is orthognathic surgery covered by insurance

Are you one of those people who have been struggling with a misaligned jaw or crooked teeth? Have you ever considered undergoing orthognathic surgery? If so, you might be wondering whether or not your insurance covers the cost of this procedure. After all, the last thing you want is to be stuck with a hefty bill for a life-changing surgery that can take months or even years to fully recover from. So, is orthognathic surgery covered by insurance? The answer is not a simple yes or no.

Orthognathic surgery is a medical procedure that involves the adjustment of the upper and lower jawbones to improve the patient’s bite and facial appearance. This type of surgery is typically performed by an oral and maxillofacial surgeon and is often recommended for individuals with severe jaw deformities that cannot be corrected with orthodontic treatment alone. While the cost of this surgery can vary significantly depending on the patient’s condition, location, and other factors, it is generally considered to be an expensive procedure. Therefore, it’s no surprise that many people wonder whether their insurance will cover the cost of such a surgery.

In this article, we will delve into whether orthognathic surgery is covered by insurance and what factors can influence the cost of the procedure. We will discuss various insurance plans, what they typically cover, and any restrictions or limitations that may apply. Additionally, we will provide insights into other factors that can affect the cost of the surgery, such as the surgeon’s experience and the extent of the procedure. So, if you’re curious about orthognathic surgery and are wondering whether your insurance can help cover the cost, keep reading to learn more.

Understanding Orthognathic Surgery

Orthognathic surgery, also known as corrective jaw surgery, is a surgical procedure that corrects abnormalities in the jaw and face. This type of surgery is typically done by an oral and maxillofacial surgeon and is used to improve the patient’s overall facial appearance, as well as their ability to bite, chew, and speak.

  • Orthognathic surgery may be required for individuals with a variety of jaw and facial abnormalities, such as a protruding jaw, an open bite, or a small or recessed jaw.
  • It is a complex surgical procedure that involves moving the bones of the jaw and face into the correct position. The surgery may involve a single jaw or both upper and lower jaws.
  • Orthodontic treatment is often done in conjunction with orthognathic surgery to ensure that the teeth fit properly after the jaw has been repositioned.

Before undergoing orthognathic surgery, the patient will undergo a thorough evaluation to determine if they are a good candidate for the surgery. This evaluation will include a physical examination, X-rays, and possibly CT scans or other imaging studies.

The cost of orthognathic surgery can vary depending on a number of factors, including the complexity of the surgery, the geographic location of the surgeon, and whether or not the surgery is covered by insurance.

Insurance Coverage for Orthognathic Surgery Description
Medicare May cover orthognathic surgery in some cases, such as for the treatment of sleep apnea or to correct a cleft palate
Private Health Insurance Coverage will vary depending on the individual’s insurance policy and the specific circumstances of the surgery
Medicaid May cover orthognathic surgery in some cases, such as for the treatment of birth defects or to correct abnormalities that interfere with speech or eating

It is important for patients to discuss their insurance coverage with their surgeon and their insurance provider prior to undergoing orthognathic surgery.

FAQs: Is Orthognathic Surgery Covered by Insurance?

Q: Is orthognathic surgery considered a medical procedure or a cosmetic surgery?

A: Orthognathic surgery is considered a medical procedure. It is performed to correct functional issues related to the jaw, such as difficulties with speaking and eating.

Q: Will insurance cover the cost of orthognathic surgery?

A: In most cases, yes. If the surgery is deemed medically necessary by a doctor, insurance companies will typically cover at least some of the cost.

Q: How do I know if my insurance will cover orthognathic surgery?

A: Contact your insurance provider and ask about their coverage for orthognathic surgery. They will be able to provide specific information about your individual coverage.

Q: What if my insurance doesn’t cover the full cost of the surgery?

A: You may have to cover some of the cost out-of-pocket, but many surgeons offer financing options to make the procedure more affordable.

Q: Are there any specific requirements I need to meet in order for my surgery to be covered by insurance?

A: Each insurance company has their own requirements, but generally the surgery needs to be deemed medically necessary by a doctor and you need to have exhausted all non-surgical treatment options first.

A Closing Note

We hope these FAQs have been helpful in answering your questions about whether or not orthognathic surgery is covered by insurance. If you have further questions or concerns, don’t hesitate to reach out to your insurance provider or surgeon. Thanks for reading, and please visit again for more informative content.