Insurance Coverage for Healing House Care
In-network insurance coverage is available for our intensive TMS Therapy care.
A pre-authorization process is required for this higher-level specialty service, and Healing House files any preliminary documentation on behalf of our clients once a clinical evaluation has been completed during a free consultation.
We accept policies from all major commercial insurance carriers:
Any other government, employer, or independent policies cover intensive TMS Therapy at our facility on a case-by-case basis. Per the terms of our financial agreement, a Single Case Agreement will be required for this type of carrier at the discretion of the practice.
Medicaid does not offer any coverage for TMS Therapy.
Out-of-pocket expenses for covered TMS Therapy are determined by an individual or family policy’s unique coverage variables. Healing House runs an official benefits investigation with two certified third-party services to get the most accurate forecast of deductible, copay, and co-Insurance details.
An estimate of these details is included in a written care quote for each client on the front end of care so that patient responsibility for TMS Therapy care is explicitly outlined.
CPT Codes for TMS Therapy:
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90867: Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management
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90868: Therapeutic repetitive Transcranial Magnetic Stimulation (TMS) treatment; subsequent delivery and management, per session
Over 300 million carrier policies now cover Neurostar TMS Therapy! We have delivered over 35,000 covered TMS sessions at HH using Neurostar devices.
NON-COVERED & OUT-OF-NETWORK
Aside from our TMS Therapy care, all services at HH are with non-participating providers & are considered non-covered or Out-of-Network (OON) if approved.
These services are delivered on a fee-for-service basis accordingly. This means that an insurance claim can only be submitted after services have been rendered, & it must reflect the billable rates as well as any discounts for care that were offered.
For any OON Counseling and/or Biofeedback claims, our administrative team will issue the appropriate documentation in the form of a superbill so that it can be submitted to the care recipient's insurance carrier. HH does not accept assignment for OON claims unless submitting OON claims for TMS Therapy care has been approved in writing.
SERVICE BUNDLES & IN-HOUSE FINANCING
If a prospective client is uninsured or does not have coverage for TMS Therapy, they are able to take advantage of discounted TMS pricing. HH offers some of the lowest free-market rates for Neurostar TMS Therapy services in the country.
And we take pride in accessible fee-for-service arrangements for all Healing House care.
Flexible short-term financing is handled in-house so that no interest is ever owed to Healing House for services, & we are committed to finding payment plans that work for everyone.