MDD is diagnosed based on symptoms like ongoing sadness, lack of motivation, fatigue, and poor concentration. For insurance coverage, most providers require a PHQ-9 score of 20 or higher. You can access the PHQ-9 form directly through Brain Wellness Center.
TMS is not covered for addiction alone. However, if a patient also has Major Depressive Disorder, insurance may cover treatment under that diagnosis. Many individuals with substance use disorders qualify.
No. Currently, insurance does not cover TMS for addiction in minors. Most insurers require patients to be 18 years or older for depression-related TMS coverage. Brain Wellness Center can discuss alternative non-medication-based options for teens.
County Health Plans typically follow Medi-Cal guidelines and do not cover TMS for addiction. TMS may be approved if treatment-resistant depression is documented.
