What’s covered for jaw disorder?
December 14th, 2009 | TriCare Help | Posted by Military Times
Q. We have Tricare Standard. I have been looking through our handbook and cannot find anything on coverage or exclusion of Temporomandibular Joint Disorder, or TMJ. I suffer from this and need to know if Tricare covers any kind of surgery or therapy.
I checked with Health Affairs, and they told me that the only service covered for TMJ problems is oral surgery under certain specific conditions. Health Affairs advises that you or the provider should contact your Regional Tricare Service Center for advice and for information about the procedures that must be followed prior to any surgery.
My opinion is that it might be best if your provider made the call to Tricare in case there are technical or medical questions that he can address best.
Don’t go forward on any treatment procedure without contacting Tricare first.