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Provider Manual

Temporomandibular Disorder

Last Updated on August 28, 2018

Coverage is available for services provided by Security Health Plan affiliated providers. Coverage of nonsurgical treatment includes:

  • Examinations 
  • Diagnostic imaging 
  • Physical therapy 
  • Splint therapy 
  • Medications (covered only if the member has a prescribed drug benefit) 
  • Psychotherapy (covered per the member’s mental health benefit) 

Nonsurgical and surgical treatment for TMD must be prior authorized. Requests must be submitted to: Security Health Plan Claims Department, P.O. Box 8000, Marshfield, WI 54449-8000.