Are Botox injections for masseter clenching covered by insurance? And which type of doctor do I see for treatment?

Question

David W. Rodwell III, MD · Answer

Botox and Dysport can be extremely effective for treating myofascial pain associated with TMJ dysfunction.This is typically not covered by medical insurance.  You can call your insurance company to verify -- we all know how easy of a phone call that is ;)Usually a copy of your insurance plan benefits will have a section listing exclusions.  What I have seen is that there is usually a very specific statement excluding any TMJ treatments.As far as who to see for these treatments you have several good options.  Facial plastic surgeons such as myself usually have a background in ear, nose, and throat surgery which includes a great deal of patients with TMJ pain seen during our training.  Oral surgeons of course deal with this problem in even greater depth.  General (full body) plastic surgeons should also have the proper training and understanding of anatomy to competently treat the issue as well.

Martin Jugenburg, MD · Answer

Botox for the masseters works great for TMJ pain, clenching and it also helps with jawline slimming for a more heart shaped lower face. For your injections you would need to see a board certified plastic surgeon or a Registered nurse working under a reputable surgeon. Here in Canada, these injections are not covered by insurance companies.

Jason Emer, MD · Answer

I can't speak to insurance coverage. Yes, Botox can be used to improve masseter clenching. I recommend getting a formal evaluation with a cosmetic dermatologist. However, a maxillofacial surgeon would be best for internal muscle treatment. Best, Dr. Emer

Jessica H. Kim, MD, FAAD · Answer

Typically, botox for masseters is not covered by insurance.  As with any aesthetic procedures, I recommend consulting with a board-certified and experienced cosmetic dermatologist or plastic surgeon.

Melvin Elson, MD · Answer

Most likely insurance will not cover the cost of masseter injection and asking them sets up a red flag so they will refuse.  as to whom to see it is best to see a board certified dermatologist with experience in the use of Botox

Are Botox injections for masseter clenching covered by insurance? And which type of doctor do I see for treatment?

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Answer: Botox for masseters

Answer: Botox for masseters

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Answer: Masseter injection

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Are Botox injections for masseter clenching covered by insurance? And which type of doctor do I see for treatment?

Answers (10)

Answer: Botox for masseters

Answer: Botox for masseters

Answer: Masseter injection

Answer: Masseter injection

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Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.