At Luxury Psychiatry Clinic, we understand how challenging depression can be. We want you to know about every treatment option available, especially those covered under your insurance. We proudly accept Blue Cross Community MMAI for outpatient psychiatric care in Chicago. This coverage includes advanced mental health treatments, such as Transcranial Magnetic Stimulation (TMS), offered for patients who qualify.
If you are a Blue Cross Community MMAI member and want to learn whether TMS might work for you, our team is ready to help. Contact our office to schedule a consultation. Together, we’ll discuss your health needs and check on insurance coverage.
Blue Cross Community MMAI refers to the Medicare-Medicaid Alignment Initiative. If you have both Medicare and Medicaid, you may be able to receive care under an MMAI plan. Blue Cross Community MMAI is one such plan. Its main purpose is to make healthcare more organized for adults who qualify for both Medicare and Medicaid; Blue Cross coordinates both Medicare and Medicaid benefits into a single plan.
Blue Cross Community MMAI works differently from plain Medicare or Medicaid plans because it is designed for people who qualify for both at the same time. Traditional Medicare and Medicaid are separate government programs.
Medicare, which is managed by the federal government, provides health insurance mainly for older adults and some people with disabilities. Medicaid is run by the state and helps people with little to no income, offering coverage for a wider variety of services.
When you enroll in an MMAI plan like Blue Cross Community MMAI, those two programs are combined into one. Instead of carrying two different insurance cards and managing separate rules or paperwork for Medicare and Medicaid, you can access all your benefits through a single health plan – Blue Cross Blue Shield in this case.
Being in an MMAI plan means working with providers and clinics that accept this specific coverage. You have one team helping, but also need to check that medical professionals are “in-network” with MMAI to avoid confusion or high charges. You may sometimes need approvals before being seen by some specialists or getting certain treatments.
Our experienced psychiatry team is proud to serve Blue Cross Community MMAI members in Chicago, offering compassionate, evidence-based mental health care in an outpatient setting. By selecting a provider from the carousel below, you can schedule your first appointment with a psychiatrist or psychiatric nurse practitioner who is in-network with your Blue Cross Community MMAI Medicaid plan. Whether you’re seeking a psychiatric evaluation, medication management, or ongoing mental health support, our team is here to guide you every step of the way.
Yuliya is a Certified Psychiatric Nurse Practitioner who specializes in depression, anxiety, mood disorders, and sleep disorders. She is also REMS-certified for treating patients with Spravato (esketamine) therapy.
Angela is a Certified Psychiatric Nurse Practitioner who specializes in depression, anxiety, mood disorders, and sleep disorders. She is also REMS-certified for treating patients with Spravato (esketamine) therapy.
Dr. Dees is a Board Certified Washington University-trained Psychiatrist, who specializes in treating anxiety, mood disorders, and depression with the use of TMS (Transcranial Magnetic Stimulation).
Alan is a board-certified Physician Assistant. He graduated from Nova Southeastern University in 2020 and is trained in General Psychiatry, including anxiety, depression, mood disorders, and sleep disorders. He is fluent in English and Russian.
Kalindi is a psychiatric nurse practitioner graduate who specializes in depression, anxiety, bipolar disorder, and PTSD.
Jennifer is a trained licensed clinical social worker specializing in helping individuals manage mood disorders, self-esteem, anxiety, relationship dynamics, grief, loss, coping with stress, and life transitions.
Jennifer utilizes evidenced-based practices including CBT (Cognitive Behavior Therapy), Psychodynamic, Mindfulness, Motivation Interviewing (MI), and Acceptance Commitment Therapy (ACT).
Samantha recently graduated from DePaul University as a Licensed Professional Counselor. She is supervised by Dr. Michelle Dees.
Samantha has a wide range of experiences with depression, anxiety/phobias, and mood disorders.
She practices from a strengths-based approach and utilizes CBT.
She believes that each individual needs to be reminded of their worth, the obstacles they’ve overcome, the strengths they possess, and the resilience that lies within them.
Yuliya is a Certified Psychiatric Nurse Practitioner who specializes in depression, anxiety, mood disorders, and sleep disorders. She is also REMS-certified for treating patients with Spravato (esketamine) therapy.
Angela is a Certified Psychiatric Nurse Practitioner who specializes in depression, anxiety, mood disorders, and sleep disorders. She is also REMS-certified for treating patients with Spravato (esketamine) therapy.
Dr. Dees is a Board Certified Washington University-trained Psychiatrist, who specializes in treating anxiety, mood disorders, and depression with the use of TMS (Transcranial Magnetic Stimulation).
Alan is a board-certified Physician Assistant. He graduated from Nova Southeastern University in 2020 and is trained in General Psychiatry, including anxiety, depression, mood disorders, and sleep disorders. He is fluent in English and Russian.
Kalindi is a psychiatric nurse practitioner graduate who specializes in depression, anxiety, bipolar disorder, and PTSD.
Jennifer is a trained licensed clinical social worker specializing in helping individuals manage mood disorders, self-esteem, anxiety, relationship dynamics, grief, loss, coping with stress, and life transitions.
Jennifer utilizes evidenced-based practices including CBT (Cognitive Behavior Therapy), Psychodynamic, Mindfulness, Motivation Interviewing (MI), and Acceptance Commitment Therapy (ACT).
Samantha recently graduated from DePaul University as a Licensed Professional Counselor. She is supervised by Dr. Michelle Dees.
Samantha has a wide range of experiences with depression, anxiety/phobias, and mood disorders.
She practices from a strengths-based approach and utilizes CBT.
She believes that each individual needs to be reminded of their worth, the obstacles they’ve overcome, the strengths they possess, and the resilience that lies within them.
Appointments are in person for all initial and annual appointments for the completion of paperwork. Please allow 60-90 minutes. Tele Medicine appointments can be available for routine follow-ups subject to the provider. Tele Medicine is subject to change depending on insurance guidelines. Book appointments online or download our mobile app. We do not communicate via text or email other than appointment reminders. *
*All Florida patients will be seen (Central Standard Time | CST).
*If you’re asking or are on a controlled substance, the first and yearly appointments must be in person. Follow-up appointments can be made via telemedicine.
Transcranial Magnetic Stimulation, often called TMS, offers hope to people who haven’t found relief from depression using typical treatments. TMS is a non-invasive therapy, meaning there’s no need for surgery and nothing enters your body. The process uses focused magnetic pulses that stimulate specific parts of your brain linked to mood regulation.
Sessions take place at a clinic; no hospital stay is needed, and no anesthesia is required at any point. Patients are treated on an outpatient basis, and each visit usually lasts less than an hour. Usually, patients come in several times a week, for multiple weeks.
TMS has very few side effects, and after each session, you can generally go about your day as usual. People often drive themselves to and from treatment.
If you’re looking for help beyond traditional medications and psychotherapy, you might wonder whether TMS is covered under your Blue Cross Community MMAI plan. Coverage is available to many patients, but the plan follows strict guidelines to determine who qualifies.
Blue Cross Community MMAI will look closely at your medical situation before approving TMS. Coverage is usually considered only when a patient meets certain requirements. Insurance makes these decisions based on official diagnosis, what past treatment steps you’ve tried, and detailed records from your care team.
Getting approval for TMS often involves a “prior authorization” process. Before you start, your provider needs to submit paperwork explaining why TMS is right for you. This includes medical records, your psychiatrist’s notes, and records of past treatments. The insurance company will then review these details to determine if a TMS treatment course is permitted.
Most coverage for TMS centers around a few psychiatric diagnoses. TMS is FDA-approved for major depressive disorder (MDD), treatment-resistant depression, and obsessive-compulsive disorder (OCD). Sometimes TMS is used off-label for other conditions, but these treatments are unlikely to be approved by insurance plans. If you still want to move forward with TMS for other conditions, like bipolar disorder or anxiety, you can pay out-of-pocket if you and your provider think TMS is a good fit.
Insurance usually requires proof that you have tried and not found enough relief with other evidence-based treatments, like multiple antidepressant medications and talk therapy.
If you are looking into getting TMS for a mental health condition and need help with insurance coverage and next steps, the behavioral health professionals at Luxury Psychiatry Clinic can help you explore your eligibility and make sure you get the treatment you need.
At Luxury Psychiatry Clinic, our goal is to make your journey to recovery as smooth and effective as possible. Our team works with you to create a personalized plan based on your diagnosis, experience with past treatments, and what methods are most likely to help. Sometimes this means combining talk therapy, medication, or advanced options like TMS or Spravato when indicated for your needs.
You’ll also have frequent check-ins and steady support. Ongoing monitoring lets us quickly adjust any part of your treatment plan. If you have been hesitant to seek care or are curious about what options you may have, our team is always available to answer your questions and help you understand your insurance coverage. Contact our team today to learn more and schedule a confidential consultation.
* Any patient needing a controlled substance needs a face-to-face appointment with the provider prior to the prescription being sent to be compliant with the DEA guidelines.
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