TMS and Cigna
A frequently asked question is whether we accept Cigna insurance and if Cigna will pay for TMS (Transcranial Magnetic Stimulation). The answer is yes to both; we do accept Cigna insurance and Cigna does pay for TMS treatment provided that a prior authorization (permission from Cigna) is obtained prior to treatment. Cigna will approve TMS treatment if the following conditions are met:
#1 – The patient currently is diagnosed with major depressive disorder
#2 – Lack of clinically significant response to four trials of anti-depressants from at least 2 different classes (i.e. SSRI and SNRI or Mirtazapine or Wellbutrin, etc) OR the inability to tolerate at least 4 different medications in two different classes due to distinct side effects.
If these conditions are met, TMS and Cigna are sympatico. Cigna will most likely approve the prior authorization, and the TMS treatment can begin. A full treatment of TMS is 36 sessions (30 sessions of treatment with 6 sessions of tapering off over 3 weeks).
Many patients find TMS to be a better alternative to ECT since ECT requires anesthesia, you can’t work or drive after ECT treatment, and ECT can cause memory loss (sometimes can be permanent). These side effects are not an issue with TMS. You can drive after treatment; you can go back to work after treatment; you can get back to your normal every-day activities after your treatment. TMS is not painful and does not require anesthesia. This is a distinct advantage over ECT which is why most people find the potential side effects of ECT to be unacceptable and instead will opt for a trial of TMS treatment.
If you have any questions and TMS and Cigna, we invite you to contact us here, and we would be happy to look into any concerns or questions that you have about TMS.