TMS Therapy for Individuals with Illinois Medicaid

Reviewed by: Michelle Dees, MD | Last Reviewed: 1/4/2026
Luxury Psychiatry | TMS Therapy for Individuals with Illinois Medicaid

If you’re living with depression in Illinois and struggling to find relief through traditional treatments, you may be looking for different options. Transcranial magnetic stimulation (TMS) is a non-invasive therapy shown to help people who haven’t felt better with medication or talk therapy alone (usually referred to as treatment-resistant depression). Our clinic welcomes individuals with Illinois Medicaid and can help you find out whether TMS is the right next step for your treatment plan and whether your insurance covers this type of treatment.

What Is TMS Therapy?

TMS is an advanced treatment for depression that’s approved by the FDA, primarily for adults with major depressive disorder who haven’t found success with more traditional approaches. By using magnetic fields to activate areas of the brain responsible for mood, TMS is designed to naturally support better mental health while providing fewer side effects than many medications.

How Does Magnetic Stimulation Work?

TMS treatment involves placing a magnetic coil near your scalp, delivering focused magnetic pulses to specific regions of your brain involved in mood regulation. This stimulation encourages healthier brain activity patterns without the need for medication, anesthesia, or a hospital stay.

 

What to Expect From TMS Therapy

Here’s what you can generally expect when you’re undergoing TMS therapy, which is considered a non-invasive treatment:

  • Setting: Sessions take place at our outpatient clinic, so hospitalization is not required.
  • Comfort: You remain awake, alert, and generally comfortable – no anesthesia or sedation is used. Minor side effects, like scalp discomfort, may occur.
  • Sessions: Treatment sessions typically last 20 to 40 minutes, and your course of TMS treatment is about 5 days a week, over 4 to 6 weeks.
  • No Recovery Time: Most patients return to daily activities immediately after a session.

 

What’s the Difference Between Standard TMS and Deep TMS?

There are different types of TMS technology, including “standard” and “Deep TMS.” Deep TMS targets broader and sometimes deeper brain regions, but both methods use non-invasive outward pulsing for highly targeted mood improvement. Your psychiatrist will help you decide which TMS treatment is most appropriate for your needs. If you or your loved one are ready to learn more or want help checking Illinois Medicaid coverage for TMS therapy, contact our clinic today.

Meet Our Psychiatry Team with Your Medicaid Plan

Our experienced psychiatry team is proud to serve individuals with Medicaid 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 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 Illinois Medicaid
Luxury Psychiatry | TMS Therapy for Individuals with Illinois Medicaid
Luxury Psychiatry | TMS Therapy for Individuals with Illinois Medicaid
Luxury Psychiatry | TMS Therapy for Individuals with Illinois Medicaid
Luxury Psychiatry | TMS Therapy for Individuals with Illinois Medicaid
Luxury Psychiatry | TMS Therapy for Individuals with Illinois Medicaid
Luxury Psychiatry | TMS Therapy for Individuals with Illinois Medicaid
Luxury Psychiatry | TMS Therapy for Individuals with Illinois Medicaid
Luxury Psychiatry | TMS Therapy for Individuals with Illinois Medicaid

Does Illinois Medicaid Cover TMS Therapy?

Many people who live in Chicago and are covered by Medicaid want to know whether TMS therapy is a covered option for depression and other resistant mental health conditions. In some cases, Illinois Medicaid plans do provide coverage for TMS. You usually need to meet the following criteria:

  • Enrollment in a qualifying Illinois Medicaid managed care plan: Some Medicaid plans cover this treatment, and others do not. Not all plans are the same, so the type and network of your plan will determine eligibility.
  • A diagnosis of a mental health condition covered by Medicaid: For TMS, this is most commonly major depressive disorder (MDD) that hasn’t responded to other treatment. TMS is sometimes used as an FDA-approved treatment for obsessive-compulsive disorder (OCD) as well.
  • Previous use of (and limited response to) antidepressant medications: You’ll need medical records or a psychiatrist’s notes showing which medicines you’ve tried and why additional treatment is needed.
  • Prior authorization from your insurance provider: TMS usually must be approved ahead of time, meaning your provider must submit records showing the therapy is medically necessary.
  • Clinical evaluation: A qualified psychiatrist or licensed behavioral health professional needs to formally assess you and recommend TMS as the best available next step in your care.

 

Fortunately, our staff at Luxury Psychiatry Clinic can help make this process easier. We help patients verify their specific Illinois Medicaid benefits, handle the paperwork for prior authorization, gather any other necessary documentation, and communicate directly with your insurance plan every step of the way. 

If you’re interested in TMS but unsure about coverage, contact us for personalized, knowledgeable support.

Luxury Psychiatry | TMS Therapy for Individuals with Illinois Medicaid

What If Illinois Medicaid Does Not Cover TMS?

If you’re seeking TMS therapy but Medicaid denies coverage, there are a few steps you can take to try to move forward with treatment. Here’s what you should consider doing:

Appeal the Decision

If coverage for TMS is denied, don’t give up right away. You may be able to appeal the decision by providing additional records, treatment history, and letters from your mental health provider explaining why TMS is medically necessary for your situation. Our clinic can help gather and submit the appeal documents.

Explore Alternative Covered Treatments

Ask your care team to review other evidence-based mental health treatments covered by Illinois Medicaid. This might include medication adjustments or additions, as well as other types of therapy. Spravato (esketamine, which is similar to ketamine) may be an option.

Consider Self-Pay or Financing Options

If TMS is still the option you want to pursue and financial circumstances allow, some clinics offer self-pay rates, payment plans, or financing to help make therapy more accessible. Let us know your concerns, and we’ll review all possible resources with you.

No matter what hurdle you face with coverage, you’re not alone. At Luxury Psychiatry Clinic, we can support you not just in seeking approval for TMS but also with navigating all your mental health options.

Contact Luxury Psychiatry Clinic To Schedule Your Consultation

Are you looking into TMS therapy for major depressive disorder or another mental health condition? Our knowledgeable team can help you verify your Illinois Medicaid benefits, determine your eligibility for TMS therapy, and review all available treatment options.

We’ll guide you through the insurance process and make sure you have all necessary information to make an informed decision for your mental health. Reach out today to schedule your confidential consultation with one of our mental healthcare providers.

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.

  • Step 1
    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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