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Insurance

Minneapolis TMS provides TMS treatment from NE Minneapolis to anyone in need. We work to authorize the treatment with your health insurance so you can focus on getting better. Treatment authorization for TMS can take a lot of work to get approved, so if you're in need of TMS, reach out to us and we can begin the process right away.

Payers

The following insurance companies are preferred payers for whom we have established authorization workflows. However, we can work to secure authorization from your plan, even if they are not on this list. Please give us a call if you have questions about your specific plan and we will do what we can to get them to cover your treatment.

  • Medicare

  • Minnesota Health Care Programs (MA)

  • BCBS of MN

  • HealthPartners

  • UCare

Authorization

Since TMS is a comparatively new kind of treatment, many insurance companies require authorization before they will agree to cover it. This requirement is changing as more evidence is accumulated about the treatment efficacy. In the future, we hope to see more health plans streamline the coverage for this service.

In general, the following are common elements included in authorization of TMS:

  • Tried and failed 4 different antidepressants

  • Therapy ineffective in treating depression

  • Previous success with TMS

  • Previous success with ECT

  • Diagnosis of severe depression

Process

If you are a current patient of MHCS, chances are you were referred by your MHCS provider and they will coordinate the authorization and referral process on your behalf. For everyone else, we will start by requesting records from your current provider. This would include your diagnostic evaluation and medication history. With your permission, we will initiate the authorization process. Upon receiving approval from your health insurance, we will begin coordinating treatment.

Cost

The full course of treatment is about $4,000, so it is usually advisable to secure authorization from your health insurance. This is about $110 for each appointment. For those patients who do not wish to use health insurance, we offer private pay rates as well.

When authorization is received, your insurance will cover the services according to your benefit plan. This means that copays, coinsurance, and/or deductibles will still apply. There are around 36 treatments on average for the full course of treatment. We don't want anyone to be surprised during this process!

About TMS

Click below to learn more about Transcranial Magnetic Stimulation.

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