St. John Mental Health Clinic of Houston
N/a Houston Office
St John Mental Health Clinic of Houston Copyright © St. John Mental Health Clinic of Houston. 2025 | All rights reserved.
Depression is a common but challenging mental health condition that has devastating effects. Transcranial magnetic stimulation (TMS) therapy can help reduce your symptoms and improve your quality of life without the systemic side effects associated with antidepressant medications.
If you are looking for a treatment to address your symptoms of depression, we encourage you to call our office and schedule a consultation. We can answer your questions about insurance coverage for MagVenture TMS therapy in Houston, how the treatment works, and what the potential side effects are.
Most insurance companies provide benefits for MagVenture TMS therapy under their mental health services coverage. Two federal laws mandate that insurance providers offer coverage for mental health treatment at the same level they provide for medical and surgical treatments.
TMS has been FDA-cleared for treatment-resistant depression since 2008. Most insurance companies recognize the effectiveness of the treatment and include coverage in their mental health benefits. Our providers are in-network with various insurance plans in Houston, including Aetna, Blue Cross Blue Shield, United Healthcare, and Magellan. We are not in-network with Cigna or Humana.
We encourage you to call your insurance company to determine the extent of your coverage for MagVenture TMS therapy in Houston since some insurance providers also offer out-of-network coverage, or mental health benefits managed by another plan. It is important that you understand how your insurance policy will address claims for TMS therapy. This ensures that your claim will be properly evaluated and paid.
If you are receiving treatment with us through out-of-network benefits, we can provide the documentation you need to submit your claim. If your insurance provider does not cover MagVenture TMS therapy, or we are unable to receive authorization from your provider, we can work with you on self-pay pricing to ensure you are given the best care possible for your mental health.
Although most Houston insurance providers offer coverage for MagVenture TMS therapy, there are actions you can take to claim your maximum insurance benefits and lower your out-of-pocket costs. The best way to begin is to understand your insurance provider’s benefit package and requirements.
For example, the insurance plan you purchased may have an in-network provider requirement or need for prior authorization. Insurance companies cover only medically necessary care, which is the care they deem necessary for your medical or mental health condition. Prior authorization documents the medical necessity of using TMS therapy to treat your symptoms and may include medical reports and documentation of experiencing poor results from antidepressant medications.
You must get prior authorization for treatment when your insurance company requires it. Without this, they will not pay for your treatment. Our office has more than 10 years of experience working directly with patients and their insurance companies to successfully obtain prior authorization for TMS Therapy. During your consultation, Dr. St. John will advise you as to what your insurance company’s coverage requirements are, whether she believes you meet your insurance company’s requirements, and what documentation she will need to complete the prior authorization process.
Even if your insurance company offers full benefits for TMS therapy in Houston, you will have some out-of-pocket expenses. This includes your annual deductible, which is the amount of money you must pay out of pocket before insurance begins to pay benefits. Your deductible amount varies depending on the insurance plan. Your insurance provider can tell you how much is left on your deductible before beginning treatment.
Your insurance company will also likely have a copay. This is the amount of money you must pay for each treatment. For example, your policy may require you to pay your annual deductible and then 20 percent of all treatment costs while they pay the remaining 80 percent. This 20 percent is part of your out-of-pocket expenses. It is important to understand your total out-of-pocket costs so you are not surprised by a medical bill.
We will contact your insurance provider prior to your consultation, verify your benefits, and provide you with a written quote of what you expect your out-of-pocket costs to be at the time of your consultation. With most major insurance carriers covering TMS Therapy, the vast majority of patients find their personal cost for TMS Therapy to be reasonable and accessible.
We recognize that the cost of depression treatment may feel overwhelming, but your insurance benefits will likely cover much of the expenses of MagVenture TMS therapy. Going without treatment can negatively influence your quality of life, relationships, work performance, and your future. We encourage you to call our office today to talk about insurance coverage for MagVenture TMS therapy in Houston so you can receive the best care possible to reduce or eliminate your depression symptoms.
St. John Mental Health Clinic of Houston
N/a 
Copyright © St. John Mental Health Clinic of Houston. 2025 | All rights reserved.