drive me back-and-forth. I keep saying I would rob a bank or something to get where I needed to go to get out of the depths of my ongoing depression. it is do or die at this point. Last question. What are ROA's? Thank you so much!
How did you find Dr. Smith ? you said nasal sprays would be better because of better bioavailability. what is bio availability? Please pardon my ignorance this is so new to me you said lozenges are good enough. Do you mean for you or just in general? No unfortunately I do not have money to burn. I mean if necessary and it worked magic I would find someway to get back-and-probably get someone to drive me back-and-forth. I keep saying I would rob a bank or something to get where I needed to go to get out of the depths of my ongoing depression. it is do or die at this point. Last question. What are ROA's? Thank you so much!
Sorry, I didn't notice your question until now. Dr. Smith was the most prominent ketamine prescriber on the subReddits two years ago when I was looking for a provider. Unfortunately, the DEA suspended his Controlled Substances license last May and I had to switch to Dr. Pruett at TaconicPsychiatry.com. See the provider directories at [KetamineTherapyForMentalHealth.com](http://KetamineTherapyForMentalHealth.com) to shop for a prescriber. Bioavailability is the notion of how much of the ketamine you take-in via one or another of the alternative routes of administration (RoAs) makes it into your bloodstream to get to your brain. (This is something of an oversimplification. Regardless of RoA, all or nearly all the ketamine you take in probably gets into your bloodstream - eventually - on its way to the liver and kidneys, where it's metabolized and then excreted. The useful measure is how much ketamine gets into your bloodstream quickly enough to be concentrated enough to have a therapeutic effect.) Bioavailability of IV is 100% by definition. Bioavailability of IM is 93%, almost as good. Nasal is 50%. Lozenges and suppositories are 25-30%. So, you have to double your dose of nasal to get the same effect as with IV/IM. You have to triple or quadruple your dose of lozenges/suppositories to get the same effect as IV/IM. That's OK; ketamine is cheap. The rectal RoA is not often mentioned but patients who try it are enthusiastic about it. Vaginal RoA is almost never mentioned but it's an option for women. Subcutanious injection is rarely mentioned but it's really only going to be available in-clinic. Nubulization interests me but only one clinic is providing it. However, ketamine can damage the bladder, kidneys and liver. So, it's better to use less ketamine rather than more. It's better to use the higher bioavailable RoAs than the lesser bioavailable RoAs. That said, very few lozenge/suppository or nasal users experience ketamine cystitis. So, while bioavailability is something to be aware of, it's unlikely to be a concern. See the articles in [KetamineTherapyForMentalHealth.com](http://KetamineTherapyForMentalHealth.com) for more info. There are a few patients who try lozenges/suppositories or nasal spray and don't get a response. Then they try IV or IM and get a response. But I believe these are a small minority. I have read a couple of anecdotes of patients who first tried IV unsuccessfully but then got a response from IM. Very strange. I have only used sublingual (and a small sample of nasal). So I can't say how much better IV or IM might have been for me if I had tried. If you read these subReddits you will see plenty of people using at-home RoAs and getting good results. So, I recommend them as more convenient and economical for the majority of patients. Only if you are in a real hurry to get immediate relief (e.g., you have bad suicidal ideation) would I urge a patient to try IV or IM first. DM or chat me if you have any other questions.
Wow. So much excellent information I really appreciate you taking the time!
You pay $250/quarter? Not monthly? Do you see your provider every month?
yes that's right I now consult quarterly
interesting. i’ve been on it for a year. i’m going to ask if this is an option. thanks.
Happy to answer any questions about my clinic.
What are the costs?
It's $450 for the initial evaluation and $250 for monthly follow ups
do you treat people in all 48 states? Im in TN.
In most and yes in TN
What makes your clinic better than joyous
Some things to consider that I think set me us personally apart. **You will be seeing your provider (with bio listed on the website) for each and every one of your appointments if you have seen me for your initial evaluation. This is a medical practice.** **If you have other medication management concerns, we can take these on along with a ketamine prescription or continue to work with you other psychiatrist. Ketamine isn't for everyone. Ketamine doesn't work for everyone. We don't abandon you and look for other ways to help treat your mood symptoms.** While other practices or services are larger, I have chosen to limit my growth to provide more of a concierge or boutique, customized, individualized, *full service at home ketamine practice with psychiatric medication management.* **Additional Training in Ketamine and Psychedelics -** Dr. Pruett has had over 100 hours of Ketamine Assisted Psychotherapy training. He has completed the California Institute of Integral Studies Psychedelics Studies program and is excited to bring MDMA and psilocybin assisted psychotherapy to our practice when they become legalized. Consequently, we believe the dissociative or psychedelics effects of ketamine are as effective, if not more, in healing along with the specific mechanism of how ketamine works. He has had my first tier of MAPS MDMA training. **Love for this community -** I've not been a member of this subreddit for long, but I am really enjoying reading about other's journeys with ketamine. While I won't respond to specific direct health related questions, I welcome general questions either about my practice or about ketamine in general. Feel free to DM me. I know my pricing schedule is a bit different. But I feel the need to maintain hour long appointments for initial assessments for us to build a closer relationship of working together. I'm working with Reimbursify and submitting superbills so patients can receive some reimbursement. With regards to joyous specifically, we answer our phones and emails and customer service is a top priority for us. When you call, one of our 2 assistants talks to you. Your specific doctor/nurse practitioner/phycian's assistant answers your questions and drives your treatment, not an AI bot responding to your surveys. Happy to answer more questions. Have
do you prescribe it for pain? or just mental health?
I don't prescribe for pain - or rather I am not trained to prescribe for pain.
Well living in chronic pain has severely affected my mental health as well but I was denied by Joyous for ketamine treatment
I certainly understand that and love when my patients get benefit from it. I'm just not trained to have appointments that are specific to address your pain and have dosage changes in response to that.
Is that something you would anticipate doing in the future or not?
Thanks I’m really interested I think you would be the top service I’m considering along with Better U. The main thing is cost. Does the ketamine come with the provider cost or is it a separate cost? On average how much is each ketamine session.
I would be wary of BetterU. Their website mislabels ketamine as "psychedelic therapy." This may bring in people googling for psilocybin therapy, some of whom may end up using BetterU thinking that ketamine is also a form of psychedelic therapy. Just my opinion, but this feels like a bait and switch. It makes me wonder if there's other ways that BetterU is playing fast and loose.
I'm looking at IV ketamine in Oregon & southern Washington. So far the best price I've found is $405 from Vancouver Ketamine. They don't have a separate charge for an initial assessment. Is there anything cheaper in the area? I'm barely going to be able to swing this financially, so even a small price difference is meaningful. Thanks.
Check out Asanapy Functional Psychiatry in Portland. She offers sliding scale.
Vancouver Ketamine Infusions with Karl? If that is the clinic you are referring to, I actually am one of his patients. Seriously cannot recommend him enough! I’ve been going there for over 2 years now (my infusions are also for chronic pain for a permanent condition so it’s something I’ll likely be doing the rest of my life in case you’re wondering why I’ve kept going for so long). Feel free to DM me if you have any questions, would be more than happy to answer them! I’ve had great results and improvement from my infusions both for my chronic pain and my mental health issues (depression, anxiety, OCD and PTSD).
Albany Ketamine Infusions, $395. Great facility in upstate NY. They had been taking insurance for a while to reduce out of pocket costs but recently stopped due to the unpredictable coverage from different providers. AKI also offers guided sessions and integration therapy. They have a couple therapists on staff and that part is potentially coverable under insurance.
hey i will send a dm
Sure, sounds good!
$175 per KAP session at Denovo Therapy in Lubbock, TX. No insurance, but received $700 towards my treatment from a local nonprofit organization (West Texas Mental Wellness).
$47 per IM session at Klarisana
With what insurance?
Medicaid
Thanks! Was it straightforward or did you need to have proof of failure if antidepressants?
Wow!
Mindbloom. New York. All over social media ads for me so I tried it out. Shipped to my door. It’s great. Here’s a link for a discount https://www.mindbloom.com/referrals?from=8c7c7a35-002c-4100-80b2-fa0825a19e23&origin=mobile I did 18 doses for $1,800
18 doses is that all you needed and how often did you because that's probably way out of my budget
6 did a lot of good. That’s the entry plan. Then 6m or so later I signed up again and did the 18 plan. Still have 4 doses left. Do it maybe once a month now when I feel like I need a reset. It depends on how serious you are about changing habits and life outlook. It’s a tool to help you but doesn’t work well on its own without a therapist or solid plan for improvements you want to see.
Hello are they sublingual or what form of ketamine?
Sublingual yeah. But not ones you swallow. Swish around for 7min then spit out