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Frequently Asked Questions · Greenwood Village, Colorado

Straight Answers About TMS, Ketamine, HBOT, And Getting Care At Mind Spa.

Mind Spa is a veteran-owned outpatient interventional psychiatry clinic in the Denver Tech Center area. Below are direct answers to the questions patients, families, and referring providers ask us most about treatment, insurance, TRICARE, and what to expect.

Getting Started

Becoming A Patient At Mind Spa

The first step is a short set of new patient forms. From there, our team walks you through benefits, referrals, and scheduling.

How do I become a patient at Mind Spa?

Start by booking a free consult call or calling 303-327-0350. Our team calls you for a 30-minute consultation to understand your situation, then schedules a comprehensive 90-minute evaluation with a psychiatric provider who builds an individualized treatment plan with you.

What conditions does Mind Spa treat?
Do I need a referral to be seen at Mind Spa?

It depends on your insurance. TRICARE Prime requires a referral from your Primary Care Manager (PCM) before you see a mental health provider, and some other plans require a referral or prior authorization. Many commercial plans do not. Call us at 303-327-0350 and we will tell you exactly what your plan requires before your first visit.

How quickly can I be seen?

After you book a free consult, our team calls you within two business days. Your psychiatric evaluation is scheduled from there. For patients entering Inner Armor, the TMS prior authorization we submit to TRICARE typically takes about two weeks to process.

Is Mind Spa veteran-owned?

Yes. Mind Spa was co-founded by a service-disabled combat veteran and former U.S. Army Explosive Ordnance Disposal (EOD) technician. The clinic was built specifically for veterans, service members, first responders, and their families, and our therapists are trained to work with military and first responder culture so you do not have to explain it.

Is Mind Spa a crisis service?

No. Mind Spa is an outpatient clinic and is not a crisis service. If you are in crisis, call or text 988, the Suicide and Crisis Lifeline. Veterans can dial 988 and press 1. In an emergency, call 911.

Insurance & Cost

What Insurance Covers, And What You Pay

We verify your benefits and review expected costs with you before treatment begins, so there are no surprises.

What insurance does Mind Spa accept?

Mind Spa accepts TRICARE (West Region), VA Community Care, CHAMPVA, Aetna, Cigna, UnitedHealthcare, Blue Cross Blue Shield, and Medicare. Coverage and requirements vary by plan and by service. Call 303-327-0350 for a benefits check before your first visit.

Is TMS covered by insurance?

Often, yes. Mind Spa uses the Apollo TMS Therapy System, which is FDA-cleared for major depressive disorder and obsessive-compulsive disorder (OCD). TMS for depression is covered by many insurance plans, including TRICARE, for patients who meet criteria, usually after medication and talk therapy have not provided adequate relief. Eligibility criteria vary between carriers, and most require prior authorization. Mind Spa handles the prior authorization paperwork and submits it on your behalf.

Is ketamine infusion therapy covered by insurance?

IV ketamine infusion therapy is generally not covered by insurance as a standalone treatment, because intravenous ketamine for mood disorders is used off-label. For eligible patients in Inner Armor, ketamine infusions are part of the treatment protocol. Standard TRICARE copays and cost-shares apply, and we review your expected costs with you before you begin.

Is hyperbaric oxygen therapy (HBOT) covered by insurance?

Insurance covers HBOT for a limited list of approved medical indications, and mental health conditions such as PTSD and TBI symptoms are generally not on that list. HBOT is not FDA-approved or FDA-cleared for PTSD, TBI, depression, or anxiety and is used off-label for these conditions. For eligible patients in Inner Armor, HBOT sessions are part of the treatment protocol. Standard TRICARE copays and cost-shares apply, and we review your expected costs with you before you begin.

How much does treatment at Mind Spa cost?

Your cost depends on your insurance plan, deductible status, and the services in your treatment plan. For insured patients, most visits involve standard copays or coinsurance. Before you start, our team verifies your benefits and reviews your expected out-of-pocket costs with you. Call 303-327-0350 for a free benefits check.

Inner Armor For TRICARE

The Program For Veterans, Service Members, And Families

Inner Armor is our flagship 7 to 12 week program. It combines TMS, ketamine, and HBOT in one coordinated protocol for TRICARE West beneficiaries.

What is Inner Armor?

Inner Armor is a 7 to 12 week outpatient program in Greenwood Village, Colorado, for TRICARE West beneficiaries. It combines a 90-minute psychiatric intake, 36 TMS sessions, 6 ketamine infusions with vibroacoustic therapy, and 36 hyperbaric oxygen therapy sessions, with culturally competent talk therapy and medication management as needed. It is designed for depression, PTSD, TBI, and anxiety. Mind Spa's Apollo TMS system is FDA-cleared for major depressive disorder and OCD, and TMS for PTSD, TBI, and anxiety is off-label. IV ketamine and HBOT are used off-label.

Mind Spa is an independent clinic in network with TRICARE West and is not affiliated with or endorsed by TRICARE, the Defense Health Agency, or the Department of Veterans Affairs.

Who qualifies for Inner Armor?

Inner Armor is designed for veterans, service members, and their adult family members covered by TRICARE Prime, TRICARE Select, or TRICARE Reserve Select. It does not apply to TRICARE For Life, VA Community Care, or Medicare patients. TRICARE For Life patients are welcome for TMS through Medicare. All treatment is subject to the medical decision-making of a licensed psychiatric provider.

Does TRICARE cover TMS?

Yes. TRICARE has covered outpatient TMS since 2016 for active duty and retired members of the armed forces, and eligible spouses, children, and National Guard or Reserve members, when the beneficiary is 18 or older, has severe major depressive disorder, and has not responded to a less intensive form of treatment. Prior authorization is required, and Mind Spa submits the TMS prior authorization to TRICARE for you. Approval typically takes about two weeks.

What does Inner Armor cost with TRICARE?

Standard TRICARE copays and cost-shares apply for TMS, psychiatric visits, therapy visits, and follow-ups. We review your expected costs with you before you begin.

How is my progress tracked?

Timelines differ from person to person, so we measure progress instead of guessing. Your provider tracks your symptoms with you throughout the program using standardized measures. Mind Spa also offers objective tools such as CNS Vital Signs, a computerized cognitive test, and WAVi, an EEG-based brain assessment. Individual results vary and are not guaranteed.

Can family members of veterans get treatment at Mind Spa?

Yes. Adult family members covered by TRICARE Prime, TRICARE Select, or TRICARE Reserve Select are eligible for Inner Armor, and family members with commercial insurance can access our full range of services. Military families carry their own weight, and our therapists are trained to work with them directly.

Does Mind Spa work with first responders?

Yes. Mind Spa serves firefighters, EMS professionals, law enforcement, and their families alongside veterans. Our therapists are trained to work specifically with first responder culture, and treatment plans use the same interventional tools: TMS, ketamine infusion therapy, HBOT, medication management, and trauma-informed psychotherapy. Colorado EMS professionals and their families can ask about Path4EMS, a grant program that covers up to $1,250 per family per year, at $125 per session or $250 per ketamine session. Call 303-327-0350 to ask about options for first responders.

Transcranial Magnetic Stimulation

TMS Questions

TMS is a non-invasive, medication-free brain stimulation treatment. Mind Spa uses the Apollo TMS Therapy System, FDA-cleared for major depressive disorder and OCD. Learn more on our TMS service page.

What is TMS and how does it work?

Transcranial Magnetic Stimulation (TMS) uses targeted magnetic pulses, similar to those in an MRI, to stimulate nerve cells in the prefrontal cortex, the brain region involved in mood regulation. It is non-invasive and requires no anesthesia or sedation. Research associates TMS with neuroplasticity, the brain's ability to form new connections. Mind Spa uses the Apollo TMS Therapy System, which is FDA-cleared for major depressive disorder and OCD. TMS for PTSD and anxiety is off-label. A typical course involves daily weekday sessions over several weeks.

Is TMS safe? What are the side effects?

TMS is FDA-cleared and generally well tolerated. The most common side effects in early treatment are mild headache, scalp discomfort at the stimulation site, tingling or twitching of facial muscles, and lightheadedness. These are usually mild, tend to diminish over the course of treatment, and can be managed with over-the-counter pain medication. Seizure is a rare but serious risk, and your provider screens for it before you start.

Can I work and drive during TMS treatment?

Yes. TMS requires no sedation or downtime, so you can drive yourself to and from appointments and return to work or daily activities immediately after each session.

How many TMS sessions will I need?

A standard course is 36 sessions, delivered five days a week over about seven weeks. Sessions are short, and your provider tailors the exact protocol to your diagnosis and response. Within Inner Armor, all 36 TMS sessions are built into the 7 to 12 week schedule.

Does Mind Spa offer accelerated TMS?

Yes. Mind Spa offers an accelerated TMS schedule that condenses a course into 1 to 2 weeks, with multiple sessions per day, for patients who need a shorter schedule or cannot commit to seven weeks. Accelerated TMS is delivered on our Apollo TMS system. Its FDA clearance covers standard daily treatment, so delivering multiple sessions per day is an off-label schedule, and your provider will review that with you. Accelerated TMS is typically a self-pay option, though some insurance plans have begun to cover it. Call 303-327-0350 to discuss whether it fits your plan and review costs.

Ketamine Infusion Therapy

Ketamine Questions

IV ketamine is used off-label for treatment-resistant depression, PTSD, and anxiety, and has been studied for rapid effects on mood. Individual results vary. Learn more on our ketamine service page.

Is IV ketamine FDA-approved for depression?

No. IV ketamine is FDA-approved as an anesthetic, and it is used off-label for depression, PTSD, and anxiety. The only FDA-approved ketamine-based treatment for depression is esketamine (Spravato) nasal spray, for treatment-resistant depression and for depressive symptoms with acute suicidal thoughts or behavior. Your provider will review the evidence, risks, and alternatives with you.

Is ketamine safe?

Ketamine has been used in hospital anesthesia for decades. At Mind Spa, infusions use sub-anesthetic doses with continuous monitoring by a trained medical professional, and your provider screens you before treatment to confirm ketamine is appropriate for you.

What are the side effects of ketamine infusion therapy?

The most common side effects are nausea and dizziness during or shortly after the infusion. Some patients also notice temporary dissociation or a rise in blood pressure, which staff monitor throughout. If side effects occur, our clinical staff can administer anti-nausea medication, pause the treatment, or adjust the infusion rate. Effects usually resolve soon after the session. You will need a ride home after each infusion.

What is a ketamine session like at Mind Spa?

Each infusion lasts 60 to 90 minutes and is continuously monitored by trained clinical staff. Mind Spa pairs every infusion with vibroacoustic therapy, which uses low-frequency sound vibration, and an immersive AI-generated art experience, both designed to support comfort and reflection during the session. You will need a ride home afterward.

How is ketamine used in Inner Armor?

Inner Armor includes six ketamine infusions with vibroacoustic therapy alongside TMS and HBOT. Research associates ketamine with increased neuroplasticity, and in Inner Armor it is paired with TMS. IV ketamine is used off-label.

Hyperbaric Oxygen Therapy

HBOT Questions

Mind Spa operates a hard-sided 2.0 ATA hyperbaric chamber, the pressure used in many clinical research protocols. Learn more on our HBOT service page.

What is HBOT and why does the chamber type matter?

Hyperbaric oxygen therapy (HBOT) delivers 100% oxygen at increased pressure. It has been studied for inflammation and blood flow after brain injury, and Mind Spa uses it off-label for TBI and mental health conditions. Mind Spa uses a hard-sided chamber pressurized to 2.0 ATA, the pressure used in many clinical research protocols. Soft-sided "mild HBOT" chambers found in wellness spas typically reach about 1.3 ATA.

Is HBOT FDA-approved for PTSD or TBI?

No. HBOT is FDA-cleared for specific medical conditions, such as decompression sickness and certain hard-to-heal wounds. It is not FDA-approved or FDA-cleared for PTSD, TBI, depression, anxiety, or concussion. Mind Spa uses HBOT off-label for these conditions, and research on these uses is ongoing.

What does an HBOT session feel like?

You rest inside the chamber while it pressurizes, similar to the pressure change you feel on an airplane. Most patients relax, listen to music, or nap. Our staff monitors every session, and you can return to normal activities immediately afterward.

How does HBOT fit into Inner Armor?

Inner Armor includes 36 HBOT sessions. Within the program, HBOT is used alongside TMS and ketamine to address inflammation and cellular energy, two areas where HBOT research is ongoing. This use is off-label.

Location & Visits

Visiting Mind Spa

We are located in the Denver Tech Center area and provide care to patients located in Colorado. Your first visit is in person at our Greenwood Village clinic.

Where is Mind Spa located?

Mind Spa is located at 5340 S. Quebec St., Suite 230S, Greenwood Village, CO 80111, in the Denver Tech Center area, with easy access from I-25 and free parking. We serve patients from Denver, Aurora, Centennial, Littleton, Parker, Castle Rock, Colorado Springs, and across the Front Range. Mind Spa provides care to patients located in Colorado.

What are Mind Spa's hours?

Mind Spa is open Monday to Friday, 9am to 5pm. Call 303-327-0350 during business hours to reach our team.

Does Mind Spa offer telehealth?

Yes, for some follow-up visits, for patients located in Colorado. Your first visit is in person at our Greenwood Village clinic. TMS, ketamine, and HBOT are delivered in person, and some medication management visits must be in person, including visits for certain controlled-substance prescriptions.

How do I contact Mind Spa?

Call 303-327-0350, email info@mindspadenver.com, or start your new patient paperwork online. Referring providers can fax to 1-855-618-2377.

Can my provider refer me to Mind Spa?

Yes. We work with primary care providers, therapists, psychiatrists, and VA and TRICARE providers across Colorado. Providers can fax referrals to 1-855-618-2377 or call 303-327-0350. Our team handles benefits verification and prior authorization from there.

Still Have Questions? Talk To A Real Person.

Our team confirms your benefits, answers your questions, and walks you through exactly what comes next. No pressure, no runaround.

Mind Spa uses the Apollo TMS Therapy System, which is FDA-cleared for major depressive disorder and OCD. TMS for PTSD, anxiety, and TBI is off-label. IV ketamine is used off-label for depression, PTSD, and anxiety. Hyperbaric oxygen therapy (HBOT) is used off-label for traumatic brain injury (TBI) and mental health conditions. Neither ketamine nor HBOT is FDA-approved for these uses. The only FDA-approved ketamine-based treatment for depression is esketamine (Spravato) nasal spray.

All treatments offered at Mind Spa are subject to the medical decision-making of a licensed psychiatric provider. Insurance coverage and eligibility criteria vary by plan; contact your carrier or our team to verify your benefits. Individual results vary and are not guaranteed. Mind Spa is an independent clinic in network with TRICARE West and is not affiliated with or endorsed by TRICARE, the Defense Health Agency, or the Department of Veterans Affairs. Mind Spa provides care to patients located in Colorado; the first visit is in person. Mind Spa is not a crisis service. If you are in crisis, call or text 988.