Aetna - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They also require failure to an AUGMENTATION strategy of some sort (combination of two different medications). The same criteria applies to intolerance to medications.
LOCATION
340 East 1st Avenue, Suite 333 Broomfield, CO 80020
PHONE
720-446-8675
BUSINESS HOURS
- Mon - Fri
- -
- Sat - Sun
- Closed
7,000+ Treatments Completed
TMS Therapy Cost
TMS has been estimated to save more than $11,000 over the lifespan of care for a patient beginning treatment for depression in their 20s.
TMS has been estimated to save more than $11,000 over the lifespan of patients treated for depression.
TMS Therapy Cost
Rating
Michael Carter
“I started TMS during a severe bout of depression, and they helped me feel comfortable and knowledgeable....Would highly recommend for people with treatment resistant depression...."
Gina
“I just finished my 36th and final treatment and feel significantly better than when I started. I highly recommend TMS for anyone struggling, and this office and staff is remarkable!...."
Luke Strane
“I had a wonderful experience with Inspire TMS. Dr. Clinch was very kind, caring, and knowledgeable throughout my treatment....
I experienced genuine improvements in my mood...."
TMS Therapy Cost
TMS has been estimated to save more than $11,000 over the lifespan of patients treated for depression.
Amanda Hartman
“Amazing experience at Inspire TMS. I spent Monday-Friday in the office receiving Accelerated TMS for my anxiety and for someone who hated appointments it was a great experience!...."
Don Tavares
“Dr. Clinch and staff did a great with me. Everyday I was asked on how the previous treatment went. My health was their #1 concern. The treatments did not take long and they helped me out a lot...."
Luke Strane
“I had a wonderful experience with Inspire TMS. Dr. Clinch was very kind, caring, and knowledgeable throughout my treatment....
I experienced genuine improvements in my mood...."
Transcranial Magnetic Stimulation-TMS, was approved by the FDA for treating treatment resistant major depression in 2008. Currently, all insurance companies (outside CO Medicaid) now cover
TMS for treatment resistant major depression. Additional indications for TMS are growing and coverage likewise will continue to increase in the future. Some insurers also cover other treatment resistant conditions such as OCD (which now has FDA approval for TMS use as an augmentation treatment). TMS treatment costs can be quite affordable depending on insurance coverage, copays and coinsurance amounts for your plan, and any deductible met for the year. Treatment is sometimes fully covered by insurance or a small copay may be owed at each treatment. We provide free estimates for cost of care prior to treatment initiation.
Inspire TMS Denver also provides sliding scale self-pay rates for individuals that may pursue off-label treatment or not qualify for insurance coverage. We only provide TMS off-label when we feel there is sufficient evidence base and safety data. Rates are listed in our easy-to-complete electronic forms prior to intake evaluation:
- Initial evaluation for TMS - $300
- Initial mapping by the doctor + initial TMS treatment and one remapping + treatment halfway through treatment course - $300 each
- TMS treatments by the technician or doctor - 34 treatments - $150
- Follow up visits with the doctor during and at end of care - typically 4 per treatment course - $75 per session
In brief, for qualifying patients, we offer a rate of $5500 if paying in full for a complete course of standard TMS. This includes evaluation, all follow up visits, and 36 sessions of TMS over approximately 9 weeks. Our accelerated program entails 50 sessions of treatment in just one week and this likewise includes evaluation and any needed follow up visits - the cost for this course is $6500. Learn more about accelerated treatment here.
Feel free to contact us and we will provide a free phone consultation to discuss options and pricing in more detail.
Claim your free consultation →
To follow is a brief summary of major insurers in CO and their coverage policies. These are subject to change and based on our own research. Please consult your insurance to verify. For all insurers, these basic criteria are required:
Patient is 18 years of age or older.
Patient has a current diagnosis of Major Depressive Disorder and the severity is at least moderate to severe based on a standardized rating scale (such as the PHQ-9)
The current episode of depression must have some level of treatment resistance. This typically involves a range of
antidepressant failure from as little as one up to as many as four failed medications. The medication trials must be of adequate duration and dose and have resulted in less than 50% improvement based on a standard rating scale. Medication intolerance can also count in place of failure.
A documented previous course of failure to psychotherapy of sufficient time and frequency is also required.
Prior treatment response to TMS of at least 50% improvement in symptoms can authorize repeat coverage. Maintenance treatment is NOT covered, but retreatment with sufficient time having passed since the last TMS therapy course will be covered.
If a patient is a candidate for ECT, but cannot pursue or declines
ECT treatment (or has a history of intolerance/side effects to ECT), TMS will typically be covered.
There are a few exclusion criteria - The patient cannot have ferromagnetic material near the brain/treatment site or medical devices in the body that may respond to magnetic fields. The patient should also not have active psychosis (or a psychotic disorder diagnosis), current suicide intent or action, active abuse of alcohol or drugs, or be pregnant or nursing. The patient must also not have a seizure disorder or other condition that places them at high risk for seizure.
Meeting the TMS Insurance Coverage Criteria
Take the short quiz below to see if you'll meet the TMS insurance coverage criteria.
A covered course of TMS therapy typically involves 30 treatments daily M-F for 6 weeks with an additional 6 tapering treatments spread over 3 weeks. It must be prescribed and monitored by a Psychiatrist or similar provider with psychiatric medication prescribing privileges. Rating scales must be utilized during care.
Aetna - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They also require failure to an AUGMENTATION strategy of some sort (combination of two different medications). The same criteria applies to intolerance to medications.
Anthem BCBS - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Beacon Health Options - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Cigna - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Humana - Requires failure to FOUR previous antidepressants from TWO DIFFERENT medication classes. The same criteria applies to intolerance to medications. Humana’s most recent policy also indicates they do not cover Theta Burst treatment despite FDA clearance for this in 2018 and studies showing equivalency to the standard 18.5 minute 10 Hz protocol.
Kaiser Permanente - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Medicaid - TMS is not currently covered in CO.
Medicare - Requires failure to a SINGLE previous antidepressant or intolerance to TWO antidepressants from separate classes.
Tricare West - TMS is a covered benefit for major depression when: “it is medically necessary and the patient failed to respond to a less intensive form of treatment, or a less intensive intervention is not appropriate.” This can be ONE TO TWO previous antidepressant failures or INTOLERANCE TO TWO medications from separate classes.
Optum/United Behavioral Health - Requires failure to FOUR previous antidepressants from TWO DIFFERENT medication classes. The same criteria applies to intolerance to medications. Optum’s most recent policy also indicates they do not cover Theta Burst treatment despite FDA clearance for this in 2018 and studies showing equivalency to the standard 18.5 minute 10 Hz protocol.
Insurance providers cannot deny treatment but can withhold payment if criteria and company policy frameworks are not followed.
Insurance coverage for TMS treatment in other Mental Health Disorders
Obsessive Compulsive Disorder has been shown to respond to TMS therapy and TMS was approved for augmentation OCD treatment by the FDA in 2018. Unfortunately, many insurance providers are slower to add newer therapies to their policies. Other mental health disorders including
PTSD and anxiety have also demonstrated significant benefits from TMS but are not, as yet, approved by the FDA for TMS treatment and consequently omitted from insurance coverage.
Inspire TMS Denver works closely with our insurance benefits and billing department to ensure patients are fully informed of any copay, coinsurance, and/or deductible that may be required for services and only proceed with treatment once approval has been given by insurers for TMS. Inspire TMS Denver also establishes single case agreements for any clients with insurance that we are not paneled with currently.
We also provide initial phone TMS consultation FREE of charge, giving clients the peace of mind to explore TMS as a treatment option before deciding to pursue therapy. No costs or obligations are involved for this. In addition, we do not charge any fees for add-on protocols - such as an additional anxiety or PTSD protocol for patients not responding to standard TMS or iTBS treatment for depression. Please contact us here for a free phone consultation with Dr. Clinch.
Free Consultation
What Happens After I Send My Message?
- A member of our team will confirm your free consultation appointment within one business day.
- Discover if TMS is right for you and answer all your queries about treatment, eligibility and costs.
Contact Us
Thank you for contacting us.
We will get back to you as soon as possible.
We will get back to you as soon as possible.
Oops, there was an error sending your message.
Please try again later.
Please try again later.
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What Makes Us Different
Board-Certified Psychiatrist With Over 10 Years Experience
Specialty TMS Practice with Constant Quality Improvement
All Major Insurance Providers Accepted Including Medicare
Free TMS Therapy Guides, Quizzes & Phone Consultations
Individualized TMS Protocols for Each Patient
Theta Burst Stimulation & Accelerated TMS Available
As Seen On Colorado's Best
For more visit our video library →
Awards & Accreditations
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the tms journey
A Step By Step Process
Book your free telephone consultation with Dr. Clinch and use this time to ask any questions or voice any concerns about TMS. If there are no contraindications to treatment, you are a good candidate, and you wish to proceed with a full evaluation, we will schedule a full intake. You will be sent an invite to our confidential patient portal and forms for review and completion that expedite care.
Shortly after this, you will be seen in person for the full TMS evaluation. This will provide adequate information for us to then submit prior authorization for TMS coverage to your insurer. If seeking care off-label through self-pay, prior authorization is not needed. We then schedule your first and all subsequent treatment sessions. We obtain prior authorization and inform you of all costs prior to starting care.
Come in for your first treatment which starts with a 'mapping' to establish your unique treatment intensity and location. Following this and at all subsequent sessions, you will recline in a motorized chair, similar to a dental visit. You can then relax, listen to music, watch TV, read or chat during the treatment. At the end of your sessions, you can drive and return to your day as normal.
Samuel B. Clinch, M.D
Medical Director
Our shared inspiration is to alleviate mental illness and improve the mental wellbeing of the patients we treat. We respect all backgrounds and cultures and want to hear our patient’s stories to best guide care. During treatment, we reinforce positive wellness practices, help maximize lifestyle modifications, and integrate rTMS therapy into a patient’s overall mental and physical health treatment.
Free Consultation
Call 720-446-8675 now, or complete the form below to request a call back.
Contact Us
Thank you for contacting us.
We will get back to you as soon as possible.
We will get back to you as soon as possible.
Oops, there was an error sending your message.
Please try again later.
Please try again later.
Contact Us
LOCATION
340 East 1st Avenue, Suite 333
Broomfield, CO 80020
What Happens After I Send My Message?
A member of our team will confirm your free consultation appointment within one business day.
Discover if TMS is right for you and answer all your queries about treatment, eligibility and costs.
Take the First Step Towards Your Mental Well-being Today
Transcranial Magnetic Stimulation-TMS, was approved by the FDA for treating treatment resistant major depression in 2008. Currently, all insurance companies (outside CO Medicaid) now cover TMS for treatment resistant major depression. Additional indications for TMS are growing and coverage likewise will continue to increase in the future. Some insurers also cover other treatment resistant conditions such as OCD (which now has FDA approval for TMS use as an augmentation treatment). TMS treatment costs can be quite affordable depending on insurance coverage, copays and coinsurance amounts for your plan, and any deductible met for the year. Treatment is sometimes fully covered by insurance or a small copay may be owed at each treatment. We provide free estimates for cost of care prior to treatment initiation.
Inspire TMS Denver also provides sliding scale self-pay rates for individuals that may pursue off-label treatment or not qualify for insurance coverage. We only provide TMS off-label when we feel there is sufficient evidence base and safety data. Rates are listed in our easy-to-complete electronic forms prior to intake evaluation:
- Initial evaluation for TMS - $300
- Initial mapping by the doctor + initial TMS treatment and one remapping + treatment halfway through treatment course - $300 each
- TMS treatments by the technician or doctor - 34 treatments - $150
- Follow up visits with the doctor during and at end of care - typically 4 per treatment course - $75 per session
In brief, for qualifying patients, we offer a rate of $5500 if paying in full for a complete course of standard TMS. This includes evaluation, all follow up visits, and 36 sessions of TMS over approximately 9 weeks. Our accelerated program entails 50 sessions of treatment in just one week and this likewise includes evaluation and any needed follow up visits - the cost for this course is $6500.
Learn more about accelerated treatment here.
Feel free to contact us and we will provide a free phone consultation to discuss options and pricing in more detail. Claim your free consultation →
To follow is a brief summary of major insurers in CO and their coverage policies. These are subject to change and based on our own research. Please consult your insurance to verify. For all insurers, these basic criteria are required:
Patient is 18 years of age or older.
Patient has a current diagnosis of Major Depressive Disorder and the severity is at least moderate to severe based on a standardized rating scale (such as the PHQ-9)
The current episode of depression must have some level of treatment resistance. This typically involves a range of
antidepressant failure from as little as one up to as many as four failed medications. The medication trials must be of adequate duration and dose and have resulted in less than 50% improvement based on a standard rating scale. Medication intolerance can also count in place of failure.
A documented previous course of failure to psychotherapy of sufficient time and frequency is also required.
Prior treatment response to TMS of at least 50% improvement in symptoms can authorize repeat coverage. Maintenance treatment is NOT covered, but retreatment with sufficient time having passed since the last TMS therapy course will be covered.
If a patient is a candidate for ECT, but cannot pursue or declines
ECT treatment (or has a history of intolerance/side effects to ECT), TMS will typically be covered.
There are a few exclusion criteria - The patient cannot have ferromagnetic material near the brain/treatment site or medical devices in the body that may respond to magnetic fields. The patient should also not have active psychosis (or a psychotic disorder diagnosis), current suicide intent or action, active abuse of alcohol or drugs, or be pregnant or nursing. The patient must also not have a seizure disorder or other condition that places them at high risk for seizure.
Meeting the TMS Insurance Coverage Criteria
Take the short quiz below to see if you'll meet the TMS insurance coverage criteria.
A covered course of TMS therapy typically involves 30 treatments daily M-F for 6 weeks with an additional 6 tapering treatments spread over 3 weeks. It must be prescribed and monitored by a Psychiatrist or similar provider with psychiatric medication prescribing privileges. Rating scales must be utilized during care.
Anthem BCBS - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Beacon Health Options - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Cigna - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Humana - Requires failure to FOUR previous antidepressants from TWO DIFFERENT medication classes. The same criteria applies to intolerance to medications. Humana’s most recent policy also indicates they do not cover Theta Burst treatment despite FDA clearance for this in 2018 and studies showing equivalency to the standard 18.5 minute 10 Hz protocol.
Kaiser Permanente - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Medicaid - TMS is not currently covered in CO.
Medicare - Requires failure to a SINGLE previous antidepressant or intolerance to TWO antidepressants from separate classes.
Tricare West - TMS is a covered benefit for major depression when: “it is medically necessary and the patient failed to respond to a less intensive form of treatment, or a less intensive intervention is not appropriate.” This can be ONE TO TWO previous antidepressant failures or INTOLERANCE TO TWO medications from separate classes.
Optum/United Behavioral Health - Requires failure to FOUR previous antidepressants from TWO DIFFERENT medication classes. The same criteria applies to intolerance to medications. Optum’s most recent policy also indicates they do not cover Theta Burst treatment despite FDA clearance for this in 2018 and studies showing equivalency to the standard 18.5 minute 10 Hz protocol.
Insurance providers cannot deny treatment but can withhold payment if criteria and company policy frameworks are not followed.
Insurance coverage for TMS treatment in other Mental Health Disorders
Obsessive Compulsive Disorder has been shown to respond to TMS therapy and TMS was approved for augmentation OCD treatment by the FDA in 2018. Unfortunately, many insurance providers are slower to add newer therapies to their policies. Other mental health disorders including
PTSD and anxiety have also demonstrated significant benefits from TMS but are not, as yet, approved by the FDA for TMS treatment and consequently omitted from insurance coverage.
Inspire TMS Denver works closely with our insurance benefits and billing department to ensure patients are fully informed of any copay, coinsurance, and/or deductible that may be required for services and only proceed with treatment once approval has been given by insurers for TMS. Inspire TMS Denver also establishes single case agreements for any clients with insurance that we are not paneled with currently.
We also provide initial phone TMS consultation FREE of charge, giving clients the peace of mind to explore TMS as a treatment option before deciding to pursue therapy. No costs or obligations are involved for this. In addition, we do not charge any fees for add-on protocols - such as an additional anxiety or PTSD protocol for patients not responding to standard TMS or iTBS treatment for depression. Please contact us here for a free phone consultation with Dr. Clinch.
-
Slide title
Write your caption hereButton -
Slide title
Write your caption hereButton -
Slide title
Write your caption hereButton
What Makes Us Different
All Major Insurance Providers Accepted Including Medicare
Free TMS Therapy Guides, Quizzes & Phone Consultations
Individualized TMS Protocols for Each Patient
Theta Burst Stimulation & Accelerated TMS Available
Specialty TMS Practice with Constant Quality Improvement
Board-Certified Psychiatrist With Over 10 Years Experience
As Seen On Colorado's Best
For more visit our video library →
Awards & Accreditations
This is a paragraph. Writing in paragraphs lets visitors find what they are looking for quickly and easily.
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the tms journey
A Step By Step Process
Book your free telephone consultation with Dr. Clinch and use this time to ask any questions or voice any concerns about TMS. If there are no contraindications to treatment, you are a good candidate, and you wish to proceed with a full evaluation, we will schedule a full intake. You will be sent an invite to our confidential patient portal and forms for review and completion that expedite care.
Shortly after this, you will be seen in person for the full TMS evaluation. This will provide adequate information for us to then submit prior authorization for TMS coverage to your insurer. If seeking care off-label through self-pay, prior authorization is not needed. We then schedule your first and all subsequent treatment sessions. We obtain prior authorization and inform you of all costs prior to starting care.
Come in for your first treatment which starts with a 'mapping' to establish your unique treatment intensity and location. Following this and at all subsequent sessions, you will recline in a motorized chair, similar to a dental visit. You can then relax, listen to music, watch TV, read or chat during the treatment. At the end of your sessions, you can drive and return to your day as normal.
Our shared inspiration is to alleviate mental illness and improve the mental wellbeing of the patients we treat. We respect all backgrounds and cultures and want to hear our patient’s stories to best guide care. During treatment, we reinforce positive wellness practices, help maximize lifestyle modifications, and integrate rTMS therapy into a patient’s overall mental and physical health treatment.
Samuel B. Clinch, M.D
Medical Director
Free Consultation
Call 720-446-8675 now, or complete the form below to request a call back.
Contact Us
Thank you for contacting us.
We will get back to you as soon as possible.
We will get back to you as soon as possible.
Oops, there was an error sending your message.
Please try again later.
Please try again later.
Contact Us
LOCATION
340 East 1st Avenue, Suite 333
Broomfield, CO 80020
What Happens After I Send My Message?
A member of our team will confirm your free consultation appointment within one business day.
Discover if TMS is right for you and answer all your queries about treatment, eligibility and costs.
Take the First Step Towards Your Mental Well-being Today
Transcranial Magnetic Stimulation-TMS, was approved by the FDA for treating treatment resistant major depression in 2008. Currently, all insurance companies (outside CO Medicaid) now cover TMS for treatment resistant major depression. Additional indications for TMS are growing and coverage likewise will continue to increase in the future. Some insurers also cover other treatment resistant conditions such as OCD (which now has FDA approval for TMS use as an augmentation treatment). TMS treatment costs can be quite affordable depending on insurance coverage, copays and coinsurance amounts for your plan, and any deductible met for the year. Treatment is sometimes fully covered by insurance or a small copay may be owed at each treatment. We provide free estimates for cost of care prior to treatment initiation.
Inspire TMS Denver also provides sliding scale self-pay rates for individuals that may pursue off-label treatment or not qualify for insurance coverage. We only provide TMS off-label when we feel there is sufficient evidence base and safety data. Rates as listed in our easy-to-complete electronic forms prior to intake evaluation:
- Initial evaluation for TMS - $300
- Initial mapping by the doctor + initial TMS treatment and one remapping + treatment halfway through treatment course - $300 each
- TMS treatments by the technician or doctor - 34 treatments - $150
- Follow up visits with the doctor during and at end of care - typically 4 per treatment course - $75 per session
In brief, for qualifying patients, we offer a rate of $5500 if paying in full for a complete course of standard TMS. This includes evaluation, all follow up visits, and 36 sessions of TMS over approximately 9 weeks. Our accelerated program entails 50 sessions of treatment in just one week and this likewise includes evaluation and any needed follow up visits - the cost for this course is $6500. Learn more about accelerated treatment here.
Feel free to contact us and we will provide a free phone consultation to discuss options and pricing in more detail. Claim your free consultation →
To follow is a brief summary of major insurers in CO and their coverage policies. These are subject to change and based on our own research. Please consult your insurance to verify. For all insurers, these basic criteria are required:
Patient is 18 years of age or older.
Patient has a current diagnosis of Major Depressive Disorder and the severity is at least moderate to severe based on a standardized rating scale (such as the PHQ-9).
The current episode of depression must have some level of treatment resistance. This typically involves a range of
antidepressant failure from as little as one up to as many as four failed medications. The medication trials must be of adequate duration and dose and have resulted in less than 50% improvement based on a standard rating scale. Medication intolerance can also count in place of lack of response.
A documented previous course of failure to psychotherapy of sufficient time and frequency is also often required.
Prior treatment response to TMS of at least 50% improvement in symptoms can alternatively be used to authorize repeat treatment. Maintenance treatment is NOT covered, but retreatment with sufficient time having passed since the last TMS therapy course is covered.
If a patient is a candidate for ECT, but cannot pursue or declines
ECT treatment for a valid concern (or has a history of intolerance/side effects to ECT), TMS will typically be covered.
There are a few exclusion criteria to TMS - The patient cannot have ferromagnetic material near the brain/treatment site or medical devices in the neck or head that may respond to magnetic fields. The patient should also not have active psychosis (or a psychotic disorder diagnosis), current suicide intent or action, active abuse of alcohol or drugs, or be pregnant or nursing. The patient must also not have a seizure disorder or other condition that places them at high risk for seizure.
Meeting the TMS Insurance Coverage Criteria
Take the short quiz below to see if you'll meet the TMS insurance coverage criteria.
A covered course of TMS therapy typically involves 30 treatments daily M-F for 6 weeks with an additional 6 tapering treatments spread over 3 weeks. It must be prescribed and monitored by a Psychiatrist or similar provider with psychiatric medication prescribing privileges. Rating scales must be utilized during care.
Aetna - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They also require failure to an AUGMENTATION strategy of some sort (combination of two different medications). The same criteria applies to intolerance to medications.
Anthem BCBS - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Beacon Health Options - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Cigna - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Humana - Requires failure to FOUR previous antidepressants from TWO DIFFERENT medication classes. The same criteria applies to intolerance to medications. Humana’s most recent policy also indicates they do not cover Theta Burst treatment despite FDA clearance for this in 2018 and studies showing equivalency to the standard 18.5 minute 10 Hz protocol.
Kaiser Permanente - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. They alternatively require INTOLERANCE TO FOUR medications with documented side effects.
Medicaid - TMS is not currently covered in CO.
Medicare - Requires failure to a SINGLE previous antidepressant or intolerance to TWO antidepressants from separate classes.
Tricare West - TMS is a covered benefit for major depression when: “it is medically necessary and the patient failed to respond to a less intensive form of treatment, or a less intensive intervention is not appropriate.” This can be ONE TO TWO previous antidepressant failures or INTOLERANCE TO TWO medications from separate classes.
Optum/United Behavioral Health - Requires failure to TWO previous antidepressants from TWO DIFFERENT medication classes. The same criteria applies to intolerance to medications. Optum’s most recent policy also indicates they do not cover Theta Burst treatment despite FDA clearance for this in 2018 and studies showing equivalency to the standard 18.5 minute 10 Hz protocol.
Insurance providers cannot deny treatment but can withhold payment if criteria and company policy frameworks are not followed.
Insurance coverage for TMS treatment in other Mental Health Disorders
Obsessive Compulsive Disorder has been shown to respond to TMS therapy and TMS was approved for augmentation OCD treatment by the FDA in 2018. Unfortunately, many insurance providers are slower to add newer therapies to their policies, but Cigna and BCBS do have coverage policies supporting TMS for OCD. Other mental health disorders including
PTSD and anxiety disorders have also demonstrated significant benefits from TMS but are not, as yet, approved by the FDA for TMS treatment and consequently are omitted from insurance coverage.
Inspire TMS Denver works closely with our insurance benefits and billing department to ensure patients are fully informed of any copay, coinsurance, and/or deductible that may be required for services. Inspire TMS Denver also establishes single case agreements for any clients with insurance that we are not paneled with currently.
We also provide initial phone TMS consultation FREE of charge, giving clients the peace of mind to explore TMS as a treatment option before deciding to pursue therapy. No costs or obligations are involved for this. In addition, we do not charge any fees for add-on protocols, such as an additional anxiety or PTSD protocol for patients not responding to standard TMS or iTBS treatment for depression. Please contact us here for a free phone consultation with Dr. Clinch.
Other TMS Guides
TMS Therapy For OCD
In OCD, repetitive compulsions or rituals occur to relieve anxious thoughts, but the anxiety keeps coming back. Find out how TMS breaks the cycle.
Accelerated TMS Therapy
Accelerated TMS therapy provides response in a much shorter time frame.
Latest Types of TMS
Since FDA approval for Major Depression in 2008, TMS is offering promising solutions for many brain disorders.
Want to know more about TMS? Check out this in-depth guide to TMS therapy with transparent and easy to understand explanations about TMS processes, protocols, and treated conditions.
Free Consultation
What Happens After I Send My Message?
- A member of our team will confirm your free consultation appointment within one business day.
- Discover if TMS is right for you and answer all your queries about treatment, eligibility and costs.
Contact Us
Thank you for contacting us.
We will get back to you as soon as possible.
We will get back to you as soon as possible.
Oops, there was an error sending your message.
Please try again later.
Please try again later.
Is TMS Right For You?
We believe rTMS is an underutilized treatment approach. It is safe, non invasive, free of systemic side effects and well tolerated. Discover if TMS is right for you by taking the quiz or booking a consultation.
-
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What Makes Us Different
All Major Insurance Providers Accepted Including Medicare
Free TMS Therapy Guides, Quizzes & Phone Consultations
Individualized TMS Protocols for Each Patient
Theta Burst Stimulation & Accelerated TMS Available
Specialty TMS Practice with Constant Quality Improvement
Board-Certified Psychiatrist With Over 10 Years Experience
As Seen On Colorado's Best
For more visit our video library →
Awards & Accreditations
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the tms journey
A Step By Step Process
Book your free telephone consultation with Dr. Clinch and use this time to ask any questions or voice any concerns about TMS. If there are no contraindications to treatment, you are a good candidate, and you wish to proceed with a full evaluation, we will schedule a full intake. You will be sent an invite to our confidential patient portal and forms for review and completion that expedite care.
Shortly after this, you will be seen in person for the full TMS evaluation. This will provide adequate information for us to then submit prior authorization for TMS coverage to your insurer. If seeking care off-label through self-pay, prior authorization is not needed. We then schedule your first and all subsequent treatment sessions. We obtain prior authorization and inform you of all costs prior to starting care.
Come in for your first treatment which starts with a 'mapping' to establish your unique treatment intensity and location. Following this and at all subsequent sessions, you will recline in a motorized chair, similar to a dental visit. You can then relax, listen to music, watch TV, read or chat during the treatment. At the end of your sessions, you can drive and return to your day as normal.
Our shared inspiration is to alleviate mental illness and improve the mental wellbeing of the patients we treat. We respect all backgrounds and cultures and want to hear our patient’s stories to best guide care. During treatment, we reinforce positive wellness practices, help maximize lifestyle modifications, and integrate rTMS therapy into a patient’s overall mental and physical health treatment.
Samuel B. Clinch, M.D
Medical Director
Free Consultation
Call 720-446-8675 now, or complete the form below to request a call back.
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MAIN OFFICE
720-446-8675
LOCATION
340 East 1st Avenue, Suite 333
Broomfield, CO 80020
What Happens After I Send My Message?
A member of our team will confirm your free consultation appointment within one business day.
Discover if TMS is right for you and answer all your queries about treatment, eligibility and costs.
Take the First Step Towards Your Mental Wellbeing Today
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LOCATION
PHONE & FAX
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© 2024
All Rights Reserved | Inspire TMS Denver
Information on this site is for reference purposes only. It is not intended to be nor should it be taken as medical advice. Individuals should see a medical professional regarding their symptoms.
Website by Leo Cook Digital Marketing
Committed
to Your Individual
Care & Recovery
Business Hours
- Monday
- -
- Tuesday
- -
- Wednesday
- -
- Thursday
- -
- Friday
- -
- Saturday
- Closed
- Sunday
- Closed
Find Us
LOCATION
PHONE
720-446-8675 | 720-798-6969
Information on this site is for reference purposes only. It is not intended to be nor should it be taken as medical advice. Individuals should see a medical professional regarding their symptoms.
© 2024
All Rights Reserved | Inspire TMS Denver
Website by Leo Cook Marketing
Business Hours
- Monday
- -
- Tuesday
- -
- Wednesday
- -
- Thursday
- -
- Friday
- -
- Saturday
- Closed
- Sunday
- Closed
Find Us
LOCATION
PHONE & FAX
720-446-8675 | 720-798-6969
National Suicide Prevention Lifeline
Emergencies Call 911
Receive help 24 hours a day
Information on this site is for reference purposes only. It is not intended to be nor should it be taken as medical advice. Individuals should see a medical professional regarding their symptoms.
© 2024
All Rights Reserved | Inspire TMS Denver
Website by Leo Cook Digital Marketing