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TMS stands for transcranial magnetic stimulation, and is FDA-approved for the treatment of major depressive disorder (MDD) and obsessive compulsive disorder (OCD).
TMS is an effective treatment when medications have not been effective or when side effects are intolerable. Unlike medications, TMS does not cause undesired systemic side effects and offers long-term remission from symptoms.
FDA-approved TMS Therapy Systems are covered by most health plans, including Medicare and Tricare.
TMS is free from side effects often associated with antidepressant medications. The most common side effects include temporary discomfort at or near the treatment site and headache. These symptoms typically resolves after the first few treatment sessions.
TMS is covered by most insurance plans for the treatment of major depressive disorder when medications and therapy have been ineffective. Some insurances are beginning to cover TMS for other conditions, such as obsessive-compulsive disorder (OCD), but it is recommended to always check with your specific plan prior to starting TMS treatment. A prior authorization is often required, which is generally obtained by your TMS clinic provider.
Your out-of-pocket will depend on your insurance deductible, visit copay and/or coinsurance under your mental health plan. It is important to determine how much of your deductible and maximum out-of-pocket has been met with your plan prior to starting TMS treatment. You may be responsible for the remainder of your deductible and any copay or coinsurance that is applicable until your maximum annual out-of-pocket is met.