There are many reasons to refer patients to the Raleigh Facial Pain Center, but some of the top ones are:
Do you have a patient that is concerned about paying for orthopedic therapy at the Raleigh Facial Pain Clinic? Does your patient have regular insurance or self-funded insurance (regular insurance look-a-like) or government type insurance (look-a-like)?
The treatment for any joint muscle complex (ankle, knee, hips or jaw) is orthopedic therapy, which by nature is a medical condition and is covered by regular insurance. To get medical insurance to cover chewing system orthopedics, patients must be treated by a specialized, board-certified doctor.
The NC Insurance Commissioner has ruled that jaw joint therapy is a medical procedure, not a dental one. The courts also ruled that orthopedic therapy is medical.
Court Ruling: Massella v. Blue Cross & Blue Shield of Connecticut, Inc., No.1138-August Term 1990, U.S. Ct. App., 2nd Circuit, June 19, 1991.
Medical insurance companies have used the past confusion of medical versus dental coverage as a reason to avoid paying for jaw joint orthopedics. Most medical insurance companies now manage a claim for jaw joint therapy the same as any other medical claim. The NC legislature passed a law to help protect the public from insurance companies not paying for this type of coverage.
Law 58-3-121 (Coverage of treatments of bones and joints: prohibited exclusions) Discrimination against coverage of procedures involving bones or joints of the jaw, face or head is prohibited in any health benefit plan.
For more information about coverage for treatment at the Raleigh Facial Pain Center, check out our payment options and our traditional practice (fee-for-service) information.
Next time you have a patient that just isn’t getting better, consider a referral to board certified and residency trained Dr. Yount at the Raleigh Facial Pain Center. For more information, contact us or download a Patient Referral Form.
Raleigh Facial Pain Center serves patients with chronic facial and jaw pain in Raleigh, NC and beyond, including Wake Forest, Greenville, Pinehurst, New Bern, Greensboro and even South Carolina, Tennessee and Virginia.