Insurance Coverage for prTMS Therapy in Auburn 

At Beautiful Minds Medical, we understand that patients managing major depressive disorder (MDD), obsessive-compulsive disorder (OCD), and MDD with anxious depression need treatments that are both effective and affordable. Financial considerations are often a key factor when choosing the right treatment for your needs. As you explore your options for mental health treatment, it is important to consider the cost, your insurance coverage, and your eligibility for financial support.

We offer Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®), the leading physician-recommended treatment of its kind. This non-surgical, non-invasive therapy provides an alternative or addition to medication and psychotherapy. FDA-cleared prTMS Therapy is also covered by most major American insurance companies. To learn more about insurance coverage for prTMS Therapy in Auburn and whether your carrier covers treatment, reach out to our team today.

Which Insurance Companies Cover prTMS Therapy?

prTMS Therapy in Auburn is covered by many leading public and private insurance providers, including Medicare, United Healthcare, and Anthem Blue Cross.  In fact, 300 million Americans have access to prTMS Therapy coverage. However, it is important to note that each insurance company has its own criteria for eligibility and coverage. As you consider your treatment options, make sure you fully understand the eligibility requirements of your specific policy or plan.

prTMS Therapy is covered for qualifying patients by major American health insurance companies, including:

    • Aetna

    • Anthem

    • Beacon

    • Blue Cross

    • Blue Shield

    • Cigna

    • Health Net HMOMedicare

    • Meritain

    • Tricare

    • United Healthcare

    • Western Health Advantage

Because insurance coverage and reimbursement can vary based on your individual policy, the best way to determine your coverage is to contact your insurance provider directly. At Beautiful Minds Medical, we are here to assist you in navigating your insurance options as well.

prTMS Therapy Insurance Coverage for Patients With Major Depressive Disorder (MDD) or MDD With Anxious Depression

If you are an adult or a qualifying adolescent (15-21) with major depressive disorder (also known as clinical depression) or anxious depression (MDD with anxious depression), you may be eligible for prTMS Therapy treatment. Below are the specific indications for each age group:

Adult Indications for Use

Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®) is indicated for:

    • Treatment of Depressive Episodes: For adult patients suffering from Major Depressive Disorder (MDD) who have not achieved satisfactory improvement from previous antidepressant medication treatments in the current episode.

    • Decreasing Anxiety Symptoms: For adult patients with comorbid anxiety symptoms.

    • Adjunct Treatment: For adult patients with Obsessive-Compulsive Disorder (OCD) when used as an adjunct to other treatments.

Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®) helps manage these conditions by providing targeted treatment options, enhancing the overall therapeutic approach for adults facing these complex challenges.

Adolescent Indications for Use

Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®) is indicated as an adjunct treatment for Major Depressive Disorder (MDD) for adolescent patients aged 15-21.

Eligibility Criteria

To qualify for prTMS Therapy treatment, you must meet the following criteria:

    • Medical Diagnosis: You have a diagnosis of moderate to severe MDD or MDD with anxious depression.

    • Medication History: Your depression has not been relieved by at least two antidepressant medications (some insurance companies may require up to four failed medications).

    • Pregnancy Status: You are not pregnant or nursing.

    • Eligibility Criteria: You meet all the specific eligibility criteria for prTMS Therapy.

Please keep in mind that coverage for prTMS Therapy treatments in Auburn can vary based on your insurer, plan, and policy. The team at Beautiful Minds Medical is here to assist you through the insurance process and can even contact your insurance provider on your behalf.

prTMS Therapy Insurance Coverage for Patients With Obsessive-Compulsive Disorder (OCD)

Your insurance may provide coverage for prTMS Therapy in Auburn if you are a patient with obsessive-compulsive disorder and meet the following criteria:

    • You have a medical diagnosis of OCD

    • Your OCD symptoms have not improved despite trying at least two medications and psychotherapy

    • You are not pregnant or nursing

    • You fulfill all other prTMS Therapy eligibility requirements

Remember, coverage conditions differ by insurer, and your specific coverage will depend on your individual policy.

How To Contact Your Insurance Provider Directly

To determine your eligibility for prTMS Therapy, the most effective approach is to contact your insurance provider directly. You can do this by using the contact information on your insurance card or mobile app to speak with an agent or representative or by visiting your insurance company’s website to find their contact details.

prTMS Therapy Financial Assistance Program

In addition to your public or private insurance coverage, you may qualify for additional financial assistance through the prTMS Therapy Reimbursement Support Program in Auburn. This program is an independent financial assistance program facilitated by prTMS Therapy Reimbursement Managers, who are dedicated support workers who can help you navigate the insurance process and help you access additional benefits that you may be eligible for. You can contact the prTMS Therapy Reimbursement Support via telephone at 866-507-1614 (option 6) or by emailing reimbursementsupport@prTMS Therapy.com.

Discover if You Have Insurance Coverage for prTMS Therapy in Auburn 

Find out more about your options with a consultation with Beautiful Minds Medical. Our team can help you discover your insurance coverage for prTMS Therapy in Auburn, including your eligibility, benefits, and the scope of your insurance coverage. We can also help you discover your options for additional financial assistance. Call today.

Adult Indications for Use
Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®) is indicated for the treatment of depressive episodes and for decreasing anxiety symptoms for those who may exhibit comorbid anxiety symptoms in adult patients suffering from Major Depressive Disorder (MDD) and who failed to achieve satisfactory improvement from previous antidepressant medication treatment in the current episode.

Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®) is intended to be used as an adjunct for the treatment of adult patients suffering from Obsessive-Compulsive Disorder (OCD).

Adolescent Indications for Use
Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®) is indicated as an adjunct for the treatment of Major Depressive Disorder (MDD) in adolescent patients (15-21).

Important Safety Information
The most common side effect is pain or discomfort at or near the treatment site. These events are transient; they occur during the TMS treatment course and do not occur for most patients after the first week of treatment. There is a rare risk of seizure associated with the use of TMS therapy (<0.1% per patient).Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®) should not be used with patients who have non-removable conductive metal in or near the head. Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®) has not been studied in patients who have not received prior antidepressant treatment.

Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®) is only available by prescription. A doctor can help decide if Personalized repetitive Transcranial Magnetic Stimulation (PrTMS®) is right for you. Patients’ results may vary.