MetroPlus Medicaid coverage review for Spravato

Nao Medical can review MetroPlus Medicaid benefits for eligible adults being evaluated for Spravato treatment. Coverage is plan-specific and may depend on active benefits, diagnosis, prior treatment history, prior authorization, medication access, and where treatment is administered.

Spravato is administered only in a certified healthcare setting with monitoring after dosing. Insurance review should account for the medication, administration visit, clinical monitoring, follow-up care, and any transportation support that may apply.

What the plan may ask for

  • Current diagnosis and clinical evaluation details.
  • Prior antidepressant treatment history and response.
  • Medication list, safety considerations, and relevant medical history.
  • Documentation supporting medical necessity when authorization is required.
  • Confirmation that treatment will occur in a certified healthcare setting.
  • A safe transportation plan after each treatment session.

How Nao Medical helps

The care team can review benefits, explain likely authorization steps, request relevant records, coordinate with an outside psychiatrist when appropriate, and help match approved patients to a practical treatment location.

Spravato locations for repeated visits

Location choice matters because Spravato treatment requires repeated monitored visits rather than a one-time appointment.

Clinical references reviewed: SPRAVATO REMS and the FDA prescribing information. Last reviewed May 2026. This information does not replace a clinical evaluation.

Active Nao Medical Spravato locations

Queens

Astoria

37-15 23rd Ave, Astoria, NY 11105

A western Queens option for patients who want easier access than crossing into Manhattan for every monitored treatment day.

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Bronx

Bartow

2063A Bartow Ave, Bronx, NY 10475

A Bronx access point for patients who want local Spravato care without leaving the borough.

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Long Island

Hicksville

232 W Old Country Rd, Hicksville, NY 11801

A central Nassau option for patients who need consistent follow-up, prior auth support, and a shorter commute.

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Queens

Jamaica

90-18 Sutphin Blvd, Jamaica, NY 11435

A southeast Queens location that helps patients stay on schedule for repeated monitored sessions.

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Queens

Long Island City

30-07 36th Ave, Astoria, NY 11106

A western Queens access point for patients balancing treatment days with work, home, or Manhattan commutes.

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Long Island

Mineola

135 Mineola Blvd, Mineola, NY 11501

A Long Island access point for patients who want strong benefits support and reliable treatment coordination.

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Manhattan

StuyTown

259 1st Ave, New York, NY 10003

A Manhattan Spravato access point for East Village, Gramercy, Kips Bay, and nearby neighborhoods.

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Brooklyn

Williamsburg

308 Graham Ave, Brooklyn, NY 11211

The lead Brooklyn Spravato location for patients who want local access and ongoing psychiatric support.

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Insurance Plans We Accept

Accepted plans can vary by eligibility and authorization rules. This list reflects the insurance access Nao Medical can review for eligible Spravato patients, including Medicaid, Medicare, Medicare Advantage, and commercial coverage options.

  • Molina Healthcare of New York
  • Healthfirst
  • MetroPlus
  • Blue Cross Blue Shield
  • Aetna
  • Fidelis of NY Medicaid
  • Healthfirst Medicaid
  • United Healthcare
  • Medicaid
  • Empire BCBS HealthPlus
  • Medicare
  • 1199 National Benefit Funds
  • Fidelis Care New York
  • United Healthcare Community Plan
  • Cigna
  • Emblem Health
  • GHI - Primary
  • BCBS Anthem

Frequently asked questions

Does MetroPlus Medicaid cover Spravato?

MetroPlus Medicaid coverage can be reviewed for eligible patients, but approval is not automatic. Benefits, diagnosis, documentation, and authorization requirements need to be checked.

Will I need prior authorization?

Prior authorization is common for Spravato. The plan may ask for diagnosis, prior treatment history, and provider documentation before treatment is approved.

Can I keep my current psychiatrist?

Yes, when clinically appropriate. Nao Medical can coordinate with an outside psychiatrist or therapist while providing the monitored Spravato administration pathway.

Does coverage include transportation?

Transportation support varies by plan and eligibility. The care team can review whether any transportation coordination may apply.

More Spravato care in New York