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Insurance Coverage

Insurance coverage for the TMS procedure varies depending on individual carriers and plans and may be determined on a case-by-case basis. Our staff members are highly knowledgeable and experienced in the rules and limitations of medical insurance, and will work with each patient to help determine eligibility. Working together with the NeuroStar Care Connection (NCC) program, we help patients attain the coverage they need as quickly as possible so that they can undergo this beneficial treatment.

Because it is a new and still developing treatment option, many plans do not provide coverage for TMS. However, after its FDA approval and recent healthcare advances, several health insurance plans now offer coverage that ranges from partial to complete reimbursement. As research progresses and the NCC program promotes reimbursement for this treatment, insurance coverage for TMS Therapy is likely to expand as well.

Patients can choose to pay out-of-pocket for TMS Therapy treatments if the procedure is not currently covered by their insurance. There are several means of financial assistance available for these patients to ensure that they can receive successful treatment that is within their budget. TMS Therapy can also be financed out of a healthcare flexible spending account.

Provided below is a list of all the insurance companies that have either fully or partially covered TMS therapy to date. (The numbers of patients covered for each company are in parentheses.)

Aetna (5)
Anthem (Wellpoint) (7)
APS Health Care (1)
BCBS of RI (3)
BCBS of NC (3)
BCBS of GA (2)
BCBS of FL (1)
BCBS Federal (5)
BCBS of IL (1)
BC of CA (2)
BS of CA (5)
BCBS of TX (1)
BCBS of MN (1)
BHO (1)
Managed Health Network (19)
CA Workers Comp (3)
CareFirst (BCBS of MD) (2)
Concern (2)
Consolidated Health (1)
Coventry (1)
Empire BCBS (2) 
Excellus BCBS (1)
GEHA (2)
Health New England (4)
Humana (1)
Kaiser North and South California (10)
Loma Linda Health System (3)
MA Workers Comp (1)
Mesa Mental Health(1)
Medicare -SC (3)
Oxford Healthcare (3)
PacifiCare (2)
Premera BC (2)
PHCS (2)
Sagamore (1)
Self Insured Employers (4)
The Hartford (1)
Utah Behavioral Health (2)
United Healthcare (5)

Please call us today to speak with one of our staff members and learn more about insurance coverage and financing options for TMS Therapy.

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