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Insurance

Insurance Coverage for TMS and Spravato

Vanguard TMS therapy is covered by major insurance providers, including Aetna, Anthem, Blue Cross Blue Shield, Humana, United Healthcare, and others.

Many major insurance providers cover SPRAVATO® treatment if you haven't gotten better after trying two oral antidepressants. Medicare and Medicaid are accepted at various center locations.

During your consultation, a Consult Coordinator will discuss any questions you may have regarding insurance coverage, costs, payments and reimbursement.

Vanguard Insurance Partners

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Process Guide

We're here to help you

Navigating insurance can feel overwhelming. Watch our brief video guide to understand how Vanguard's dedicated care team simplifies the coverage process for your treatment.

Vanguard Insurance Process Guide
Important Information

Mental Health Treatment
& Insurance Resources

Right to Receive a Good Faith Estimate

Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your provider for it before scheduling.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions, visit cms.gov/nosurprises or call the CMS Help Desk

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Mental Health Parity

Parity is the idea that mental health care is covered the same way other health conditions are. Parity varies state by state; refer to the resources below.

How to Appeal a Denial

We know handling insurance can be challenging. If you’ve been denied any mental health treatment by your provider, refer to the resources below.

*The inclusion of these third-party links on the Vanguard Neuro Psychiatry website does not constitute an offer or solicitation. The information is solely being provided to assist patients in determining options. Any third-party financing will be subject to the terms and conditions of the financing provider. Vanguard Neuro Psychiatry does not make any representation that the information provided by a third party is accurate and will not accept responsibility or liability for any inaccuracies in the information or content of any linked site.

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