TMS for treatment-resistant depression
Where TMS stands for treatment-resistant depression, FDA clearance and insurance status, what a course involves, and cost.
Updated · Checked by the Covered Mind editorial team against cited sources
Key facts
- Last checked:
- Sources listed: 1
- Reading time: About 1 minute
- FDA status: cleared specifically for depression that did not improve with at least one antidepressant
- Course: six-week daily course
- Insured cost: typically $20 to $90 per session
- Coverage: Covered with prior authorization by most plans and by Original Medicare under Local Coverage Determinations.
| Fact | Value |
|---|---|
| Last checked | |
| Sources listed | 1 |
| Reading time | About 1 minute |
| FDA status | cleared specifically for depression that did not improve with at least one antidepressant |
| Course | six-week daily course |
| Insured cost | typically $20 to $90 per session |
| Coverage | Covered with prior authorization by most plans and by Original Medicare under Local Coverage Determinations. |
Why is TMS used for treatment-resistant depression?
TMS was cleared specifically for depression that did not improve with at least one antidepressant, and insurers cover it after two to four failed trials, which makes it the most widely covered interventional option for treatment-resistant depression.
See the coverage hub, the TMS hub, and the coverage checker.
What should you expect from TMS for treatment-resistant depression?
Response rates are somewhat lower in people with many failed medication trials than in those with one or two, but remain meaningful: about 40 to 50 percent respond in registry data. Newer protocols (theta burst and accelerated schedules) show similar results with shorter sessions.
What does TMS for treatment-resistant depression involve?
A six-week daily course plus taper. If a first course works and depression later returns, insurers cover re-treatment.
Does insurance cover TMS for treatment-resistant depression, and what does it cost?
Covered with prior authorization by most plans and by Original Medicare under Local Coverage Determinations. Insured cost is typically $20 to $90 per session.
See TMS coverage and TMS: the complete guide.
See Spravato vs TMS: how to choose.
Read TMS vs ECT: what each is for and Treatment-resistant depression: what the criteria actually mean.
Related
Checked by the Covered Mind editorial team · · Editorial policy
Cite this
Covered Mind. "TMS for treatment-resistant depression." https://www.coveredmind.com/conditions/treatment-resistant-depression/tms-therapy. Last checked Sep 1, 2026.
This site provides general information about insurance coverage and treatment options. It is not medical advice, not a guarantee of coverage, and not a substitute for talking with a clinician or your health plan.