If you are considering transcranial magnetic stimulation (TMS) therapy, you may be wondering whether your insurance will cover it. Fortunately, most insurance plans cover TMS therapy for adults with major depressive disorder (MDD) who meet certain criteria.
Our compassionate health care professionals are here to help you understand your available treatment options and insurance coverage for TMS therapy in Tampa, St. Petersburg, and Brandon. We understand that dealing with insurance can be overwhelming, but you do not have to do it alone. At The Neuropsychiatry & TMS Group, we can guide you through every phase of your treatment, ensuring you feel comfortable and confident in your care plan.
Many insurance providers, including Medicare, most commercial plans, and some Medicaid options, cover TMS therapy for adults in Tampa, St. Petersburg, and Brandon with major depressive disorder. However, coverage usually depends on whether you meet specific requirements, such as:
Our team understands that each insurance provider has slightly different guidelines, and we can clarify such details while you focus on your treatment.
Recently, the FDA approved TMS therapy for adolescents diagnosed with depression. Children between the ages of 15 and 18 can now receive this innovative technology that has been used to treat adults for nearly 20 years. When antidepressants have proven ineffective, TMS has been shown to improve depressive symptoms, providing long-lasting results with minimal side effects.
Because approval for this age range is relatively new, schedule a consultation with our team to find out whether your insurance will cover TMS therapy for adolescents.
During your initial appointment to discuss TMS therapy, we will confirm your medical history and treatment needs. If you are a good candidate for TMS, our staff will work directly with your insurance provider to verify your benefits, check pre-authorization requirements, submit the necessary documentation, and follow up on approval decisions.
Our team will keep you informed throughout the process and explain your out-of-pocket costs, if any, before treatment begins. Our office is in-network with many major health insurance providers, including:
If your plan is not listed, our teams in Tampa, Brandon, and St. Petersburg will check which insurance companies may cover your TMS sessions. We have worked with many local carriers and will do everything possible to make care more accessible to you.
If your insurance provider initially denies coverage for your TMS therapy in Tampa, Brandon, and St. Petersburg, our providers will help you appeal the decision. In some cases, denials stem from a lack of detailed documentation or clarification from your doctor. We have successfully guided many clients through the appeals process and will advocate for you as needed.
If your insurance carrier does not approve your TMS therapy and you still wish to move forward, we offer self-pay options and flexible payment plans to ensure you receive the care you need.
Our distinguished doctor, Dr. Faizi Ahmed, has dual board certifications in psychiatry and neuropsychiatry and behavioral neurology. Having received fellowship training at Johns Hopkins University, he offers advanced care grounded in the latest research.
In addition, our caring professionals always put our clients first, ensuring you will never feel overlooked or obligated to navigate the health care system on your own. Our Tampa, St. Petersburg, and Brandon teams are committed to making your treatment experience easy, handling insurance coverage from your initial appointment to your last TMS session.
If you have been struggling with MDD and have not found relief through talk therapy or traditional medications, TMS therapy is a promising alternative. If you are unsure about whether insurance will cover your treatment, contact The Neuropsychiatry & TMS Group today to schedule an appointment. Our compassionate team strives to help our clients understand available treatment options and insurance coverage for TMS therapy in Tampa, St. Petersburg, and Brandon.
Figuring out insurance coverage can be stressful, but you do not have to do it alone. Our team will verify your coverage and guide your treatment with the warmth and care you deserve.
