TMS Insurance
Coverage

TMS therapy is an excellent solution for treating major depressive disorder, obsessive-compulsive disorder (OCD), and other conditions, but it requires a substantial investment on the patient’s part. We understand that cost can be a significant factor when considering this innovative procedure. That is why Mindset TMS offers various tools to help patients minimize expenses.
The good news is that many insurance plans cover TMS treatment. Our team assists in verifying eligibility and navigating the process. We are also happy to work with you to explore financing options if necessary. Our team believes that cost should not prevent patients from receiving this life-changing care because it can make a big difference in mental well-being and quality of life.
TMS Insurance Coverage Mobile Banner
TMS Insurance Coverage
TMS therapy is an excellent solution for treating major depressive disorder, obsessive-compulsive disorder (OCD), and other conditions, but it requires a substantial investment on the patient’s part. We understand that cost can be a significant factor when considering this innovative procedure. That is why Mindset TMS offers various tools to help patients minimize expenses.
The good news is that many insurance plans cover TMS treatment. Our team assists in verifying eligibility and navigating the process. We are also happy to work with you to explore financing options if necessary. Our team believes that cost should not prevent patients from receiving this life-changing care because it can make a big difference in mental well-being and quality of life.

We Accept Most Insurance Companies

Mindset TMS team strives to make TMS therapy accessible and affordable. We are proud to accept most major insurance companies that cover this treatment. Common providers include:
Other Insurance Providers
Mindset TMS also accepts Anthem, Carelon, Beacon Health Options, Kaiser Permanente, TriWest Healthcare Alliance, and VA Community Care insurance plans.
We understand that insurance can be a complex issue. That is why our dedicated team is here to verify your benefits, guide you through the approval process, and answer any questions you may have. If your provider is not listed here or you are unsure about your coverage, do not hesitate to reach out. We will work with you to explore your options and have your TMS covered by insurance.

Eligibility Criteria

Insurance coverage for TMS therapy has specific eligibility requirements that patients must meet. They can vary substantially from one insurance provider to another. For example, for depression treatment, patients must satisfy the following criteria:

Eligibility Criteria Banner

Insurance Prior Authorization Process

We aim to make the process as smooth and stress-free as possible. We are here to help every step of the way. Here’s how the verification process works:
Insurance Prior Authorization Process Banner

Initial Consultation
Initial Consultation

Our team will gather all necessary information during your initial consultation, including details about your insurance provider and policy. This will allow us to begin the prior authorization process immediately, ensuring no unnecessary delays in your treatment.
Once we have your insurance information, our experienced billing team will contact your provider to discuss benefits. We will check TMS therapy coverage under your plan, confirm limits, and determine if prior authorization is required.
If your insurance provider requires pre-authorization for TMS therapy, we will handle the entire process on your behalf. This involves submitting medical records, documentation of prior treatments, and any other necessary information to secure approval from the company.
After we verify your coverage, we will provide a clear breakdown of any out-of-pocket expenses, such as co-pays or deductibles. Flexible payment options and financing plans will also be offered to make treatment as affordable as possible.
Our team will stay in close contact with you throughout the process, ensuring that you are informed at every step. If any issues arise, such as coverage denials or delays, we will advocate on your behalf to resolve them quickly and efficiently.

FSA & HSA

Many patients can access Flexible Spending Accounts (FSAs) or Health Savings Accounts (HSAs) through their employers. These financial tools allow them to set aside pre-tax dollars to pay for qualified medical expenses, including deductibles, copays, and coinsurance.
TMS therapy is considered a qualified medical expense for FSA and HSA funds. Patients may use these accounts to help cover their deductible or other out-of-pocket costs associated with TMS treatment.
Our team is always happy to consult patients with FSAs or HSAs. We can explain how to request and use those funds to pay for TMS therapy. Our staff is knowledgeable about all procedures and documentation requirements.

Financing Options

We offer flexible financing through Advance Care Card for uninsured patients, providing a streamlined solution for managing medical expenses. Here are the main benefits:
Competitive rates.
Flexible terms with no prepayment penalties or fees.
Interest-free periods of 6 to 14 months for increased accessibility.
Simple application process for fast decisions.
Treatment scheduling upon approval.
Exceptional customer service throughout your financing journey.

Frequently Asked Questions

You will need your official diagnosis from a mental health professional, records showing past medication trials, and any other documents related to your treatment history. Our team can help collect and submit everything needed.
Most major insurance companies request evidence of at least two antidepressant trials of different classes. Our staff will check the specific requirements with your provider.
Insurance verification and prior authorization can take up to 2 weeks, depending on the company. We do everything possible to expedite approvals so you may begin TMS treatment as soon as you are eligible under your plan.
Our dedicated billing staff has extensive experience successfully appealing TMS denials. We will thoroughly review the reasons for refusal, submit additional documentation as needed, and advocate on your behalf through every step of the appeals process. Many requests get approved.
Our financing partner, Advance Care Card, offers simplified applications that may be decided in several minutes. Once approved, we can schedule your TMS therapy immediately, according to the lender’s terms. Our coordination helps minimize delays.

Ready for Mental Health Transformation?

Schedule your consultation today and unlock the power of TMS therapy for a brighter future.