Blog Post

When is it time for a TMS retreatment? Will insurance cover it?

October 12, 2023

TMS Therapy has been proven to be an effective treatment for depression in many clinical studies. In fact, 80% of NeuroJust patients have experienced significant improvement in their depression symptoms while 70% achieve complete remission.  

While TMS Therapy has been life-changing for many patients suffering with depression, it isn't always a “one-and-done” treatment. Some patients may experience the return of depressive symptoms six months to a year after initial treatment and may need a TMS retreatment to return to remission.  

How do I know if I need a TMS retreatment?

According to the Clinical TMS Society, patients who have a return of significant depressive symptoms (i.e. - impacting function, measurable increase in standardized rating scale) should consider another acute course of TMS treatment to achieve the best possible wellness – ideally remission of symptoms.

NeuroJust has an on-site, board-certified physician that oversees all medical care and can help you determine if a TMS retreatment is right for you. 

Will insurance cover a TMS retreatment?

 Most insurance companies will consider TMS retreatment medically reasonable and necessary for patients who meet the following criteria:

1.    Experienced greater than 50% improvement in standard rating scale measurements for depressive symptoms (ex. PHQ9 test) after initial course of TMS treatment.

2.    Improvement has been maintained for at least two months after the most recent course of TMS.

3.    Developed relapse of depressive symptoms as evidenced by a standard rating scale (PHQ9)

 If you've had success with TMS in the past and feel as though your depressive symptoms have returned, please call our office to schedule an evaluation with one of our psychiatrists. Our insurance specialist will look at your individual insurance plan and discuss retreatment options with you.