Need Help with your insurance?

The TMJ & Sleep Therapy Centre employs specially trained Treatment Coordinators to maximize each patients unique insurance plan.  We are committed to assisting in the process by offering up to date information in our office and our site.

We invite all patients to use this page as a resource when calling your insurance company to verify benefits prior to your visit.  If at any point in time you have a question we have not addressed, please feel free to call us at 574-203-5599 or email us and we will do our very best to answer your questions.

Your Insurance in Our Office

Daniel G. Klauer, DDS is not a participating provider with medical or dental insurance companies. As a courtesy, we would be happy to file any necessary insurance forms or documentation to assist the processing of claims. Typically, TMJ and/or sleep breathing treatments are filed with medical insurance, however; some dental plans have limited coverage for TMJ – be sure to check with your dental carrier. We feel it is important for you to understand your plan and its payment allowances.

Once Dr. Klauer has developed a diagnosis and treatment plan for you, we will send the appropriate information to your insurance company to assist with required authorizations. Please keep in mind no insurance plan covers all costs.

Most have member service representatives available to assist in understanding your plan’s specific benefits. Since Dr. Klauer is an out of network provider, your insurance company may be unwilling to provide any other information than the basic plan benefits to our office. Insurance contracts are between you the member, employer and the insurance carrier.

We will attempt to obtain as much information as we can, however; the insurance company may limit the information they provide us. Therefore, we advise you to contact the insurance carrier to obtain the plan’s specific benefit information so you can make an informed and educated decision while creating a payment arrangement.

Terms and Definitions

In-network or participating provider: The healthcare professional has a contract with your insurance company agreeing to a dollar amount for a service and adjusts the fee based on the contracted amount.

Out-of-network or non-contracted provider: The healthcare professional does not have a contract for services with the insurance company. There may be benefits available, however; the benefit is not determined until the claim is reviewed. Therefore, the insurance company is not able to provide the dollar amount for a service to an out of network provider.

HMO (Health Maintenance Organization) vs. PPO (Preferred Provider Organization) plans: With an HMO, you have benefits available only when you received services from an in-network or contracted provider. PPO plans allow benefits for both in and out-of-network providers. Occasionally, if receiving a service from an out-of-network provider or facility the benefit may be reduced but, there is still coverage of some dollar amount.

Deductible: The dollar amount that must be satisfied prior to the insurance plan making payment or reimbursement.

Co-Insurance: The percentage the member is responsible for covering after the deductible is met.

Reasonable and customary limits or allowed amounts for services: The arbitrary amount an insurance company sets as the fee for a particular product, procedure, or service. (For example: We will bill them the full fee for each service, your benefit or coverage/ payment will be based on the dollar amount they have chosen.)

Exclusions and limitations: There are times where an insurance plan or group will not provide any payment or allow any benefit for a particular diagnosis or service. Limitations are occasionally seen as a maximum amount an insurance company will allow or pay for a particular diagnosis or service. The limit can be either in the form of a dollar amount or percentage.

CPT (Current Procedural Terminology) code: The code or number that represents the service, procedure, or equipment being performed or provided on the claim form.

ICD 10 (International Classification of Diseases) – Diagnosis code: The code or number that represents why the service, procedure or equipment was done or provided.

Let Us Help!

If jaw pain, facial pain, or sleep disorders plague you, let us help! The TMJ & Sleep Therapy Centre has a treatment that will provide relief. From laser therapy and physical therapy to airway pressure machines and orthotic appliances, we will find a way to help you live your best life.

For more information, please call 574-203-5599

PATIENT TESTIMONIALS

No one tells our story better than our patients. Click below to see the people whose lives have been changed by The TMJ & Sleep Therapy Centre.

Dr. Klauer is a mentor of mine. I have tremendous respect for him and his amazing team.
Steve Russell
Steve Russell
12:14 23 Mar 20
Amazing staff who validate you as a patient and treat you with the best professional care possible! Highly recommend!
Jessica Nicole
Jessica Nicole
16:04 19 Mar 20
Thanks to Dr Klauer & his staff are so awesome. I have been a patient since 2013 when Dr Klauer was the one who was able to tell me why I was in pain for my jaw and was able to relieve my pain.
Candy Larrew
Candy Larrew
17:17 06 Mar 20
Everyone at the office is so helpful and understanding. Anytime I’ve had any issues they have asked me when I can come in that same day. I’ve never had a doctor or staff work so hard at making sure I am getting the best care and as soon as possible. I highly recommend this office and tell everyone I can about my experience with them!
Heather Hahn
Heather Hahn
13:58 25 Feb 20
The staff members were very patient and friendly during my visits as we worked through the process of alleviating my jaw pain.
Rita Kemble
Rita Kemble
21:23 24 Feb 20
Absolutely fabulous facility!! Everyone at this practice truly cares!!! You take your time and answer every question and medical concerns regardless of the concern. Your office goes out of its way to contact other medical practices to work with you even though it has nothing to do with what you are being treated for at this Practice. Everyone is soooo Professional, nice as can be, so accommodating and always with a smile!!!! Pretty great place!!! Oh, and not to mention the results I’m already feeling is priceless!!!!
Sally Bridges Schiffer
Sally Bridges Schiffer
18:46 21 Feb 20
Great staff giving great and concerned care!
Patti Walz
Patti Walz
13:58 21 Feb 20
I will recommend anyone and everyone to see Dr. Klauer and staff for help and guidance with problems they may be experiencing. I have had jaw clicking for years which developed into jaw locking. I went in for my initial appt and I left the office feeling relieved with the easy and detailed explanations of my issues. My fears of the damage that may have done due to the length of time I had these issue were completely erased! With their detailed examination and the time they spent making sure all of my questions were answered was so welcomed! I have never experienced so much attention to detail about my care and concerns in any office before like I have with Dr. Klauer’s. His staff is amazing and I look forward to my check ups to see my progress and to say HI to my new friends! They are all incredible people and I am grateful to the Doctor and staff!
Ashley Smith
Ashley Smith
18:34 17 Feb 20
Dr. Klauer is amazing. He is knowledgeable and truly cares for you as a patient.
Stephen Gillum
Stephen Gillum
23:15 14 Feb 20
Dr. Klauer is not only informative and helpful, he is also so kind and gentle. He and Kelly made my experience so easy by explaining everything in detail and making me understand exactly what I needed to better my health.
Jamie Teibel
Jamie Teibel
17:15 13 Feb 20
Dr Thomas Harter wanted me to have a comfortable and pleasant experience as well as trying to help fix my years of grinding, clenching and damage to my teeth, mouth and jaw just to mention a few of the problems he is passionate about helping me fix. He and his partner as well as their staff really want you to be able to have a better quality of life and are going to do everything they are capable of to get you to that point. Dr Harter is very knowledgeable in TMJ, mouth, jaw and sleeping problems/apnea. His partner Dr Bo Sweeny has always been there for any dental problems I have ever encountered or dental pain/discomfort that I am dealing with and has been a good big brother/friend for a long time. I trust both Dr Harter and Dr Sweeny to make sure I am helped and fixed and are both passionate about helping their patients as I have noticed in my appointments to their office!
Brian Patrick Nilon
Brian Patrick Nilon
02:46 23 Nov 19
I'm not reviewing my husband (Dr. Klauer) but the team. My mother and father have both received treatment from the team at TMJ & Sleep Therapy Centre along with my children. The team there is amazing and work extremely hard for their patients. They are all extremely empathetic and truly have a passion for what they do. I am so impressed by their skills, talents, and ability to make all who enter the doors feel loved and cared for.
Hayley Klauer
Hayley Klauer
11:50 03 Nov 19

Featured On

Dr. Klauer’s passion and expertise for treating patients with the most cutting-edge and effective care has extended to sharing these findings with the industry—making him a highly sought-after lecturer for dental professionals across the globe. Click on the button below to read some of the articles or watch a few news spots in which Dr. Klauer and his expertise have been utilized.