24 Jan Blue Shield of California Announces TMS Coverage
Blue Shield has officially published TMS coverage guidelines, effective January 11, 2013.
Here is a link to download the coverage policy:
This is a major step for patients with Blue Shield who will benefit from this treatment. The base criteria for pre-authorization is outlined as the failure of four anti-depressant medications and psychotherapy. Other factors may qualify, so a consultation is necessary to determine if you are a candidate for TMS therapy.
In addition to Blue Shield, we continue to have positive results when submitting claims for our patients from other insurance companies, including Anthem Blue Cross, MHN, and others. We have a dedicated staff to handle the submissions, peer to-peer reviews and the appeals if required. We are happy to answer any questions you may have on insurance coverage.