TriCare covers TMS for depression only at this time. PTSD patients may be approved if they also meet criteria for treatment-resistant depression.
Although TMS is approved for depression, Magellan covers it only under a depression diagnosis. PTSD patients may still qualify for coverage if they meet the criteria for major depressive disorder.
Although the FDA has approved TMS for depression, Aetna limits coverage to cases of treatment-resistant depression. If a PTSD patient also has major depression, they may still be eligible for TMS.
Although the FDA has approved TMS for depression, Anthem currently covers TMS treatment to treat depression only, not PTSD directly. Patients with PTSD often meet insurance criteria if depression is also documented.
