{"id":137841,"date":"2025-03-27T04:48:36","date_gmt":"2025-03-27T04:48:36","guid":{"rendered":"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/"},"modified":"2025-03-27T04:48:36","modified_gmt":"2025-03-27T04:48:36","slug":"what-insurance-covers-orthognathic-surgery","status":"publish","type":"post","link":"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/","title":{"rendered":"What insurance covers orthognathic surgery?"},"content":{"rendered":"<p>Orthognathic surgery, also known as corrective jaw surgery, is a procedure done to correct jaw and facial abnormalities that can affect a person&#8217;s ability to chew, speak, and breathe properly. This surgery can be life-changing for individuals suffering from issues such as underbites, overbites, and facial asymmetry. However, it can also come with a hefty price tag. One of the most common questions people have about orthognathic surgery is: What insurance covers orthognathic surgery?<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_62 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title \" >Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#What_insurance_covers_orthognathic_surgery\" title=\"What insurance covers orthognathic surgery?\">What insurance covers orthognathic surgery?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#Are_there_specific_requirements_that_need_to_be_met_for_insurance_to_cover_orthognathic_surgery\" title=\"Are there specific requirements that need to be met for insurance to cover orthognathic surgery?\">Are there specific requirements that need to be met for insurance to cover orthognathic surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#Will_insurance_cover_orthognathic_surgery_if_it_is_deemed_cosmetic\" title=\"Will insurance cover orthognathic surgery if it is deemed cosmetic?\">Will insurance cover orthognathic surgery if it is deemed cosmetic?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#What_if_my_insurance_does_not_cover_orthognathic_surgery\" title=\"What if my insurance does not cover orthognathic surgery?\">What if my insurance does not cover orthognathic surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#Can_I_appeal_a_denial_of_coverage_for_orthognathic_surgery\" title=\"Can I appeal a denial of coverage for orthognathic surgery?\">Can I appeal a denial of coverage for orthognathic surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#Is_orthognathic_surgery_covered_by_Medicare_or_Medicaid\" title=\"Is orthognathic surgery covered by Medicare or Medicaid?\">Is orthognathic surgery covered by Medicare or Medicaid?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#Does_dental_insurance_cover_orthognathic_surgery\" title=\"Does dental insurance cover orthognathic surgery?\">Does dental insurance cover orthognathic surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#Does_my_insurance_coverage_depend_on_the_type_of_orthognathic_surgery_I_need\" title=\"Does my insurance coverage depend on the type of orthognathic surgery I need?\">Does my insurance coverage depend on the type of orthognathic surgery I need?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#Do_insurance_companies_typically_require_pre-authorization_for_orthognathic_surgery\" title=\"Do insurance companies typically require pre-authorization for orthognathic surgery?\">Do insurance companies typically require pre-authorization for orthognathic surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#Will_insurance_cover_other_associated_costs_with_orthognathic_surgery\" title=\"Will insurance cover other associated costs with orthognathic surgery?\">Will insurance cover other associated costs with orthognathic surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#Can_I_use_a_flexible_spending_account_FSA_or_health_savings_account_HSA_to_cover_orthognathic_surgery_expenses\" title=\"Can I use a flexible spending account (FSA) or health savings account (HSA) to cover orthognathic surgery expenses?\">Can I use a flexible spending account (FSA) or health savings account (HSA) to cover orthognathic surgery expenses?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#Are_there_any_non-profit_organizations_that_provide_financial_assistance_for_orthognathic_surgery\" title=\"Are there any non-profit organizations that provide financial assistance for orthognathic surgery?\">Are there any non-profit organizations that provide financial assistance for orthognathic surgery?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_insurance_covers_orthognathic_surgery\"><\/span>What insurance covers orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>**Insurance coverage for orthognathic surgery can vary depending on the individual&#8217;s insurance plan. In general, most health insurance policies will cover orthognathic surgery if it is deemed medically necessary. This means that the surgery is necessary to correct a functional impairment rather than being done for purely cosmetic reasons.** <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Are_there_specific_requirements_that_need_to_be_met_for_insurance_to_cover_orthognathic_surgery\"><\/span>Are there specific requirements that need to be met for insurance to cover orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Yes, insurance companies typically require a comprehensive evaluation by a qualified healthcare provider to determine if the surgery is medically necessary. Documentation of functional impairments, such as difficulty chewing or breathing, is usually required for insurance coverage.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Will_insurance_cover_orthognathic_surgery_if_it_is_deemed_cosmetic\"><\/span>Will insurance cover orthognathic surgery if it is deemed cosmetic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>If orthognathic surgery is considered purely cosmetic and not medically necessary, insurance is unlikely to cover the procedure. However, some insurance plans may offer coverage for a portion of the surgery if it is deemed to have functional benefits as well.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_if_my_insurance_does_not_cover_orthognathic_surgery\"><\/span>What if my insurance does not cover orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>If your insurance plan does not cover orthognathic surgery, you may have other options such as seeking financial assistance from the hospital or surgeon, exploring payment plans, or looking into medical financing options.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Can_I_appeal_a_denial_of_coverage_for_orthognathic_surgery\"><\/span>Can I appeal a denial of coverage for orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Yes, you have the right to appeal a denial of coverage for orthognathic surgery. It is important to gather all necessary documentation and medical records to support your case.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Is_orthognathic_surgery_covered_by_Medicare_or_Medicaid\"><\/span>Is orthognathic surgery covered by Medicare or Medicaid?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Medicare and Medicaid may cover orthognathic surgery if it is deemed medically necessary. However, coverage may vary depending on the specific circumstances and state regulations.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Does_dental_insurance_cover_orthognathic_surgery\"><\/span>Does dental insurance cover orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Dental insurance typically does not cover orthognathic surgery as it is considered a medical procedure. However, some dental plans may offer coverage for certain aspects of the surgery, such as dental work needed in conjunction with the procedure.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Does_my_insurance_coverage_depend_on_the_type_of_orthognathic_surgery_I_need\"><\/span>Does my insurance coverage depend on the type of orthognathic surgery I need?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Insurance coverage for orthognathic surgery is generally based on medical necessity rather than the specific type of surgery needed. However, certain procedures may be more likely to be covered if they are deemed to have functional benefits.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Do_insurance_companies_typically_require_pre-authorization_for_orthognathic_surgery\"><\/span>Do insurance companies typically require pre-authorization for orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Yes, many insurance companies require pre-authorization for orthognathic surgery. This involves obtaining approval from the insurance provider before the surgery can be performed.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Will_insurance_cover_other_associated_costs_with_orthognathic_surgery\"><\/span>Will insurance cover other associated costs with orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Insurance coverage for orthognathic surgery may include costs such as hospitalization, anesthesia, and follow-up care. However, it is important to check with your insurance provider to understand exactly what is covered.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Can_I_use_a_flexible_spending_account_FSA_or_health_savings_account_HSA_to_cover_orthognathic_surgery_expenses\"><\/span>Can I use a flexible spending account (FSA) or health savings account (HSA) to cover orthognathic surgery expenses?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Yes, orthognathic surgery expenses may be eligible for reimbursement through a flexible spending account (FSA) or health savings account (HSA). These accounts allow you to set aside pre-tax dollars for medical expenses not covered by insurance.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Are_there_any_non-profit_organizations_that_provide_financial_assistance_for_orthognathic_surgery\"><\/span>Are there any non-profit organizations that provide financial assistance for orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Some non-profit organizations, such as the Smile Foundation, may offer financial assistance or grants to help cover the costs of orthognathic surgery for individuals in need. It is worth exploring these options if you are struggling to afford the procedure. <\/p>\n<p>In conclusion, obtaining insurance coverage for orthognathic surgery can be a complex process, but it is possible if the surgery is deemed medically necessary. It is important to thoroughly research your insurance policy, consult with your healthcare provider, and be prepared to navigate the insurance approval process to ensure the best chance of coverage.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Orthognathic surgery, also known as corrective jaw surgery, is a procedure done to correct jaw and facial abnormalities that can affect a person&#8217;s ability to chew, speak, and breathe properly. This surgery can be life-changing for individuals suffering from issues such as underbites, overbites, and facial asymmetry. However, it can also come with a hefty &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"What insurance covers orthognathic surgery?\" class=\"read-more button\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/#more-137841\">Read more<span class=\"screen-reader-text\">What insurance covers orthognathic surgery?<\/span><\/a><\/p>\n","protected":false},"author":31,"featured_media":107420,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86279],"tags":[],"class_list":["post-137841","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-learn","no-featured-image-padding"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What insurance covers orthognathic surgery?<\/title>\n<meta name=\"description\" content=\"Orthognathic surgery, also known as corrective jaw surgery, is a procedure done to correct jaw and facial abnormalities that can affect a person&#039;s ability\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What insurance covers orthognathic surgery?\" \/>\n<meta property=\"og:description\" content=\"Orthognathic surgery, also known as corrective jaw surgery, is a procedure done to correct jaw and facial abnormalities that can affect a person&#039;s ability\" \/>\n<meta property=\"og:url\" content=\"https:\/\/namso-gen.co\/blog\/what-insurance-covers-orthognathic-surgery\/\" \/>\n<meta property=\"og:site_name\" content=\"Namso Gen Blog - 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