Get the up-to-date Evernorth Transcranial Magnetic Stimulation (TMS) Request Form 2025 now

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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 outlines the necessary information required, including patient details, clinical history, diagnosis, treatment history, and provider information. The form emphasizes the importance of clarity and completeness to avoid delays in processing the request.

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Got questions?

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

How much does a TMS unit cost?

On average, TMS machines range from $50,000 to $200,000. The price can vary based on several factors, such as the brand, model, and included features.

How do you get approved for TMS therapy?

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.

What is the age cut off for TMS?

Patients aged 18 to 70 Findings show that TMS is an effective therapy for major depressive disorder. The FDA used this evidence to approve the use of TMS to modify neural activity in specific regions of the brain. Adults who are good candidates for TMS can qualify for the treatment.

Who cannot do TMS therapy?

Studies have shown that psychotic depressed patients, patients who have failed a course of ECT, and patients with severe comorbid mental disorders like schizophrenia, post-traumatic stress disorder or panic disorder generally do not benefit from the traditional depression TMS protocol.

Who is not a good candidate for TMS?

Have a non-removable conductive metal implant in or around your head (brain stimulators, cochlear implants, vagus nerve stimulators, etc.) Have a history of seizures or a seizure disorder. Have experienced severe head trauma, a brain tumor, or increased intracranial pressure. Have dementia or cerebrovascular diseases.

Who can order TMS?

While psychiatrists can universally offer Deep TMS treatment, many states allow other physicians, as well as nurse practitioners, physician assistants, and prescribing clinical psychologists to do so, too.

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.

What are the contraindications for TMS?

TMS Therapy is contraindicated in persons who have conductive, ferromagnetic or other magnetic sensitive metals implanted in their head or are above the shoulders. Examples include cochlear implants, implanted electrode/stimulators, aneurysm clips or coils, stents, and bullet fragments.

Get the up-to-date Evernorth Transcranial Magnetic Stimulation (TMS) Request Form 2025 now

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