{"id":168268,"date":"2023-12-03T21:15:50","date_gmt":"2023-12-03T21:15:50","guid":{"rendered":"https:\/\/namso-gen.co\/blog\/does-insurance-cover-orthognathic-surgery\/"},"modified":"2023-12-03T21:15:50","modified_gmt":"2023-12-03T21:15:50","slug":"does-insurance-cover-orthognathic-surgery","status":"publish","type":"post","link":"https:\/\/namso-gen.co\/blog\/does-insurance-cover-orthognathic-surgery\/","title":{"rendered":"Does insurance cover orthognathic surgery?"},"content":{"rendered":"<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\/does-insurance-cover-orthognathic-surgery\/#Does_insurance_cover_orthognathic_surgery\" title=\"Does insurance cover orthognathic surgery?\">Does insurance cover 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\/does-insurance-cover-orthognathic-surgery\/#FAQs_about_insurance_coverage_for_orthognathic_surgery\" title=\"FAQs about insurance coverage for orthognathic surgery:\">FAQs about insurance 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-3\" href=\"https:\/\/namso-gen.co\/blog\/does-insurance-cover-orthognathic-surgery\/#1_Will_insurance_cover_orthognathic_surgery_if_it_is_deemed_medically_necessary\" title=\"1. Will insurance cover orthognathic surgery if it is deemed medically necessary?\">1. Will insurance cover orthognathic surgery if it is deemed medically necessary?<\/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\/does-insurance-cover-orthognathic-surgery\/#2_Are_there_specific_criteria_that_need_to_be_met_for_insurance_to_cover_orthognathic_surgery\" title=\"2. Are there specific criteria that need to be met for insurance to cover orthognathic surgery?\">2. Are there specific criteria 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-5\" href=\"https:\/\/namso-gen.co\/blog\/does-insurance-cover-orthognathic-surgery\/#3_What_if_my_insurance_does_not_cover_orthognathic_surgery\" title=\"3. What if my insurance does not cover orthognathic surgery?\">3. 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-6\" href=\"https:\/\/namso-gen.co\/blog\/does-insurance-cover-orthognathic-surgery\/#4_Will_insurance_cover_orthognathic_surgery_if_it_is_only_for_cosmetic_purposes\" title=\"4. Will insurance cover orthognathic surgery if it is only for cosmetic purposes?\">4. Will insurance cover orthognathic surgery if it is only for cosmetic purposes?<\/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\/does-insurance-cover-orthognathic-surgery\/#5_Can_I_appeal_a_decision_by_my_insurance_provider_if_they_deny_coverage_for_orthognathic_surgery\" title=\"5. Can I appeal a decision by my insurance provider if they deny coverage for orthognathic surgery?\">5. Can I appeal a decision by my insurance provider if they deny 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-8\" href=\"https:\/\/namso-gen.co\/blog\/does-insurance-cover-orthognathic-surgery\/#6_How_can_I_find_out_if_my_insurance_plan_covers_orthognathic_surgery\" title=\"6. How can I find out if my insurance plan covers orthognathic surgery?\">6. How can I find out if my insurance plan covers orthognathic surgery?<\/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\/does-insurance-cover-orthognathic-surgery\/#7_Are_there_any_steps_I_can_take_to_increase_the_likelihood_of_insurance_coverage_for_orthognathic_surgery\" title=\"7. Are there any steps I can take to increase the likelihood of insurance coverage for orthognathic surgery?\">7. Are there any steps I can take to increase the likelihood of insurance 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-10\" href=\"https:\/\/namso-gen.co\/blog\/does-insurance-cover-orthognathic-surgery\/#8_Will_insurance_cover_orthodontic_treatment_before_or_after_orthognathic_surgery\" title=\"8. Will insurance cover orthodontic treatment before or after orthognathic surgery?\">8. Will insurance cover orthodontic treatment before or after 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\/does-insurance-cover-orthognathic-surgery\/#9_Can_I_receive_a_pre-authorization_from_my_insurance_provider_for_orthognathic_surgery\" title=\"9. Can I receive a pre-authorization from my insurance provider for orthognathic surgery?\">9. Can I receive a pre-authorization from my insurance provider for orthognathic surgery?<\/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\/does-insurance-cover-orthognathic-surgery\/#10_Does_Medicaid_cover_orthognathic_surgery\" title=\"10. Does Medicaid cover orthognathic surgery?\">10. Does Medicaid cover orthognathic surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/namso-gen.co\/blog\/does-insurance-cover-orthognathic-surgery\/#11_Will_insurance_cover_revisions_or_additional_procedures_related_to_orthognathic_surgery\" title=\"11. Will insurance cover revisions or additional procedures related to orthognathic surgery?\">11. Will insurance cover revisions or additional procedures related to orthognathic surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/namso-gen.co\/blog\/does-insurance-cover-orthognathic-surgery\/#12_Are_there_any_resources_available_to_help_navigate_insurance_coverage_for_orthognathic_surgery\" title=\"12. Are there any resources available to help navigate insurance coverage for orthognathic surgery?\">12. Are there any resources available to help navigate insurance coverage for orthognathic surgery?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Does_insurance_cover_orthognathic_surgery\"><\/span>Does insurance cover orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Orthognathic surgery, also known as corrective jaw surgery, is a procedure used to correct a wide range of abnormalities of the facial bones, specifically the jaws and teeth. This type of surgery can be necessary for individuals with issues such as difficulty chewing, speaking, or breathing, as well as for cosmetic purposes. One common question that arises for those considering orthognathic surgery is whether insurance will cover the cost of the procedure.<\/p>\n<p>The answer to this question is: **Insurance coverage for orthognathic surgery varies depending on the individual&#8217;s insurance plan and the specific circumstances surrounding the surgery.** In general, insurance providers typically cover orthognathic surgery if it is deemed medically necessary, meaning that the surgery is required to correct a functional issue rather than solely for cosmetic reasons. However, it is important to check with your insurance provider to understand what is covered under your plan.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"FAQs_about_insurance_coverage_for_orthognathic_surgery\"><\/span>FAQs about insurance coverage for orthognathic surgery:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h3><span class=\"ez-toc-section\" id=\"1_Will_insurance_cover_orthognathic_surgery_if_it_is_deemed_medically_necessary\"><\/span>1. Will insurance cover orthognathic surgery if it is deemed medically necessary?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nYes, insurance providers typically cover orthognathic surgery if it is deemed medically necessary to correct a functional issue.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"2_Are_there_specific_criteria_that_need_to_be_met_for_insurance_to_cover_orthognathic_surgery\"><\/span>2. Are there specific criteria that need to be met for insurance to cover orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nEach insurance provider may have different criteria for determining whether orthognathic surgery is covered, so it is important to review your plan&#8217;s specific requirements.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"3_What_if_my_insurance_does_not_cover_orthognathic_surgery\"><\/span>3. What if my insurance does not cover orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nIf your insurance does not cover orthognathic surgery, you may need to explore alternative financing options or discuss payment plans with your healthcare provider.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"4_Will_insurance_cover_orthognathic_surgery_if_it_is_only_for_cosmetic_purposes\"><\/span>4. Will insurance cover orthognathic surgery if it is only for cosmetic purposes?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nInsurance providers typically do not cover orthognathic surgery if it is solely for cosmetic reasons. However, if the surgery is deemed medically necessary, it may be covered.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"5_Can_I_appeal_a_decision_by_my_insurance_provider_if_they_deny_coverage_for_orthognathic_surgery\"><\/span>5. Can I appeal a decision by my insurance provider if they deny coverage for orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nYes, you have the right to appeal a decision by your insurance provider to deny coverage for orthognathic surgery. It is important to gather any necessary documentation to support your appeal.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"6_How_can_I_find_out_if_my_insurance_plan_covers_orthognathic_surgery\"><\/span>6. How can I find out if my insurance plan covers orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nContact your insurance provider directly to inquire about coverage for orthognathic surgery. They will be able to provide you with information specific to your plan.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"7_Are_there_any_steps_I_can_take_to_increase_the_likelihood_of_insurance_coverage_for_orthognathic_surgery\"><\/span>7. Are there any steps I can take to increase the likelihood of insurance coverage for orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nProviding thorough documentation from your healthcare provider outlining the medical necessity of the surgery can help increase the likelihood of insurance coverage.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"8_Will_insurance_cover_orthodontic_treatment_before_or_after_orthognathic_surgery\"><\/span>8. Will insurance cover orthodontic treatment before or after orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nInsurance coverage for orthodontic treatment before or after orthognathic surgery may vary depending on the specifics of your insurance plan. It is best to check with your provider.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"9_Can_I_receive_a_pre-authorization_from_my_insurance_provider_for_orthognathic_surgery\"><\/span>9. Can I receive a pre-authorization from my insurance provider for orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nYes, you may be able to request a pre-authorization from your insurance provider before proceeding with orthognathic surgery to determine coverage and potential out-of-pocket costs.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"10_Does_Medicaid_cover_orthognathic_surgery\"><\/span>10. Does Medicaid cover orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nMedicaid coverage for orthognathic surgery may vary by state and individual circumstances. It is best to check with your state&#8217;s Medicaid program for more information.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"11_Will_insurance_cover_revisions_or_additional_procedures_related_to_orthognathic_surgery\"><\/span>11. Will insurance cover revisions or additional procedures related to orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nInsurance coverage for revisions or additional procedures related to orthognathic surgery may depend on the specifics of your insurance plan and the medical necessity of the procedures.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"12_Are_there_any_resources_available_to_help_navigate_insurance_coverage_for_orthognathic_surgery\"><\/span>12. Are there any resources available to help navigate insurance coverage for orthognathic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\nYour healthcare provider&#8217;s office may have resources available to assist you in navigating insurance coverage for orthognathic surgery. Additionally, speaking with a financial counselor can help clarify any questions or concerns you may have about insurance coverage.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Does insurance cover orthognathic surgery? Orthognathic surgery, also known as corrective jaw surgery, is a procedure used to correct a wide range of abnormalities of the facial bones, specifically the jaws and teeth. This type of surgery can be necessary for individuals with issues such as difficulty chewing, speaking, or breathing, as well as for &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Does insurance cover orthognathic surgery?\" class=\"read-more button\" href=\"https:\/\/namso-gen.co\/blog\/does-insurance-cover-orthognathic-surgery\/#more-168268\">Read more<span class=\"screen-reader-text\">Does insurance cover orthognathic surgery?<\/span><\/a><\/p>\n","protected":false},"author":41,"featured_media":107420,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86279],"tags":[],"class_list":["post-168268","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>Does insurance cover orthognathic surgery?<\/title>\n<meta name=\"description\" content=\"Does insurance cover orthognathic surgery? 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