Covers TMS Prior Auth Required
Insurance coverage details, authorization requirements, and what you'll pay.
Yes
TMS Coverage
Yes
Prior Auth
$500–$3K
Typical Cost
Yes
TMS Coverage
Required
Prior Authorization
$500–$3,000
Typical Patient Cost
36 Sessions
Standard Course
Frequently Asked Questions
Does undefined cover TMS therapy?
Yes, undefined covers TMS therapy for FDA-cleared indications, typically major depressive disorder. Prior authorization is required.
What documentation do I need for approval?
Most carriers require: a diagnosis of major depressive disorder (MDD), documentation of 2-4 failed antidepressant trials at adequate dose and duration, and a treatment plan from a qualified psychiatrist.
How long does prior authorization take?
Typically 5-15 business days. Expedited reviews can happen in 24-72 hours for urgent cases. If denied, you have the right to appeal — TMS denial overturn rates are 60-70%.
What will I pay out of pocket?
Your cost depends on your plan's deductible, copay, and coinsurance structure. Many patients pay $500-$3,000 total with insurance. Your TMS clinic can provide a detailed cost estimate after verifying your benefits.
Related Resources
Other Insurance Guides
Treatments Covered
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