In most cases insurance companies do not list TMS as a regular benefit. However, it is possible to appeal these decisions to your insurance provider. Many patients who have appealed to their insurance provider have been able to obtain some coverage of the treatment. Either way, insurance companies usually determine eligibility for TMS on an individual basis and it is not guaranteed how insurance providers will decide your case.
If your insurance provider does not cover any costs, or only covers partial costs of TMS Therapy, then the burden of payment falls squarely on the patient. However, there are options out there to help patients handle the high costs of TMS Therapy including Private Lenders, Flexible Spending Accounts, and Patient Financing Loans.
If your insurance provider is not presently covering TMS and you would like assistance in securing coverage, the manufacturer of the TMS machine NeuroStar has developed the NeuroStar Reimbursement Support, 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.
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