TMS and Anthem
Anthem BlueCross BlueShield covers TMS therapy for severe treatment-resistant major depressive disorder (MDD) when medical necessity criteria are met.
You'll need a confirmed diagnosis of severe MDD (single or recurrent episode) and documentation of an inability to tolerate, or inadequate response to, at least two prior antidepressant trials.
Prior authorization is required before TMS treatment begins. Our team submits the clinical documentation Anthem requires on your behalf.
A standard treatment course typically runs 5 days a week for 6 weeks (30 sessions), followed by a taper period, using an FDA-approved device.
Your specific out-of-pocket cost depends on your Anthem plan. We can help you confirm your benefits before your first session.
Spravato® and Anthem
Anthem covers Spravato® (esketamine) for adults with treatment-resistant depression once prior authorization and clinical criteria are met.
You'll generally need to be 18 or older, with treatment-resistant depression or MDD with suicidal ideation, and documentation that at least two antidepressants — each at the maximum tolerated dose — didn't provide at least a 50% reduction in symptoms. Spravato® is used alongside, not instead of, ongoing antidepressant therapy.
Prior authorization is required, including medical documentation, prior treatment history, and standardized depression scale scores (such as PHQ-9).
Spravato® is never self-administered at home — it's only given in a certified clinic under observation, at a facility certified through the FDA's REMS program. Led Life LLC is a certified authorized SPRAVATO® provider.
Cost depends on your specific Anthem plan. We can help you check your benefits before treatment starts.
Coverage policies above reflect Anthem's generally published medical policies and can change — we're happy to help confirm your specific benefits before your appointment.
Questions About Your Coverage
Contact our office to confirm your specific plan and benefits before your appointment.
Phone: (507) LED-LIFE
507-533-5433
Ellicott City (textable): 240-673-3236