Coverage
What TMS costs in Maine and how insurers approve it
Nearly every major Maine plan covers TMS for depression. The hold-up is almost never coverage — it is documentation.
Plan by plan
Anthem Blue Cross and Blue Shield
Covers TMS for treatment-resistant depression with prior authorization.
Harvard Pilgrim Health Care
Covers TMS with prior authorization on many plans.
Aetna
Coverage varies by plan; confirm before treatment.
Cigna
Coverage varies by plan; confirm before treatment.
Community Health Options
Coverage varies by plan; confirm before treatment.
MaineCare
Coverage decided case by case; clinics confirm benefits.
Criteria change. Treat this as a starting point and confirm with your plan and clinic.
Self-pay price ranges
- Single session, self-pay
- $200 – $400
- Full 36-session course, self-pay
- $8,000 – $13,000
- Typical insured out-of-pocket
- Deductible + per-visit copay
- Initial mapping / brain mapping visit
- $300 – $500
Many Maine clinics offer payment plans or a discounted bundled rate for a full course — ask when you call.
Getting approved faster
- Bring a list of every antidepressant you have tried, with doses and how long you took them.
- Ask your prescriber to note the reason each medication was stopped — side effects count.
- Have a recent PHQ-9 or similar score on file; most insurers want a current measure.
- Let the clinic submit the authorization — their staff do this daily and know the templates.
- If you are denied, appeal. Denials for incomplete documentation are routinely overturned.
Looking for a clinic that takes your plan? Filter the directory by insurance.