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Medical Forum / General / Dentistry / April 2008

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Orthognathic surgery

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tonysirico@gmail.com - 04 Apr 2008 16:44 GMT
I've been denied coverage as orthognathic surgery doesn't seem to be
covered by the plan I have with my HMO. Does anyone know any company
that finances these kind of procedures?
The Webby - 04 Apr 2008 17:05 GMT
In article
<0ee59377-2a32-49eb-91b2-8f2b6ab2fdea@m71g2000hse.googlegroups.com>,

> I've been denied coverage as orthognathic surgery doesn't seem to be
> covered by the plan I have with my HMO. Does anyone know any company
> that finances these kind of procedures?

Has your surgeon given you a complete informed consent yet?  If so, have
you asked your HMO if any of the risks happen to you, will they cover
the expenses involved?

Webby
The Webby - 04 Apr 2008 19:23 GMT
> In article
> <0ee59377-2a32-49eb-91b2-8f2b6ab2fdea@m71g2000hse.googlegroups.com>,
[quoted text clipped - 8 lines]
>
> Webby

Hello tonysirico,

We tend to accept as a "truth" that most of the time, most of the people
who undergo non-emergency surgeries (often referred to as "elective
surgery" with various definitions) come out okay.  Most of the time,
they recover from the surgery and life picks up more or less where they
left off.

But sometimes, complications occur.  Complications can fall into
categories of expected and unexpected.  Complications can be relatively
insignificant or they can be catastrophic.  No one holds the crystal
ball.  But with every procedure done, there exists some known risks and
potential complications.  At the very least, a person agreeing to
undergo surgery (or the person giving the consent for the patient, such
as a parent for a child) should realize that those known risks and
complications do happen and no matter how "rarely" they occur, if it
happens to *you*, it may as well be 100% of the time.

If your insurance specifically does not cover a particular surgical
procedure, you need to seriously consider how much additional money you
might need to borrow in order to pay for the expenses that might come up
if those adversities should knock on your door.  I'm not trying to scare
you; I'm just trying to open your eyes if no one has done that for you
yet.

Aside from the financial risks, you should thoroughly consider the
"risks and complications" as your surgeon/doctors put them to you and
ask yourself the tough question:  If any of those things happen to me,
is this surgery worth that risk?

To be perfectly honest with you, I think that orthognathic surgery has
its place.  I also think that surgeons minimize the material nature of
the risks.

Good luck to you.

Webby
Amatus Cremona - 07 Apr 2008 13:13 GMT
Chase Financial,  Wells Fargo,  First-Third Bank, etc.

Signature

/

Amatus

/

> I've been denied coverage as orthognathic surgery doesn't seem to be
> covered by the plan I have with my HMO. Does anyone know any company
> that finances these kind of procedures?
Newbie@bix.nex - 08 Apr 2008 02:11 GMT
Care Credit ?

>Chase Financial,  Wells Fargo,  First-Third Bank, etc.
>
>> I've been denied coverage as orthognathic surgery doesn't seem to be
>> covered by the plan I have with my HMO. Does anyone know any company
>> that finances these kind of procedures?
The Webby - 08 Apr 2008 16:34 GMT
In article
<0ee59377-2a32-49eb-91b2-8f2b6ab2fdea@m71g2000hse.googlegroups.com>,

> I've been denied coverage as orthognathic surgery doesn't seem to be
> covered by the plan I have with my HMO. Does anyone know any company
> that finances these kind of procedures?

Did you forget you posted this?  You have several replies for your
consideration.

Webby
Dartos - 09 Apr 2008 14:36 GMT
Maybe instead of 'financing' meaning they might have to pay it
back like a car loan, they mean 'pay for' so they have little
or no out-of-pocket expense.

Asking again isn't going to help in this case.  There is rarely
a truly free lunch.

D

>>I've been denied coverage as orthognathic surgery doesn't seem to be
>>covered by the plan I have with my HMO. Does anyone know any company
[quoted text clipped - 4 lines]
>
> Webby
Mark & Steven Bornfeld - 09 Apr 2008 15:41 GMT
> Maybe instead of 'financing' meaning they might have to pay it
> back like a car loan, they mean 'pay for' so they have little
[quoted text clipped - 4 lines]
>
> D

    Probably not, but orthognathic surgery is always tough to get covered
by medical insurance.  I have heard occasionally of appeals with letter
of medical necessity.  Helps if there are other medical problems, and
the physician is on board, as this would be medical/surgical, not dental.
    I had a young patient about to start law school.  Big strapping guy,
only occluded on his 3rd and maybe his 2nd molars.  Major mandib. prog.
case.  The parents pushed him to try to get it done, but the kid wasn't
interested.  I'm sure he's still got the prog.  Should be interesting to
see what his teeth look like in 30 years.

Steve

>>> I've been denied coverage as orthognathic surgery doesn't seem to be
>>> covered by the plan I have with my HMO. Does anyone know any company
[quoted text clipped - 4 lines]
>>
>> Webby

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Amatus Cremona - 09 Apr 2008 16:31 GMT
Someone probably took out the third and second molars by now and ground the
first molars down to little "buttons".  Bet the cuspids and incisors still
don't touch.

Signature

/

Amatus

/

>>
>> Maybe instead of 'financing' meaning they might have to pay it
[quoted text clipped - 26 lines]
>>>
>>> Webby
Mark & Steven Bornfeld - 09 Apr 2008 16:43 GMT
> Someone probably took out the third and second molars by now and ground the
> first molars down to little "buttons".  Bet the cuspids and incisors still
> don't touch.

    This kid doesn't go to the dentist unless dragged.  Fortunately, he's
had no caries.  Nothing bothers him, and somehow his speech isn't affected.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

 
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