If you’ve spent years cycling through antidepressants that barely move the needle, you’re probably searching for something faster, more effective, while still remaining affordable. Ketamine therapy has emerged as a breakthrough for treatment-resistant depression, but the big question is: is ketamine therapy covered by insurance in Utah?
The short answer is yes. Spravato, an FDA-approved form of ketamine delivered as a nasal spray, is now covered by most major insurance plans in Utah for treatment-resistant depression. It offers the same neuroplastic benefits as traditional ketamine therapy, without the out-of-pocket burden. For many, it’s the first real shot at lasting relief.
Let’s break down what Spravato is, how it differs from other forms of ketamine, which insurances cover ketamine therapy, and why this matters more now than ever.
A New Kind of Relief: What Is Spravato?
Spravato isn’t your average antidepressant, and it’s not traditional ketamine either. It’s a nasal spray form of esketamine, the more active part of the ketamine molecule. Unlike intramuscular (IM) or IV ketamine, which are considered “off-label” treatments for depression, Spravato is FDA-approved specifically for treatment-resistant depression and major depressive disorder with suicidal thoughts. That approval unlocks a huge door: insurance coverage.
In real-world terms, that means:
- It’s prescribable through insurance plans in Utah
- It can be billed through commercial carriers and Medicaid
- It’s delivered in a controlled, supervised setting with fewer access barriers than IV or IM ketamine
If you’ve been trying to decipher what kind of ketamine therapy will be covered by insurance, Spravato is the one that usually is.

Which Insurances Cover Ketamine Therapy in Utah?
Insurance providers are stepping up for Utahns, adding modern depression treatments such as Spravato and TMS (transcranial magnetic stimulation) to their coverage alongside traditional antidepressants.
Spravato is now covered by many major insurers across Utah, including:
- SelectHealth
- DMBA
- EMI Health
- University of Utah Health Plans
- BlueCross BlueShield
- Aetna
- Cigna
- United Healthcare
- TRICARE
- Medicare
Coverage depends on a few standard criteria:
- You’ve tried at least two oral antidepressants without success
- You have a diagnosis of treatment-resistant depression or major depression with suicidal ideation
If that sounds like your story, there’s a solid chance you’ll qualify.

What It’s Like to Get Spravato in Utah
Spravato isn’t a take-home medication. Those seeking treatment must visit a REMS-certified clinic, such as Anew Therapy in Sandy, Utah, where the process is structured, safe, and fully supervised.
Each appointment looks something like this:
- You self-administer the nasal spray under the supervision of a provider
- You relax in a private room while your health care professional monitors your vitals and response
- You stay for at least two hours post-dose for observation
- A friend or family member picks you up (no driving allowed the same day)
It’s different from IM ketamine in a few key ways:
- No needles
- Slower onset, but longer-term access through insurance
- Lower risk of immediate dissociation
And yes, you can feel a little spacey or disconnected during the visit. That’s part of how it works, and you can trust your health care provider to keep you comfortable while your brain resets.
What Utah Patients Pay with Insurance
So how much will you actually end up paying for treatment? Because Spravato is covered by insurance, it’s dramatically more affordable than IV or IM ketamine, which often cost $300–$500 per session out of pocket.
If you’re insured, here’s what you can expect to pay for Spravato treatment:
- Copay per session: Usually $20–$60 (able to be reimbursed via Observation Rebate Program bringing out-of-pocket to $0)
- Number of sessions: Twice per week for four weeks, then weekly or biweekly
- Maintenance phase: Tapers based on progress and clinical recommendation
Many patients report better results by session 4 or 5, and significant life changes by the end of month two. It’s not just fast relief—it’s relief that sticks.
Who Spravato Helps Most
Spravato isn’t for everyone, but it’s a game-changer for people who:
- Have tried multiple medications with little to no relief
- Feel stuck in cycles of relapse
- Struggle with suicidal thoughts or emotional numbness
- Want something that works faster than standard SSRIs
It’s also a strong option for postpartum depression and trauma-linked depression, both of which we treat regularly at Anew Therapy. And because Spravato is covered by insurance, more patients from all walks of life are now able to access this life-changing care.
How to Get Started with Insurance-Covered Ketamine Therapy in Utah
If you’re ready to explore whether Spravato is right for you, here’s what to do next:
1. Schedule an Evaluation
Contact a licensed psychiatric provider. Choose a clinic that is REMS-certified and specializes in ketamine therapy. At Anew Therapy, we start with a full diagnostic intake to determine if you meet insurance criteria.
2. Get Prior Authorization
Spravato requires prior authorization, but if you choose a clinic that has extensive experience with Spravato treatment, you won’t have to figure it out alone. Our team at Anew Therapy has worked with most Utah insurers, so we will do all the heavy lifting for you
3. Prepare for Your First Session
Once approved, treatment begins with two sessions per week. Plan ahead for transportation, arranging someone to drop you off and pick you up. While most patients feel well enough to resume normal activities afterward, you will still need a driver, as you won’t be permitted to drive yourself home. You can learn more about how to prepare for your first session in our detailed guide here.
Why Choose Anew Therapy
At Anew Therapy, we handle the insurance details so you don’t have to stress over codes, authorizations, or eligibility letters.
We offer both Spravato and intramuscular (IM) ketamine therapy, as well as transcranial magnetic stimulation (TMS). Our team will tailor your treatment depending on what fits your symptoms, preferences, and coverage best. Every treatment plan is unique to the patient, and designed to actually work with your real life.
Here’s what you can expect from us:
- REMS-certified care in a calm, spa-like setting
- In-network access with most major Utah insurers
- Support from start to finish—insurance paperwork included
If you’re ready to explore a treatment that works, we’ll walk the journey with you. No pressure. Just clarity, options, and a team that truly listens. Schedule your free consultation today.

Searching for the best ketamine therapy clinic in Utah? Anew Therapy offers expert care and proven results. Schedule your free evaluation today.