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TMJ Disorder -TemporoMandibular Joint Message Board


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Old 09-15-2003, 12:34 PM   #1
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Join Date: Jun 2002
Location: New Jersey, USA
Posts: 625

We are all proof that tmj is a medical problem, So. why won't the insurance companies cover this?????!!!!!!!

I sent in two separate appeals to (medical and dental insurance co's ) and both were denied!!!!

I don't get it, if you have another joint problem its covered but not tmj conservative treatments????????


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Old 09-15-2003, 12:36 PM   #2
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Join Date: Jun 2002
Location: New Jersey, USA
Posts: 625

We need the government, / insurance commission to get this covered!!!!!!!

Old 09-16-2003, 12:11 AM   #3
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CherylL24 HB UserCherylL24 HB UserCherylL24 HB User

Yes, you're right. Cymy Sue has a topic entitled: Telling Our Stories...Asking For Support. Read this and write! All of us banning together and writing may eventually help.

Old 09-16-2003, 06:31 AM   #4
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Join Date: Jun 2002
Location: New Jersey, USA
Posts: 625

Thanks for the info... It really urks me that we have to
pay out of our pocket for a medical condition!!!!!

If you have other joint problems it is covered , Isn't the tmj bones considered joints???????

Insurance co's blame the policies. the policies blame the insurance co's !!!!!! what a vicious cycle.

My medical insurance says there is an EXCLUSION in the policy however, they will pay for sleep apnea - mouthguard, and orthognatic surgery for sleep apnea???????? I never heard of such a thing, Is not this a procedure for tmj ????? And to top it off this
was a supposedly so called MD who evaluated my appeal?????? HOW ridiculous!!!!!!

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