County Health Plans typically cover TMS only for depression. Coverage for TBI or concussion is not approved at this time unless a co-occurring diagnosis of depression is documented.
Quantum only approves TMS for the treatment of depression. Coverage for TBI alone is not available.
Evernorth provides TMS coverage strictly for Major Depressive Disorder. TMS for TBI or concussion is not currently covered unless depression is also diagnosed.
Although TMS shows promise for treating symptoms of TBI and concussion, Carelon currently covers TMS treatment for depression only—not for TBI or concussion. However, patients with both TBI and a diagnosis of depression may still qualify.
