In-network insurance coverage is available for our intensive TMS Therapy care. A pre-authorization process is required for this higher-level specialty service, and we will file any preliminary documentation on your behalf once a medical intake has been completed during or after your free consultation. We contract with each of the major commercial insurance carriers: Blue Cross, United, Cigna, Aetna. All other carriers or employer-based policies cover intensive TMS Therapy at our facility on a case-by-case basis. We do not contract with Medicare, Medicaid, or any government-issued health insurance policies at this time.
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Out-of-pocket expenses for TMS Therapy vary according to your individual or family plan’s benefits and are collected based on a Benefits Investigation that we receive from our certified third-party service. Deductibles, Copays, & Co-Insurances are determined by your active carrier policy, and the individual terms of any patient responsibility will be outlined pursuant to the terms of our Financial Agreement when initiating care.
If you are uninsured or do not have coverage for TMS Therapy, we offer the most competitive NeuroStar rates in the country and have several creative arrangements available in order to make this care optimally accessible. All financing is handled in-house so that no interest is ever accrued for HH services, and we are committed to transparency & standardized care rates.
TMS Therapy CPT Codes:
90867: Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management
90868: Therapeutic repetitive Transcranial Magnetic Stimulation (TMS) treatment; subsequent delivery and management, per session
Non-Covered & Out-of-network Services
Aside from our TMS Therapy care, all of our services are considered non-covered or out-of-network and are delivered on a fee-for-service basis. This means that an insurance claim can only be submitted after services have been rendered and must must reflect the billable rates, plus any discounts for care that were offered.
For any out-of-network Counseling and/or Biofeedback claims, our administrative team will issue the appropriate documentation in the form of a Superbill so that it can submitted to the care recipient's insurance carrier. We do not accept assignment for out-of-newtork claims unless specified or unless submitting for TMS Therapy care.