Evernorth says its updated policy will include TMS for major depressive disorder for eligible Cigna behavioral health members ages 15-17 from March 31, 2025.
Coverage update for adolescents
Evernorth says it updated its transcranial magnetic stimulation, or TMS, coverage policy for major depressive disorder. Under the update, TMS may be covered for adolescents ages 15 through 17 when policy criteria are met.
According to Evernorth, the change applies to dates of service on or after March 31, 2025. The source identifies the update as a behavioral coverage policy change rather than a clinical treatment announcement.
Who the policy applies to
Evernorth says the policy applies to Cigna behavioral health members nationally. That national scope includes Cigna behavioral health members in Oregon, according to the source.
The update specifically addresses major depressive disorder and adolescents ages 15 through 17. Evernorth states that coverage depends on applicable criteria being met. The provided policy update does not list those criteria or describe how they are assessed.
Timing and scope
According to Evernorth, the effective date is tied to dates of service on or after March 31, 2025. The source does not state that all adolescents in the covered age range will automatically qualify for TMS.
Evernorth’s notice does not provide information on individual benefit plans, prior authorization, out-of-pocket costs, provider availability, appointment wait times, or treatment outcomes. Members seeking details about their coverage would need to review the applicable plan information and policy requirements.
Oregon relevance
For Oregon residents with Cigna behavioral health coverage, Evernorth’s update means the policy’s adolescent TMS provision is included in a national change that applies in the state. The update is limited in the source to TMS for major depressive disorder among eligible members ages 15 through 17.
Evernorth does not identify Oregon-specific coverage rules in the supplied update. It also does not name treatment locations or indicate whether every local provider participates in a member’s plan.
What this means for Oregon patients
Evernorth’s update may be relevant to Oregon families looking into local TMS treatment options for an eligible adolescent with major depressive disorder. The directory lists 39 published clinics in Oregon, which may help people identify local treatment locations while checking whether a particular provider and service are covered by their plan.
This is general information, not medical advice.
More Oregon reporting on access & coverage.
This report is educational and is not medical advice. Coverage, availability and eligibility can change; verify details with the named source or your care team.