Guest guest Posted November 29, 2004 Report Share Posted November 29, 2004 Hello all, My name is and I live in South Carolina. This is my first time posting to or joining a group, so please go easy on me! I am currently in the midst of an insurance nightmare. A little background... I am a 31 year old woman. I first consulted an oral surgeon about 3 months ago, and after an initial workup, I was told that I need orthognathic surgery on my upper and lower jaw to bring them both forward, and also to widen my upper jaw. This wasn't surprising considering that all of my health problems seem point back to my anatomy. I have had braces twice, once when I was 11, and then again at 16. This is somthing that is long overdue as far as I am concerned, and I really don't have too many fears about the procedure (although that will probably change as the day draws near!). My problem is with insurance. I have group health insurance through my employer and there is a specific exclusion for orthognathic surgery. The oral surgeon's office has gone to bat for me, but to no avail. I am currently looking at a new insurance plan that works like a group health plan, and there are certain exclusions about surgery on mandible or maxilla, but for cosmetic reasons. I apologize for the long-windedness, but my question is this: Does anyone have any suggestions or tips for me regarding the insurance debacle? I am open to any suggestions at this point. I was supposed to get my braces on last month, but stopped the process because of my financial concerns. I appreciate any and all feedback! Thanks - Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 2004 Report Share Posted November 29, 2004 Hello all, My name is and I live in South Carolina. This is my first time posting to or joining a group, so please go easy on me! I am currently in the midst of an insurance nightmare. A little background... I am a 31 year old woman. I first consulted an oral surgeon about 3 months ago, and after an initial workup, I was told that I need orthognathic surgery on my upper and lower jaw to bring them both forward, and also to widen my upper jaw. This wasn't surprising considering that all of my health problems seem point back to my anatomy. I have had braces twice, once when I was 11, and then again at 16. This is somthing that is long overdue as far as I am concerned, and I really don't have too many fears about the procedure (although that will probably change as the day draws near!). My problem is with insurance. I have group health insurance through my employer and there is a specific exclusion for orthognathic surgery. The oral surgeon's office has gone to bat for me, but to no avail. I am currently looking at a new insurance plan that works like a group health plan, and there are certain exclusions about surgery on mandible or maxilla, but for cosmetic reasons. I apologize for the long-windedness, but my question is this: Does anyone have any suggestions or tips for me regarding the insurance debacle? I am open to any suggestions at this point. I was supposed to get my braces on last month, but stopped the process because of my financial concerns. I appreciate any and all feedback! Thanks - Quote Link to comment Share on other sites More sharing options...
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