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Guest
Posted: Fri Apr 04, 2008 5:44 am
I've been denied coverage as orthognathic surgery doesn't seem to be
covered by the plan I have with my HMO. Does anyone know any company
that finances these kind of procedures?
The Webby
Posted: Fri Apr 04, 2008 11:05 am
Guest
In article
<0ee59377-2a32-49eb-91b2-8f2b6ab2fdea@m71g2000hse.googlegroups.com>,
tonysirico@gmail.com wrote:

Quote:
I've been denied coverage as orthognathic surgery doesn't seem to be
covered by the plan I have with my HMO. Does anyone know any company
that finances these kind of procedures?

Has your surgeon given you a complete informed consent yet? If so, have
you asked your HMO if any of the risks happen to you, will they cover
the expenses involved?

Webby
The Webby
Posted: Fri Apr 04, 2008 1:23 pm
Guest
In article <tmjiatroepidemic-D3E138.09052404042008@news.west.cox.net>,
The Webby <tmjiatroepidemic@cox.net> wrote:

Quote:
In article
0ee59377-2a32-49eb-91b2-8f2b6ab2fdea@m71g2000hse.googlegroups.com>,
tonysirico@gmail.com wrote:

I've been denied coverage as orthognathic surgery doesn't seem to be
covered by the plan I have with my HMO. Does anyone know any company
that finances these kind of procedures?

Has your surgeon given you a complete informed consent yet? If so, have
you asked your HMO if any of the risks happen to you, will they cover
the expenses involved?

Webby

Hello tonysirico,

We tend to accept as a "truth" that most of the time, most of the people
who undergo non-emergency surgeries (often referred to as "elective
surgery" with various definitions) come out okay. Most of the time,
they recover from the surgery and life picks up more or less where they
left off.

But sometimes, complications occur. Complications can fall into
categories of expected and unexpected. Complications can be relatively
insignificant or they can be catastrophic. No one holds the crystal
ball. But with every procedure done, there exists some known risks and
potential complications. At the very least, a person agreeing to
undergo surgery (or the person giving the consent for the patient, such
as a parent for a child) should realize that those known risks and
complications do happen and no matter how "rarely" they occur, if it
happens to *you*, it may as well be 100% of the time.

If your insurance specifically does not cover a particular surgical
procedure, you need to seriously consider how much additional money you
might need to borrow in order to pay for the expenses that might come up
if those adversities should knock on your door. I'm not trying to scare
you; I'm just trying to open your eyes if no one has done that for you
yet.

Aside from the financial risks, you should thoroughly consider the
"risks and complications" as your surgeon/doctors put them to you and
ask yourself the tough question: If any of those things happen to me,
is this surgery worth that risk?

To be perfectly honest with you, I think that orthognathic surgery has
its place. I also think that surgeons minimize the material nature of
the risks.

Good luck to you.

Webby
Amatus Cremona
Posted: Mon Apr 07, 2008 7:13 am
Guest
Chase Financial, Wells Fargo, First-Third Bank, etc.

--
/

Amatus

/
<tonysirico@gmail.com> wrote in message
news:0ee59377-2a32-49eb-91b2-8f2b6ab2fdea@m71g2000hse.googlegroups.com...
Quote:
I've been denied coverage as orthognathic surgery doesn't seem to be
covered by the plan I have with my HMO. Does anyone know any company
that finances these kind of procedures?
Guest
Posted: Mon Apr 07, 2008 8:11 pm
Care Credit ?

On Mon, 07 Apr 2008 12:13:27 GMT, "Amatus Cremona"
<Nicola@sottovocce.com> wrote:

Quote:
Chase Financial, Wells Fargo, First-Third Bank, etc.

--
/

Amatus

/
tonysirico@gmail.com> wrote in message
news:0ee59377-2a32-49eb-91b2-8f2b6ab2fdea@m71g2000hse.googlegroups.com...
I've been denied coverage as orthognathic surgery doesn't seem to be
covered by the plan I have with my HMO. Does anyone know any company
that finances these kind of procedures?
The Webby
Posted: Tue Apr 08, 2008 10:34 am
Guest
In article
<0ee59377-2a32-49eb-91b2-8f2b6ab2fdea@m71g2000hse.googlegroups.com>,
tonysirico@gmail.com wrote:

Quote:
I've been denied coverage as orthognathic surgery doesn't seem to be
covered by the plan I have with my HMO. Does anyone know any company
that finances these kind of procedures?

Did you forget you posted this? You have several replies for your
consideration.

Webby
Dartos
Posted: Wed Apr 09, 2008 8:38 am
Guest
Maybe instead of 'financing' meaning they might have to pay it
back like a car loan, they mean 'pay for' so they have little
or no out-of-pocket expense.

Asking again isn't going to help in this case. There is rarely
a truly free lunch.

D

Quote:
I've been denied coverage as orthognathic surgery doesn't seem to be
covered by the plan I have with my HMO. Does anyone know any company
that finances these kind of procedures?


Did you forget you posted this? You have several replies for your
consideration.

Webby
Mark & Steven Bornfeld
Posted: Wed Apr 09, 2008 9:41 am
Guest
Dartos wrote:
Quote:


Maybe instead of 'financing' meaning they might have to pay it
back like a car loan, they mean 'pay for' so they have little
or no out-of-pocket expense.

Asking again isn't going to help in this case. There is rarely
a truly free lunch.

D



Probably not, but orthognathic surgery is always tough to get covered
by medical insurance. I have heard occasionally of appeals with letter
of medical necessity. Helps if there are other medical problems, and
the physician is on board, as this would be medical/surgical, not dental.
I had a young patient about to start law school. Big strapping guy,
only occluded on his 3rd and maybe his 2nd molars. Major mandib. prog.
case. The parents pushed him to try to get it done, but the kid wasn't
interested. I'm sure he's still got the prog. Should be interesting to
see what his teeth look like in 30 years.

Steve


Quote:

I've been denied coverage as orthognathic surgery doesn't seem to be
covered by the plan I have with my HMO. Does anyone know any company
that finances these kind of procedures?


Did you forget you posted this? You have several replies for your
consideration.

Webby



--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Amatus Cremona
Posted: Wed Apr 09, 2008 10:31 am
Guest
Someone probably took out the third and second molars by now and ground the
first molars down to little "buttons". Bet the cuspids and incisors still
don't touch.

--
/

Amatus

/
"Mark & Steven Bornfeld" <bornfeldmung@dentaltwins.com> wrote in message
news:LA4Lj.4356$NM.3811@trnddc01...
Quote:
Dartos wrote:


Maybe instead of 'financing' meaning they might have to pay it
back like a car loan, they mean 'pay for' so they have little
or no out-of-pocket expense.

Asking again isn't going to help in this case. There is rarely
a truly free lunch.

D



Probably not, but orthognathic surgery is always tough to get covered by
medical insurance. I have heard occasionally of appeals with letter of
medical necessity. Helps if there are other medical problems, and the
physician is on board, as this would be medical/surgical, not dental.
I had a young patient about to start law school. Big strapping guy, only
occluded on his 3rd and maybe his 2nd molars. Major mandib. prog. case.
The parents pushed him to try to get it done, but the kid wasn't
interested. I'm sure he's still got the prog. Should be interesting to
see what his teeth look like in 30 years.

Steve



I've been denied coverage as orthognathic surgery doesn't seem to be
covered by the plan I have with my HMO. Does anyone know any company
that finances these kind of procedures?


Did you forget you posted this? You have several replies for your
consideration.

Webby



--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Mark & Steven Bornfeld
Posted: Wed Apr 09, 2008 10:43 am
Guest
Amatus Cremona wrote:
Quote:
Someone probably took out the third and second molars by now and ground the
first molars down to little "buttons". Bet the cuspids and incisors still
don't touch.



This kid doesn't go to the dentist unless dragged. Fortunately, he's
had no caries. Nothing bothers him, and somehow his speech isn't affected.

Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
 
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