Insurance Coverage for NeuroStar TMS Therapy in Springfield

Patients receive treatments five days a week, typically Monday through Friday. The majority of insurance covers TMS, but copays may apply. The office staff can explain the costs of self-responsibility before starting the treatment.

Fortunately, insurance coverage for NeuroStar TMS therapy in Springfield is granted by most insurance companies for the treatment of major depressive disorder in adults. At BiBi Health, we work closely with you to ensure you can receive coverage and that you understand what out-of-pocket costs you can expect.

TMS is Medically Necessary to Treat Major Depressive Disorder

Transcranial Magnetic Stimulation, or TMS, is considered medically necessary for treating major depressive disorder, especially among people who do not respond to or are unable to take medication.

Most insurance companies are obligated to cover the expenses of TMS. The major insurance companies providing insurance coverage for NeuroStar TMS in Springfield include the following:

  • Anthem Blue Cross and Blue Shield
  • Blue Cross and Blue Shield of Kansas City
  • Aetna CVS Health
  • Anthem Blue Cross and Blue Shield
  • Blue Cross and Blue Shield of Kansas City
  • Cox HealthPlans
  • Medica
  • Oscar Insurance Company
  • UnitedHealthcare
  • WellFirst Health

You can call our Springfield office today to speak with a member of our team if you have additional questions about insurance coverage for NeuroStar TMS therapy.

Reasons for Insurance Coverage Denials

Insurance companies, including Medicare and Medicaid, will only cover TMS for adults who have been officially diagnosed with major depressive disorder. If you do not have proper documentation of this diagnosis, insurance companies have a right to deny coverage.

Some reasons Neuro TMS therapy in Springfield may be denied by insurance include the following:

  • Being under 18 years of age
  • Having seizure disorders or any history of seizures
  • Having acute or chronic psychotic symptoms or disorders (such as schizophrenia, schizophreniform, or schizoaffective disorder) in the current depressive episode
  • Having epilepsy, cerebrovascular disease, dementia, increased intracranial pressure, history of repetitive or severe head trauma, or primary or secondary tumors in the central nervous system
  • Having magnetic-sensitive medical device implants that are placed near the location of the TMS magnetic coil

Any one of these reasons could result in a denial of insurance coverage. Our team can help you navigate the payment options process if you cannot get adequate coverage.

Discover if You Have Insurance Coverage for NeuroStar TMS Therapy in Springfield

At BiBi Health, we work closely with you and your insurance provider to ensure that NeuroStar TMS Therapy is an affordable option for treating your Depression. Call our office to get started on your path to health and wellness. Learn more about insurance coverage for Neuro TMS therapy in Springfield today.