18 doctors weighed in:

Will health insurance (not dental) cover poorly placed veneers? Causes migraines, tmj, teeth grinding, and overbite. Also bad discoloration.

18 doctors weighed in
Dr. Kim Capehart
Dentistry
4 doctors agree

In brief: No

Medical insurance will not cover dental procedures and if they do, it's usually for emergency which have very strict clauses.

In brief: No

Medical insurance will not cover dental procedures and if they do, it's usually for emergency which have very strict clauses.
Dr. Kim Capehart
Dr. Kim Capehart
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3 doctors agree

In brief: No!

You've gotten many good answers.
Medical will not cover any dental procedures, even to clear up a serious dental infection prior to cancer chemo therapy, and even if that dental infection could be life threatening! even documented TMJ is often not covered medical or dental! sad, but true! you will need to investigate alternatives to get the care you need! good luck!

In brief: No!

You've gotten many good answers.
Medical will not cover any dental procedures, even to clear up a serious dental infection prior to cancer chemo therapy, and even if that dental infection could be life threatening! even documented TMJ is often not covered medical or dental! sad, but true! you will need to investigate alternatives to get the care you need! good luck!
Dr. I. Jay Freedman
Dr. I. Jay Freedman
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Dr. Jeffrey Jarvis
Dentistry
3 doctors agree

In brief: Sorry, but no.

I would not expect health insurance to pay for any treatment of the teeth or gums.
It might pay for joint treatment such as physical therapy etc. If you are unhappy with your veneers, be sure to discuss this with your dentist. If he/she cannot help you, consider a prosthodontist, someone who specializes in more complex joint issues. You might also need to see an orthodontist to improve bite.

In brief: Sorry, but no.

I would not expect health insurance to pay for any treatment of the teeth or gums.
It might pay for joint treatment such as physical therapy etc. If you are unhappy with your veneers, be sure to discuss this with your dentist. If he/she cannot help you, consider a prosthodontist, someone who specializes in more complex joint issues. You might also need to see an orthodontist to improve bite.
Dr. Jeffrey Jarvis
Dr. Jeffrey Jarvis
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Dr. David Rosenfeld
Pain Management
2 doctors agree

In brief: No

That is a dental issue and is not covered by health insurance.

In brief: No

That is a dental issue and is not covered by health insurance.
Dr. David Rosenfeld
Dr. David Rosenfeld
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Dr. Louis Gallia
Surgery - Oral & Maxillofacial
1 doctor agrees

In brief: Unlikely

Unlikely. If it was proven that veneers contributed to the TMJ.
Otherwise no.

In brief: Unlikely

Unlikely. If it was proven that veneers contributed to the TMJ.
Otherwise no.
Dr. Louis Gallia
Dr. Louis Gallia
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Dr. Arnold Malerman
Dentistry - Orthodontics
1 doctor agrees

In brief: See Dentist

Medical insurance usually excludes dental procedures.
Sounds like you need to see both a quality Restorative Dentist and a qualified Orthodontic Specialist. Working as a team they can provide you with exceptional care. Expect to have to pay for it, however, out of pocket. As you have found out, shortcuts often lead to disaster and increased expense. Seek quality care.

In brief: See Dentist

Medical insurance usually excludes dental procedures.
Sounds like you need to see both a quality Restorative Dentist and a qualified Orthodontic Specialist. Working as a team they can provide you with exceptional care. Expect to have to pay for it, however, out of pocket. As you have found out, shortcuts often lead to disaster and increased expense. Seek quality care.
Dr. Arnold Malerman
Dr. Arnold Malerman
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Dr. James Courey
Dentistry - Prosthodontics
1 doctor agrees

In brief: Maybe

While the discoloration is not a factor, the effect on your tmj, migraines, and bruxism are often medically billable.
The challenge is finding a dental practitioner who knows how to submit claims to medical insurance. It will likely not be covered 100%, however, it may be allowable treatment.

In brief: Maybe

While the discoloration is not a factor, the effect on your tmj, migraines, and bruxism are often medically billable.
The challenge is finding a dental practitioner who knows how to submit claims to medical insurance. It will likely not be covered 100%, however, it may be allowable treatment.
Dr. James Courey
Dr. James Courey
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Dr. Ryan Willden
Dentistry
1 doctor agrees

In brief: Usually not, depends

You will need to call you health insurance and ask them if they have coverage for that.

In brief: Usually not, depends

You will need to call you health insurance and ask them if they have coverage for that.
Dr. Ryan Willden
Dr. Ryan Willden
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Dr. Bradley Wilson
Dentistry
1 doctor agrees

In brief: None

Sorry to say that probably no insurance including dental pays for any procedure that can be classified as cosmetic in nature.
The rare exception is horribly discolored or naturally deformed teeth that received veneers/crowns for psychological reasons and generally in young children and not adults.

In brief: None

Sorry to say that probably no insurance including dental pays for any procedure that can be classified as cosmetic in nature.
The rare exception is horribly discolored or naturally deformed teeth that received veneers/crowns for psychological reasons and generally in young children and not adults.
Dr. Bradley Wilson
Dr. Bradley Wilson
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Dr. Robert Trager
Dentistry
1 doctor agrees

In brief: Major medical ins.

Covers major medical ins covers TMJ problems as well as quality of life issues.

In brief: Major medical ins.

Covers major medical ins covers TMJ problems as well as quality of life issues.
Dr. Robert Trager
Dr. Robert Trager
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Dr. Gary Klugman
Dentistry
1 doctor agrees

In brief: Not likely

Health insurance policies specifically exclude dental procedures and tmj.
While migraines are a medical condition, the insurance clerk will automatically reject it if the fix a dental one. If they were recently done your best bet is returning to the dentist that did them, your dental society peer review, or the state dental board.

In brief: Not likely

Health insurance policies specifically exclude dental procedures and tmj.
While migraines are a medical condition, the insurance clerk will automatically reject it if the fix a dental one. If they were recently done your best bet is returning to the dentist that did them, your dental society peer review, or the state dental board.
Dr. Gary Klugman
Dr. Gary Klugman
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In brief: Usually no

Dental policy is different policy than your medical policy.
Each policy covers specific treatment, just like your life insurance will not pay for car accident repairs.

In brief: Usually no

Dental policy is different policy than your medical policy.
Each policy covers specific treatment, just like your life insurance will not pay for car accident repairs.
Dr. Theodore Davantzis
Dr. Theodore Davantzis
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In brief: Unlikely

Health insurance generally covers dental procedures when brought on with something accidental (like being involved in a car wreck and losing some teeth).
Otherwise, read your policy carefully. The discoloration would be determined to be a cosmetic factor by health insurance adjusters. You probably will need to cover something like this out of pocket.

In brief: Unlikely

Health insurance generally covers dental procedures when brought on with something accidental (like being involved in a car wreck and losing some teeth).
Otherwise, read your policy carefully. The discoloration would be determined to be a cosmetic factor by health insurance adjusters. You probably will need to cover something like this out of pocket.
Dr. Willis Hardesty
Dr. Willis Hardesty
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