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A 35-year-old member asked:

How can i get a tmj surgery paid for by medical insurance?

3 doctor answers12 doctors weighed in
Dr. Addagada Rao
General Surgery 57 years experience
Getting the coverage: Medical insurance some thing simple ' you pay for it you get it' and is no mystery to solve.
Dr. Anifat Balogun
ENT and Head and Neck Surgery 30 years experience
Work with surgeon: Your insurance company may require your TMJ surgeon to get preauthorization for surgery and provide documents regarding your condition. Authorization does not mean 100% of all the costs associated with your surgery will be paid. Check your plan, call your insurance company.
Dr. Louis Gallia
Surgery - Oral & Maxillofacial 46 years experience
TMJSurgery Insurance: Most med insurance covers TMJ surgery. Check your eob (explanastion of benefits). Most require a pre-authorization including diagnosis, pertinent x-rays, and proof of failure of non-surgical treatment. If due to a motor vehicle injury, the auto insurance may cover the treatment.

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Similar questions

A 42-year-old member asked:

How can I get a TMJ surgery paid for by insurance?

4 doctor answers13 doctors weighed in
Dr. Anifat Balogun
ENT and Head and Neck Surgery 30 years experience
TMJ surgery: Your otolaryngologist or oral maxillofacial surgeon will be your best avenue to submit any documentation requested by your insurance company and appeal any denial. Ultimately if your insurance company decides not to pay, you will need to discuss options with you surgeons.
A 40-year-old member asked:

How can I get a TMJ surgery paid for? Is it by dental or medical insurance?

3 doctor answers10 doctors weighed in
Dr. James Bates
Oral and Maxillofacial Surgery 37 years experience
Insurance for TMJ: Tmj surgery may or may not be paid for by either medical or dental insurance. It's more likely to be covered by medical than dental insurance. Dental insurance usually has a relatively low minimum and won't cover hospitalization. Your TMJ surgeon may need to provide your medical insurance carrier with appropriate diagnosis and procedure codes in order for it to be covered. We have had good results.
A 43-year-old member asked:

How do I go about getting surgery for tmj?

5 doctor answers9 doctors weighed in
Dr. Sami Latif
Dentistry 38 years experience
Tmj pain : I would never recommend it unless it becomes absolutely in able yo open and chew food , i would seek the help of a dentist who can treat TMJ with the help of an orthodontist and reputable oral surgeon should surgery is your only option , most of patients who have had the surgery did not improve and some got worse, good luck.

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Last updated Nov 15, 2020

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