If you’re new to transcranial magnetic stimulation (TMS) therapy, you’re probably wondering what it is and how much your sessions will cost, among other things. The good news on the cost front is you may not have to worry about out-of-pocket costs for TMS at all.
Currently, most insurance plans cover TMS as a treatment for major depressive disorder, or depression. Before we talk a little more about the insurance coverage of TMS, let’s briefly answer the question, “What is TMS?”
What is TMS?
Transcranial magnetic stimulation (TMS) therapy is a type of mental health treatment that has been proven effective for patients struggling with treatment-resistant major depressive disorder. Experts believe it can be beneficial for patients with disorders including anxious depression and treatment-resistant obsessive-compulsive disorder, too. It’s a treatment that is usually reserved for patients who don’t respond to antidepressants and other treatment types, but who still need relief from their symptoms. You can learn more about TMS here.
Is TMS for depression covered by insurance?
Yes! TMS is covered by many insurance plans.
In recent years, more and more insurance providers have begun to see the benefits of TMS treatment for patients with depression and similar mental health disorders. Many insurance providers will cover the cost of TMS treatment for patients with major depressive disorder. Our intake team can run a verification of your insurance plan’s benefits for more detail on coverage.
Is TMS for other mental health conditions covered by insurance?
TMS is FDA approved to treat obsessive-compulsive disorder (OCD). For OCD, TMS works to interrupt the circuits in the brain that are affected by this condition, which can help reduce OCD symptoms. Only a few insurance providers do not currently cover TMS treatments for OCD. If insurance does not cover your OCD TMS treatment, we do offer other payment options.
How can I make sure TMS is covered by my insurance?
You can reach out to our intake team if you want to make sure your TMS treatments are covered by your insurance. They can verify the benefits offered by your insurance plan and even help you learn more about your plan’s coverage details.
Are there other costs having TMS can help me reduce?
Yes. If you have treatment-resistant depression, you may have to regularly return to therapy or go back on antidepressants without the benefits of TMS. The continuing cycle of therapy and antidepressants can lead to out-of-pocket costs for you even if your insurance covers these treatments. Some of these costs may include:
- Antidepressant copays.
- Therapy session copays.
- Transportation costs to and from therapy sessions.
- Child care costs associated with therapy sessions.
With TMS, you can potentially reduce or even eliminate some of these long-term costs. The majority of our patients have a 25% reduction in their depression symptoms, and over half of our patients experience a 50% reduction in their symptoms. Even on the low end, these symptom reductions can translate into savings on all the costs above. And if you’re in the one-third of our patients who achieve depression symptoms remission, you may be able to cut all these costs completely.
Active Path Mental Health offers effective TMS therapy
When you’re already dealing with a mental health disorder, adding treatment resistance into the mix can be extra overwhelming. Fortunately, there are treatments that can help you better your relationships with others, function with greater ease and improve your quality of life. TMS therapy is effective and noninvasive. Our Active Path Mental Health team, composed of mental health experts, can help you better manage your major depressive disorder, anxious depression or OCD symptoms.
We specialize in providing treatment via methods including TMS therapy, esketamine treatment and talk therapy. With us, you’ll get the treatment you need.
Active Path Mental Health is proud to say that patients can receive treatment from locations in both Oregon and Washington. The team members at each one of our locations are dedicated to helping patients recover from their mental health disorders. But don’t just take it from us, take it from our patient reviews.
Contact our team today for more information or to schedule an initial appointment.
