Insurance Coverage for NeuroStar TMS Therapy in Fort Washington

Above all else, patients struggling with mental health conditions need effective, safe treatments. However, finances matter, and your treatment decision will be based on costs and the scope of your insurance coverage. These factors are critical when selecting the best treatment for you.

NeuroStar Advanced TMS therapy is a nonsurgical, noninvasive, and nonmedication treatment offered at Scott A. Fleischer M.D. P.C. & Associates. It is FDA-cleared to treat varying health conditions in qualifying adults and major depressive disorders in adolescents ages 15 to 21. Read on to learn more about insurance coverage for NeuroStar TMS therapy in Fort Washington.

Is NeuroStar TMS Therapy Covered by Insurance?

NeuroStar TMS Therapy is covered by leading insurers, including Medicare and Tricare, at our Fort Washington office. However, each insurance company has its own eligibility and coverage conditions, which you should be aware of before you make your decision. The following American health insurance companies cover NeuroStar for qualifying patients:

  • Aetna
  • Blue Cross/Blue Shield
  • ComPsych
  • Keystone Health Plan East
  • Medicare
  • PPO
  • United HealthCare/OPTUM

Coverage and reimbursement depend on specific insurance plans and policies, so it is essential to contact your provider directly to determine how much is covered.

Coverage for Major Depressive Disorder or MDD With Anxious Depression

If you are an adult with major depressive disorder (also known as clinical depression) or anxious depression (MDD with anxious depression), you may be covered for NeuroStar if you meet the following requirements:

  • You are an adult with a medical diagnosis of moderate to severe MDD
  • Your depression has not been relieved by at least two antidepressant medications (some insurance companies may require up to four failed medications)
  • You are not pregnant or nursing

It is crucial to keep in mind that these conditions will vary depending on the insurer, plan, and policy.

Coverage for Obsessive-Compulsive Disorder

It is important to note that only some insurance companies will cover OCD treatment, and you will need to speak with your specific provider to determine this. NeuroStar coverage may be available to you for treatment of obsessive-compulsive disorder (OCD) if you meet the following conditions:

  • You are an adult who has been medically diagnosed with OCD
  • Your OCD symptoms have not been relieved by at least two medications and psychotherapy
  • You are not pregnant or nursing

At Scott A. Fleischer M.D. P.C. & Associates, our Fort Washington team can help you navigate the insurance coverage process for NeuroStar TMS therapy by contacting your provider.

How to Determine if Your Insurance Carrier Covers NeuroStar

At Scott A. Fleischer M.D. P.C. & Associates, we are committed to helping our patients access the necessary resources. Here are some ways to find out more about your insurance coverage for Fort Washington NeuroStar Advanced TMS therapy.

  • Reach out to the TMS coordinator to help determine coverage
  • Directly contact your insurance provider to verify NeuroStar eligibility, benefits, and coverage
  • Connect with a NeuroStar Reimbursement Manager to assist you with the coverage navigation process as well as discover your eligibility for financial assistance

If you need help with either of these methods, consider scheduling a consultation with our team. We can help you determine if your insurance provider will cover TMS therapy and connect you with a NeuroStar Reimbursement Manager if necessary.

Discover if You Have Insurance Coverage for NeuroStar TMS Therapy at Our Fort Washington Office

NeuroStar TMS Therapy is the #1 physician-recommended TMS therapy for clinical depression, obsessive-compulsive disorder, and anxious depression. We proudly offer this treatment at Scott A. Fleischer M.D. P.C. & Associates, where we have an on-site physician and specialize in personalized mental health treatment plans for our patients.

To learn more about insurance coverage for NeuroStar TMS therapy in Fort Washington, schedule a consultation with Scott A. Fleischer M.D. P.C. & Associates today.