TMS and Tricare

TMS and Tricare

We are asked many times if Front Range TMS takes Tricare insurance and if Tricare will pay for TMS (transcranial magnetic stimulation). The answer is yes provided that prior authorization (permission) is granted from Tricare. Prior authorization will be granted provided that the following are true:

#1 – The patient is 18 years or older
#2 – The patient is experiencing a major depressive episode
#3 – It is medically necessary, and the patient has failed to respond to a less intensive form of treatment. The implication is that the patient has trialed at least 2 medications which has failed to respond and had a trial of psychotherapy.

If the patient meets this criteria than Tricare will cover the costs of TMS treatment. TMS and Tricare therefore is a good option if you are experiencing a major depressive episode and less intensive treatments have not been successful. At Front Range TMS, after we have initially met the patient and have determined that TMS is a good fit, we will send Tricare a prior authorization request. This can take from 1-10 business days depending on the responsiveness of Tricare. Once we have received approval from Tricare, we can immediately begin treatment with TMS to treat your depression.

If this seems to be a good fit for you, and you are interested in TMS treatment, you can contact us here. We hope that we can be of benefit to you. Thanks for reading.