Some diagnostic services and treatments are ineffectual while others actually cause harm. That is why many plans exclude TMD treatments.

However, blanket exclusions can prevent appropriate care, and may lead to the eventual need for more invasive therapy. Furthermore, some exclusions have been successfully challenged in court.

It is possible to manage benefits and/or control costs for TMD by using:

• Concise plan language
• Coordinating medical and dental plans
• Selecting the best experts for second opinions