You can get specialised Transcranial Magnetic Stimulation (TMS) therapy for depression at American TMS clinics if you are a military member or veteran in Phoenix, Arizona. We know how important it is to find the right care, so if you’re looking for a TRICARE TMS provider in Phoenix, Arizona, we can help.
Honouring our military personnel and veterans
We are deeply grateful for all the things you have done and sacrificed. Our goal at American TMS Clinics is to provide the best mental health care possible. We are very proud to be the best company for TMS therapy for depression and other related conditions. We are ready to offer our help.
TRICARE TMS Coverage in Phoenix, Arizona
Most of the time, TRICARE insurance covers TMS treatments for major depressive disorders that don’t respond to other treatments. It also sometimes covers TMS treatment for OCD. We will help you work with your insurance company if you want to get TMS treatment for depression or depression along with another condition, like PTSD. An examination by a doctor at American TMS Clinics is the first step in this process. After this evaluation, clinic notes are sent to the patient’s insurance company so that the prior authorisation process can begin.
What is TMS Therapy?
TMS therapy is a painless method that uses magnetic fields to trigger nerve cells in the brain, focusing on areas related to depression and mood regulation. This therapy works especially well for people who haven’t responded well to standard treatments, like therapy and medication. The Journal of Clinical Psychiatry published studies demonstrating the effectiveness of TMS in treating individuals with depression who have not responded to other treatments.
Eligibility for TRICARE-Covered TMS Therapy
Meeting certain requirements is necessary to be eligible for TRICARE-covered TMS therapy:
- Age Requirement: People must be at least 18 years of age.
- Diagnosis: A diagnosis of major depressive disorders is required.
- Treatment History: Patients must have either failed to respond to less intensive treatment or found previous treatments ineffective or inappropriate.
TRICARE provides coverage for all members of the US military. This includes the Army, Navy, Air Force, Space Force, Marine Corps, Coast Guard, the Commissioned Corps of the US Public Health Service, and the National Oceanic and Atmospheric Administration. Beneficiaries who are eligible are:
- People in the Active-Duty Service (ADSM) and their family members
- Service members who have retired and their families
- Families of people in the National Guard and Reserve
- Survivors, some ex-spouses, and other people
The TRICARE website’s Plan Finder tool can help you find plans if you’re eligible but haven’t signed up.
What If I Don’t Meet the TRICARE Eligibility Requirements?
Here are some other options you can consider if you don’t meet the requirements for TRICARE:
- Private Pay: You can pay for TMS therapy on your own. Our clinic gives you a variety of payment options to meet your needs.
- CareCredit: We accept CareCredit, a healthcare credit card that lets you make simple monthly payments to pay for treatments and procedures that your insurance doesn’t cover.
- Family Support: You might want to ask family members for money. Most of the time, family members know how detrimental it is for their loved one’s mental health and want to help.
- Medication Management: Get in touch with us about managing your medications and let us know if there are any other alternatives we can offer. We can help you find other treatments that might work.
TRICARE Coverage for TMS Therapy in Phoenix
Tricare will pay for TMS therapy for people with Major Depressive Disorder (MDD), but not for people with PTSD or concussion symptoms at this time. However, at American TMS Clinics, we provide a tailored version of TMS, known as PrTMS, which has proven effective in treating PTSD and concussion symptoms. It’s important to know that these are not the recommended uses, and your insurance will only pay for them if you have MDD.
The Connection Between MDD, PTSD, and Concussions
To provide complete mental health care, especially for military members and veterans, it is important to understand the link between Major Depressive Disorder (MDD), Post-Traumatic Stress Disorder (PTSD), and concussions. Researchers have found that these conditions often affect and overlap with each other. This shows how important it is to use a combined approach to treatment.
Why Choose American TMS Clinics?
The TMS therapists at American TMS Clinics know how hard it can be for military members and veterans. Our team knows how to talk to TRICARE about the rules and will help you get the approvals you need for TMS therapy. We use practices that have been shown to work to make sure of the best results for our patients. Studies from the Journal of Clinical Psychiatry and NCBI show that TMS and PrTMS are effective. These studies show that they can help people with depression, PTSD, and concussion symptoms that don’t get better with other treatments.
FAQs About TRICARE and TMS Therapy
Does TRICARE pay for TMS therapy?
Yes, TRICARE will pay for TMS therapy for those who meet the requirements. In order to be eligible, you must have been diagnosed with Major Depressive Disorder (MDD) and have tried and failed at least four different antidepressants and psychotherapy.
What TRICARE region is Arizona in?
Arizona is in the western region of TRICARE. For this area, Health Net Federal Services is in charge of TRICARE benefits.
Does TRICARE cover NeuroStar?
TRICARE does pay for TMS therapy, which includes NeuroStar. Apollo machines are also FDA-approved and work well for TMS therapy. We use them at American TMS Clinics.
Can you see an out-of-network provider with TRICARE?
Yes, you can use TRICARE to see a doctor who is not in your network. When you use TRICARE, the rates for in-network and out-of-network providers are usually not that different. This helps make sure you get excellent care with low out-of-pocket costs.
How do you qualify for TMS with TRICARE?
To be eligible for TRICARE-covered TMS therapy, you must:
- Have proof that they have Major Depressive Disorder (MDD).
- The patient has tried at least four different antidepressants from at least two different classes and failed.
- Have tried psychotherapy (like cognitivebehavioural therapy) but haven’t gotten better enough.
- Get preauthorization from TRICARE, which means sending them your medical records and a list of all the treatments you’ve had.
Struggling? Call us today at (602) 922-0960 to learn more.
Want to see if you qualify for a free EEG and psychiatric evaluation? Contact American TMS Clinics today to find out if TMS therapy with TRICARE is right for you. If you are looking for a TRICARE TMS provider in Phoenix, Arizona, we are here to help.
American TMS Clinics are fully accredited TRICARE providers, dedicated to helping you improve your mental health.
Contact us now and start your journey to better health!
References
- Journal of Clinical Psychiatry: Study on TMS effectiveness for treatment-resistant depression
- National Center for Biotechnology Information (NCBI): Research on PrTMS for PTSD and concussion symptoms
- FDA Guidelines: FDA compliance and approved uses of TMS therapy
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