Does Medicare Cover TMS Treatment for Major Depression?
If you or a loved one is struggling with major depression, you may have found that antidepressants aren’t providing the relief you need. You might be considering advanced options, but are worried about the cost.
We can address your major depression with advanced TMS treatment, covered by Medicare.
Is TMS Covered by Medicare?
Yes, Medicare Part B covers TMS therapy for eligible patients diagnosed with Major Depressive Disorder (MDD) when other approaches have failed.
While qualifications can vary slightly based on your specific location and plan, general Medicare eligibility for TMS usually requires that:
- You are diagnosed with Major Depressive Disorder (MDD).
- You have tried at least one or more antidepressant medications without satisfactory results, or experienced intolerable side effects.
- You are currently experiencing a depressive episode.
Our dedicated care team will check your specific benefits and walk you through the process, ensuring you don’t have to navigate these details alone.
Medicare Now Covers Accelerated TMS
Traditional TMS therapy is typically administered once daily over several weeks. However, with Mindfully’s advanced Deep TMS treatments, Medicare beneficiaries can complete their full course of treatment in half the time.
How this works? When you schedule your appointment, our staff will book you for two appointments, approximately 60 minutes apart. This way, you can get two treatments completed in under 2 hours.
Mindfully use advanced BrainsWay Deep TMS technology, which is approved for this accelerated schedule. This allows you to complete your full course of 36 Medicare-covered treatments in half the number of total days, helping you find relief and get back to enjoying your life much faster.
Begin Your Treatments Immediately - No Wait!
One of the most significant advantages of Medicare coverage for TMS is that a “pre-certification” or prior authorization is not required.
While private insurance companies often require a lengthy review process that can delay care for up to six weeks, traditional Medicare does not require this step. This means that once you are assessed by our licensed psychiatrist and deemed a good candidate, you can start your Deep TMS treatment almost immediately at Mindfully.
How Much Does TMS Cost with Medicare?
- Medicare Part B typically covers 80% of the Medicare-approved amount for TMS therapy sessions after you have met your Part B deductible.
- Supplemental Insurance (Medigap): If you have a Medigap policy or other supplemental insurance, it often covers the remaining 20% copayment, meaning many patients pay little to nothing out-of-pocket for their treatment.
- Medicare Advantage: These plans also cover TMS, though they may have different copayment structures or require prior authorization (unlike original Medicare).
Why Choose Deep TMS at Mindfully?
Mindfully offers BrainsWay Deep TMS, one of the most advanced TMS technologies available. It is uniquely suited for Medicare patients because it is the only TMS treatment FDA-approved for all adults, including those over the age of 68.
- Non-Invasive: No surgery, no anesthesia, and no systemic side effects (like weight gain or sleep issues often associated with medications).
- Proven Effective: Approximately 4 out of 5 patients experience significant improvement, and two out of three find complete relief.
- Comfortable & Convenient: Treatments are performed in-office. You remain awake and alert, and can drive yourself home immediately after a 20-minute session.
Struggling with Treatment-Resistant Depression? You’re Not Alone
Did you know that for about one-third of people with major depression, standard antidepressant medications simply don’t provide relief? If you’ve tried medication for depression or anxiety and haven’t seen results, you are not alone!
Mindfully’s Deep TMS therapy (Transcranial Magnetic Stimulation) helps you achieve remission from major depression and anxious depression.
Take the Next Step Toward Relief
Don’t let depression keep you from the life you deserve in your golden years. If you are asking “does Medicare cover TMS for depression,” let us help you find the definitive answer for your specific situation.
Contact Mindfully today to verify your Medicare benefits and schedule an assessment.