Yes, all insurance companies require prior authorization for TMS treatment. The insurance companies will typically require the failure or inability to tolerate 4 medications (from 2 different classes) and the failure of psychotherapy.
Indications for being unable to participate in TMS treatment include:
1. If you have metal in your head (i.e. metal plates, aneurysm coils, cochlear implants, ocular implants, deep brain stimulation devices, stents, etc.) 2. If you are acutely suicidal and require emergency psychiatric help. 3. If you are pregnant or nursing 4. You have a seizure disorder