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I have 14mm of bone loss on my left lower jaw. I need bilateral jaw prosthesis. I have not been able to chew for 6 months now. My face is no longer symmetrical, and with all of this tugging and pulling on all of the muscles of my face and head I suffer from severe head pain every day now. My oral airway has significantly narrowed causing me OSAS, obstructed sleep apnea because of the bone deterioration. I wrote my story but is too long to post here. I have saved $70k but still need about $70k more for my surgery. I have sent my story to senators, the AMA, Donald Trump foundation, and many other places. As of this date I have had no responses. Anyone out there know how to tell me how to get help. I have had a lawyer fighting my insurance company, but they have denied me all the way saying they don't cover TMJ. I don't have typical TMJ, I am missing bone.

Thanks for any responses and help that anyone out there can give me.

2006-07-01 13:26:15 · 2 answers · asked by outdoorsgal 1 in Health Other - Health

2 answers

Have you ever contacted Dental schools to see if they could do the work on you as an excellent teaching case? I don't know if they can do it for free, but I would imagine it would be done at a drastically lower fee.
Have you tried to contact your states assistance office? Maybe they can at least point you in the right direction.

Couldn't you have the procedure done, and have them bill you monthly? It may take a while to pay it off, but at least you will have better use of your jaw in the mean time.

I hope I was able to help a little. I really do wish you well in getting this all taken care of. God bless.

2006-07-01 13:37:51 · answer #1 · answered by jam961 5 · 1 0

File an appeal with the insurance company, getting the doctors to re-word the diagnosis and clearly state that your condition is NOT the result of a pre-existing TMJ. Then, since you have half the money, talk to the hospital financial department. They will be very impressed at the amount you've saved and be willing to finance the rest. Get this done and get a lawyer to fight the insurance company if you need to for the reimbursement.

2006-07-01 13:32:03 · answer #2 · answered by mom2babycolin 5 · 0 0

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