Question by  juliemarie (13)

Does Medicare cover TMJ?

I have Medicare, and have TMJ as a pre-existing condition. Is it covered?


Answer by  Kriket (1029)

It depends on what kind of Medicare you have (managed? is it medicare or medicaid? ) and what treatment you are seeking for TMJ. Talk to your doctor and call your health care manager!


Answer by  balapriya (85)

Medicare Part B covers it depends on the exact kind of oral surgery, and on who performs it. Medicare considers most oral surgery to be "dental" rather than "medical," and so does not cover it. If the treatment involves not teeth or gums but the bones of the mouth and jaw, as in TMJ surgery, Medicare will probably cover it.

posted by Anonymous
TMJ disorders are generally covered / accepted by Medicare as orthopaedic in nature.  add a comment
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