What to expect, and what it costs

How the first visit goes, which plans we take, and what you will owe before anything is scheduled.How the first visit goes, which plans we take, and what you owe up front.

FDA-cleared optionsSafe and evidence-backed
CoveredBy most insurance
Expert-ledFrom your first visit

Your first visit

What happens at your first appointment

The first visit is a consultation, not a treatment. Nothing gets started that day, and nothing gets scheduled until you know what it costs.

  1. 01Before you arrive

    We verify your insurance first

    When you call, we take your insurance information and check your benefits before you come in. We go over your expected cost, your deductible status, and whether prior authorization is needed before your first treatment, so we’ll do our best to get you all the information in advance of any big decisions.

  2. 02Arrival

    Paperwork takes about ten minutes

    Bring your ID, your insurance card, and a list of every psychiatric medication you have tried with roughly when and at what dose. That list is the single most useful thing you can bring, and it is fine if it is approximate.

  3. 03The consultation

    A clinical evaluation, about 60 minutes

    We go through your history, what you have tried, what happened each time, and what your symptoms look like now. We score standardized measures so there is a baseline number to compare against later. You will have time to ask everything you want.

  4. 04The recommendation

    One clear plan, explained out loud

    You leave knowing which treatment we recommend and why, what the schedule looks like, what it costs after insurance, and what the alternatives are. If none of our treatments are right for you, we say so and point you somewhere that fits better.

  5. 05Getting started

    We handle the authorization, not you

    If you decide to move forward, our team submits the prior authorization and follows up with your insurer. You do not sit on hold with anyone. We call you when it is approved and get your first session scheduled.

Start before you call

Two tools that take a few minutes and give you a real answer, plus the pages people read first.

Insurance check

Check my insurance

Answer a few quick questions and we verify your benefits before you book, so you know what you owe in advance rather than in a bill afterwards. Prefer to talk it through? Call (916) 800-4363.

Check my coverage

2-minute self-assessment

Depression self-assessment

The PHQ-9, the same nine questions a provider would ask. It is not a diagnosis, but it gives your first conversation somewhere concrete to start.

If you are in crisis, call or text 988 or call 911.

Take the assessment

Insurance check

In-network with most PPO insurance plans and Medicare.

Not sure about your plan? It takes just seconds to start the process to check and give you a clear picture before any treatment.

  • Blue Cross
  • Anthem
  • WHA
  • Optum
  • Sutter
  • United
  • + more

Step 1 of 3

What are you exploring?

Insurance and coverage

Is TMS covered by insurance in Sacramento?

For most plans, yes. Nearly every major commercial and Medicare plan now covers TMS for major depressive disorder once at least two antidepressants have failed to give adequate relief. Spravato is generally covered with prior authorization. Here are the plans we work with.

Plans we work with

Aetna · Anthem Blue Cross · Blue Shield of California · Cigna · Evernorth · Carelon · Hill Physicians · UnitedHealthcare · Optum · Medicare · Sutter Health Plan

Plan names shown are the carriers we bill. Coverage still depends on your specific plan and benefits, so we verify yours before anything is scheduled. Do not see your plan? Call (916) 800-4363 and we will check.

We verify before you book

We check your benefits, deductible, and copay up front and tell you the number over the phone. Nothing gets scheduled on a guess.

We file the authorization

Prior authorization for TMS and Spravato is our job, not yours. We submit the documentation, chase the insurer, and call you when it is approved.

No insurance? Ask anyway

We provide a Good Faith Estimate in writing before treatment begins, so a self-pay course has a known total rather than a running tab.

Common questions

Cost and coverage questions

If your question is not here, call (916) 800-4363 and a person will answer.

Your cost depends on your plan’s deductible and copay, not on a flat price we set. Once TMS is authorized, most patients pay a standard specialist copay per session or nothing at all after their deductible is met. We tell you your specific number before you start, in writing.

Denials are usually about missing documentation rather than a real coverage decision, and they are frequently overturned. We handle the appeal, supply the medication history and symptom scores the insurer is asking for, and resubmit. You are not the one making those phone calls.

Coverage for interventional psychiatry varies significantly by Medi-Cal plan and county. Call (916) 800-4363 with your plan details and we will check specifically rather than guess.

The consultation is usually the fast part. After that, the timeline is driven by how quickly your insurer processes the prior authorization, which is typically one to two weeks for TMS. We push on it daily and keep you posted rather than leaving you wondering.

Yes, and most patients do. We can manage the interventional treatment while your existing prescriber continues medication, or take over both, whichever you prefer. We will coordinate with them either way, with your permission.

A photo ID, your insurance card, and a list of the psychiatric medications you have tried with approximate dates and doses. If you have recent records from another provider, bring those too. Our clinic is at 4440 Duckhorn Dr, Suite 420, Sacramento, CA 95834, with free parking at the door.

Still have
a question?

Call (916) 800-4363 and a real person will pick up. We will check your benefits over the phone before you commit to anything.

Call Text Book a consultation