No. TMS is a covered benefit under most plans in California, but prior authorization is required. Brain Wellness Center handles all insurance communications and paperwork for you.
Yes. Brain Wellness Center offers a free initial consultation where a doctor will assess your history to determine if you are likely to qualify. We then verify benefits and send your coverage and copay information by text.
Insurance companies currently approve TMS coverage primarily for Major Depressive Disorder (MDD). However, many individuals with PTSD also meet criteria for MDD, making them eligible for insurance-covered TMS. Brain Wellness Center can assess your symptoms and explore coverage options.
Major Depression is a clinical diagnosis based on symptoms such as persistent sadness, fatigue, loss of interest, 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.
