Insurance Information for PrTMS Treatment

Plan Accepted

The Anderson Clinic is currently in-network with Aetna, Cigna, United Healthcare, United medical Resources, and Tricare through Human Military. We are diligently working to provide coverage under Anthem and Medical Mutual and expect to be in-network by late 2025. We do not currently accept government funded plans (medicaid and medicare).

Prior Authorization

For all transcranial magnetic stimulation therapy a prior authorization is generally required. A “prior authorization” or “pre-certification” is a request made by the rendering provider (our office) to have certain services covered based on criteria set by the insurance company. Most insurance companies typically require that an individual carries an approved diagnosis, has tried and failed two or more oral antidepressants and, in some cases, has a history of psychotherapy. Prior authorizations are handled by our staff, a determination is typically made by your insurance company in 2-3 days but this may take up to a week. To start a prior authorization just our office at 513-321-1753, a staff member will get some details from your and get the authorization started, we will then contact you once we’ve received a response from your insurance company.

Patient Responsibility

Patients are responsible for any co-payments, co-insurance or deductibles as outlined in their individual plans. For more information please contact your insurance provider.

Billing & Payments

Once approved, all bills are sent directly to your insurance company. If a co-payment is required or if your deductible hasn’t been met you may receive an invoice, alternatively you can pay this at the time of your appointment with any major credit card, check or cash.