Medi-Cal currently provides coverage for TMS only when used to treat Major Depressive Disorder. TMS treatment for TBI or concussion is not covered unless the patient also has a qualifying depression diagnosis.
Evernorth provides TMS coverage strictly for Major Depressive Disorder. TMS for TBI or concussion is not currently covered unless depression is also diagnosed.
Covered California plans typically only authorize TMS for depression. TBI patients may be eligible if depression is also diagnosed and documented.
Beacon Health Options covers TMS treatment for depression only. Patients with TBI may still qualify if also diagnosed with depression.
