Does TRICARE cover TMJ treatment?

Direct answer: Sometimes, and it depends on whether the treatment is medical or dental — TMJ/TMD treatment is not a covered dental benefit, but may be covered under TRICARE medical benefits when it addresses a genuine medical problem.

Applies to: All TRICARE plans · All regions

Details

Surgical treatment for intrinsic or traumatic disease of the joint — such as rheumatoid arthritis or osteoarthritis — may be covered. Non-surgical treatment for immediate pain relief may also be covered under specific criteria. Because the medical-vs-dental line determines which benefit (and which contractor) applies, talk to your TRICARE health plan contractor or the dental contractor, United Concordia, before treatment to confirm coverage and any pre-authorization requirement.

What to do next

Confirm this with your Primary Care Manager or regional contractor before scheduling — rules can vary by region and by service.