Major Depression is a clinical diagnosis based on symptoms such as persistent sadness, loss of interest, fatigue, and sleep disturbance. For insurance coverage, most providers define MDD as scoring 20 or higher on the PHQ-9 depression scale. This form is available on the Brain Wellness Center website.
Currently, no insurance plan covers TMS for children. Some plans may consider coverage for patients 15 years or older, but most require the patient to be at least 18 years of age. Brain Wellness Center can discuss alternative options for younger patients.
Insurance companies currently approve TMS coverage only for Major Depressive Disorder (MDD), not for bipolar depression. However, treatment may still be effective and can be pursued as a self-pay option at Brain Wellness Center.
Insurance covers one session per day, five days a week, for a total of 36 sessions over approximately seven and a half weeks, as guided by Brain Wellness Center.
