Luxury Psychiatry Clinic is happy to help patients with Blue Cross Community Medicare-Medicaid Alignment Initiative (MMAI) in Chicago by offering outpatient psychiatric care, including advanced treatment options such as Spravato (esketamine) therapy for those who qualify. While patients often refer to Spravato as “ketamine therapy,” it’s distinct from IV ketamine infusions; Spravato is an FDA-approved nasal spray given in the office and always under close medical supervision.
Understanding your health insurance is important, as Spravato coverage depends on having the appropriate diagnosis (typically treatment-resistant depression), demonstrating medical necessity, and obtaining the required plan pre-approval.
Blue Cross Community MMAI is a health plan provided by Blue Cross Blue Shield of Illinois for individuals who qualify for both Medicare and Medicaid; this is referred to as being dually eligible. This plan makes it easier for members to get psychiatric services, psychotherapy, medication management, and comprehensive behavioral health support. Instead of juggling separate plans, everything is coordinated to make it easier for patients with complex needs to access medical and mental health coverage.
Blue Cross Community MMAI may cover Spravato (esketamine) treatment, but eligibility requirements must be met. Coverage is not guaranteed for every patient; prior authorization is usually required before starting this mental health treatment. This means your healthcare provider will need to get approval from the insurer before you can begin Spravato therapy. Insurance reviewers typically look at several important factors when deciding if Spravato will be covered, including:
Whether you have a qualifying psychiatric diagnosis
Meeting these requirements does not automatically guarantee approval, but carefully working with your clinic increases your chances.
Our experienced psychiatry team is proud to serve Blue Cross Community MMAI members in Chicago, offering compassionate, evidence-based mental health care in an outpatient setting. By selecting a provider from the carousel below, you can schedule your first appointment with a psychiatrist or psychiatric nurse practitioner who is in-network with your Blue Cross Community MMAI Medicaid plan. Whether you’re seeking a psychiatric evaluation, medication management, or ongoing mental health support, our team is here to guide you every step of the way.
Yuliya is a Certified Psychiatric Nurse Practitioner who specializes in depression, anxiety, mood disorders, and sleep disorders. She is also REMS-certified for treating patients with Spravato (esketamine) therapy.
Angela is a Certified Psychiatric Nurse Practitioner who specializes in depression, anxiety, mood disorders, and sleep disorders. She is also REMS-certified for treating patients with Spravato (esketamine) therapy.
Dr. Dees is a Board Certified Washington University-trained Psychiatrist, who specializes in treating anxiety, mood disorders, and depression with the use of TMS (Transcranial Magnetic Stimulation).
Alan is a board-certified Physician Assistant. He graduated from Nova Southeastern University in 2020 and is trained in General Psychiatry, including anxiety, depression, mood disorders, and sleep disorders. He is fluent in English and Russian.
Kalindi is a psychiatric nurse practitioner graduate who specializes in depression, anxiety, bipolar disorder, and PTSD.
Jennifer is a trained licensed clinical social worker specializing in helping individuals manage mood disorders, self-esteem, anxiety, relationship dynamics, grief, loss, coping with stress, and life transitions.
Jennifer utilizes evidenced-based practices including CBT (Cognitive Behavior Therapy), Psychodynamic, Mindfulness, Motivation Interviewing (MI), and Acceptance Commitment Therapy (ACT).
Samantha recently graduated from DePaul University as a Licensed Professional Counselor. She is supervised by Dr. Michelle Dees.
Samantha has a wide range of experiences with depression, anxiety/phobias, and mood disorders.
She practices from a strengths-based approach and utilizes CBT.
She believes that each individual needs to be reminded of their worth, the obstacles they’ve overcome, the strengths they possess, and the resilience that lies within them.
Yuliya is a Certified Psychiatric Nurse Practitioner who specializes in depression, anxiety, mood disorders, and sleep disorders. She is also REMS-certified for treating patients with Spravato (esketamine) therapy.
Angela is a Certified Psychiatric Nurse Practitioner who specializes in depression, anxiety, mood disorders, and sleep disorders. She is also REMS-certified for treating patients with Spravato (esketamine) therapy.
Dr. Dees is a Board Certified Washington University-trained Psychiatrist, who specializes in treating anxiety, mood disorders, and depression with the use of TMS (Transcranial Magnetic Stimulation).
Alan is a board-certified Physician Assistant. He graduated from Nova Southeastern University in 2020 and is trained in General Psychiatry, including anxiety, depression, mood disorders, and sleep disorders. He is fluent in English and Russian.
Kalindi is a psychiatric nurse practitioner graduate who specializes in depression, anxiety, bipolar disorder, and PTSD.
Jennifer is a trained licensed clinical social worker specializing in helping individuals manage mood disorders, self-esteem, anxiety, relationship dynamics, grief, loss, coping with stress, and life transitions.
Jennifer utilizes evidenced-based practices including CBT (Cognitive Behavior Therapy), Psychodynamic, Mindfulness, Motivation Interviewing (MI), and Acceptance Commitment Therapy (ACT).
Samantha recently graduated from DePaul University as a Licensed Professional Counselor. She is supervised by Dr. Michelle Dees.
Samantha has a wide range of experiences with depression, anxiety/phobias, and mood disorders.
She practices from a strengths-based approach and utilizes CBT.
She believes that each individual needs to be reminded of their worth, the obstacles they’ve overcome, the strengths they possess, and the resilience that lies within them.
Appointments are in person for all initial and annual appointments for the completion of paperwork. Please allow 60-90 minutes. Tele Medicine appointments can be available for routine follow-ups subject to the provider. Tele Medicine is subject to change depending on insurance guidelines. Book appointments online or download our mobile app. We do not communicate via text or email other than appointment reminders. *
*All Florida patients will be seen (Central Standard Time | CST).
*If you’re asking or are on a controlled substance, the first and yearly appointments must be in person. Follow-up appointments can be made via telemedicine.
Blue Cross Community MMAI is most likely to authorize Spravato for:
If you think Spravato might be an option for your condition, seeing an experienced mental health professional is your first step.
Understanding the difference between IV ketamine treatment and Spravato is important when exploring advanced treatment options for depression.
Because of its official approval and closer regulatory oversight, Spravato is much more likely to qualify for insurance coverage, including under plans like Blue Cross Community MMAI, versus traditional IV ketamine infusions. Understanding these differences is important for patients trying to determine which type of treatment is best for them.
Blue Cross Community MMAI offers a comprehensive range of mental health and psychiatry services to provide effective and well-rounded patient care. Depending on your needs and treatment plan, you may qualify for multiple evidence-based treatments under this health plan. Primary psychiatry and behavioral health services that may be covered include:
These services are available at Luxury Psychiatry Care and can be integrated with advanced therapies, such as Spravato, when clinically appropriate.
If you are interested in Spravato therapy or other mental health options using Blue Cross Community MMAI, contacting Luxury Psychiatry Clinic is a great next step. Our team can verify your current Blue Cross Community MMAI coverage details and review your eligibility for Spravato and other therapy options.
Consultations, including in-person and some telehealth services, are offered based on clinical needs and insurance guidelines. Reach out to our team of mental health professionals to schedule a confidential consultation and get started on improving your well-being.
* Any patient needing a controlled substance needs a face-to-face appointment with the provider prior to the prescription being sent to be compliant with the DEA guidelines.
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