Does insurance cover Botox for bruxism & TMJ?

Botox has not yet been approved by the FDA to treat bruxism and TMJ. Your insurance coverage for Botox to treat TMD (temporomandibular joint disorder) and bruxism depends on your plan. It's important to understand your coverage before scheduling a Botox consultation.

Does insurance cover Botox for bruxism and TMJ?

Though Botox is typically billed to medical insurance, many insurance companies do not cover Botox treatments for bruxism and TMJ\. Botox can be a valuable tool to treat bruxism and TMJ — as long as you can afford it. The procedure is typically run through medical insurance companies rather than dental insurance companies.

What if my TMJ Botox claim is denied?

If your claim is denied, don’t be discouraged. Review the reasons for denial, consult with your healthcare provider, and consider filing an appeal. With the appropriate documentation and support, you may be able to successfully appeal the denial and secure insurance coverage for your TMJ Botox treatment.