Jaw Surgery Forums » Share Your Jaw Surgery Experience!

what to do?

(6 posts)
  • Started 1 year ago by mjflower66
  • Latest reply from mjflower66

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  1. mjflower66
    Member

    Hello, i am stuck between a rock and a hard place at the moment..
    i recently just had an evaluation for what i need done to have my bite be
    "normal" and i need top AND bottom jaw surgery..currently i have no insurance...but i will in about a month with blue cross. how do i go about with getting the surgery
    without it being "cosmetic". i do have lower jaw discomfort at times, and a little trouble with speech. i have quite a list of whats wrong my bottom and top jaw from my ortho. its not to settling, cause the longer i wait my bite will get worse with the wear of my teeth etc throughout the future. so im REALLY looking to get this problem fixed and im very determined. how do i go about with getting blue cross to cover this surgery
    with it being "needed" instead of cosmetic. Also once i start working again in the next month or so i could always apply for being on kaiser again like i was in the past.
    if someone could get back to me, and i can hear ur side of the tracks of what you went through and how you went about it..i would appreciate it alot.
    any advice, tips..etc...is all accepted.
    thank you

    Posted 1 year ago #

  2. Brandon
    Site Administrator

    For me, I had to wait a year after getting the insurance for them to cover this surgery.

    Even then, my surgeon said sometimes they do consider the surgery cosmetic, but he was fully prepared to provide a more detailed analysis and appeal as to why mine was medically necessary.

    If you have the documentation plus a surgeon and/or orthodontist that can show the medical problems it's causing, then getting the surgery covered shouldn't be a problem.

    I'm Brandon, the creator of JawSurgeryBlog.com. I personally had upper and lower jaw surgery on October 30, 2007. Thankfully, everything went beautifully, so I'm trying to make sure everyone else's surgery goes smoothly as well!

    http://www.facebook.com/pages/Corrective-Jaw-Surgery/114627165257701
    Posted 1 year ago #

  3. mjflower66
    Member

    thank you! for clarifying that for me, ill be making an appt with my ortho and the surgeon my ortho recommended. to see if they can help me out with a detailed analysis

    Posted 1 year ago #

  4. mjflower66
    Member

    BTW...if you dont mind me asking what insurance did you have when you got ur jaw surgery?
    im about to be on blue cross, im trying to find out if i can go to a surgeon at KAISER when im on blue crosses insurance...this is all still new to me and im just trying to find out the best way to go about it, for now its patience.

    Posted 1 year ago #

  5. Brandon
    Site Administrator

    I was on Anthem, and your surgeon will be able to answer any specific insurance questions, relating to Kaiser, etc.

    Good luck, and let us know how it goes...

    Posted 1 year ago #

  6. mjflower66
    Member

    hey Brandon, i have my consultation tomorrow with the jaw surgeon, currently im filling out paper work to bring in tomorrow. i have a few questions lined up in relation to my jaw issues, but what did you ask or discuss at the consultation, just curious,
    hope to hear from ya soon.

    Posted 1 year ago #

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