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Does Aetna Cover TMS Therapy?

Man answering the question, "Does Aetna cover TMS Therapy?"

If you’ve been asking yourself, “Does Aetna cover TMS therapy?” you’re in the right place for answers. The short answer is yes, TMS therapy is covered by Aetna, but there are specific criteria you must meet. TMS (Transcranial Magnetic Stimulation) is a treatment option for individuals suffering from major depressive disorder when other methods haven’t been successful. Below, we detail the Aetna coverage criteria for TMS therapy and how American TMS Clinics can guide you through the process.

TMS Therapy and Aetna Coverage Criteria

TMS therapy uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. It’s a non-invasive procedure, meaning it doesn’t involve surgery or implantation of electrodes. Instead, it’s done with a magnetic coil placed near your head. For those looking for alternative treatments for depression, TMS offers a promising solution.

Aetna considers TMS therapy covered under the following conditions:

  1. FDA Approval: The TMS device used must be cleared by the FDA.
  2. Age Requirement: You must be 18 years or older.
  3. Diagnosis Confirmation: A psychiatrist must confirm you have a severe major depressive disorder.
  4. Treatment History: You’ve tried at least two different antidepressants from different classes without adequate improvement.
  5. Specific Treatment Plan: Aetna covers up to 30 sessions over 6 weeks, with possible additional tapering sessions.

4 Quick FAQs

1. How can I find out if my specific Aetna plan covers TMS therapy?

  • The best way is to contact American TMS Clinics. We can help you with getting a Verification of Benefits (VOB) to check your coverage.

2. What makes TMS therapy different from other depression treatments?

  • TMS doesn’t involve medication, and it’s targeted directly at the brain’s areas involved in mood control, which means it can work when other treatments haven’t.

3. Are there any side effects to TMS therapy?

  • TMS is generally well-tolerated. Some people might experience a mild headache or discomfort at the treatment site, but these are usually temporary.

4. How long does a TMS therapy session last?

  • Each session typically lasts between 30 to 60 minutes. You can relax, listen to music, or watch TV during treatment.

The Path to Treatment with American TMS Clinics

Understanding your insurance coverage is a crucial step towards starting TMS therapy. It can feel overwhelming, but American TMS Clinics is here to simplify the process. By contacting us, we can assist you in verifying your insurance benefits and explain the next steps toward treatment. Our goal is to make access to TMS therapy as smooth as possible for those who need it.

Ready to Take the Next Step? Contact American TMS Clinics in Phoenix Arizona Today!

If you or a loved one is struggling with depression and traditional treatments haven’t provided relief, TMS therapy could be the next step. And with Aetna coverage, it’s more accessible than you might think. Contact American TMS Clinics to get a Verification of Benefits (VOB) and start your journey to recovery. Our team is dedicated to providing support and guidance every step of the way, from understanding your insurance coverage to completing your TMS therapy sessions. Let’s work together towards a brighter, healthier future.

(602) 922-0284
5020 E Shea Blvd Suite 120 Scottsdale, AZ 85254