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Posted

Has anyone used the Champva for TMJ disorder I have noticed that they will cover it with pre-authorization. My wife has; this problem and we have insurance through her work however they do not cover it and we have never used Champva before. Any input would be helpful

Thanks

Jack

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  • HadIt.com Elder
Posted

Initial radiographs, up to four office visits, physical therapy for

acute phase treatment only, and construction of occlusal splint

This is from the Champ VA Manual.

A Veteran is a person who served this country. Treat them with respect.

A Disabled Veteran is a person who served this country and bears the scars of that service regardless of when or where they served.

Treat them with the upmost respect. I do. Rejection is not a sign of failure. Failure is not an option, Medical opinions and evidence wins claims. Trust in others is a virtue but you take the T out of Trust and you are left with Rust so be wise about who you are dealing with.

Posted

Thank you for your kind reply JBASER, I found that portion from the manual do we need pre authorization for this procedure, I am not sure about that, also will the Champva pay when our primarey will deny the claim?

SOrry for so many questions

Jack

  • HadIt.com Elder
Posted

So they will not do the surgery for severe cases at ChampVA? If you jaw gets stuck you may need surgery to fix it. MY TMJ joint is just worn out. I had this problem since basic and the pugil sticks.

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