Refer a Patient to Lumin Health for
Ketamine Therapy or Esketamine (Spravato) Treatment

This secure, HIPAA-compliant form is for providers to refer patients to Lumin Health. After you submit it, let your patient know to expect a call or email from our team, typically within 1 business day. We look forward to keeping you up-to-date throughout the process.

Please include only clinically relevant information.

Logo for Blue Cross Blue Shield Massachusetts Health Plan, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for United Healthcare, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Aetna Health Insurance, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Medicare Health Insurance, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Harvard Pilgrim Health Care, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Cigna Health Insurance, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Anthem Health Insurance, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Optum Health Insurance, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsDoes Mass General Brigham Health Plan cover ketamine therapy?Logo for Evernorth Health Services, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsCareFirst Blue Cross Blue Shield logo for insurance-covered Esketamine (Spravato) therapy.Tricare logo for insurance-covered Esketamine (Spravato) therapy.
Logo for Blue Cross Blue Shield Massachusetts Health Plan, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for United Healthcare, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Aetna Health Insurance, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Optum Health Insurance, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Medicare Health Insurance, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Harvard Pilgrim Health Care, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsDoes Mass General Brigham Health Plan cover ketamine therapy?Logo for Cigna Health Insurance, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Evernorth Health Services, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsLogo for Anthem Health Insurance, covering esketamine and Spravato therapy in the Boston and Bethesda, MD area for treatment-resistant depression, anxiety, and other mental health conditionsTricare logo for insurance-covered Esketamine (Spravato) therapy.CareFirst Blue Cross Blue Shield logo for insurance-covered Esketamine (Spravato) therapy.
What happens after you refer

We keep you in the loop from referral to transition.

Here is when you’ll hear from our team, and what we’ll tell you.

  1. 1 · Referral

    We confirm receipt

    We let you know your referral came through, then reach out to your patient by phone or email.

  2. 2 · Consultation

    We share fit and next steps

    You hear what we found and what comes next, whether or not your patient starts treatment.

  3. 3 · Treatment

    We send progress reports

    You get regular updates while your patient is in active care.

  4. 4 · Transition

    We coordinate the handoff

    When treatment ends, we work with you on the transition back to your care.

Before you refer

Is your patient a good fit?

Inclusion criteria
  • Adults (18+) with MDD, PTSD, or OCD
  • Inadequate response to 2+ antidepressant trials (exact requirements vary by insurer)
  • Stable enough for outpatient specialty care
  • Has a ride home after the 2-hour monitoring period
Exclusion criteria
  • Active psychosis or untreated mania
  • Current pregnancy or lactation
  • Recent stroke or vascular instability (certain aneurysms, AVMs, etc.)
  • Acute substance intoxication
Questions? Call Us
Meet Sherri: Our Director of Clinical Outreach and Provider Concierge
Hi, I’m Sherri, and I lead our Clinical Outreach & Provider Engagement Team to ensure our providers stay connected and our patients receive the highest level of collaborative care. I’m your primary point of contact for referrals and updates, dedicated to keeping you fully informed on patient progress through clear, consistent communication. Let's connect over a call, email, or a walk to explore our partnership and how we can work together to provide your patients with lasting relief.