Sunday, April 26, 2015

Roughly a year

Good Morning Jaw people, It's been over a year since I had TMJ replacement surgery and just a few weeks shy of a year since double jaw surgery. To recap, I separated the surgeries by 8 weeks, because insurance would not pay for TMJ. I've received some inquiries about insurance things so I'll touch on that in this post. I had CIGNA through Obamacare. Cigna agreed to cover my jaw surgery at 100%, however they wouldn't cover TMJ. If an uncovered procedure is done at the same time as a covered procedure, it's no longer covered. That's why I did them separately. I paid for TMJ out of pocket and I can't say for sure, but it was around 20K. The business manager at Dr. Franco's office called a few months ago and told me 7K wasn't covered and I owed that money. At the time of surgery, I was approved for 100% so I disputed the charges and won. I don't have to pay anything else. TMJ - 20K, Jaw surgery - 0, Braces - 6K, Bridge - 1200, I'm 35 years old and I can say age was an issue as far as insurance goes. If you're under 18 and considering the surgery. DO IT NOW. There is still numbness in my lower lip especially, my chin and still puffiness around my nose. My gums are slightly numb, but have significantly improved in the past few months. I can sort of feel them when I floss now. The only annoyance really is my bottom lip, half of it's numb so that sometimes irritates me. However, it's not always noticeable. Below are my progress photos.