Insurance & Coverage
Understanding Your Coverage Shouldn’t Feel Overwhelming
Let’s Talk About Care
What You Should Know About Treatment & Insurance
Insurance plans vary, and coverage depends on your history, diagnosis, and the treatment you’re considering. Here are the basics:
TMS Coverage
Most major insurance providers cover TMS for treatment-resistant depression when certain criteria are met. This usually includes:
- A diagnosis of major depressive disorder
- Documented trials of antidepressant medications
- Recent participation in talk therapy
If you’re unsure whether you meet these requirements, reach out. We’ll give you the clarity you’re looking for.
SPRAVATO® Coverage
SPRAVATO® is often covered for adults with treatment-resistant depression. Coverage typically requires:
- A confirmed diagnosis
- Documentation of previous depression treatments
- Review and approval from your insurer (prior authorization)
We handle this process for you so you’re not navigating it alone.
Psychiatric Care Coverage
Many insurance plans cover psychiatric evaluations and follow-up visits. Your portion of the cost (copays or coinsurance) depends on your individual plan.
If you’re new to mental health treatment or switching providers, we’ll walk you through how your benefits apply.
How We Help You Navigate Coverage
You don’t need to figure this out on your own. At Paxina Health, our team works closely with you to ensure everything is as clear and predictable as possible.
Here’s how we support you:
We Verify Your Benefits
Before treatment begins, we contact your insurance provider to confirm:
- What’s covered
- Your copay or coinsurance
- Any deductible requirements
- Any documentation needed
You’ll receive a straightforward explanation of what your plan includes.
We Handle Prior Authorization
Treatments like TMS and SPRAVATO® require approval from your insurer. To streamline service, we:
- Gather the necessary records
- Submit documentation
- Follow up until approval is received
You’ll always know where things stand.
We Communicate Clearly
We explain your benefits in plain language so you understand the financial side before committing to care. No surprises. No confusion.
Insurance Providers We Work With
We work with most major insurance companies, and are actively adding new plans. Coverage varies by plan, but many Paxina patients use:
- Aetna
- Anthem Blue Cross
- Blue Shield of California
- Cigna
- Healthnet
- Medicare
- Optum
- Tricare
- UnitedHealthcare
If you don’t see your provider, reach out—many out-of-network plans still offer partial or full coverage, and we’re happy to check your benefits.
Who We Are
Paxina Health was founded by psychiatrists Dr. Todd Young and Dr. Nicodemus Watts with a shared mission: to create a practice where patients are truly seen, heard, and cared for.
Here, recovery starts with compassion, grows with understanding, and evolves as your needs change.
Healing Starts Here
Wherever you are on your journey, Paxina Health is ready to help you heal the whole you. All you have to do is take the first step by reaching out.
