Insurance Coverage For TMS

At NeuStart Psychiatry & TMS, we understand that access to cutting-edge mental health treatments is essential, and we strive to provide support in navigating the financial aspects of your care. Transcranial Magnetic Stimulation (TMS) is an FDA-approved treatment for various mental health conditions that is covered by insurance. We want to help you explore your potential insurance coverage options.

Understanding Insurance Coverage:

  1. Health Insurance Policies:

    • TMS is increasingly recognized as an effective and valuable intervention by many health insurance providers.
    • Contact your insurance company to inquire about coverage for TMS treatments. It's essential to understand the specific terms, conditions, and any potential out-of-pocket expenses associated with your policy.

  2. Verification Process:

    • Our dedicated staff can assist you in verifying your insurance coverage for TMS. This process involves confirming the details of your policy, such as co-pays, deductibles, and any pre-authorization requirements.

Factors Influencing Coverage

  1. Diagnosis and Medical Necessity:

    • Insurance coverage for TMS may be influenced by the diagnosed mental health condition and its severity. Some insurance companies require documentation of medical necessity for TMS to be covered.

  2. Provider Network:

    • Confirm that NeuStart Psychiatry & TMS is within your insurance provider's network. This ensures that you can maximize your insurance benefits when receiving TMS treatments at our facility. Our scheduling team will confirm this as well.

  3. Prior Authorization:

    • Some insurance plans may require prior authorization before starting TMS treatment. Our team can guide you through this process, helping you obtain the necessary approvals, submitting the necessary paperwork to your insurance company.

Advocacy and Support

  1. Insurance Appeals:

    • If an insurance claim is initially denied, our team can assist in the appeals process. We are dedicated to advocating for our patients to ensure they receive the benefits they deserve.

  2. Insurance Liaison:

    • Our TMS coordinator acts as a dedicated insurance liaison who can work with your insurance company on your behalf, streamlining the process and addressing any coverage-related concerns.

Contact Us For Assistance

Navigating insurance coverage for TMS can be complex, but you don't have to do it alone. Our team is here to support you every step of the way.

Contact us today to discuss your insurance coverage, ask questions, and explore options for making TMS a feasible and affordable part of your mental health journey.

Contact Us