Costs associated with surgery of any kind can be daunting. For orthognathic surgery, this is no different. However, you can’t put a price on your improved oral – and overall – health thanks to your new smile. The mouth serves as the first line of defense against bacteria and your new healthy jaw will be a formidable foe for bacteria.
Insurance can help cover costs and make jaw surgery a realistic option for individuals who need the surgical procedure to better their lives. This guide will explain how much jaw surgery can cost and what insurance can do to save you money.
How Much Does Jaw Surgery Cost?
Without insurance, jaw surgery can run you between $15,000 and $50,000. The final cost will depend on various factors, including:
- The surgeon’s experience level
- Surgeon’s fees
- Hospital fees
- Anesthesia fees
- Prescriptions for medication
- The severity of your case
- Number of jaws that need to be corrected (just one or both upper and lower)
- And more
All these costs may seem daunting but remember – many insurances will cover at least a portion of costs associated with orthognathic surgery if it is a functional procedure. This means that if you are undergoing surgery to correct an issue that negatively impacts your life, your insurance will cover at least a portion of the costs associated with the procedure.
Please make sure to check the details of your insurance plan before undergoing orthognathic surgery. Be sure there are no exclusions in your plan that would make jaw surgery an uncovered expense. Your dentist or orthodontist can help you find a surgeon and hospital that are in your network.
Can I Use an HSA or FSA To Pay for My Jaw Surgery?
Yes – your health savings or flexible savings accounts can be used to help cover costs for the same reasons insurance may cover. You may be eligible for reimbursement if you can show the procedure is functional in nature, versus simply cosmetic.
How Can I Pay for Jaw Surgery Without Insurance?
Many providers will offer flexible payment plans, which will allow you to pay a fixed amount monthly. Your dentist or orthodontist can help you find a surgeon that allows for monthly payment plans.
Can I Get Jaw Surgery for Free?
It is unlikely you can receive jaw surgery without paying a cent, but many insurances will cover at least a portion of the costs.
Does Medicaid Cover Jaw Surgery?
Medicaid may cover orthognathic surgery if it is deemed medically necessary – but it depends on your state. Contact your state’s Medicaid office to find out for certain if your state is among those that cover jaw repair with their Medicaid plan.
Which Private Dental Insurances Cover Jaw Surgery?
The following insurances cover jaw surgery in some capacity.
- Aetna – medically necessary cases only
- United Healthcare – medically necessary cases only
- Cigna – medically necessary cases only; specifically mentions that cosmetic cases are excluded
- Blue Cross/Blue Shield – depends on the state, but most states cover medically necessary procedures
The following insurances exclude or do not mention orthognathic surgery in their plans:
- MetLife – excludes orthognathic surgery
- USAA – excludes orthognathic surgery
- Aflac – does not explicitly mention orthognathic surgery coverage
- Humana – does not explicitly mention orthognathic surgery coverage
- Delta Dental – does not explicitly mention orthognathic surgery coverage
Can I Get Orthognathic Surgery To Correct My Open Bite?
Yes – orthognathic surgery is one of the best ways to completely correct an open bite. It is usually performed alongside orthodontic treatment. Learn more about treating your open bite with orthognathic surgery.