The process of selecting the best treatment option for your mental health is challenging. Patients who present with major depressive disorder (MDD), obsessive-compulsive disorder (OCD), and major depressive disorder with anxious depression need high-quality, safe treatments that are not only effective but also provide lasting relief.
Our patients also need to know crucial information regarding insurance coverage for NeuroStar TMS Therapy in Tampa to help them select the right treatment. Most major insurance companies, including Medicare, Medicaid, and Tricare, cover NeuroStar TMS Therapy for qualifying adult patients.
Who Qualifies for NeuroStar Treatment?
NeuroStar is indicated for adults who present with MDD, OCD, and MDD with anxious depression. It is safe, effective, FDA-approved, and the top physician-recommended TMS therapy.
Most major American insurance companies will cover NeuroStar treatment in the Riverview area for eligible adult patients who meet the following criteria:
Adult Patients Diagnosed With MDD or MDD With Anxious Depression
To qualify for treatment, a person must be an adult patient who has been diagnosed with moderate to severe MDD. The patient’s depression must not have been relieved by at least two antidepressant medications. However, some insurance companies require up to four failed antidepressant medications. A person must also not be pregnant or nursing.
Adult Patients Diagnosed With OCD
A patient must be an adult diagnosed with OCD to qualify for TMS therapy. Their OCD symptoms also must not have seen relief from at least two medications and psychotherapy. Additionally, the patient should not be pregnant or nursing.
Who Is Ineligible for NeuroStar?
Some patients should not be treated with NeuroStar. Children, pregnant or nursing patients, patients who have conductive metal or stimulator implants in or near the head that cannot be removed, and those who have active or inactive implants, such as deep brain stimulators, cochlear implants, and vagus nerve stimulators, are ineligible for treatment.
Does My Insurance Cover NeuroStar TMS Therapy?
Insurance coverage for eligible NeuroStar TMS Therapy patients is available in the Riverview and Tampa area as well as all 50 states, and more than 300 million Americans have insurance coverage for it. Some of the companies that cover treatments include:
- Advance Care
- Aetna
- Anthem
- Beacon
- BlueCross
- BlueShield
- Carecredit
- Humana
- Kaiser Permanente
- Medicaid
- Medicare
- Meritain
- Signa
- Tricare
- United Healthcare
As coverage and reimbursement is dependent on specific plans, guidelines, and insurance policies, it is best to contact the insurance provider directly to determine specific coverage for NeuroStar. Our office is happy to work with you to help you understand your insurance policy as you seek treatment.
Are There Any Out-Of-Pocket Costs or Copays?
Coverage and reimbursement for NeuroStar TMS Therapy is dependent on each insurance carrier, plan, and policy in Tampa. Some plans may require copays on behalf of the patient. If so, the patient will be responsible for out-of-pocket costs during their NeuroStar treatment appointment. The specific copay cost will depend on a person’s insurance provider and individual policy.
NeuroStar does offer financial assistance for eligible patients. NeuroStar partners with organizations to provide financing options for patients not covered by insurance and to help with managing copays, deductibles, and full-cash pay.
Learn More About Tampa Insurance Coverage for NeuroStar TMS Therapy
NeuroStar TMS Therapy is indicated for treatment of MDD, OCD, and MDD with anxious depression for qualifying adult patients. It is particularly recommended for patients who have been unsuccessful with previous medications.
Insurance coverage for NeuroStar TMS Therapy in Tampa can be a difficult process to navigate, but we are here to help. Most major insurance providers generally cover treatment, including Medicare, Medicaid, and Tricare. When you have questions about your individual coverage, we are happy to assist you. Contact our diligent clinicians today for a consultation appointment to review your options.