TMS Therapy Depression Treatment Is Covered By Insurance & Medicare Health Plans.

At TMS Solutions, we sincerely care about you and providing the highest level of care to help overcome your depression. We realize finances weigh heavily on your decision whether to pursue TMS therapy or not.

That’s why we’re happy to tell you that TMS therapy is covered by all major insurance companies, including Medicare, (in some states) Medicaid, United Healthcare, Blue Cross, and Blue Shield, and the VA.

• With your insurance, you’ll be responsible for your deductible.
TMS Solutions will run a Benefits Investigation at no cost to you to determine each patient's coverage including co-pay if one applies.

Note: Washington and Wyoming Medicaid covers TMS therapy.  Please contact one of our Patient Advocates by using the form, or clicking the button below to set up a time to talk. 

• Don’t have insurance? Not to worry. 
TMS Solutions has financing options including a sliding scale based on income and several lending companies that will help assist you in paying for your TMS treatments. One such company is M-lend. Scroll down below to learn more about M-lend.

• Seeking out the help you need to battle depression takes courage.
Don’t let finances stand in the way of getting the treatment you need. Reach out to our Patient Advocates below who can help answer any questions you may have about coverage and payment for TMS therapy. Get your questions answered today, and take one step closer to a more rewarding life now.

Will my health plan cover TMS Therapy?

Health plans now cover TMS Therapy for an approved diagnosis. To determine if your health plan will cover the cost of TMS for you, please contact your mental health provider and request a referral to TMS Solutions or contact us today and we will assist with this process.

How much does TMS Therapy Treatment cost?

Treatment costs vary and are subject to your individual co-pay, co-insurance, or deductible. We also have Cash Pay options available -- including a sliding scale based on income -- for patients who do not have health insurance, or do not have an insurance approved diagnosis for TMS Therapy. Examples are Postpartum depression, anxiety, tinnitus, and OCD.

Our concern is to provide treatment without it being a burden. Please contact a Patient Advocate about your situation.

How will I know if my provider will cover TMS Treatment?

We are in-network with most major insurance plans, including Medicare, and Medicaid where applicable. We make every attempt to contract with your individual insurance plan if we are not already in network, and have cash pay options available when necessary.

Is there financial assistance available for TMS Therapy?

 We have several financing options available for patients who are cash pay, or patients with high deductibles. Our Billing department will go over the available options with you at your request.

What is the process work to get approval for treatment from my insurance provider?

1. A Patient Advocate will contact you to get set up with the new patient paperwork.
2. Once complete, our billing department will do a Benefits Investigation (BI)
3. We will contact you prior to treatment to review your estimated patient liability and insurance benefits based on the coverage guidelines and your specific benefits plan.
4. This is a pre-determination of your patient liability and is not a guarantee of benefits.
5. Benefits are determined by your insurance company and subject to your plan determination at the time the claim is received.
6. Once approved, we will schedule your first appointment.

Preauthorization, and is it required?

• Preauthorization means the insurance company will review your case and verify if the treatment is medically necessary.
• Preauthorization requirements will vary based on your insurance company and your specific plan’s guidelines.
• Preauthorization does not mean the claim is guaranteed to be paid, nor does it guarantee the rate at which the claim is paid.
• Insurance companies do not guarantee benefits prior to claim submission.
• Any benefits investigation or preauthorization is only an estimate, and patient responsibility will be determined by plan provisions when the claim is filed.

If my doctor said this procedure is medically necessary, will it be covered by my insurance?

Not necessarily. Insurance companies determine what procedures, tests, drugs and services they will cover. For patients whose insurance company denies coverage, we have several self-pay financing options available.

What happens if my doctor recommends treatment that isn’t covered by my insurance?

We make every effort to attempt to obtain an authorization for services. In the event your insurance company denies coverage, we have several self-pay financing options available upon your request.

My insurance denied my authorization. What should I do?