What is the Cost of Transcranial Magnetic Stimulation (TMS) Therapy?
When it comes to your mental health, getting the treatment and care needed is of paramount importance, and living with persistent depression is no exception. Many who have struggled for years with the debilitating effects of major depressive disorder (MDD) have not found relief from the traditionally prescribed antidepressants and may be candidates for transcranial magnetic stimulation (TMS) therapy.
This relatively new alternative treatment for treatment-resistant Major Depressive Disorder (MDD) has been shown to be a safe and effective therapeutic option, with statistically significant response and remission rates demonstrated in a multitude of clinical studies. Some seeking out this treatment option may be concerned, however, about TMS therapy costs, which can be several thousand dollars. Before passing up on this promising treatment for MDD, consider that many insurance providers now cover some portion, if not all, of TMS therapy costs.
Which Insurance Providers Cover the Cost of Transcranial Magnetic Stimulation?
As more clinical studies reinforce the efficacy of TMS for treating MDD, major insurance companies have begun to provide coverage for the treatment, most within a PPO-level policy. Benefits for TMS therapy have doubled in recent years, providing millions of people with this exciting new treatment option. Some of the major health insurance providers that now provide TMS benefits include:
- Anthem Blue Cross
- Magellan Health
- United Healthcare
- Rocky Mountain Health Plans
Every insurance policy is unique in what TMS benefits, or what percentage, will be covered, if they are indeed covered. It is important to investigate your own particular health plan to learn what TMS benefits are offered. Many different factors determine TMS coverage, such as medical necessity, whether it is clinically appropriate, as well as the details in each policy regarding what procedures, tests, drugs, and services are covered.
How Insurance Coverage Eligibility is Determined
In most cases, TMS therapy will only be covered by insurance plans after certain clinical criteria have been met. While each carrier will have their own specific criteria, most use the following to determine eligibility for benefits:
- Failure to respond to antidepressant drug therapy
- Failure to respond to additional augmentation treatment strategies
- Failure to respond to psychotherapy, such as cognitive behavioral therapy
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 cost, there are still options available to you. The professional TMS provider will likely offer a low cost financing plan to spread the cost of therapy out in the form of monthly payments. Other payment options include using a credit card for TMS services, or securing a loan from a family member.
Ultimately, getting the help you need to treat your MDD is the top priority. This is when you should consider the benefit-to-cost scenario, as 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 – Massachusetts’ Leading Provider of Deep TMS Therapy
Achieve TMS East is the leading provider of Deep TMS (dTMS) therapy in the state of Massachusetts, with five convenient office locations available. With unparalleled expertise in the application of dTMS therapy, our doctors and clinical technicians are committed to helping patients attain 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 (877) 297-5816.