Coverage and cost
Will my insurance cover TMS?
This is the question that stops most people. Here is the plain version.
The short answer
TMS is widely covered
Most major carriers cover TMS, and it is included in a great many plans.
What varies is what your particular plan requires before it will approve a course of treatment. That is the part worth understanding before you start making calls yourself.
What plans ask for
Usually, a history of what has already been tried
Insurers generally want evidence that depression has been treated and has not responded. In practice that means a record of antidepressant trials, and usually therapy alongside them. How many trials a plan wants to see differs from plan to plan.
Most insurance carriers require 2–4 antidepressant medication trials plus a therapy trial before they will approve TMS treatment. If you have met these criteria, we can find out what your benefits could be and give you an estimate.
That is the part that takes paperwork, and it is the part we do for you. We gather the history, submit the authorization, and follow it through the payer’s process.
Talk it through with a Medical Provider
The consultation is free, takes about 30 minutes, and commits you to nothing. Bring your questions.