Any advice on filing health insurance claims for TMJ?

I've had TMJ (jaw joint) problems for half my life, and because of job hopping I've dealt with a lot of health insurance companies. NONE however pay claims for TMJ disorder despite the fact it's not a dental problem- it's a joint problem, like a hip or shoulder! Problem is, you don't see an orthopaedist for your jaw, you see a dentist or other dental-type doctor who specializes in TMJ. And health insurance companies won't accept a claim from a doctor like that. If anyone has any input on how to successfully make a claim and get at least some benefit from my insurance company, let me know. Year after year I pay thousands of dollars out of pocket and get zero reimbursement- despite the fact I'm paying insurance premiums year in and year out! It's not enough of a % of my gross income to deduct from my taxes for some reason, according to my tax advisor.

Im not sure how to help you but I can tell you there are some insurances that pay for it. My husbands paid for mine and now my insurance pays. They paid on my visits, my mouthgaurd, x rays, and pain meds. Call your insurance and ask if there is a certain billing code they should be using or a special form they could use. couldnt hurt to try.

very intereting question.Suggest you have a look here for useful tips.http://health-insurance.expert-tip.info/...

Here is an idea for you. It may benefit you to get connected with a facility in your local area that does clinical trials on TMJ. Here is one I found.

http://www.mayoclinic.org/tmj/clintrials...

Maybe there are similar trials in your state. Maybe they will help you with treatments and actually pay you for your time. I don't think they would help with surgery, but that's all I can think of to help you out.

A company here in Utah just started paying for TMJ surgeries. Maybe they are making similar changes in your state. If you have insurance through your job, which it sounds like you do, maybe it would be useful to call the companies that they will offer you insurance through and ask if they are making any changes in the future to cover or help with TMJ.

For free health insurance quotes, and to connect with a local agent who can help you through this, fill out a quote form at http://www.myinsurancequotes.net.

Thanks!

Jared Balis
http://www.utahinsurance.org

Jared Balis
http://www.

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