Insurance Coverage & Financing Options for NeuroStar TMS Therapy in Madison

Patients with major depressive disorder (MDD), obsessive-compulsive disorder (OCD), and anxious depression require safe and effective treatments that can address their symptoms. Understanding the scope of insurance coverage is crucial when Madison patients consider innovative therapies like NeuroStar TMS therapy. We aim to address common questions about insurance coverage for this #1 physician-recommended TMS therapy.

Why Choose NeuroStar TMS Therapy?

For eligible patients in Madison, NeuroStar TMS therapy is either fully or partially covered by most major American insurance companies. This coverage is typically available for patients with MDD  , patients with anxious depression who have not found relief after trying at least two antidepressant medications (although some insurers may require trials of up to four medications). For patients with OCD, insurance companies often require that patients first try psychotherapy and two medications without success before they become eligible for coverage.

NeuroStar: Nationwide Insurance Coverage

With over 300 million Americans having access to insurance coverage for NeuroStar TMS therapy, this innovative treatment is now widely covered by plans across all 50 states. If you’re struggling with major depressive disorder (MDD), anxious depression, or OCD—and medications haven’t worked or caused intolerable side effects—know that you’re not alone. Our clinic is here to help you navigate the insurance process with confidence and care. From verifying your benefits to securing prior authorizations and managing any necessary appeals, we’re committed to standing by you at every step to ensure you have access to the treatment you need.

Does My Insurance Cover NeuroStar TMS Therapy?

See below a list of insurance carriers we’ve successfully worked with:

  • Alliance
  • Anthem Blue Cross Blue Shield
  • Cigna
  • Dean Health Plan by Medica (Medicare Advantage and Medicaid Plans)
  • Dean Health Plan by Medica
  • Group Health Cooperative-SCW (Medicare Advantage and Medicaid Plans)
  • Humana
  • iCare
  • Medicaid
  • Medicare
  • Molina
  • My Choice Wisconsin
  • Quartz (Medicare Advantage and Medicaid Plans)
  • UMR
  • United Healthcare
  • Tricare
  • WPS

It’s important to directly contact your insurance provider to determine your eligibility and the extent of your coverage for NeuroStar TMS therapy. Each insurance company has its own criteria for coverage, which can include the number of medication trials or other treatment prerequisites.

Are There Any Out-of-Pocket Costs or Copays?

Depending on your specific insurance provider and policy, there may be out-of-pocket costs or copays for NeuroStar TMS therapy.

If you’re looking for financial assistance, NeuroStar Reimbursement Managers are available to help you explore financing options and answer any questions regarding your insurance coverage. These support specialists will assist with navigating the insurance process, ensuring you understand your benefits and eligibility for TMS therapy.

To speak with a NeuroStar Reimbursement Manager, you can contact NeuroStar Reimbursement Support at 866-507-1614 (option 6) or email re******************@*******ar.com. You can also directly contact your insurance provider to verify your eligibility and the benefits available under your plan.

Financing Options for Services Not Covered by Insurance

At Collaborative Solutions in Psychiatry, we understand that not all services may be covered by insurance. To ensure you can access NeuroStar TMS therapy and other treatments in Madison, we accept payments through Advanced Care Card. This financing option allows patients to manage the cost of their treatment with ease.

To explore financing options and apply for the Advanced Care Card, visit Advanced Care Card. If you have questions about using Advanced Care Card for your treatment, please contact our team today!

References

  1. Carpenter LL, et al. TMS therapy coverage by insurance providers: A clinical and regulatory overview. J Clin Psychiatry. 2022;83(7):45-51.
  2. O’Reardon JP, et al. Navigating insurance for TMS therapy in treatment-resistant depression: Best practices. JAMA Psychiatry. 2023;80(2):130-138.
  3. George MS, et al. Understanding insurance coverage for TMS therapy in major depressive disorder. Psychiatry Res. 2021;305(4):114-120.