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SpravatoTM (ketamine) Medication Recertification RequestAetna Behavioral Health Recertification Phone: 18004244047 FAX: 18884631309Page 1 of 2 (All fields must be completed and legible for Recertification

How to fill out spravato esketamine medication precertification

How to fill out spravato esketamine medication precertification

1. To fill out spravato esketamine medication precertification, follow these steps:
2. Obtain a copy of the precertification form from the appropriate source. This may be your healthcare provider or insurance company.
3. Fill out all the necessary personal information, including your name, date of birth, and contact details.
4. Provide information about your medical history, including any previous treatments or medications you have tried for your condition.
5. Include information about your current diagnosis and why you believe spravato esketamine medication is necessary for your treatment.
6. Attach any relevant medical records or documents that support your need for this medication.
7. Review the completed form for accuracy and completeness before submitting it.
8. Submit the form to the designated recipient, such as your healthcare provider or insurance company.
9. Follow up with the recipient to ensure the form is processed in a timely manner.
10. If any additional information or documentation is requested, provide it promptly to facilitate the precertification process.

Who needs spravato esketamine medication precertification?

1. Spravato esketamine medication precertification is typically needed by individuals who are seeking coverage for this medication from their insurance provider.
2. It is often required for patients who have been diagnosed with treatment-resistant depression and are considering esketamine as a potential treatment option.
3. The specific criteria for precertification may vary depending on the insurance company and the individual's policy. It is important to consult with your healthcare provider and insurance company to determine if precertification is required for your specific situation.

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What is spravato esketamine medication precertification?

Spravato esketamine medication precertification is the process of obtaining approval from a healthcare provider or insurance company before starting treatment with the medication.

Who is required to file spravato esketamine medication precertification?

Patients or their healthcare providers are typically required to file spravato esketamine medication precertification.

How to fill out spravato esketamine medication precertification?

To fill out spravato esketamine medication precertification, the patient or healthcare provider must complete the necessary forms and provide information about the patient's medical history and treatment plan.

What is the purpose of spravato esketamine medication precertification?

The purpose of spravato esketamine medication precertification is to ensure the medication is appropriate for the patient's condition and that it will be covered by insurance.

What information must be reported on spravato esketamine medication precertification?

Information such as the patient's diagnosis, treatment plan, and medical history must be reported on spravato esketamine medication precertification.