Does TRICARE cover TMS Therapy?


Does TRICARE cover TMS Therapy?
  • Does TRICARE Cover Transcranial Magnetic Stimulation (TMS therapy)?

    Yes, absolutely. TRICARE provides coverage for transcranial magnetic stimulation (TMS) as part of its outpatient procedure care offerings.1

    Transcranial Magnetic Stimulation (TMS) is a cutting-edge treatment aimed at alleviating symptoms of Major Depressive Disorder (MDD) in adults. It’s reassuring to know that TRICARE, a leading healthcare provider for military personnel and their families, supports their beneficiaries by covering TMS therapy.2 This advanced therapeutic approach, recognized for its effectiveness in treating MDD, is accessible to:

    - Active duty service members

    – Retired military personnel

    – Spouses and children of both serving and retired military members

    – Members of the National Guard or Reserve

    Eligibility for TMS coverage under TRICARE extends across a broad spectrum of the military community, ensuring that those who serve or have served, along with their families, have access to this critical mental health treatment under TRICARE’s comprehensive outpatient services.

  • How to Verify TMS Therapy TRICARE Coverage

    At Dr. TMS Therapy Griffith Psychiatry, a premier TMS clinic located throughout the Tampa Bay Area, we’re proud to be in-network with most major insurance plans, including TRICARE.

    Navigating the complexities of TRICARE insurance coverage for TMS Therapy can be overwhelming. That’s why Dr. TMS Therapy Griffith Psychiatry is dedicated to simplifying this process for you. If you’re a TRICARE beneficiary looking to explore TMS therapy as a treatment option for depression or other conditions, our expert care coordinators are here to assist. We specialize in liaising directly with your insurance provider to obtain detailed information about your coverage for transcranial magnetic stimulation (TMS) therapy under TRICARE.

    Don’t let the uncertainty of insurance coverage deter you from seeking the treatment you need. Contact Dr. TMS Therapy Griffith Psychiatry today, and let us take the first step together in uncovering your TRICARE benefits for TMS therapy. Our team is committed to providing you with the support and information you need to make informed decisions about your mental health care.

  • TRICARE TMS Coverage Policy

    TRICARE Policy Manual, Chapter 7, Section 3.8 authorizes coverage of transcranial magnetic stimulation (TMS) for the treatment of major depressive disorder when medically necessary and consistent with coverage criteria.3

    In order for TMS to be covered, the care must be prior authorized and the provider must attest that the following statement is true:

    – Beneficiary is 18 years or older, and

    – The beneficiary has failed to respond to a less intensive form of treatment, or

    – A less intensive intervention is not more appropriate.

Submit this form to verify TRICARE TMS Coverage (Tap Me)

Insurance we accept

  • How much does TMS Therapy cost WITHOUT insurance?

    Customized Quotes!

    The pricing for TMS therapy without insurance varies based on individual factors such as the diagnosis, treatment quantity, and illness severity. We tailor quotes to meet your specific needs and offer a deferred interest financing solution, Care Credit, which is interest-free if repaid in full within a designated period. TMS therapy is highly beneficial, and we encourage those without insurance to contact us for more information on available options.

  • How much does TMS Therapy cost WITH insurance coverage?

    Call us! We can help!

    Insurance plans vary greatly, so to get an accurate estimate of TMS therapy costs, it’s best to contact us with your insurance details at hand. Some individuals may have no out-of-pocket expenses. Our team of insurance specialists will verify whether your insurance covers TMS therapy and clarify any associated costs for you, often providing answers on the same day.

  • What is TMS Therapy?

    TMS Therapy is a non-medication, FDA-approved depression treatment that is covered by insurance.

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  1. “Transcranial Magnetic Stimulation.” TRICARE. Last updated March 20, 2022. ↩︎
  2. “ ‘TRICARE to Cover TMS Treatment.’ Accessed [2/21/2024].” ↩︎
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