Star Behavioral Health

Star Behavioral Health in Roanoke, Virginia is a REMS-certified Spravato treatment center, offering the FDA-approved esketamine nasal spray for treatment-resistant depression and acute suicidal ideation. Treatment-resistant depression is defined as failure to respond adequately to two separate SSRIs and one other antidepressant.
Spravato is administered intranasally in private patient suites, giving patients comfort and privacy throughout each monitored session. The practice accepts referrals, with insurance authorization typically taking about two to three weeks from the referral date.
Also operating as Roanoke TMS, the practice offers TMS therapy as an additional option for depression, along with psychiatric medication management.
Spravato® (esketamine)
Treatment details are based on information published by the clinic, checked in August 2026.
Clinic-wide information; ask which treatments are appropriate for you.
Monday: 8:00 AM - 5:00 PM
Tuesday: 8:00 AM - 5:00 PM
Wednesday: 8:00 AM - 5:00 PM
Thursday: 8:00 AM - 5:00 PM
Friday: 8:00 AM - 5:00 PM
Saturday: Closed
Sunday: Closed
Accepts insurance
In network with: Anthem Plans (Commercial, Medicaid, Medicare), Aetna Plans (Commercial, Medicaid, Medicare), United Healthcare Plans (Commercial, Medicaid, Medicare, but not for TMS therapy), Optum (not for TMS therapy), Sentara (Commercial, Medicaid, Medicare), Molina, Magellan, Cigna. Also accepts self-pay patients and offers CareCredit.
Spravato treatments billed in two portions: medication (commercially insured patients may pay $10 per treatment through SpravatoWithMe copay assistance program; Medicaid covered at 100%) and office visit for administration and monitoring (cost varies by insurance plan; Medicaid covered at 100%). TMS therapy cost varies greatly depending on insurance plan; may be covered at 100%, with copay, or require deductible and coinsurance.
Send your details to Star Behavioral Health and they can reach out to you directly.
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