United Healthcare

You'll need a DSM-5 diagnosis of MDD from a psychiatrist and documentation that at least two different classes of antidepressants haven't provided adequate relief, along with baseline and follow-up depression scale scores.

Most UnitedHealthcare plans require prior authorization before TMS begins. Your provider submits clinical documentation supporting medical necessity — without it, claims may be denied.

Coverage typically includes up to 30 treatment sessions plus 6 taper sessions per course. Retreatment may be considered after 6 months if you relapsed and your prior course achieved at least 50% improvement.

Your specific out-of-pocket cost depends on your UnitedHealthcare plan. We can help you confirm your benefits before your first session.

UnitedHealthcare's criteria are among the more thorough of the major insurers: documentation of three different antidepressant medications or regimens that were tried, failed, or contraindicated, each at the maximum tolerable dose for at least 8 weeks, along with a diagnosis from a mental health professional.

Your provider submits detailed records through UnitedHealthcare's prior authorization process. Initial approval typically lasts 12 months.

Spravato® must begin alongside a new daily oral antidepressant, and treatment must occur at a clinic certified under the FDA's REMS program. Led Life LLC is a certified authorized SPRAVATO® provider.

Cost depends on your specific UnitedHealthcare plan. We can help you check your benefits before treatment starts.