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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).
Is TMS covered by my insurance?
TMS is covered by most insurance companies, including Medicare. Coverage depends on the details of your specific insurance plan, with most companies covering the majority of costs per session minus a small copay.
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.
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.
What conditions are FDA approved for TMS?
Transcranial Magnetic Stimulation (TMS) is FDA approved for the treatment of depression and obsessive-compulsive disorders. It is a non-invasive procedure that uses pulsed magnetic fields to induce an electric current in a localized region of the cerebral cortex.
Related Searches
Cigna prior Authorization Form PDFCigna TMS policyCigna prior authorization lookup toolcigna-healthspring prior authorization form pdfCigna prior authorization phone numberCigna Prior Authorization fax formCigna prior authorization form OutpatientCigna Prior Authorization portal
Understanding Prior Authorizations Simply put, a prior authorization is a process that insurance companies use to approve or deny coverage for a specific medical treatment or procedure. In the case of TMS therapy, a prior authorization is necessary to ensure that your insurance will cover the cost of treatment.
How do I get into TMS?
Typically, this includes completing a degree in a relevant field such as medicine, psychiatry, nursing, or psychology. These foundational studies provide the necessary background in human anatomy, physiology, and mental health that is crucial for understanding and applying TMS techniques effectively.
What documentation is required for TMS?
Notable Documentation Requirements Some components include: Detailed Patient Records, including diagnosis, rationale for the medical necessity for TMS, and comprehensive treatment history. Motor Threshold Information: Document the motor threshold determination procedure.
Is TMS therapy covered by insurance?
Good news! Most health insurance plans cover TMS Therapy for depression, but some conditions must be met first. Each plan has its own requirements, some of the most common ones are described above. We suggest to call your health insurance provider and verify that you are qualified.
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.
Related links
cigna-certificate-of-coverage.pdf - Michigan State University
YOU FILE CIGNAS CLAIM FORMS, OR WHEN YOU. CALL YOUR CIGNA CLAIM OFFICE Stimulation (TMS), etc. Calendar Year Maximum: Unlimited. Plan Deductible
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