Insurance Coverage

At Mid City TMS, we believe everyone deserves access to effective depression treatment. That’s why we accept most insurance plans, including Medicare, to help make Transcranial Magnetic Stimulation (TMS) and Spravato (Esketamine) treatments accessible and affordable.

Medicare Coverage for TMS

Transcranial Magnetic Stimulation (TMS) is a non-invasive, FDA-approved treatment that uses magnetic pulses to stimulate areas of the brain involved in mood regulation. It’s particularly effective for individuals with Major Depressive Disorder (MDD) who haven’t found relief from traditional treatments like antidepressant medications or psychotherapy.

Historically, Medicare required patients to try and fail multiple antidepressant medications before covering TMS. However, recent updates have simplified the process, making TMS more accessible than ever. Now, Medicare only requires patients to have tried and failed one antidepressant medication to qualify for TMS coverage.

 

To be eligible for Medicare coverage of TMS, patients must meet the following criteria:

  • Diagnosis: A confirmed diagnosis of severe Major Depressive Disorder.
  • Treatment History: Failure to benefit from at least one antidepressant medication.
  • Treatment Setting: TMS must be prescribed and administered by a licensed physician trained in its use.

This change reflects Medicare’s commitment to expanding access to innovative treatments, allowing patients to receive care sooner. At Mid City TMS, we are proud to be a Medicare provider, ensuring that patients with Medicare can access TMS with little to no out-of-pocket cost.

Other Insurance Plans

While Medicare has made significant strides in improving access to TMS, coverage policies for other insurance providers may vary. Our team is here to help you navigate your insurance plan, verify coverage, and explore your options.

Why Choose Mid City TMS?

  • Expert Care: Our team, led by Dr. Bryan Bruno, specializes in TMS and Spravato treatments for depression.
  • Compassionate Support: We guide you through every step, from insurance verification to treatment planning.
  • Convenient Location: Located in Midtown Manhattan, we offer flexible hours to fit your schedule.

If you or someone you know is struggling with depression and traditional treatments haven’t worked, TMS could be the next step toward relief. Contact us today to learn more about your insurance coverage and determine if TMS is right for you.

 

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