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I can't really answer your questions, but I will suggest you be

cautious about seeing a surgeon before switching insurance, as it

could then be considered a " pre-existing condition " and excluded.

You'll need to ask your ortho and surgeon more about this possiblity.

Good luck. Luna

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Jack

The surgeon will most likely take an xray of your hand to assess

whether you have stopped growing or not. The skeleton in your hand

shows whether you have any growing still left to do. If you have I

doubt that he will perform the surgery until you have stopped growing.

Good luck with your app. and keep us posted.

Sara

> I scheduled a consultation with a potential surgeon on July 21. I

> keep thinking of more and more questions to ask him cause I dont know

> that much about the surgery yet, but two quesitons I'd like to ask

you

> guys follow:

>

> When does your jaw stop growing? Im 19 and I hear its dangerous to

do

> the surgery before yous top growing cause it might end up growing

back.

>

> If my insurance ends up refusing to cover me, is it smarter to switch

> to another provider and another until I find one who will cover it?

> I'd imagine thats cheaper than actually paying for the surgery

unaided.

>

> Thanks

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I thought there was a law now that made it illegal for an insurance

company to refuse you coverage based on a pre-existing condition

claim...at least in the US. i.e. even if it was a pre-existing

condition you can't be denied insurance.

Sara

> I can't really answer your questions, but I will suggest you be

> cautious about seeing a surgeon before switching insurance, as it

> could then be considered a " pre-existing condition " and excluded.

> You'll need to ask your ortho and surgeon more about this possiblity.

> Good luck. Luna

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Hello Jack - What type of Orthognathic Surgery will you be having done?

I don't recall what your particular bite is: underbite, overbite,

openbite,----? Congratulations on moving forward by making an

appointment with an OS. I did alot of reading on this site and by doing

web searches (typed in terms such as Orthognathic Surgery and Bilateral

Sagittal Split Osteotomy (one of the procedures)) to learn as much as

possible about the surgery I would be having done. By the way, I'm a 47

year-old woman with an underbite. It also helps that I'm in the medical

profession to begin with, so researching medical topics wasn't too

hard. Some of the info is way too technical, but I get a grasp of the

basics. My OMS and OD do appreciate my efforts to learn as much as

possible; it makes their job that much easier and it makes everything

go alot smoother. I always bring a list of questions with me to each

appointment. Most doctors really appreciate patients who are interested

in their specific conditions, and no questions are ever too dumb, so

ask all you want!// As for your questions, I believe your bones are

always growing but slow way down by the age of 21. As for the insurance

question, I don't know the answer to that one. My insurance thru my

employer (a hospital) doesn't pay for Orthognathic Surgery; it's an

excluded benefit. So, I will be paying out-of-pocket for my surgery,

and all but $1k for my braces. ~~~ Diane

> I scheduled a consultation with a potential surgeon on July 21. I

> keep thinking of more and more questions to ask him cause I dont know

> that much about the surgery yet, but two quesitons I'd like to ask

you

> guys follow:

>

> When does your jaw stop growing? Im 19 and I hear its dangerous to

do

> the surgery before yous top growing cause it might end up growing

back.

>

> If my insurance ends up refusing to cover me, is it smarter to switch

> to another provider and another until I find one who will cover it?

> I'd imagine thats cheaper than actually paying for the surgery

unaided.

>

> Thanks

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Can't help about coverage from insurance. Sorry.

but you most clearly, if you are male (which name " jack " suggests to

me) want to be certain about the growth issues, because you can have

surgery, and then see it undone and needed again, if you grow more post-

op. I believe there are studies of bone plates in your wrists that can

be helpful.

In any case, speak directly and ask for help from anyone who proposes

surgery, before you agree to do it. You really don't want to have to do

it twice, I would think.

Dealing with coverage from insurance, to me anyhow, would be less of an

issue than having to re=do the surgery.

Best,

C.

> I scheduled a consultation with a potential surgeon on July 21. I

> keep thinking of more and more questions to ask him cause I dont know

> that much about the surgery yet, but two quesitons I'd like to ask

you

> guys follow:

>

> When does your jaw stop growing? Im 19 and I hear its dangerous to

do

> the surgery before yous top growing cause it might end up growing

back.

>

> If my insurance ends up refusing to cover me, is it smarter to switch

> to another provider and another until I find one who will cover it?

> I'd imagine thats cheaper than actually paying for the surgery

unaided.

>

> Thanks

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Hello Diane

I have an underbite, but I may have an open bite also? I am not

sure... It is very difficult to breath through my nose and my

orthodontist tells me this problem is due to my undergrown upper jaw

restricting the size of my sinuses. As a result, I basically always

leave my mouth open to breath, It is very uncomfortable to bite

down, so my teeth never meet, but i can make them meet. I dont know

much about the otehr bites so I dont know if that is an open bite or

not.

The reason I worry about the insurance is that I dont believe my

parents will help me with the money and I need to think about

graduate school in 3 years (which I will also be paying for). I

have saved a lot of money since I discovered the problem 2 years

ago, but I fear taking the loans necessary to get the surgery and

pay for grad school.

> > I scheduled a consultation with a potential surgeon on July 21.

I

> > keep thinking of more and more questions to ask him cause I dont

know

> > that much about the surgery yet, but two quesitons I'd like to

ask

> you

> > guys follow:

> >

> > When does your jaw stop growing? Im 19 and I hear its dangerous

to

> do

> > the surgery before yous top growing cause it might end up

growing

> back.

> >

> > If my insurance ends up refusing to cover me, is it smarter to

switch

> > to another provider and another until I find one who will cover

it?

> > I'd imagine thats cheaper than actually paying for the surgery

> unaided.

> >

> > Thanks

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Hi Jack,

I would check with your current insurance first. If they exclude

orthognathic surgery specifically, then it will not cover it. If

they do not, find out what information they need to preapprove it

for you. Your OS and OD will be the most help to you with this.

Their office person who works with the insurances should also be

able to let you know what your policy has done in the past. That

will give you a good idea what ot expect for your case. Also ask to

have it preauthorized. That is best if you can get it.

Changing insurance can be tricky. If it is through your work, I

don't think that it can be excluded as preexisting, but they may

have a time delay before it is covered. So if you start a new plan,

they may not cover treatment on a preexisting condition for 3-6

months or so. If you are near your surgery date, that would not

help you. Check into what a change would do to your coverage. I

would call and ask your insurance what they cover, or better yet, if

this is through your employment, as the HR department about it.

They may not answer the questions, but they would know who would be

able to answer them for you.

I hope this helps! I am crossing my fingers for you! Let us know

what you find out!

Hugs,

Fran

> I scheduled a consultation with a potential surgeon on July 21. I

> keep thinking of more and more questions to ask him cause I dont

know

> that much about the surgery yet, but two quesitons I'd like to ask

you

> guys follow:

>

> When does your jaw stop growing? Im 19 and I hear its dangerous

to do

> the surgery before yous top growing cause it might end up growing

back.

>

> If my insurance ends up refusing to cover me, is it smarter to

switch

> to another provider and another until I find one who will cover

it?

> I'd imagine thats cheaper than actually paying for the surgery

unaided.

>

> Thanks

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Im not even in braces yet so I still got a long ways to go. I'd

imagine the very earliest I could get the surgery even if everything

went perfectly would be next August, so I have time! Thanks Fran.

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