HH Coverage Types
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 a free consultation. We contract with each of the major commercial insurance carriers:
BCBS (Anthem, FL Blue)
UnitedHealth (UBH, Optum)
Cigna, Aetna, Humana
All other government or employer-based policies cover intensive TMS Therapy at our facility on a case-by-case basis. Per the terms of our Financials Agreement, a Single Case Agreement will be required at the discretion of the practice. We do not currently contract with Medicare or Tricare, and Medicaid does not offer any coverage for TMS Therapy 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 full transparency as well as standardized pricing.
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
Aside from our TMS Therapy care, all of our services are with non-participating providersconsidered 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 be submitted to the care recipient's insurance carrier. We do not accept assignment for out-of-network claims unless specified or unless submitting for TMS Therapy care.