Navigate insurance with Ease
Don’t let insurance barriers hinder your journey to recovery. We’re here to simplify the process and provide the support you need.
Leave it to the experts
We understand that handling insurance can be stressful. That’s why we’re here to guide you through the process, from initial inquiries to claim submission.
Our expertise in TMS and Spravato insurance coverage grants a smooth and hassle-free experience. We assure you that all your insurance-related questions will be addressed and thoroughly discussed before starting any treatment.
Covered by major insurance providers
Are you eligible for insurance coverage?
Let us help you determine your potential insurance coverage for TMS and Spravato treatments by answering these quick questions.
- Have you tried at least one to two different antidepressants?
- Have you experienced limited success with previous treatments?
- Do you have insurance? All New Jersey insurances including private insurance, Medicare, Medicaid, and Tricare, cover our treatments
- Have you experienced adverse side effects to oral anti-depressants?
Focus on getting better while we handle the rest
Personalized insurance guidance
We'll assess your specific insurance plan to determine coverage eligibility for TMS and Spravato treatments.
Streamlined paperwork
Our team will handle all of the insurance paperwork, lessening the burden on you.
Exploring alternative options
If insurance coverage is limited, we can explore alternative third party financing options to make treatment more accessible.
Maximizing your benefits
We'll work with you to maximize your insurance benefits and minimize out-of-pocket costs.
TMS & Spravato Insurance Coverage FAQs
Read more about deep TMS treatment and how it can help alleviate depression symptoms.
How do I know if my insurance covers TMS or Spravato® therapy?
All New Jersey based and most major insurance providers – including Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, and UnitedHealthcare – cover both Spravato® and TMS for treatment-resistant depression when certain criteria are met. Coverage may vary based on your specific plan and medical necessity requirements, so we will verify your benefits before treatment.
What are the requirements for insurance to approve TMS or Spravato® treatment?
Typically, insurers require documentation of a major depressive disorder diagnosis and proof that you have tried and failed to respond to at least 1-2 antidepressant medications and/or psychotherapy. These criteria requirements will be discussed during your free consultation.
How much will I have to pay out of pocket for TMS or Spravato® therapy?
Your out-of-pocket cost for either treatment depends on your plan’s deductible, co-pay, and co-insurance. Our team will work with your insurance provider to determine your benefits before treatment begins. Additionally, Janssen, the manufacturer of Spravato®, offers financial assistance programs that may help lower costs. We provide a benefits verification before starting treatment so that you know what to expect.
What if my insurance denies coverage for TMS or Spravato®?
If your insurance denies coverage, we can help you with an appeals process or offer guidance to meeting their individual medical necessity criteria for the future. Additionally, we offer flexible financing options for those who may choose to pay out of pocket.
Janssen may also offer assistance programs that may help make Spravato® more accessible if your insurance does not cover it as part of your benefits. Our team can provide more details on available financial assistance options.
Book a free consultation
A depression-free life is just a click away. Schedule a consultation with one of our treatment coordinators to take the first step.
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