NeuroStar TMS Therapy® may be covered by your health insurance plan on a case-by-case basis. Some insurance plans, for example, the Federal Blue Shield/Blue Cross plan, have authorized TMS therapy for treatment resistant depression. But this is not a guarantee that your treatment will be covered by insurance.
Commercial insurance companies do not universally cover TMS therapy for depression. Therefore, Southern California TMS Center works with the NeuroStar Care Connection (NCC) program to appeal the policy and try to gain coverage for your TMS therapy. The NCC is staffed by trained case managers to help with the reimbursement process. The NeuroStar Care Connection program has a high success rate in getting TMS approved by major insurance companies when TMS is clinically indicated. Companies such as Aetna, Blue Shield, Anthem Blue Cross, Kaiser, among other companies have approved reimbursement for TMS with the NCC program. The NCC program is necessary because new therapies like NeuroStar TMS Therapy often are not included in health insurance plans when they first become available to patients. It usually takes time for health insurance plans to establish coverage policies for newly approved technologies such as NeuroStar TMS Therapy. The objective for NeuroStar Care Connection program staff is to assist you in gaining access to NeuroStar TMS Therapy as quickly as possible by assisting in securing coverage and reimbursement.
To determine if your insurance company covers TMS, your first step is to contact your insurance company directly. But, in the event they claim that the treatment will not be covered, there are other options, such as an appeal thru NCC or financing. Contact Southern California TMS Center at 626-683-8758 and our TMS coordinator will be able to assist you in determining the next steps right for you. We will assist with conducting a formal benefits appeal for TMS reimbursed by your insurance company as well as discuss financing and direct payment options.
Go to our Download link to download the NeuroStar Care Connection Brochure and NeuroStar Care Connection Enrollment Form.
Contact Information
NeuroStar Care Connection Program
1650 South Amphlett Blvd, Suite 300
San Mateo, CA 94402
Tel: 1-877 NCC2TMS (1-877-622-2867)
Fax: 1-866-307-1339
Hours of Operation Monday–Friday, 10:00 a.m.–7:00 p.m. EST
Closed Holidays
Payment is due at the time of treatment. In some cases individuals choose to have treatment and pay for TMS prior to getting insurance reimbursement. To discuss financing and estimated cost of TMS, contact Southern California TMS Center.
Financing may also be an option for you. Clark Financing is an Independent company offering financing options. You can download their brochure and application from our “Download” menu.
If you are suffering from Major Depression, TMS may be right for you. Click or call to get connected to a TMS expert.