Product Description

Known For: Richmond’s most insurance-accessible advanced depression treatment center, offering REMS-certified Spravato and NeuroStar TMS with dedicated care coordinators who handle prior authorizations. Accepts Medicaid — rare for ketamine-adjacent treatment.

HealingMaps Take: Foundation Medical Group is quietly building one of the most accessible advanced depression treatment programs in the Richmond metro. What sets them apart is not clinical flash but insurance infrastructure: they accept Anthem, Aetna, Cigna, UnitedHealthcare, Optima, Medicare, and — critically — Virginia Medicaid. That Medicaid acceptance is a genuine differentiator in the ketamine/esketamine space, where most providers are cash-only and a six-infusion series can run $3,000+. Foundation’s dedicated care coordinators handle prior authorizations and copay assistance, removing the administrative barrier that stops many patients from ever starting Spravato treatment. The clinic is REMS-certified (required for Spravato dispensing) and offers private treatment suites with continuous vital monitoring during the two-hour observation period. The addition of GeneSight pharmacogenetic testing is smart — it helps identify which patients are true non-responders to traditional antidepressants (and thus genuine Spravato candidates) versus patients who were simply on the wrong medication. The practice is also expanding into IV and IM ketamine, which would make them a full-spectrum provider. For patients — especially those on Medicaid or limited insurance — who need advanced depression treatment, Foundation is removing the barriers that other clinics have not addressed.

Patient Review

“Foundation Medical Group made Spravato possible for me when I thought I could never afford advanced depression treatment. Their care coordinator handled all the insurance paperwork and my Virginia Medicaid covered the sessions. I finally have hope again after years of failed medications.”

About Foundation Medical Group

Foundation Medical Group is an advanced depression treatment center located at 11600 Busy Street, Suite 203, North Chesterfield, VA 23236. Led by Dr. Vincent Nardone, the REMS-certified practice offers FDA-approved Spravato (esketamine) nasal spray and NeuroStar TMS therapy, both typically covered by insurance. The clinic also provides quantitative EEG brain mapping, GeneSight pharmacogenetic testing, and comprehensive psychiatric services. Foundation accepts Anthem, Aetna, Cigna, UnitedHealthcare, Optima, Medicare, and Virginia Medicaid, with dedicated care coordinators who handle prior authorizations and copay assistance. The practice serves North Chesterfield, Midlothian, Bon Air, Glen Allen, Powhatan, and the greater Richmond area.

For more on how ketamine therapy works, see our complete guide to ketamine therapy.

What People Like

Broadest insurance acceptance in Richmond’s ketamine/esketamine space — including Virginia Medicaid. REMS-certified Spravato center with private treatment suites. Dedicated care coordinators handle prior authorization and copay paperwork. GeneSight pharmacogenetic testing helps identify true non-responders. TMS available as an alternative or complement to Spravato. Expanding into IV and IM ketamine. Physician-led with continuous vital monitoring.

What People Don’t Like

Currently Spravato only — IV and IM ketamine still in expansion phase. No KAP or psychotherapy integration during esketamine sessions. North Chesterfield location may feel far for patients in northern Richmond suburbs. Relatively newer practice compared to established psychiatric groups. Two-hour in-office monitoring required for each Spravato session.

Getting Started at Foundation Medical Group

Call (804) 506-0526 or visit foundationmedicalgroup.org to schedule a consultation. Located at 11600 Busy Street, Suite 203, North Chesterfield, VA 23236. The care coordination team will assist with insurance pre-authorization and copay assistance — ask about Medicaid coverage.

Learn more about the evidence behind ketamine for depression at the National Institute of Mental Health.