Medical insurance for Transcranial Magnetic Stimulation (TMS)
Millions and millions of people are diagnosed with depression every year and this demands for better and effective treatment that can alleviate the symptoms to provide the patients with a chance at a normal life where they don’t have to struggle every day and battle with themselves just to keep holding on. This dire need for a treatment that can provide optimal results is where Transcranial Magnetic Stimulation comes in with its extreme efficacy. Transcranial Magnetic Stimulation, or TMS therapy as we like to call it is an advanced treatment procedure that aims to provide lasting relief to patients who are suffering from depression and other conditions that are associated with the brain, including but not limited to anxiety, OCD, and addictive tendencies. No matter whether a patient has responded to other treatment options well or not, TMS can still produce tangible results as it works on a deeper level by directly manipulating the brain with the help of magnetic impulses so that the desired effect can be achieved.
The efficiency with which TMS therapy manages to alleviate and/or improve the symptoms has made it a beacon of hope for patients who failed to find any improvement through other medical treatments be it medications, talk therapies, or even Electroconvulsive Therapy (ECT). The minimally invasive TMS therapy which can deliver the best results while ensuring maximum patient safety, comfort, and little to no side effects has now become highly favored as a treatment of choice for those in need of advanced care for their depression.
Still, one question remains, what about the cost of treatment?
Even with so many attractive elements, the one thing patients want to know the most about TMS therapy is whether it would be covered by their health insurance provider. The short answer is yes, most health insurance providers including Medicare indeed do cover the cost of TMS therapy. Medical insurance companies usually tend to cover for medically necessary procedures under various policies, which is where TMS therapy belongs as it can literally save lives with its effectiveness in improving the symptoms of treatment resistant depression. But the restrictions and qualifications for insurance coverage may vary depending on your service provider.
What can be covered?
Although TMS therapy is not exclusive to treating depression, insurance providers mostly cover for patients receiving TMS to treat moderate to severe Major Depressive Disorder (MDD). Apart from the clinical diagnosis, the patient may also need to submit further documentations proving that you are suffering from treatment-resistant depression. These procedures can be done with the help of your mental health professional prior to treatment.
What can make you ineligible for insurance coverage?
Even though TMS is considered a medically necessary treatment, it also comes with various stipulations that the patient needs to meet, failing which they may be disqualified by the insurance service provider. The restrictions may vary depending on your provider, but generally, those who are disqualified include:
- Patients who are pregnant or actively nursing the child
- Patients with substance abuse issues
- Patients who are at an acute risk of suicide
- Patients with a history conditions like epilepsy and seizures
- Patients with medical implants or metal fragments in their bodies
If you can meet all the requirements, you don’t need to worry about the cost of treatment as your medical insurance provider will cover your TMS therapy.
Reliance Health Systems has been successfully helping patients with TMS therapy sessions as required to aid them in managing their mental health conditions. As the only healthcare provider in the Tri-state area that offers TMS therapy sessions, our highly qualified experts are dedicated to providing the best relief for our patients with their compassionate care. At RHS, we do our best to help you with the documentations required to claim your insurance so that you are able to get the treatment you need without having to worry about the money. Make sure you entrust your mental health to the right professionals.
Contact us today to know more about our services in Transcranial Magnetic Stimulation. You deserve to live in comfort, happy and healthy, and we are here to help you make it happen.