We will investigate your health insurance benefits
so you know what costs you can expect
We do this for FREE
Health insurers have recognized the efficacy of TMS as a standard of care in routine clinical use, yet coverage is not automatic. We are currently In-network only with MEDICARE, but have a dedicated and experienced team to verify benefits and work towards gaining coverage, even as an out-of-network provider. We have had success in receiving coverage for TMS from the following insurance providers:
• MEDICARE (unfortunately not Medicaid.)
• Empire Blue Cross (Anthem)
• GHI (Emblem)
• United Health Care
• Empire NYSHIP
Our commitment to our patients is to assist in managing much of the “paper work” to attain coverage for TMS therapy. If pre-determination or claims are denied, we can assist with the appeal process with your health insurance company. Please note that Medicaid has not approved TMS and we are not a Medicaid provider. For those who do have Medicaid, we will keep your information on file and provide an update when coverage policies have changed.
*Please note that coverage for TMS therapy varies, depending on individual insurers and your specific plan. Also, most health plans do require some portion of patient costs for TMS, initial consultation and follow-up visits with our doctors. Please call us to determine if TMS therapy is covered by your health plan and if TMS therapy can benefit you. 1-212-935-1423.