TMJ & Orofacial Pain Treatment
Centers of Wisconsin Call us: 414-476-9400
Fax 414-755-4769

Financial Options

TMJ & Orofacial Pain Treatment Centers is committed to providing the highest quality of care with compassion, respect and expertise in a professional and timely manner.  In order to assist you with the investment in your treatment, we have outlined our payment policy.

We will give you an estimate of your fees and will update them as needed.

Non-Insurance Patients

If you don’t have any medical insurance or if your medical insurance doesn’t cover treatment, we offer discounted fees for all services. We do require payment for these services at the time they are being rendered.  The fees may be paid at each visit with cash, check, Visa, MasterCard, Discover or CareCredit. For more information about the discounted fees, please contact our billing office at (414) 443-9283.

Insurance Patients-Payments

We accept most major medical insurances, but we encourage all of our patients to contact their medical insurance prior to treatment to confirm benefit coverage. We do not bill any dental insurance. Co-payments and deductible payments are designed by insurance companies to enhance patient responsibility and commitment to their own healthcare. Therefore, we require patients with insurance to cover their co-pays at the time of service. Co-insurance and deductibles are part of the estimate and due at the time of the splint fit. The fees may be paid at each visit with cash, check, Visa, MasterCard, Discover,  American Express and CareCredit.

If you have insurance benefits, as a courtesy, we will contact your medical insurance prior to the start of any treatment. When we call to verify your benefits, we ask your insurancecompany all information about your policy including: deductibles, co-insurance, co-pays, maximum out of pockets and any limitations. With the information from your insurance, we will calculate an estimated out of pocket for you. Please remember that this is not a guarantee that this is all you will owe. Your final financial responsibility can only be determined by your insurance company and may be different than the estimated out of pocket.

 A complete patient registration form and/or copy of the insurance card(s) must be provided by the patient at the first appointment and updated at each additional appointment. Patients must notify our office of any changes with insurance information. It is your responsibility to know your insurance coverage, as you are ultimately responsible for the entire balance.

State-Funded Insurance or Medicare

We do not accept any state-funded insurance such as Forward Health or Badger Care. We do offer to our patients with any state-funded insurances reduced fees for any services so you can still receive the appropriate care and treatment.

Our practice is closed to Medicare; however, we do have available one provider who can see Medicare patients on a private contract basis while paying for services at a reduced fee. Patients who have Medicare Replacement Plans can be seen by one of our three other providers and we will bill your insurance for services.

If you have any questions or concerns about your insurance, please do not hesitate to contact us at (414) 443-9283. We have friendly and knowledgeable staff members in our billing office that can assist you.

Financing Treatment

Option 1: We offer in-house, interest free, payment plans which are automatically debited through your credit card or debit card on the 5th of each month.

Option 2: CareCredit has made it easy for millions of patients nationwide to get the treatment they want and need. This is a monthly payment plan offered as a separate line of credit to cover you and your family members. Approval only takes a few minutes. There are interest-free options as well as low interest extended payment plans. You can make monthly payments as low as 3% of the outstanding balance. There are no annual fees or pre-payment penalties. If CareCredit is your option, you can begin any treatment immediately and spread payments out over time. See complete details below or contact our qualified Patient Account Representative for details.

The cost of treatment may be tax deductible and qualify under a cafeteria plan or medical savings account through your place of employment. See your Human Resources Representative for details.

CareCredit offers a full range of No Interest and Extended Payment Plans for treatment fees from $1 to over $25,000.

With CareCredit, you pay no up-front costs, no pre-payment penalties and no fees. Plus, CareCredit is a revolving credit line for additional treatment or add-on charges, without the need to re-apply. It only takes a few minutes to apply for CareCredit and you may receive an online decision in seconds! Apply now or see our staff for more details.

Medical Insurance & Financing - Frequently Asked Questions

Do I need a referral to be seen?
Some insurance policies require that you have a referral from your primary care physician to be seen at our office.  We encourage our patients to contact their insurance company prior to their initial consult to see if a referral is required.  However, we do know that patients with the following policies require a referral:  United Healthcare Navigate, United Healthcare Compass, Tricare and Dean Healthcare.
What treatment is included in my estimated out of pocket?  How will I know what my estimated out of pocket is?
The typical treatment recommended by our doctors includes patients being treated with an oral appliance for TMJ which is what is included in the estimated out of pocket.  Treatment will vary dependent on patient, which is why we have a designated patient financial counselor that works with all patients who need treatment for TMJ & Orofacial Pain.  You should receive a phone call from our patient financial counselor, Michelle, to discuss your estimated out of pocket after your initial consultation.  We also have representatives available in our billing office that can assist with any questions you may have regarding your account.
What other treatment may be recommended by my doctor?
After your initial consultation with your doctor, he/she will create an individualized treatment plan for you.  In addition to the treatment of the oral appliance, your doctor may also recommend diagnostic imaging, physical therapy and/or treatment by one of our Physical Medicine doctors.  These services are not calculated in your estimated out of pocket.
What happens after I pick up my oral appliance?
Your doctor will ask that you return for office visits after the oral appliance has been fitted for proper adjustment and maintenance.  As you progress with treatment of the oral appliance, it is imperative that you see your doctor as he/she has recommended.  The typical length of treatment with the appliance is 8-12 months, dependent on how well you respond to treatment.  If for some reason you choose not to return for office visits, we ask you discontinue use of the oral appliance.  These follow-up office visits are a separate charge and are not included in the estimated out of pocket.
What happens if I lose my appliance or if it breaks?
If you lose your appliance, we will verify benefits with your insurance policy to see if there is coverage for a replacement.  Most insurance companies will cover one appliance per benefit year.  If we find you do not have coverage for a replacement appliance or if you need your appliance repaired, we offer discounted fees to patients (which are not billable to insurance).

If you have any further questions or concerns that you would like answered, please contact our billing office at (414) 443-9283.

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Central Center

2626 N Wauwatosa Ave.
Suite #101
Wauwatosa, WI 53226
TMJ Orofacial Pain Treatment Centers of Wisconsin - Wauwatosa

Waukesha Center

2727 N. Grandview Blvd.
Suite #100
Waukesha, WI 53188
TMJ Orofacial Pain Treatment Centers of Wisconsin - Waukesha

Kenosha/Racine Center

6211 Durand Ave.
Suite #202
Racine, WI 53406
TMJ Orofacial Pain Treatment Centers of Wisconsin - Racine

Appleton/Green Bay Center

W3124 Van Roy Road
Appleton, WI 54915
TMJ Orofacial Pain Treatment Centers of Wisconsin - Appleton

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