Will Medicare and BCBSTX pay for Botox treatment for TMJ and/or night time jaw clenching?

Thank you for your question.It is best to check with your insurance company on seeing a specific physician for treatment and coverage. To be sure, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.I hope this helps.

For insurance to pay for TMJ, you have to have it by a specific type of physician, and not a dermatologist or plastic surgeon. I do not believe Medicare will pay for TMJ Botox services regardless of who does them. But be aware that physicians who bill insurances for these services bill at astronomical rates simply so they can get the same amount those of us who bill as cosmetic physicians do. Thus, I've seen some patients go to doctors for these services under insurance and pay way more than they would have if they saw a cosmetic physician... because of their copays, coinsurance, and deductible amounts."This
answer has been solicited without seeing this patient and cannot be
held as true medical advice, but only opinion. Seek in-person treatment
with a trained medical professional for appropriate care."