There is an elephant in the room and it is medical insurance. We all have to deal with it when we go to the doctor, but one question remains. Can medical insurance be used to cover sleep apnea treatment? The short answer is, yes.
Let’s learn more about how this works.
Medical insurance and sleep apnea treatment
If you are diagnosed with sleep apnea, or suspect you might soon be, it is good to know what is covered and what is not. This all depends on your insurance provider’s specific policy, geographic location and your exact sleep apnea treatment. Ultimately, the best way to find out what is covered and what is not is to call your insurance provider directly. They will be able to provide more details than we can.
In the meantime, though, here is what we know. The type of sleep apnea therapy you are prescribed plays a key role. There are different treatment options available including simple weight loss and advanced surgery. However, the most common are continuous positive airway pressure therapy and oral appliance therapy.
CPAP therapy is generally covered by most insurance policies and is considered to be durable medical equipment. But supplies are covered separately and the amount of coverage will vary by state. Deductibles and copays will also factor in.
For oral appliance therapy, insurance will often cover this treatment option as well, but it can get complicated. Oral treatments are covered by your medical insurance but not your dental insurance. And since dentists specializing in sleep medicine will fit your oral appliance, this means you have to work with both your dentist and your medical insurance coverage provider to figure out what level of coverage you’re eligible for.
Contact us at AZ Sleep & TMJ Solutions to learn more about sleep apnea treatment and if your insurance will cover this therapy.