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	<title>New answer on: Does Health Insurance Cover Orthognathic Surgery?</title>

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		<title>By: Marlin McKelvy</title>

		<link>https://insurancelibrary.com/health-insurance/does-health-insurance-cover-orthognathic-surgery</link>

		<dc:creator>Marlin McKelvy</dc:creator>

		<pubDate>Tue, 22 Apr 2014 14:50:48 +0000</pubDate>

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		<description><![CDATA[This procedure exists in one of those gray areas and the answer will differ depending upon the underlying need for this surgery to the jaw.&#160; From a health insurance perspective the key issue is whether the terms &quot;medical necessity&quot; versus &quot;cosmetic&quot; apply to the need for this surgery.&#160; If a clear case for medical necessity for this procedure is established you can generally expect most health insurance plans to cover it.&#160; However, the line between medically necessary and cosmetic can often be in the eye of the beholder so you should not expect a health insurance company to routinely approve such a procedure and you should definitely not proceed with scheduling such a procedure without checking with your health insurer first and getting clear approval.&#160; Often the insurance carrier will want written documentation from one or more health care providers that there is a medical necessity for this procedure to be performed.&#160; It is also likely that the insurance carrier will want to make sure that other, less drastic approaches have been exhausted before they will approve this procedure.&#160; Some of these options may include orthodontia treatment which will fall under the coverage of dental insurance (if you have it) not your health insurance.&#160; As a general rule, just because the jaw issue leads to a misalignment that may keep you off of a magazine cover or presents the member with self-image problems will not be seen as justification for covering this procedure.
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