Exxceed Wellness
Exxceed Wellness offers Spravato at a REMS certified clinic in Hayward, California, run by Nefretiri Abat, a board certified psychiatric mental health nurse practitioner who also holds a law degree.
The practice has built an unusually deep library on the insurance side, with dedicated pages explaining what each major insurer requires, how re-authorization reviews work, what documentation a chart must show, and how to appeal a denial in California. That legal background shows.
One point they raise that most clinics do not: the FDA approved Spravato as a standalone treatment in January 2025, but some insurance policies still require a concurrent oral antidepressant. They note this is a plan position rather than a label requirement, and worth naming in an appeal.
Benefits are verified and prior authorization submitted before anything is scheduled, with expected out of pocket cost confirmed in advance. Approval usually takes one to two weeks. TMS is also offered.
Spravato® (esketamine)
Used for:
Treatment details are based on information published by the clinic.
Monday-Friday 8:00 AM-8:00 PM
Saturday 9:00 AM-5:00 PM
Sunday closed
By appointment only; no walk-ins
Accepts insurance
As little as $10 per treatment; not available with Medicare or Medi-Cal.
Insurance
- Once approved, patients pay their normal specialist or outpatient cost share, usually a copay per session or coinsurance until the deductible is met
Send your details to Exxceed Wellness and they can reach out to you directly.
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