Insurance coverage for TMS

  • Insurance typically requires
    • 18 years or older
    • Failure of, or Intolerance to, 3-4 antidepressant medications
    • Course of psychotherapy
    • Diagnosis of Major Depression

  • For TMS authorizations, we work with a large number of commercial insurance companies, Tricare and VA.
    • Cash pay rates are also available.
  • Insurance authorization is obtained through a process facilitated by your TMS Coordinator. For the required information to be obtained, patients will need to complete an Evaluation with a TMS Psychiatrist, if new to Redemption Psychiatry, or Consultation with a Coordinator, if the patient has already estabilished care with our practice.
    • Based on information obtained, a TMS Coordinator will submit a Prior Authorization request to your insurance company to receive an approval for services.
    • This authorization is a process of justifying the medical need for TMS however it does not guarantee that insurance will approve payment of these claims.
    • This process typically takes 5-7 business days.

American Academy of Child & Adolescent Psychiatry    American Psychiatric Association