TSGLI Standards for Facial Reconstruction

TSGLI Standards for Facial Reconstruction

What are the TSGLI Standards for Facial Reconstruction?

We cover the TSGLI Standards for Facial Reconstruction in this article.

Facial Reconstruction is considered in the TSGLI Standards as:

reconstructive surgery to correct traumatic avulsions of the face or jaw that cause discontinuity defects.

The medical definition of avulsion is a tearing away of a body part accidentally or surgically.

If a member suffers a severe maxillofacial injury, and undergoes surgery to correct traumatic avulsions (i.e. separation, detachment or tear) of the face or jaw that cause discontinuity defects, the member may be eligible for a TSGLI benefit for facial reconstruction.

A surgeon must certify that the surgery was to correct discontinuity loss to one or more of the following facial areas:

facialRegions

  • the upper or lower jaw
  • 50% or more of the cartilaginous nose
  • 50% or more of the upper or lower lip
  • 30% or more of the left or right periorbita
  • 50% or more of any of the following facial subunits:
    • forehead
    • left or right temple
    • the left or right zygomatic
    • left or right mandibular
    • the left or right infraorbital
    • and the chin

 

The benefits vary depending of the region of the face.

Jaw

  • Benefits are paid for surgery to correct discontinuity loss of the upper or lower jaw

$75,000

Nose

  • Also paid benefits are any surgery to correct discontinuity loss of 50% or more of the cartilaginous nose

$50,000

Lips

  •  Veterans are paid benefits for surgery to correct discontinuity loss of 50% or more of the upper or lower lip

$50,000 for one lip

$75,000 for both lips

Eyes

  • As well as a surgery to correct discontinuity loss of 30% or more of the periorbita (whole area surrounding the eye socket, including the surrounding eye tissue).

$25,000 for each eye

Facial Tissue

  • Additionally, a surgery to correct discontinuity loss of the tissue in 50% or more of any of the following facial subunits: forehead, temple, zygomatic, mandibular, infraorbital or chin.

$25,000 for each facial subunit

Injuries listed under facial reconstruction may be combined with each other, but the maximum benefit for facial reconstruction may not exceed $75,000.

Many TSGLI claims are initially denied.  Contact the Law Office of Peter S. Cameron at 800-861-7262  for legal advice and help with filing your TSGLI claim.  If you prefer, simply submit our secure online form for a prompt reply.  Because we are here to help you.

This article is for educational and marketing purposes only.  Consequently, it does not create an attorney-client relationship.