Financial Policy

Typical course of treatment: 20-30 sessions/ 4-6 week course of therapy

Note: Payment is due in full at the time of scheduling the initial 20 sessions/4 week block of treatment
The cost of treatment can vary based on a number of factors, including total number of treatments and the specific protocol prescribed.

Contact our office for specific pricing information. 303-884-3867

 


 

Initial Consultation

The Initial Consultation may be covered by insurance but reimbursement will depend on your specific mental health insurance policy. Payment is due at the time of consultation and we will furnish you a paid receipt that you can submit to your insurance carrier. This service is provided by Ted Wirecki, MD, PC and will be billed by Ted Wirecki, MD, PC.

Pre-authorization for mental health services

Most insurance companies require pre-authorization for covered mental health services including TMS therapy (if coverage is available). We strongly encourage you to contact your insurance carrier to inquire about any pre-authorization requirements. Please contact our office at 303-884-3867 if you have any questions regarding the information from your insurance carrier or if you need assistance with the pre-authorization process.

Payment of services covered by insurance

The TMS Center of Colorado, LLC is a network provider for Anthem Health. Patients are required to pay all co-pays, co-insurance and balances on account at the time of service. TMS therapy is not covered under many insurance plans and the patient is responsible for payment for the therapy (see below regarding filing for insurance reimbursement).  We accept most forms of payment. Payment for TMS therapy should be made to TMS Center of Colorado, LLC.

Insurance coverage and reimbursement for Transcranial Magnetic Stimulation

Although some insurers do not cover TMS therapy at this time, some patients may want to bill their insurance carrier to be certain. We will furnish you with a paid receipt that you can submit for reimbursement. Alternatively, as a courtesy, we will submit a claim for TMS therapy to your insurance carrier on your behalf. Even if we do, you are still responsible for payment of TMS therapy charges at the time of your initial treatment, in accordance with our charges for self-pay patients, discussed above. If you want to appeal a denial of TMS services, your insurance carrier may require a letter of medical necessity and we will furnish this on request. Please be aware that our charge to insurance may differ from our charge for self-pay patients. In the few cases where TMS Center has a contract with your insurance carrier, we will bill your carrier in accordance with the terms of the contract.

 


 

Cancellation policy

In order for TMS Therapy to be effective, it must be performed on a routine basis for a minimum of 20 sessions /4 weeks (treatment is generally scheduled M-F). Missing any treatments could affect your response and is not advisable. We understand that on occasion things happen and appointments must be rescheduled. However, when you do not provide adequate cancellation notice (24 hours notice) our staff is unable to manage schedules and care for other patients. We require at least 24 hours notice otherwise you may be charged for the appointment time dedicated for your care. We require seven (7) days notice prior to starting the initial (acute phase) treatment to cancel in order to receive a refund. No refunds will be given after this time (seven (7) days prior to starting the initial (acute phase) treatment block).