Medicare Coverage for TMS Therapy | Florida TMS Clinic
Medicare • Tampa & Wesley Chapel

Medicare Coverage for TMS Therapy

Florida TMS Clinic helps Medicare beneficiaries access FDA-cleared Transcranial Magnetic Stimulation for severe Major Depressive Disorder. We confirm eligibility, assemble the documentation Medicare requires, and guide you through authorization—so you can focus on feeling better.

📞 Call (813) 867-2378 📅 Request a Medicare coverage check We handle documentation & coding

Aligned with Medicare rules

TMS that fits Medicare — and your life

We provide a comprehensive, Medicare-aligned TMS program: psychiatric evaluation, measurement-based care, FDA-cleared protocols, and close coordination with your therapist or primary-care clinician. Our team prepares a complete file—diagnosis, current severity, medication trials or intolerance, and a psychiatrist’s face-to-face order—so the approval process is smooth and predictable.

  • Medicare-ready documentation assembled by our care team
  • Measurement-based care using validated depression scales
  • Clear expectations on criteria, timing, and utilization
  • Flexible scheduling and supportive staff

Medicare TMS Coverage: Who Qualifies & What’s Included

Eligibility checklist

  • Diagnosis: Severe Major Depressive Disorder confirmed by a clinician
  • Treatment history: Failure of one or more adequate antidepressant trials and/or documented intolerance
  • Order: Written by a psychiatrist (MD/DO) after a face-to-face exam and record review
  • Setting & duration: Outpatient TMS on weekdays for up to six weeks, with progress measured on validated scales

Not covered / limitations

  • Obsessive-Compulsive Disorder (OCD): not a covered indication
  • Absolute contraindication: magnetic-sensitive implants or metal within the stimulation field
  • Relative contraindications: seizure disorder/history, psychosis in the current episode, certain neurologic conditions

We screen carefully for safety and discuss the best options with you.

What we manage for you

  • Benefits check and eligibility confirmation
  • Collection of clinical documentation and baseline symptom scales
  • Psychiatrist evaluation and treatment plan aligned to Medicare rules
  • Scheduling and progress tracking throughout the course

Coverage depends on your Medicare plan (Original Medicare vs. Medicare Advantage) and any plan-specific requirements. We verify everything up front and provide a clear out-of-pocket estimate.

What TMS Is — and Why Medicare Beneficiaries Choose It

Transcranial Magnetic Stimulation (TMS) uses focused magnetic pulses to modulate mood-related brain circuits. Sessions are noninvasive, don’t require anesthesia, and you can typically drive afterward. In a standard Medicare-covered course, treatments are delivered on weekdays for several weeks, with regular rating-scale check-ins to document improvement.

Who benefits

  • Beneficiaries with severe depression who haven’t improved on medication
  • People who experienced medication intolerance or prefer a medication-sparing option
  • Patients who want psychiatrist-supervised, evidence-based care with objective outcomes

How we personalize care

  • Baseline and periodic depression scales (e.g., PHQ-9, HAM-D, MADRS, BDI)
  • Motor-threshold mapping and precise coil placement
  • Progress-informed adjustments that remain within covered protocol parameters

Authorization, Documentation & Cost with Medicare

We guide you through every step: confirming your diagnosis and severity, documenting prior trials or intolerance, and obtaining a psychiatrist’s order following a face-to-face evaluation. We then align your treatment schedule with Medicare’s coverage rules and keep you updated on approvals and cost-share.

  1. Benefits check: We confirm your Medicare coverage and any plan-specific rules
  2. Documentation: We compile clinical notes and baseline rating scales
  3. Order & review: Psychiatrist evaluation and written order
  4. Scheduling: Weekday sessions, typically 20–25 minutes each

Frequently Asked Questions (Medicare)

Is TMS covered for moderate depression?

No. Medicare focuses on coverage for severe Major Depressive Disorder. We can discuss alternative options if your symptoms are currently moderate.

Can Medicare cover TMS after intolerable side effects to medication?

Yes. Eligibility allows for beneficiaries who either failed an adequate antidepressant trial or had documented intolerance to psychopharmacologic medication.

Does Medicare cover maintenance or TMS for OCD?

Coverage is centered on an acute course for severe Major Depressive Disorder. OCD is not a covered indication; maintenance schedules outside the standard course are not typically covered.

What documentation does Medicare look for?

Diagnosis and current severity, prior medication trials or intolerance, a psychiatrist’s face-to-face evaluation and written order, and progress tracked on validated scales during treatment.

Get Medicare-Covered TMS in Tampa or Wesley Chapel

We’ll confirm your eligibility, assemble the required documentation, and provide a clear out-of-pocket estimate before your first session.

📞 Call (813) 867-2378 📅 Request a Medicare coverage check

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Florida TMS Clinic — Tampa

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Florida TMS Clinic — Wesley Chapel

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Medicare covers TMS for severe, non-psychotic Major Depressive Disorder when criteria are met. We’ll handle the paperwork.
📞 Call (813) 867-2378 📅 Check my Medicare coverage

Florida TMS Clinic

Medicare-aligned TMS for severe Major Depressive Disorder in Tampa & Wesley Chapel. Evidence-based care with objective outcomes.

Phone: (813) 867-2378

Locations: Tampa · Wesley Chapel