TMS Therapy for Individuals with CountyCare

Reviewed by: Michelle Dees, MD | Last Reviewed: 1/4/2026
CountyCare psychiatrist in Chicago

Transcranial magnetic stimulation (TMS) is a non-invasive mental health treatment that uses targeted magnetic pulses to stimulate specific areas of the brain involved in mood regulation. TMS is often recommended for individuals with treatment-resistant depression who have not experienced sufficient improvement from traditional treatments such as medication or psychotherapy. It is also FDA-approved for individuals who have been diagnosed with obsessive-compulsive disorder (OCD).

For some CountyCare members, TMS therapy may be covered when certain medical and insurance requirements are met. If you have been struggling with depression and have not found relief through other approaches, TMS may be worth exploring.

Overview of Transcranial Magnetic Stimulation (TMS)

Transcranial magnetic stimulation is an innovative, non-invasive therapy used to help people with various mental health concerns. Most notably, the FDA has approved TMS for adults struggling with major depressive disorder (MDD), especially when traditional medications haven’t worked. This outpatient treatment does not require anesthesia or sedation; patients are awake and able to return to daily activities right after each session.

TMS uses targeted magnetic pulses to stimulate specific areas of the brain involved in mood regulation. By modulating neural activity, TMS aims to lift mood and support overall emotional well-being in a safe and sustainable way. Sessions are entirely non-invasive and generally have very few side effects; a small magnetic coil is placed against the scalp to painlessly deliver gentle pulses.

A typical TMS treatment schedule lasts 4 to 6 weeks, with sessions held about 5 days per week. Most appointments last 20 to 40 minutes, and people can read, listen to music, or simply relax during therapy.

Meet Our Psychiatry Team with Your CountyCare Plan

Our experienced psychiatry team is proud to serve CountyCare 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 CountyCare 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.

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. 

Ready to Book An Appointment With Our Psychiatrists?

Luxury Psychiatry | TMS Therapy for Individuals with CountyCare
Luxury Psychiatry | TMS Therapy for Individuals with CountyCare
Luxury Psychiatry | TMS Therapy for Individuals with CountyCare
Luxury Psychiatry | TMS Therapy for Individuals with CountyCare
Luxury Psychiatry | TMS Therapy for Individuals with CountyCare
Luxury Psychiatry | TMS Therapy for Individuals with CountyCare
Luxury Psychiatry | TMS Therapy for Individuals with CountyCare
Luxury Psychiatry | TMS Therapy for Individuals with CountyCare
Luxury Psychiatry | TMS Therapy for Individuals with CountyCare
Luxury Psychiatry | TMS Therapy for Individuals with CountyCare

Does CountyCare Cover TMS Therapy?

Coverage for TMS therapy under CountyCare depends on individual plan details and confirming that the medical necessity criteria are met. Some CountyCare plans do cover TMS for individuals who:

  • Have active CountyCare health coverage
  • Have a documented diagnosis like major depressive disorder (or, sometimes, another qualifying condition such as obsessive-compulsive disorder)
  • Can demonstrate that at least two different antidepressant medications were tried without sufficient benefit
  • Have an evaluation and recommendation from a qualified behavioral health provider
  • Obtain prior authorization before beginning treatment
  • Proof of unsuccessful past treatments and detailed records are often a requirement
  • Both patients and prescribing clinicians must provide regular follow-up throughout care

 

Luxury Psychiatry Clinic can support patients throughout this process, helping verify your insurance plans, gather documentation, coordinate necessary clinical evaluations, and communicate directly with CountyCare to secure required pre-approvals and authorizations.

What If CountyCare Does Not Cover TMS?

Finding out that your CountyCare plan doesn’t cover TMS therapy can feel disappointing, but you still have options.

Explore the Insurance Appeals Process

If you receive a denial, you may be able to file an appeal with CountyCare. Sometimes coverage can be approved on a second review, especially if your care team provides extra documentation that reinforces the medical necessity of TMS. Detailed treatment history, updated diagnostic information, and letters from your psychiatrist can all help strengthen your case.

Consider Other Covered Mental Health Services

If an appeal is unsuccessful, ask your mental healthcare provider about alternative treatments that CountyCare might cover, such as therapy, psychiatric medication management, Spravato, or other types of evidence-based behavioral health services. Your psychiatric team can help you find effective options that best fit your symptoms and needs.

Discuss Self-Pay Options

If TMS is truly the right fit and other routes haven’t worked, some clinics offer payment plans or sliding-scale fees for self-pay patients. It’s worth asking for an individualized estimate.

Even if CountyCare doesn’t cover TMS at first, you are not out of options.

Mental Health Services We Offer Alongside TMS Therapy

At Luxury Psychiatry Clinic, we recognize that effective mental health care can include several approaches working together. In addition to TMS therapy, patients have access to a range of other services. Some common ones we offer include:

Comprehensive Evaluations

Every patient starts with a thorough evaluation by an experienced psychiatrist or therapist. This first step helps determine the best treatment strategy for your current needs and goals.

Psychotherapy

Also known as talk therapy, psychotherapy offers a safe and confidential space to discuss feelings, work through life challenges, build coping skills, and develop new perspectives with the guidance of a skilled mental health professional.

Cognitive Behavioral Therapy (CBT)

CBT is one of today’s leading, evidence-based therapies for mood disorders, like depression, anxiety, and related conditions. It’s often used for substance use treatment as well. This practical, solution-focused approach helps patients identify and challenge negative thinking patterns, leading to more positive behaviors and improved mood.

Spravato Therapy

For individuals with treatment-resistant depression, Spravato may be an option when traditional antidepressants have not provided sufficient relief. Spravato is an FDA-approved nasal spray (similar to ketamine) that works differently from traditional antidepressants and may help improve mood more quickly for some patients. It is administered in a certified medical setting under the supervision of trained healthcare professionals.

Telepsychiatry Services

Telehealth appointments allow patients to meet with licensed mental health professionals through secure virtual appointments from the comfort of their own homes. These visits can be used for psychiatric evaluations, medication management, follow-up care, and ongoing treatment for a variety of mental health conditions.

Medication Management

Optimal care sometimes means finding the right psychiatric medication and monitoring it over time. Our board-certified psychiatrists can prescribe, adjust, and review medications.

By combining these services, we offer a personalized treatment plan that helps patients achieve lasting improvements and overall well-being.

Contact Luxury Psychiatry Clinic To Schedule Your Consultation

If you’re ready to take the next step toward better mental health, our team is here to help. We can verify your CountyCare coverage, discuss your eligibility for TMS therapy, and walk you through all available treatment options.

We try to make the process as stress-free as possible for you and your family. Schedule a confidential consultation with one of our skilled mental health clinicians to start building your plan for a better quality of life today.

Schedule your appointment:

* 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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    Select your desired appointment type.
  • Step 2
    Choose your staff member and desired location or leave as “ALL,” and we will match you!
  • Step 3
    Search for your date range and select from available times.

We Look Forward to Seeing You!

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