Does Health Insurance Cover Corrective Jaw Surgery?

by | Last updated on January 24, 2024

, , , ,

Orthognathic (jaw straightening) surgery is not a dental insurance matter, but may be a covered benefit on the medical insurance . Although there are some medical plans that specifically exclude orthognathic surgery, most insurance plans permit the authorization of orthognathic surgery “when medically necessary”.

Is corrective jaw surgery considered cosmetic?

Unfortunately, many people are under the misconception that corrective jaw surgery is seen as a cosmetic procedure. However, many health insurance policies cover orthognathic (corrective jaw) surgery , and getting insurance coverage for jaw surgery is easier than many people might think.

Is corrective jaw surgery worth it?

Jaw or orthognathic surgery can help alleviate various functional dental issues and facial and dental deformities and dramatically improve the cosmetic appearance of both your teeth and jaws .

What age can you get jaw surgery?

Jaw surgery is appropriate after growth stops, usually around ages 14 to 16 years for females and ages 17 to 21 years for males .

How much does jaw surgery cost?

Without insurance, the typical costs of jaw surgery to correct an underbite can run from $20,000 to $40,000 . Costs are usually lower if surgery is only needed on one jaw. Surgery involves an exam, X-rays, general anesthesia, bone cutting, bone reshaping, and jaw repositioning.

Is malocclusion covered by insurance?

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 , – that (1) the malocclusion is affecting the patient’s PHYSICAL ...

Can you talk after jaw surgery?

Driving, bending, or lifting may dislodge the blood clots causing bleeding. Thus we recommend that you gradually progress the intensity of your movement. As much as possible, limit how you talk, eat and drink for the first day after your oral surgery .

How do I know if I need jaw surgery for an overbite?

  1. Difficulty taking a bite or chewing food.
  2. Chronic jaw or jaw joint (TMJ) pain, often accompanied by a headache.
  3. Difficulty swallowing.
  4. Obstructive sleep apnea, characterized by breathing problems when sleeping, including snoring.

How long is jaw wired shut after surgery?

Your jaws will be wired together approximately six to eight weeks . This is the time it takes for the bones to heal in a good, strong union. During the time your jaws are wired together, you will find eating, talking and other daily activities somewhat difficult.

How long is recovery for corrective jaw surgery?

Recovery time for orthognathic surgery is six weeks . Most doctors recommend patients take two weeks off of work or school following their surgery. Complete jaw healing takes up to three months. Immediately after the surgery, you may experience postoperative symptoms such as bleeding, nausea, and swelling.

How much weight do you lose after jaw surgery?

Following your surgery and throughout the post-operative recovery period, especially if your jaw is wired shut, you could lose as much as 10 percent of your body weight .

How many hours does jaw surgery take?

Routine surgery on one jaw typically takes one to two hours . Surgery that involves multiple procedures may take as long as three to five hours.

Will jaw surgery change my face?

When your jaws are misaligned, your face can look unbalanced from the front, the side or both. Orthognathic surgery works to realign the bite, and the adjustments made eliminate any noticeable asymmetry. A corrective jaw procedure can make a major difference, dramatically improving your facial appearance .

Do you need braces for jaw surgery?

Orthodontic treatment is typically required before and after jaw surgery . This is to prepare the bite for corrective jaw surgery and optimize the bite after the surgery. Orthodontists often start the treatment by correcting the position of the teeth for the new position of the jaws.

How do they break your jaw for surgery?

When you have a mandibular osteotomy, your surgeon will: make an incision into your gums on each side of your lower jaw, just behind your molars. cut the bone of the lower jaw, which allows the surgeon to carefully move it into a new position . move the lower jawbone either forwards or backwards into a new position .

Does jaw surgery change your lips?

Lip numbness:This is normal, immediately after the surgery . The upper lip recovers quickly. However the lower lip is much more variable and may take time to recover. Some patients report areas of permanent numbness which does not affect the appearance of the lip or its function.

Will Tricare cover jaw surgery?

TRICARE may cover treatment of Temporomandibular Joint (TMJ) Syndrome . This is also known as acute myofacial pain dysfunction syndrome. Your treatment must address a medical problem and not a dental problem. It is a medical problem only when it involves immediate relief of pain.

Are Overbites considered medically necessary for braces?

Orthodontic treatment is not considered medically necessary for dental conditions that are primarily cosmetic in nature . The presence of malocclusion alone does not qualify for orthodontic coverage without a demonstrated severe functional impairment.

What would be considered medically necessary for braces?

Orthodontic treatment is medically necessary when the following criteria have been met: The member is under the age 19 (through age 18, unless the member specific benefit plan document indicates a different age); and Services are related to the treatment of a severe craniofacial deformity that results in a physically ...

Does insurance cover bite correction?

In addition to braces, your health insurance plan may cover the cost of other orthodontic treatments . Depending upon your specific plan, you may be able to receive coverage for: Palate expanders. Treatments for bite issues such as an overjet or crossbite.

How long until I can eat after jaw surgery?

After 2 weeks you can commence a non-chew food diet. The rule of thumb is to eat food that you can easily squish between your fingers and anything that does not make any noise(ie hard or crunchy foods). Examples include: mashed potatoes, scrambled eggs, fish and over-boiled/soft pastas cut into small pieces etc.

Is jaw surgery painful?

Does jaw surgery hurt? Any surgery may cause some discomfort afterwards . The most common side effects that you should be aware of include pain after the surgery, some swelling around the face and also numbness to your lower face, although this tends to recover postoperatively.

Does jaw surgery Change your eyes?

RESULTS: After bimaxillary orthognathic surgery, eye canting decreased from 2.6 to 1.5 degree, eye and lip lines came closer to parallel. Degree of head tilting also decreased from 3.4 to 1.3 degree. Although not statistically significant, eye opening area became wider after surgery.

Do orthodontists fix jaws?

If you are considering surgery for a severe misalignment of the teeth or jaws, first and foremost, you should visit an orthodontist . Correction of a malaligned, underdeveloped, or overdeveloped jaw requires a combined effort, usually including an orthodontist and an oral and maxillofacial surgeon.

How much does it cost to correct an overbite?

It will cost $1,900 to $5,000 to correct your overbite, on average, depending on what solution you choose. Most often, braces and aligners are your two choices.

Does fixing overbite change jawline?

If you have an overbite, your upper arch and teeth will extend forward, and your chin may appear small or weak. With a crossbite, the lower jaw sits more to the left or right, rather than directly below the upper teeth. Braces straighten the teeth and improve jaw alignment which can change the shape of the jaw.

Emily Lee
Author
Emily Lee
Emily Lee is a freelance writer and artist based in New York City. She’s an accomplished writer with a deep passion for the arts, and brings a unique perspective to the world of entertainment. Emily has written about art, entertainment, and pop culture.