Insurance Coverage for Apollo Advanced TMS Therapy in Dallas

Individuals with major depressive disorder should explore various options for treatment. While not every person will have the same outcome, feeling safe and knowing the treatment is effective can be comforting. Having your treatment covered by insurance also helps ease the transition.

Apollo TMS therapy is FDA-cleared for the treatment of major depressive disorder and treatment-resistant depression and is covered by most major insurance companies for patients who qualify. Our team at The Holiner Psychiatric Group will work with you throughout your treatment as you work to find wellness again. Do not hesitate to reach out to us with any questions about insurance coverage for Apollo TMS therapy in Dallas.

About Apollo TMS Therapy

Apollo uses transcranial magnetic stimulation (TMS) to activate parts of the brain that are underactive in patients experiencing depression. TMS therapy is not the same as ECT (electroconvulsive therapy). While both are used to treat depression, TMS offers a more comfortable option for patients.

The exact cause of depression is still undetermined. However, the leading scientific theory is that depression is triggered by an imbalance of neurotransmitters in the brain, chemical messengers that deliver information between brain cells. Apollo TMS therapy uses magnetic pulses to activate these neurotransmitters, aiming to relieve your depression symptoms. 

Apollo TMS therapy is helpful for patients who are dealing with treatment-resistant depression, meaning that they have tried at least two antidepressants and have not noticed a reduction in their symptoms. Treatment-resistant depression affects approximately 30 percent of people diagnosed with Major Depressive Disorder who have tried antidepressants.

Many patients find relief with Apollo TMS therapy. It offers many benefits, including high success rates and the ability to maintain your daily routine. The procedure is non-invasive and non-habit forming. It can also help patients avoid common side effects that many people who take antidepressants often experience.

For patients in Dallas concerned about affordability, speak with us today about insurance coverage for Apollo TMS therapy.

Frequently Asked Questions

Before our patients decide to undergo treatment, they often have many questions about TMS therapy.

Will my insurance cover Apollo TMS Treatment?

Apollo is a physician-recommended TMS therapy for the treatment of depression. 

However, every insurance company is different, and policy details can vary. Most major insurance companies will cover or reimburse Apollo Advanced Treatment therapy if:

  • The treatment is deemed necessary by your medical provider
  • You are an adult who has been diagnosed with moderate to severe Major Depressive Disorder (MDD)
  • Your depression has not been relieved by at least one antidepressant medication (some insurance companies require up to 4 failed medications)

You will also need to make sure the treatment is covered by your insurance plan and your provider is in-network to receive optimal coverage.

Contact us to learn more about Apollo TMS and see if you are covered. Our team is here to help you navigate your Apollo TMS therapy, check your insurance coverage, and explore other financing options if you are not covered.

How does insurance determine if a treatment is considered medically necessary?

It is often a requirement for insurance companies to cover treatments such as TMS therapy. Medical necessity means a health care professional has determined that a particular treatment is required based on a patient’s diagnosis and symptoms.

For Apollo TMS therapy, medical necessity can be proven by presenting a history of unsuccessful treatments, including medication, therapy, inpatient or outpatient treatment. Your provider will submit your relevant medical history to the insurance carrier.

Which insurance companies cover Apollo?

Every insurance company in Dallas will have its own eligibility requirements and coverage policies for Apollo TMS therapy. Please check with your insurance provider to understand your benefits and plan limitations prior to starting Apollo TMS therapy to ensure a smooth treatment experience.

Learn more about the primary insurance companies that cover TMS Therapy. Our office currently accepts Aetna, Blue Cross Blue Shield, Cigna, First Health, Great-West Healthcare, Humana, Medicare, PHCS, Texas True Choice, United Healthcare, Baylor Scott and White and ValueOptions. For additional information about the insurance plans we accept, contact our office.

What will my costs be?

Out-of-pocket copay costs will differ depending on your insurance provider and plan. Generally, you will be accountable for a copay at each Apollo treatment session. Depending on your specific plan, your insurance may cover part of or the entire cost of treatment.

Find Out if Your Insurance Covers Apollo TMS Therapy in Dallas Today

Insurance coverage for TMS therapy in Dallas helps make this effective treatment more accessible to those in need.

If you cannot meet the eligibility conditions or your coverage gets denied, you can receive Apollo Advanced TMS treatments via a cash option.

To begin exploring your options, get in touch with us today.