Regal — TMS therapy in Anaheim
We work with Regal plans for TMS therapy and medication management. We verify your specific coverage within one business day — before you commit.
Regal coverage details
Regal Medical Group is an independent physician association (IPA) that contracts with health plans across Southern California and takes delegated responsibility for authorizing specialty care for its assigned members. If your health plan assigns you to Regal, authorization for outpatient psychiatric care — including Transcranial Magnetic Stimulation — is routed through Regal rather than through the plan directly. Because Transcranial Magnetic Stimulation is FDA-cleared for major depressive disorder, obsessive-compulsive disorder, and adjunctive treatment of MDD with anxious depression, plans delegated to Regal generally recognize TMS as medically necessary for adults with treatment-resistant depression who meet defined criteria. The Centers for Medicare and Medicaid Services issued a National Coverage Determination for TMS in 2024, and that federal floor has pulled most major carriers — including the plans that delegate to Regal — into broader, more consistent coverage of the modality.
What Regal-delegated plans typically cover
- Adult psychiatry and medication management — diagnostic evaluations, follow-ups, prescription oversight
- TMS therapy for FDA-cleared indications — MDD/treatment-resistant depression, OCD, and anxious depression as an adjunct to MDD
Coverage above is what the delegated medical-necessity criteria describe; actual benefits, copays, and deductibles are set by the health plan behind your Regal assignment and vary by plan tier and employer rider.
Prior authorization for TMS
TMS is a specialty psychiatric procedure delivered across a standard course of 36 sessions, which is why Regal — like the health plans that delegate to it — requires prior authorization before the first treatment. Regal's documentation requirements typically include:
- A confirmed DSM-5 diagnosis of major depressive disorder
- Documented failure of at least two antidepressant trials at therapeutic dose and duration from at least two pharmacologic classes
- A baseline severity score (PHQ-9, HAM-D, or equivalent)
- Documented trial of, or contraindication to, psychotherapy
- Absence of contraindications such as ferromagnetic implants near the treatment coil
Our clinical team prepares the prior-authorization packet, submits it directly to Regal, and tracks the determination. Initial decisions typically arrive within 5 to 14 business days.
Verifying your specific plan
Regal is delegated by several different health plans, and TMS coverage details — session caps, in-network status, copay structure — differ across them. The only way to confirm your benefits with certainty is a real-time verification against your member ID. Do not assume your plan matches the general policy above.
Frequently asked questions
Does Regal cover TMS therapy? Regal Medical Group is an independent physician association that takes delegated responsibility for authorizing specialty care for its assigned members, so authorization for Transcranial Magnetic Stimulation is routed through Regal rather than through your health plan directly. Plans delegated to Regal generally recognize TMS as medically necessary for adults with treatment-resistant major depressive disorder who meet defined criteria. Your copay, deductible, and session cap are set by the health plan behind your Regal assignment and have to be verified against your member ID.
Does Regal require prior authorization for TMS? Yes. A standard TMS course runs 36 sessions, which is why authorization is required before the first treatment. Our clinical team prepares the prior-authorization packet, submits it to Regal, and tracks the determination. Initial decisions typically arrive within 5 to 14 business days.
What does Regal require to approve TMS? Documentation typically includes a DSM-5 diagnosis of major depressive disorder, documented failure of at least two antidepressant trials at therapeutic dose and duration from at least two pharmacologic classes, a baseline severity score (PHQ-9, HAM-D, or equivalent), a documented psychotherapy trial or clinical justification for omitting one, and no contraindications to magnetic stimulation such as ferromagnetic implants near the treatment coil.
How do I find out what TMS will cost me under Regal? Send us your insurance card and date of birth through our secure verification form. Our team responds within one business day with the exact coverage, prior-authorization requirements, and your estimated out-of-pocket cost — before you commit to anything.
Verify Your Coverage
Not sure if your plan covers TMS at Healing TMS Clinic?
Send us your insurance card and date of birth via our secure verification form. Our team responds within 1 business day with the exact coverage, prior-authorization requirements, and your estimated out-of-pocket cost.
Other services covered
About Healing TMS Clinic
Healing TMS Clinic is a psychiatric outpatient practice at 5475 East La Palma Avenue, Suite 204, Anaheim, CA 92807, serving patients across Orange County, North Long Beach, the San Gabriel Valley, and the Inland Empire within a 30-mile radius of our Anaheim office. Call (657) 656-5611 to begin verification or request a clinical consultation.
Other carriers we work with
Find out if TMS is covered for you.
Insurance verification takes about two minutes. We'll tell you whether your plan covers TMS for treatment-resistant depression and what your cost will be — before you book anything.
Monday–Friday, 9:00 AM – 5:00 PM