NeuroStar® Is Covered By Most Major Insurance Companies
People with major depression, anxious depression, and obsessive-compulsive disorder (OCD) need treatment options that are safe and effective. And it’s important to know what options are covered by insurance.
The good news is that NeuroStar is FDA-cleared, and most major insurance companies cover treatment for patients who qualify.
This page will answer some common questions to help you understand your NeuroStar coverage options.
Does my insurance cover NeuroStar TMS?
NeuroStar is the #1 physician-recommended TMS Therapy for the treatment of mental health issues. It’s a safe, effective treatment that is FDA-cleared and covered by most insurance companies for MDD and MDD with anxious depression. And new payors are frequently adding OCD to their list of covered conditions. If you suffer from OCD, it’s worth asking your insurance company if they cover TMS for OCD treatment.
While every insurance company is different and policy details can vary, most major insurance companies will cover or reimburse for NeuroStar Advanced Treatment therapy if:
MDD, or MDD with Anxious Depression
- You’re an adult who has been diagnosed with moderate to severe Major Depressive Disorder (MDD)
- Your depression has not been relieved by at least 2 antidepressant medications (some insurance companies require up to 4 failed medications)
- You are not pregnant or nursing
Obsessive-compulsive Disorder (OCD)
- You’re an adult who has been diagnosed with OCD
- You may be covered if your symptoms haven’t been relieved by at least 2 medications and psychotherapy hasn’t worked
- You are not pregnant or nursing
Insurance plans that cover NeuroStar are accepted by doctors around the country. Use our Doctor Locator to get in touch with a NeuroStar doctor near you to see if you are covered!
Which insurance companies cover NeuroStar?
The following major insurance providers cover NeuroStar:
Each insurance company will have its own eligibility requirements and coverage policies. Please check with your insurance provider to explain benefits and plan limitations.
Is there an out-of-pocket cost?
- Typically, you will be responsible for a co-pay at each NeuroStar treatment session. Out-of-pocket copay costs will vary depending on your insurance provider and plan.
- NeuroStar also partners with organizations including CareCredit and Advance Care to provide financing options for patients whose treatment is not covered by insurance, as well as managing co-pays, deductibles, and full cash-pay.
How can I improve my chances of coverage?
- Keeping accurate records and documentation showing progress (or lack of progress) with your previous treatments will be necessary to show that you meet your insurance provider’s eligibility requirements.
- Some insurance companies may require minimums on how long you have stayed with a treatment before moving to other medications. So, understanding and following the specific conditions set by your insurance provider will be essential to make the process of approval easier in the long run.
What if I am denied coverage?
- If you don’t meet the eligibility requirements for your insurance provider and you are denied coverage, you can get NeuroStar Advanced TMS treatments via a cash-pay option.
- NeuroStar also partners with organizations including CareCredit and Advance Care to provide financing options for patients whose treatment is not covered by insurance, as well as managing co-pays, deductibles, and full cash-pay.
- As coverage and payment can vary based on specific plans and guidelines, it’s best to contact your insurance company directly to verify eligibility, benefits, and coverage for NeuroStar treatment.
- For more information, please contact NeuroStar Reimbursement Support at 877-600-7555 (option #6) or reimbursementsupport@NeuroStar.com.
NeuroStar Advanced TMS Therapy, A New Possibility for Depression
Neurostar is a safe and effective treatment without the side effects of medication.1,9
Over 6.6 million NeuroStar Advanced TMS treatments have been performed in over 182,000 patients.
Consult with your insurance benefits administrator to determine if you meet the eligibility requirements for NeuroStar coverage or contact NeuroStar Reimbursement Support at 877-600-7555 (option #6) or reimbursementsupport@NeuroStar.com