Are botox injections to masseter muscles (to ease TMJ pain) covered by medical insurance?

Insurance coverage for medical conditions is dependent on your own plan.  Typically this is something paid for by the patient.  Best, Dr. Emer.

Thank you for your question.I would contact your insurance company to see if your plan covers this procedure. It would be completely dependent on your individual insurance plan. Good luck.

I would contact your insurance carrier to determine what their medical policy is for the coverage of Botox.   I have had one patient that we were able to obtain coverage for injections due to his TMJ diagnosis.  Unfortunately, many carriers do not cover this service but it would be worth a phone call to them to inquire.

One can never predict what an insurance company will do. I have had many "discussions" with them over the years trying to get them to pay for thingsthey should and they should pay for this. You might try calling them first and be sure you are seeing a board certified dermatologist, plastic surgeon or dentist and not a medispa

Highly unlikely and it would be more efficient and relevant to actually get your insurance to answer that question than random doctors from around the country.

I have not been successful in getting medical insurance coverage for medical issues. Once in a while, I have been able to get Botox covered for chronic migraines.

Yes - I have seen some companies cover this treatment if its performed by a specialist, and if the specialist writes a complete report to reflect the severity of Bruxism - namely failure of splints, constant grinding, headache frequency, number of teeth broken or 'ground down', locking of jaw, speech difficulties, pain scale and frequency. I do this on almost on a daily basis, so see a specialist that does the same. Careful wording on the IMPACT of bruxism and failure of convention treatment is what normally gets you compensation PROVING YOU HAVE THE CORRECT LEVEL OF COVER. I wish you well, Dr Davin S. Lim. Brisbane. Australia. 

For the best answer to this question, get in touch with your insurance company.  They will be able to tell you what is covered, but if it is considered to not be a medical necessity it will likely not be covered.