TMS Costs – is Transcranial Magnetic Stimulation Affordable?

TMS Therapy, an Alternative Treatment for Depression

When it comes to living with persistent depression, getting the treatment and care you require is of paramount importance. There are countless cases of patients who have struggled for years with the debilitating effects of major depressive disorder, without finding relief. Those who haven’t responded well to antidepressants may be candidates for transcranial magnetic stimulation (TMS) therapy. Some seeking out this treatment option may raise their eyebrows at TMS costs, however, which can amount to thousands of dollars.

The good news is that in the United States, many insurance providers now cover some portion, if not all, of TMS therapy costs.

This relatively new alternative treatment for treatment-resistant depression has been shown to be a safe and effective therapeutic option. Statistically speaking, there has been a significant response from patients, with remission rates demonstrated in a multitude of clinical studies.

Which Insurance Providers Cover TMS Costs?

As mentioned, clinical trials have reinforced the efficacy of TMS for treating depression. Consequently, insurance companies are starting to provide coverage for the treatment.

The Following Insurance Plans Currently Working with Achieve TMS East Include:

  • Aetna
  • BCBS
  • BMC
  • Cigna
  • Commonwealth Care Alliance
  • Fallon Health
  • GIC
  • Harvard Pilgrim
  • Husky Health CT
  • Masshealth PCC Plan
  • Masshealth MBHP (most providers in network)
  • Medicare
  • Neighborhood Health Plan
  • One Care
  • Optum
  • Tricare
  • Tufts Health Plan
  • United Health Care

How Insurance Coverage Eligibility is Determined for TMS Treatment

In most cases, TMS therapy will only be covered by insurance plans after certain clinical criteria have been met. While each carrier will have its own specific criteria, most use the following to determine eligibility for benefits:

  • Whether or not the patient is responding to antidepressants
  • Level of response to supplemental augmentation strategies, and
  • Patient responsiveness to forms of psychotherapy, such as cognitive-behavioural therapy (CBT)

What is the TMS Therapy Cost Without Insurance Coverage?

In the event that you find you do not have insurance benefits to offset TMS therapy costs, there are still options available to you. It’s possible your TMS provider will offer a low-cost financing plan. This will ease the immediate financial burden, by spreading the cost of therapy out in the form of monthly payments.

Ultimately, getting the help you need to treat your depressive disorder should be a top priority. This is when you should consider the benefit-to-cost scenario, as the quality of life is ultimately what is at hand. Just as with any significant expenditure, it is important to consider the overall benefits relative to the cost.

Achieve TMS East – New England’s Leading Provider of Deep TMS Therapy

Achieve TMS East is the leading provider of Deep TMS (dTMS) therapy in the New England region. Achieve’s team has unparalleled expertise in the application of dTMS therapy. Our doctors and clinical technicians are committed to helping patients gain relief from the symptoms of depression.

The friendly and knowledgeable staff can assist you with determining your specific insurance benefits for possible TMS therapy coverage. In the case that no insurance benefits are available, our staff can help arrange financing and payment plans. For more information about TMS therapy and free insurance assessment, please contact us today at (866) 410-8245.

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