FAQs

Does my insurance cover rTMS?

• Insurance coverage varies by individual health plan. We encourage you to check your insurance benefits for TMS coverage, including co-pays and deductibles. The RCBM TMS Program does not participate with TriCare, Carelon Behavioral Health, UMR, Beaumont UMR, Blue Care Network, Humana, or Medicaid. If you have one of these health plans, please visit NeuroStar to find an rTMS center that takes your insurance.
• All insurance plans require pre-authorization and ongoing authorization for TMS treatment, and each insurer has different authorization criteria. This includes a history of inadequate response to a stipulated number of classes of antidepressant medications or medications for OCD by your insurance company, with a trial of a minimum of 4 - 8 weeks each, along with augmentation strategies such as psychotherapy based on your specific insurance company criteria.
• Your psychiatrist must refer you for rTMS treatment and document the medical necessity of rTMS in accordance with the required criteria.