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Question DetailsAsked on 7/10/2014

Jaw surgery and insurance confusion.

I have what is called a Malocclusion Class 2 and was told that the only way to correct it would be through jaw surgery. It's not solely cosmetic as I'm faced with severe mouth breathing because of it and soreness in my jaw. Not to mention tooth decay due to dry mouth etc. I know my insurance will most likely label it as not a health issue and cosmetic and dental insurance obviously classifies it as a medical procedure. What are the long term effects of not treating it? What is the cost of it without insurance and what would I be preparing for if I do bring it up to my insurance?

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1 Answer


Good Morning,

I can only answer one of your questions which is health insurance related.

The general rule of thumb for health insurance companies to cover something is whether or not the procedure is medically necessary. This isn't the end all, be all, however, if it's a medically necessary procedure, then the odds are much better that it will be covered.

Your best course of action would be to call your carrier directly and talk to claims to see if the procedure would be covered. You can't hurt yourself by calling, and they can tell you not only if it will be covered, but also what you can expect to pay out of pocket for the surgical costs.


Answered 5 years ago by

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