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Does medicaid or medical cover TMS therapy

Medicaid, Medi-Cal and TMS Therapy

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Montare Behavioral Health in Los Angeles, California, offers a comprehensive range of mental health services, including transcranial magnetic stimulation (TMS) therapy. TMS therapy uses magnetic pulses to stimulate specific brain areas to alleviate systems of mental health disorders and is non-invasive. Medicaid and Medi-Cal insurances often cover TMS therapy as part of essential mental health treatment benefits. 

Benefits of TMS Therapy for Mental Health

TMS therapy can be highly effective when treating various mental health disorders, such as depression, anxiety, OCD, PTSD, addiction, chronic pain, bipolar disorder, and schizophrenia. This innovative treatment option offers several benefits, including:

  • Non-invasive: TMS therapy is a non-invasive procedure that does not require any sedation or anesthesia, making it a safe and well-tolerated treatment option.
  • Minimal side effects: Compared to other treatments, TMS therapy has minimal side effects, such as a mild headache or scalp discomfort.
  • Targeted treatment: TMS allows for targeted stimulation of specific brain areas related to specific mental health disorders, leading to more effective and precise treatments. 
  • Long-lasting effects: Research has shown TMS therapy can last several months or longer, with many patients experiencing sustained improvement in symptoms after a single session. 
  • Non-pharmacological: TMS therapy is a suitable option for individuals who may not have responded well to pharmaceutical treatments or prefer non-pharmacological interventions.
  • Improves quality of life: Many patients report an overall improvement in mood, energy levels, and daily functioning following TMS therapy.

How to Pay for TMS Therapy

Paying for TMS therapy can be a concern for individuals desiring to try this innovative treatment for improved mental health. Fortunately, there are several options available through Montare Behavioral Health. 

Most private insurance policies include coverage for TMS. However, there can be deductibles, co-pays, and percentages for the amount insurance will pay. Another option is to pay for treatment yourself out-of-pocket if you do not have insurance or TMS is not a covered treatment. 

You can also consider payment plans and financing options that allow you to pay for treatment and make payments over time. Additionally, many employers offer employee assistance programs (EAPs) that include mental health benefits that could cover some or all of the costs of TMS therapy. 

Furthermore, you could check with different nonprofit organizations about special grants and assistance programs they offer for mental health services. These could help pay some or all of the costs for TMS therapy. 

Typical Cost of TMS

The cost for TMS varies depending on several factors, including the number of required sessions, the type of insurance coverage available, and the location of the treatment facility. Keeping this in mind, the typical cost for a single TMS session can range from $300 to $600 without insurance coverage. With insurance, the individual cost for medical TMS will depend on the exact coverage offered under the plan.  

Does Medicaid or Medi-Cal Insurance Cover TMS Therapy?

It is understandable people want to know if Medicaid covers TMS therapy or more specifically, if Medi-Cal insurance cover TMS therapy. Many health insurance plans, including Medicaid and private insurers, cover TMS therapy as part of mental health benefits. Coverage for TMS therapy does vary depending on the specific plan and provider. It’s essential to check with your insurance company, contact our admissions coordinators, or fill out our online insurance verification form to determine if TMS therapy is a covered benefit under your policy.

How Many TMS Sessions Are Needed?

The number of TMS therapy sessions needed varies depending on the mental health disorder being treated and their response to treatment. Generally, a typical schedule for TMS therapy can consist of daily sessions for the first few weeks and then less frequent sessions over the next four to six weeks.  Most people should expect to complete between 20 and 30 sessions initially. 

What Other Mental Health Treatments Can TMS Be Used With?

TMS therapy can be used in conjunction with other mental health treatments to provide comprehensive care personalized for individuals suffering from different mental health disorders. Some of the more common mental health treatments TMS is used with include:

  • Psychotherapy: TMS can complement cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT) by addressing underlying neurological imbalances while simultaneously working on emotional and behavioral issues.
  • Medication Management: Combining TMS can enhance treatment outcomes for some individuals who do not fully respond to medication alone.
  • Lifestyle changes: Incorporating healthy lifestyle changes alongside TMS, such as regular exercise, proper nutrition, adequate sleep, stress management techniques, and mindfulness practices, can optimize overall mental well-being.
  • Group therapy: Participating in group therapy provides additional emotional support, social connection, and coping strategies.
  • Holistic therapies: Integrating holistic approaches with TMS offers a more comprehensive and personalized approach to mental health care.

Use Your Medi-Cal Insurance for TMS Therapy Here in Los Angeles, California Today

When you want to find out whether TMS therapy here in Los Angeles, California, could benefit you, contact Montare Behavioral Health. We offer comprehensive and personalized mental health treatment plans in a caring and supportive environment to help you achieve your mental health goals. Let us assist you with your Medi-Cal insurance coverage for TMS by contacting us today to schedule an initial consultation.