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Will insurance pay for cavitation surgery?
 
rocknlocks Views: 20,110
Published: 16 y
 

Will insurance pay for cavitation surgery?


Does anyone know if insurance will cover cavitation surgery ? I spoke with the receptionist at the dental office where I am scheduled to receive the surgery in January and she said that it is dangerous to even file for reimbursement from insurance. She says that other dentists have been put out of business by Aetna Insurance for filing claims for patients who had this surgery. From what I understand, the problem is, the ADA is telling the insurance companies that cavitations in the jaw bone is a condition that does not exist. If a condistion doesn't exist, it can't be covered. I don't want to get this dentist in trouble by filing a claim that could potentially put them out of business, but I think the out-of-pocket cost is too big to afford otherwise.

Has anyone successfully filed for reimbursement for cavitation surgery ? How much of the cost did they cover? What insurance codes did you file the claims under? Anything else I should know before filing the claims?

I have BCBS for my medical insurance and Cigna and Tricare for my dental insurance.

UPDATE:

I have found a dentist who has and is currently submitting claims for cavitation surgery successfully and says has had no problems doing so. This dentist charges only $300 per tooth site vs $1000+ like most others dentists performing cav surgery.

I will not post this dentist's name on this forum for his own protection but it you would like to get the contact info, please send a message to my inbox on this site. Myself and another family member are scheduled to have the cavitation surgery done in mid-June. I am not expecting instant healing or relief from current health problems. I think it will take time for us to see/feel results after surgery. I will try to post back here about our experiences later.
 

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