Does Cigna cover Spravato? Yes, with an approval we handle.
Cigna covers Spravato for treatment-resistant depression once a prior authorization is approved, and we take care of that request from start to finish. Most of our patients with Cigna pay up to $40 a treatment, and if Cigna turns a request down, we work it through every level of appeal.
What does Cigna's Spravato policy require?
Cigna's Spravato policy requires evidence of treatment-resistant depression. Its drug coverage policy IP0220 (effective June 2026) asks for:
- Little or no improvement on two antidepressants from different classes, each at a therapeutic dose for at least 6 weeks in this episode of depression.
- A psychiatrist or mental health provider prescribing or consulting.
- A check of the state prescription monitoring program, which the prescriber does.
- A note on any history of psychosis. It doesn't rule you out; the prescriber weighs it.
- Age 18 or older.
One thing that's different with Cigna: Cigna has the medicine itself supplied by a REMS-certified pharmacy rather than from our office's own stock, and its prior authorization usually takes a little longer than other insurers'. We know the routine and start the paperwork right after your evaluation, so the extra step costs as little time as possible.
The first approval runs for 6 months. After that, Cigna renews for a year at a time if you're benefiting. Our evaluation is built to capture exactly these details, which is why 95% of our requests are approved the first time.
- Your cost: up to $40 a treatment for most Cigna patients, after the SpravatoWithMe savings program, for those eligible. We confirm it before you start.
$0 to $40 a treatment
- NJ Medicaid: $0. Initial denials are common, and we’re incredibly persistent about appealing.
- Commercial insurance: up to $40 after Janssen’s SpravatoWithMe program, for patients who are eligible. Your own plan sets the details.
- We check before you commit. Insurance verification starts the moment you reach out.
What if Cigna denies Spravato?
When Cigna denies Spravato, the next move is ours, not yours. We ask for a peer-to-peer conversation with Cigna's reviewing doctor every time. If that doesn't change the decision, we file a second-level appeal every time, and if that fails too, we take it to independent external review every time. In our most recent internal review, 34 of 36 denials were overturned.
Almost nothing.
We write the letters, make the calls and keep you posted while an appeal is in progress. How approvals and appeals work.
30 doses
Every day.
Side effectsEvery single day: sedation, dry mouth, sexual side effects, weight gain.
8 visits
Twice a week.
4 visits
Down to once a week.
2–4 visits a month
Down to once a week or every other week. Dashed: weeks you may or may not need.
Side effectsMostly gone by the end of each visit.
Have Cigna? Check your Spravato cost.
Send us your plan details and we'll confirm your coverage and cost, usually before your evaluation.
Name, date of birth and insurer. We check your plan and call you back. No commitment.
Check my coverageRegister once, and our team starts your insurance check and reaches out to schedule your evaluation.
Request an evaluationWhat Cigna members ask us.
Does Cigna cover Spravato?
Yes, Cigna covers Spravato for treatment-resistant depression with a prior authorization, which we prepare and submit.
How much does Spravato cost with Cigna?
Most of our Cigna patients pay up to $40 a treatment after the SpravatoWithMe savings program, for those who are eligible.
What does Cigna require for Spravato?
Little or no improvement on two antidepressants from different classes, each tried for at least 6 weeks in this episode, with a psychiatrist or mental health provider involved. We gather it at your evaluation.
How long does a Cigna Spravato approval last?
The first approval lasts 6 months. After that, Cigna renews for a year at a time if you're benefiting, and we handle each renewal.
How long does Cigna take to approve Spravato?
Usually a little longer than other insurers, partly because Cigna has the medicine supplied by a REMS-certified pharmacy. We submit as soon as your evaluation is done and follow up until there's an answer.