Some patients may be hesitant to pursue surgical options due to the associated costs and related concerns. Surgical treatment can often provide relief from symptoms of temporomandibular joint disorder (TMJ) when conservative interventions have proven to be ineffective.
Our practice has a team of insurance experts who will work with you to minimize your out-of-pocket costs and maximize your coverage and benefits. Our plans cover procedures such as surgical treatments for TMJ, which are often covered by dental and/or medical insurance for patients who have it.
Our staff will request information about both your dental insurance and your medical insurance, so in certain cases, treatment from an oral surgeon can be covered under medical benefits.
A member of the team will have a discussion with you about any estimated or anticipated out-of-pocket expenses that may remain after your insurance benefits have been applied. Then, the staff will schedule an appointment for your procedure in advance, and they will request pre-authorization for the covered services.
We will also prioritize communication with the patient regarding any updates on coverage. Our staff will diligently work to sort out the issue, which is an insurance denial for a previously pre-authorized procedure. Although this is very rare, it should be noted that insurance may not cover the service, so patients should be prepared for the small possibility of not having payment guaranteed. Keep in mind that authorization from insurance is not necessarily a guarantee of coverage.
If that choice interests you, we can also assist you in linking up with a healthcare funding service. In addition to cash, check, and credit cards, we welcome a diverse range of payment methods for any expenses not included in your insurance coverage.
In addition to treating TMJ, our staff works to coordinate insurance coverage for other oral surgeries such as jaw surgery and wisdom tooth extraction.
Don’t assume that a surgical procedure, which has high financial requirements, can alleviate your TMJ pain. Gain more knowledge about the various choices available and the anticipated expenses that you might have to pay personally by conversing with a member of our financial staff.