Is Jaw Alignment Surgery Covered By Insurance

Corrective jaw surgery costs depend on various factors including these. Those that do offer insurance for TMJ often have many steps that need to take place to prove its diagnosis before treatment.

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Is jaw alignment surgery covered by insurance. Does Insurance Cover Jaw Surgery. Orthognathic jaw straightening surgery is not a dental insurance matter but may be a covered benefit on the medical insurance. I cant answer in terms of payment because it will vary a great deal depending on your insurance hospital and surgeon.

However medical insurance usually covers the majority of costs. Many plastic surgeons offer patient financing plans to help cover. Call often after the letter of medical necessity is sent.

A surgeons cost for jaw surgery may vary based on his or her experience the type of procedure used as well as geographic office location. I have a pretty severe overbite so my surgeon wants to move my lower jaw forward to correct my alignment. Orthognathic surgery is often covered by insurance if a functional problem can be documented assuming there are no exclusions for jaw surgery on your insurance plan.

My insurance was billed close to 40K for mine including 1 night in hospital anesthesia and the surgery. From my time on a second level appeals committee of a national health insurance company I can tell you that even with a good job and their health insurance program it will be an uphill battle to get this covered. Does insurance cover jaw alignment surgery.

Issues like this related to. This is the first step in getting approval for jaw surgery. It has caused me to have a huge open bite.

This leads to people resorting to home therapies for TMJ relief. For example some insurance companies eg. The surgery is carried out from inside your mouth so there are no visible scars on your face.

57k views Answered 2 years ago. I am 30 years old and have severe skeletal deformation due to tongue thrusting. It was done at a university medical center 35 years ago.

Jaw alignment surgery costs 3000 to 80000 depending on the area and also on the doctor. Although orthognathic surgery may be advisable from a dental standpoint for malocclusion or other jaw asymmetry nevertheless it is not a covered benefit unless there is convincing documentation based on medical records over time by treating physicians. There are many reasons for this.

During jaw surgery your jaws are repositioned and held in their new position by small screws and plates. My braces were put on in September 2010 and I am meeting with a jaw surgeon next month. Many medical and dental insurance companies do not offer TMJ insurance to cover the treatment therapies or manage the issue.

Since my case is extreme I am expecting that I wont have trouble getting it covered by my insurance since it is more than just cosmetic. Single jaw surgery fees range from 5000-8000 while double jaw surgery which is much more complicated ranges from 10 000-20 000. Although there are some medical plans that specifically exclude orthognathic surgery most insurance plans permit the authorization of orthognathic surgery when medically necessary.

Orthognathic jaw straightening surgery is not a dental insurance matter but may be a covered benefit on the medical insurance. He said there was nothing he could do and that even if I had orthodontic work done it would likely relapse and be a waste. If considering TMJ surgery ask the surgeon to send your insurance company a letter of medical necessity which details why you need the surgery what the procedure entails any hospital stays etc.

Orthognathic surgery is often covered by insurance if a functional problem can be documented assuming there are no exclusions for jaw surgery on your insurance plan. Although there are some medical plans that specifically exclude orthognathic surgery most insurance plans permit the authorization of orthognathic surgery when medically necessary. I have applied for pre-authorization with my current insurance my parents Cigna twice with two different codes and both times it was denied because orthognathic surgery is excluded from my insurance coverage.

I think so i remember my ortho saying that if i did not have surgery eventually after years i would feel pain in my jaw bones. The severity of the jaw misalignment. For some types of surgery there may be a tiny cut made at the angle of the jaw.

Is jaw alignment surgery covered by insurance. So it is conclude that jaw surgery is covered by medicare as based in real exp of ae17 and that jaw surgery is medical and not for cosmetic. For patients not covered by insurance the average cost of orthognathic surgery is between 2000040000 although some people have reported paying up to 200000 without insurance.

Performed by an oral and maxillofacial surgeon OMS orthognathic surgery also corrects related jawbone irregularities. Other conditions unique to the patient. Demonstrated severe functional impairment.

Aetna consider jaw surgeries to be medically necessary if the skeletal irregularities cause sleep apnea disorder breathing issues andor severe speech impediments. However this is virtually invisible a few weeks after the surgery. Jaw alignment surgery costs are often covered by insurance policies as the treatment is typically provided for medical reasons.

He said my insurance stated that they would only cover the surgery for people with cancer sleep apnea or those who had been in a car accident. While the out-of-pocket cost will vary depending on your insurance coverage and surgeon you can get a general sense of the financial cost of jaw surgery here. If you have health insurance orthognathic surgery may be covered in some cases.

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