TMS Therapy was FDA approved in 2008, and is covered under most health insurance plans for Major Depressive Disorder. If you meet the requirements of medical necessity, and have tried at least four different courses, from at least two different families of antidepressant medications, you may qualify for insurance coverage. We recommend that our patients contact their insurance company prior to starting treatment to check their eligibility and benefits. You can call the general number on the back of your health card, or the mental health line, for benefits details.
Our office in Bryn Mawr, PA is an in-network provider for Independence Blue Cross Personal Choice, United Healthcare, Keystone Health Plan East HMO, IBC Medicare Advantage, Humana, Highmark Traditional and Premier Plans, Medicare Health Plans, and Oxford.
If you have an HMO health plan, you will need to first obtain a referral for TMS Therapy from your primary care provider. For all other plans, we are considered an out-of-network provider. In those cases, you will be responsible for the payment at the time of treatment. You can then file for reimbursement from your insurance company, given you have out-of-network benefits.
Currently, our Marlton, N.J. office is in the process of becoming an in-network provider. Our Marlton office does not take insurance at this point. For qualified patients, you may still need to obtain pre-authorization prior to starting TMS Therapy. We can help obtain pre-authorization if your insurance plan covers TMS for Major Depressive Disorder.
Insurance plans only cover TMS Therapy for Major Depressive Disorder. If you are interested in any of the alternative applications of TMS, please contact our TMS coordinator for more information.