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Evernorth Transcranial Magnetic Stimulation (TMS) Request Form 924445 Interactive PDF

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The document is a Transcranial Magnetic Stimulation (TMS) Request Form intended for clinicians to complete when requesting TMS treatment for patients. It requires detailed patient information, including clinical history, diagnosis, treatment history, and provider details. The form emphasizes the importance of clarity and completeness to avoid delays in processing the request.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Who Cannot receive TMS?

There are people who cannot be treated with TMS. Patients with any metal implants are not eligible for this treatment. Those with bullet fragments near the head cannot have transcranial magnetic stimulation either. People who have had seizures in the past or are at high risk of having seizures must avoid TMS as well.

Does TMS require prior authorization?

In the case of TMS therapy, a prior authorization is necessary to ensure that your insurance will cover the cost of treatment. There are a few different types of prior authorizations, and sometimes these might be called pre-authorizations, pre-certifications, and/or pre-determinations.

Does Cigna cover TMS treatment?

Does Cigna Cover Transcranial Magnetic Stimulation (TMS therapy)? Yes. Cigna covers transcranial magnetic stimulation (TMS) as a part of its outpatient care policies, considering it a medically necessary procedure under certain conditions for treating major depressive disorder and Obessive Compulsive Disorder (OCD).

How much does TMS cost out of pocket?

The average cost for one session of TMS therapy typically runs between $300 and $500, with patients usually undergoing 20 to 30 sessions over the course of multiple weeks. Learn more about how it works and what you can expect to pay.

How do you get approved for TMS?

To qualify for TMS therapy, patients must be over 18, diagnosed with major depressive disorder (MDD) or treatment-resistant depression (TRD) and: Have tried at least two different antidepressants from two classes (SSRIs, SNRIs, or MAOIs) without seeing results, OR.

Which insurance covers TMS?

Here are the major insurance companies that cover TMS therapy for depression: Magellan Health. Optum. Health Net. MHN Health. Tricare. United Healtcare.

How long does it take insurance to approve TMS therapy?

Most insurance companies that are in-network will only take five to seven business days to approve the procedure. In rare cases, it can take up to fifteen days. If a patient has out-of-network coverage, then a TMS provider may offer whats called a single case agreement with the insurance company.

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