Is TMJ Covered By Obamacare

1. 

   1380 POINTS

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   James Elbaum

   President | Founder, CLM Insurance Group, Delray Beach, FL

   I've yet to find an insurance policy, on or off exchange, that covers TMJ.  In my 10 year career I've always seen TMJ written into the exclusions and limitations of each plan.  Regardless of new guarantee issue policies, TMJ is still considered an excluded condition under most plans in the US.

   Answered on April 7, 2014

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2. 

   1450 POINTS

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   Fred Adams

   The HSA Expert, Health Revival, Athens, GA

   There is nothing in the Obamacare regulations that require an insurance company to cover TMJ. As has been the case in the past, at this point, very few, if any, insurance providers offer health insurance that provides any coverage at all for TMJ. There may be a handful of policies out there that do not exclude this condition, but I have yet to find one in any of the states I've ever practiced.

   Answered on August 17, 2014

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