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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 09-18-2003, 01:40 PM   #1
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Location: New Jersey, USA
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PINKYPRISCILLA HB User
Post health insurance scam

When I appealed the rejection on tmj treatment from my
health insurance co they responded with some bogus quote
from the "policy" :

TMJ is not covered, however, Sleep apnea is covered, along with a mouth guard, and othognatic surgery(Open
jaw surgery) to treat sleep apnea?
Does this make sense ? Anyone? I don't think sleep apnea is treated with jaw surgery? Another insurance company cop out scam.

 
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Old 09-18-2003, 01:42 PM   #2
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Question

Oh and to top it off a so called :"Doctor" evaluated my case and that is what he came up with.

 
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Old 09-20-2003, 03:10 AM   #3
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mdla HB User
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Hi,

Im at my wits end too with insurance cos. They don't seem to believe that TMJ is as devistatingly painful as it is or disabling.
__________________
m.s.

 
Old 09-21-2003, 06:28 PM   #4
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TiffanyAnn HB User
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Hi Pinky:
I'm not sure this will work but you might try contacting the insurance commissioner in the state where you live and asking for some assistance from them. When I was looking for some help with insurance I spoke to the one in my state and they helped quite a bit {much to my surprise}. It's just an idea. I'm just so damm sick of being ripped off.
Tiffany

 
Old 09-22-2003, 08:53 AM   #5
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Michelle W HB User
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I agree insurance is a major problem. I have not had any treatment covered. I had to take out a home improvement loan for my treatment. My isurance told me that TMJ is considered a dental problem. I checked into dental coverage, and it was not covered under dental.

 
Old 09-22-2003, 10:23 AM   #6
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This run around has got to stop, We all have
a medical condition and it should be regulated by the
insurance commission, also the tmj dentists should fall into another medical category just like md's are.

 
Old 09-24-2003, 09:43 AM   #7
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Info for Ouchearpain

 
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