Insurance and oral surgery

Monday, September 8, 2014

By: Mike Schmidt

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Oral and maxillofacial surgery can correct a number of problems, injuries, diseases and defects. When most people walk into an oral surgery office they assume that only their dental insurance will apply to their procedure.


Insurance and oral surgery


However, when you visit Oral & Maxillofacial Surgeons of BayCare Clinic’s office, bring both your medical and dental insurance information. Many of the procedures they perform will be covered first by medical insurance, with dental insurance covering some as well. The treatment needed and how your medical and dental plans are designed determine coverage.


Oral surgeries that are typically covered by medical insurance:

  • Trauma to the face and oral cavity
  • Treatment of the temporomandibular joint (TMJ) disorder
  • Correction of facial deformities
  • Facial bone diseases

The reason we ask for both your medical and dental insurance is that we are contracted with a number of policies/plans. These contracts allow us to submit claims so our patients pay less out-of-pocket… we maximize the benefits which patients receive. It can take 6-8 weeks for a response from some insurance companies regarding a pre-authorization. We encourage patients to call their carrier to expedite the process.

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BayCare Clinic,, is the largest physician-owned specialty-care clinic in northeastern Wisconsin and Michigan’s Upper Peninsula. It is based in Green Bay, Wisconsin. BayCare Clinic offers expertise in more than 20 specialties, with more than 100 physicians serving in 16 area communities. BayCare Clinic is a joint partner in Aurora BayCare Medical Center, a 167-bed, full-service hospital. Follow BayCare Clinic on Facebook and Twitter.