Health insurance is notoriously difficult to navigate. The responsibility for proper understanding of insurance coverage falls on you the patient. However, you are not alone. Most offices, clinics, and hospitals should be able to help you understand your benefits, file claims, and receive reimbursement. In an effort to help you negotiate reimbursement with your insurance company, your TMS prescribing psychiatrist or doctor should be willing to provide copies of your initial evaluation as well as ongoing clinical assessments which you can mail along with the insurance claim.
TMS prescribing psychiatrists and doctors understand that there are limitations to insurance coverage. If you feel that insurance coverage may be an issue, it is important to use a TMS prescribing psychiatrist or doctor who is able to discuss and help you with the complex process of insurance benefits and reimbursement. You will also want to choose a TMS prescribing psychiatrist or doctor who is able to help you in securing coverage, including writing letters on your behalf to argue for coverage.
Your doctor may also be able to help you with these items:
- Collect patient insurance information prior to your appointment.
- Provide patients with claim information.
- File the claim with your insurance company.
- Inform patients of their TMS benefits.
- Manage the process for reimbursement
If your insurance provider is not presently covering TMS Therapy and you would like assistance in securing coverage, the manufacturer of the TMS machine, Neuronetics, has developed the NeuroStar Reimbursement Support program, whose number is 1-877-622-2867. Reimbursement Support can check on your benefits and help you negotiate with your insurance provider for reimbursement, which is determined on a case-by-case basis.