The Cost of TMJ Surgery

For TMJ surgery specifically, in order to get the best results, you should go to a maxillofacial surgeon. This will end up costing more because you are paying for the specialized skill of the surgeon. But, in this instance, you are truly getting what you pay for. You are paying for someone who has a deep understanding of how the jaw joint works and how to fix the root issue of your TMJ problems. 

Will Insurance Cover the Cost of TMJ Surgery?

Unfortunately, most insurance companies don’t cover TMJ treatment, unless it’s mandated by the state. Jaw surgery, in general, is usually seen as cosmetic rather than medically necessary. Occasionally, an insurance company may have a clause for TMJ treatment, but there will be limitations on the dollar amount and exclusions for certain types of surgery.  Insurance companies that don’t cover TMJ surgery often argue that there is little evidence that surgery will be effective for a patient. However, the success rate for the different types of TMJ surgeries are extremely high. TMJ arthroscopy, arthrocentesis, and open joint surgery have success rates of 80-90%. For patients who haven’t been able to find relief with non-surgical options, TMJ surgery has been proven to be the only way for them to find permanent relief.

Payment Options

If insurance doesn’t work out, there are still ways to pay for the cost of TMJ surgery. Make sure to talk to your surgeon, and they will help you figure something out. They know how frustrating TMJ pain can be and they want to help you find relief. They also have lots of experience helping patients figure out a way to pay for their procedures. Cash Discounts: Some oral surgeons offer significant cash discounts. However, this may not apply to every procedure. But it’s something you should at least ask about. Payment Plans: Payment plans are one of the most common ways to pay for the cost of TMJ surgery. Your surgeon will be able to work out a plan that fits your budget. This will make the payment easier to manage. Dental Discounts: Also known as dental savings plans, dental discounts involve paying a monthly fee in order to receive discounts for dental care. It’s important to note that this option is limited in that there are a select number of providers who participate in the program.  Healthcare Credit Cards: Healthcare credit cards can only be used to pay for medical treatments. Not every healthcare provider accepts them, and they don’t always cover every procedure. So, you will need to check with your surgeon to see if this is an option.