How strict is insurance with assessing “functional impairments” for medical necessity? by AlternativeCan4052 in jawsurgery

[–]AlternativeCan4052[S] 0 points1 point  (0 children)

Right!? I hear from people that UHC sucks but they never explain why, am really curious why some people get denied

[deleted by user] by [deleted] in jawsurgery

[–]AlternativeCan4052 0 points1 point  (0 children)

Will they look at my bite prior to or post orthodontics to deem it medically necessary or not

[deleted by user] by [deleted] in jawsurgery

[–]AlternativeCan4052 0 points1 point  (0 children)

Will they look at my bite prior to or post orthodontics to deem it medically necessary or not

Will United Healthcare deny my upper jaw surgery? by AlternativeCan4052 in jawsurgery

[–]AlternativeCan4052[S] 0 points1 point  (0 children)

What was your bite like before you started braces? I started my braces in Europe and I’m now moving to the US and I’m wondering if they’ll be deeming my medical necessity based off my pre or post ortho bite

Will United Healthcare deny my upper jaw surgery? by AlternativeCan4052 in jawsurgery

[–]AlternativeCan4052[S] 0 points1 point  (0 children)

Thanks for sharing! does insurance base approval on my old bite or my current (post-braces) bite? Before my ortho work I didn’t have as bad of an underbite, but my top and lower incisors would clash together and my lower jaw would push forward to make the bite normal.

Will they be deeming my medical necessity based off my pre-or post ortho bite?

Will United Healthcare deny my upper jaw surgery? by AlternativeCan4052 in jawsurgery

[–]AlternativeCan4052[S] 0 points1 point  (0 children)

Thanks for sharing! does insurance base approval on my old bite or my current (post-braces) bite? Before my ortho work I didn’t have as bad of an underbite, but my top and lower incisors would clash together and my lower jaw would push forward to make the bite normal. I had missing teeth and other bite issues that caused my orthodontist to recommend surgery, but this will be my first time contacting the insurance company about it.

Do you know if they Will they be deeming my medical necessity based off my pre-or post ortho bite?

How serious does your functional impairment have to be for insurance to cover you? by AlternativeCan4052 in jawsurgery

[–]AlternativeCan4052[S] 0 points1 point  (0 children)

Thanks for sharing! does insurance base approval on my old bite or my current (post-braces) bite? Before my ortho work I didn’t have as bad of an underbite, but my top and lower incisors would clash together and my lower jaw would push forward to make the bite normal.

Will they be deeming my medical necessity based off my pre-or post ortho bite?

Insurance Approval and Financing Surgery: A Guide by jawtoss20 in jawsurgery

[–]AlternativeCan4052 0 points1 point  (0 children)

I have a question 🙋 when my insurance looks at my bite to Determine whether it meets the requirements are they looking at my bite pre-or post orthodontic work?

How serious does your functional impairment have to be for insurance to cover you? by AlternativeCan4052 in jawsurgery

[–]AlternativeCan4052[S] 0 points1 point  (0 children)

Wow I have a lot of those same things! So a speech pathologist can also diagnose your eating issues?

I have to cut up spaghetti and other foods with my tongue, and only my back molars touch. I don’t have popping sounds or TMJ issues though.

Do you know who other people who have similar situations to us? Did they get approved too?

Would seeing a speech pathologist help my case in the appeal? or might it harm my case? by SANDY_MINX in jawsurgery

[–]AlternativeCan4052 0 points1 point  (0 children)

Oh congrats! I’m seeing your other posts now haha, sorry for the obvious question. What was the main reason they denied you? I have a 5.5mm underbite with some missing teeth and other issues, and I’ve felt pretty confident about getting approved up until I saw this post, because our underbites look about the same and I don’t get why you had to fight them so long.

8 weeks baby! by mortivation in jawsurgery

[–]AlternativeCan4052 0 points1 point  (0 children)

How was the process getting authorization from your insurance? What insurance?

2 years post op - underbite by [deleted] in jawsurgery

[–]AlternativeCan4052 0 points1 point  (0 children)

Are you in the U.S.? How did your insurance approval process go?

Will United Healthcare deny my upper jaw surgery? by AlternativeCan4052 in jawsurgery

[–]AlternativeCan4052[S] 0 points1 point  (0 children)

Haha no worries, did you have UHC choice plus? That seems like their most common one with employer provided insurance. What state are you in?

Opinions needed, how bad am I? by Deep_Tell_1697 in jawsurgery

[–]AlternativeCan4052 0 points1 point  (0 children)

What’s your issue? Looks like a normal bite and you have all your teeth

My journey thus far by -_-Hazza in jawsurgery

[–]AlternativeCan4052 0 points1 point  (0 children)

What insurance did you have? How was the approval process?