A common question surrounding TMS, or transcranial magnetic stimulation therapy, is whether TMS is covered by insurance. Generally speaking, medical insurance companies will cover treatments as long as they are deemed medically necessary. The good news is that since 2009, TMS has been FDA-cleared for depression, considered medically necessary and is now covered by most insurance.
The approval of TMS insurance coverage depends on each patient’s particular plan and benefits. However, there are some general criteria to keep in mind. TMS is generally covered for major depression treatment. It also may be covered for use in treating obsessive compulsive disorder (OCD) and smoking cessation.
Typically, insurance companies will want to see that you’ve tried one or more medications before approving TMS treatment. Sometimes, insurers will require that you’ve tried talk therapy.
Once insurance companies have approved a patient for TMS treatment, there can be some additional costs depending on the patient’s deductible, copayments, and annual out-of-pocket maximum.
At Neuro Wellness Spa, we understand how important it is that those seeking help are able to get the treatment they need. Here are just some of the health insurance companies we work with:
- Aetna
- Anthem
- Beacon
- Blue Shield
- Cigna
- Magellan
- MHN/Healthnet
- Optum
- Tricare
If your health insurance plan is not listed, our phenomenal intake team will be able to determine eligibility right away for you and is always available to help prospective patients understand their coverage options. Not to mention, at Neuro Wellness Spa, we handle all the paperwork.
