Your healthcare insurance company may cover the cost of TMS Therapy on a case-by-case basis. However it’s best not to wait for your insurance company to authorize payment for TMS before starting treatment because of the amount of time it takes most insurance companies to reach a decision, during which your depression may get significantly worse. Once you pay for TMS sessions, my office can help you file a claim for reimbursement with your insurance company. If your claim is denied, I will be happy to write a letter to your insurance company to help you appeal the insurance company’s decision. I’ve also partnered with Neurostar Reimbursement Support program. This program is staffed with well-trained case managers skilled at presenting your needs in an attempt to get TMS approved by your insurance company. Using this process, some of my patients have been able to recoup up to 90% of the cost of TMS from their insurance company.
For ongoing TMS sessions, advance payment for 20 sessions is required in full since that is the minimum number of sessions required for full benefit. Your progress will be assessed weekly. In case you decide not to complete 20 sessions for any reason, any unused balance will be refunded to you. For subsequent sessions you may make a single payment or pay one week at a time, since a full course of TMS is generally a total of 36 treatments.
If you are unable to pay for the full course of treatment and your insurance company refuses to cover the cost upfront, you can consider other payment options such as:
- Flex plans/Health savings accounts
- Personal Loans
- Family, friends or other support
- Med Loan Financing