Is tms covered by insurance

TMS stands for transcranial magnetic stimulation.  It is therapy for mental health illnesses like anxiety, depression, and OCD. Let’s find the answer to the question: is TMS covered by insurance?
In the modern era, a lot of health insurance plans cover TMS treatments for individuals. The plan is according to the condition and the situation of the patient.

Set your mind at comfort by finding a new means to get your insurance company to offer coverage.
Even better, numerous protection companies are making prerequisites for scope less prohibitive. Atlantis Wellness Centre is one of them in providing the insurance for the TMS therapy.

Read on to learn the almost Profound TMS scope for depression, OCD, and smoking habits.

What is TMS Therapy?

Is tms covered by insurance

Transcranial magnetic stimulation (TMS)is a method that uses a magnetic field that interacts with brain activity. To treat brain-related conditions such as depression, anxiety, and OCD,  you can avail of TMS therapy.
Furthermore, it is non-invasive and works where all the other treatment options are not working.

In contrast to the benefits, it also has a side impact on the human brain but very little and minor.
TMS is a secure, profoundly compelling, and FDA-cleared treatment alternative for discouragement, OCD, and cigarette cessation.

Even though numerous mental well-being conditions are constant, TMS makes a difference in patients completing reduction from anxiety’s side effects.
If you are coping with the depression and want the TMS therapy. You may contact us at Atlantis Wellness Centre. There, Dr. Gezel Saheli will provide you with the best services.

She’ll evaluate your current condition, and past mental history and recommend the best solution for TMS therapy.

Insurance Coverage Given By Atlantis Wellness Centre

At Atlantis Wellness Centre, you can opt for the following insurances that are given below:

  1. Aetna
  2. Anthem BlueCross
  3. MHN a Health net Company
  5. UnitedHealthcare
  6. Enthea
  8. Magellan Health
  9. Cigna
  10. Blue California

Is TMS Covered By Insurance?

Is tms covered by insurance

Does insurance cover TMS? The answer to the query depends and varies from provider to provider. A lot of insurance companies will only cover medical requirements services or processes.
Transcranial Magnetic Stimulation (TMS) therapy is now listed as medically crucial for the treatment of anxiety and depression. Additionally, it is therefore covered by many policies.
Nevertheless, coverage limits for TMS therapy are different for different individuals. Moreover, it also depends on the providers and the cost of the therapy you are availing of.
Consequently, it’s important to check with your profits administrator before arranging TMS sessions.

TMS Therapy Cost With Insurance

The approximate TMS cost per session for the TMS insurance ranges from $10 to $70 per session. It depends on the patient’s copay or the coinsurance rate.
In TMS therapy, 36 sessions are required for brain mapping. Remember, the brain mapping session is different from the other sessions.

NOTE: Atlantis Wellness Centre can help treat depression with TMS Therapy.

How Much Does TMS Cost Without Insurance?

TMS therapy is a viable option for some, but it may be prohibitively expensive for others. Though many healthcare providers, such as a new era, provide free consultations, TMS sessions typically cost between $400 and $500 and can vary depending on the provider.

Given that most people require a series of TMS therapy sessions to achieve optimal results, the total cost of TMS therapy may be around $15,000.
At present, not all insurance companies cover the cost of TMS therapy. Some companies place restrictions on who is eligible for TMS treatment.

Does Blue Cross Blue Shield cover TMS treatment?

Blue Cross Blue Shield covers TMS treatment for adult patients who have failed to respond to therapy or antidepressants.
As a result, before beginning TMS treatment, consult with your mental health professional and your insurance plan to determine whether you are covered.

Does Medicare Cover TMS?

Yes, medicare now covers the insurance for TMS. This is due to the impressive success rate of TMS, its non-invasive nature, and minimal side effects.
the question might arise: is TMS covered by Medicaid? The answer is yes to some extent. As we have mentioned earlier it depends on the providers and insurance coverage.
Medicare now only needs patients to try and flop one antidepressant medication.
If it is done earlier they will cover TMS therapy for depression.

Requirements For TMS Coverage

The requirements for insurance coverage for TMS therapy vary depending on the health insurance, but here are the common requirements:

  • DSM-5 diagnosis of MDD or OCD.
  • Provide adequate documentation for failed antidepressant medication trials.
  • Certain insurance companies may require different medication classes (e.g., SSRI, SNRI, MAOIs).
  • Try psychotherapy with a credentialed therapist (e.g., psychologist, LMFT, LCSW).
  • Must be 18 years or older.

Potential Disqualifications For TMS Coverage

Some insurance companies may have more stringent requirements to cover TMS, and some policies may disqualify you for coverage due to certain complicating factors, such as:

  • Pregnancy or nursing
  • Suicide risk
  • Substance abuse (ongoing)
  • Diagnosed neurological circumstances, including epilepsy, seizure disorders, and dementia.
  • Magnetic-sensitive surgical instruments or objects, such as cochlear implants, stents, or bullet fragments.

However, if you are suffering from depression and require relief, do not assume that you do not qualify for TMS coverage under your insurance policy.

Dr. Gezel Saheli Treats Depression Through TMS Therapy

At Atlantis Wellness Centre, Dr. Gezel Saheli conducts a comprehensive assessment of the patient. She’ll explain the present, past, and upcoming events of the patient.
During treatment, you will be awake during the procedure and able to drive yourself home afterward. You will be able to resume your normal activities following treatment.
You will need to repeat the procedure depending on your condition, but it is usually done 5 days a week for about 8 weeks.

Schedule An Appointment At Atlantis Wellness Centre

You can also inquire about an accelerated TMS schedule that includes 10 sessions per day for only 5 days, but this is not covered by insurance unless you are a veteran.
At Atlantis Wellness Centre, our staff works hard to minimize challenges, but if one does arise, rest assured that we will be through it together. Sometimes it only takes a little teamwork.
We’ve seen how TMS Therapy can provide life-changing results. Knowing that there is hope for recovery from depression makes every step worthwhile.
Don’t think twice and book an appointment with us!


Does insurance usually cover TMS?

Yes, most insurance plans cover TMS therapy for Major Depressive Disorder (MDD) and Treatment Resistant Depression.

What is the average cost of TMS?

TMS therapy sessions typically cost between $300 and $500.

What qualifies you for TMS?

You have a diagnosis of Major Depressive Disorder. Traditional medications to treat depression haven’t worked. It requires 2-4 medication sessions before starting TMS.

Does TMS work permanently?

TMS treatment often does not work permanently.  For that, other opportunities for treatment are eventually may be necessary.

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