Does Medical Insurance Cover Sleep Apnea Therapy?

May 3, 2024

Filed under: Uncategorized — healthsleeptul @ 7:04 pm
Woman sitting at computer, filling out health plan document

High-quality sleep is one of the pillars of good health. If you have sleep apnea, you should certainly receive treatment! Of course, you might be reluctant to seek care due to concerns about cost. Does medical insurance cover sleep apnea therapy, or will you be forced to pay everything out of pocket? This blog post explains how your health policy might relate to your treatment.

Medical Insurance and Sleep Apnea Treatment

In most cases, medical insurance does cover sleep apnea treatment. It can usually be applied to:

  • Sleep testing. Some policies cover both in-lab and at-home testing for sleep apnea.
  • Sleep apnea treatment. CPAP machines and oral appliances are classified as durable medical equipment. Therefore, insurance tends to cover them.

Some unconventional sleep apnea treatments are usually not covered by insurance, so it is always smart to check whether your policy applies to the service you are interested in.

Of course, even with coverage, you may still have some out-of-pocket expenses for your treatment. Your care provider or insurance company can help to estimate your total financial obligation.

Getting the Most Out of Your Insurance

Here are some tips to help you use your medical insurance for sleep apnea coverage:

  • Find out if you need preauthorization. Some insurance companies require that your primary care practitioner refer you for sleep apnea treatment before they will provide coverage.
  • Visit a sleep doctor who accepts your insurance. Some health plans allow you to visit any provider, while others require you to stay in-network.
  • Know your deductible, copay, and/or coinsurance. These factors can all have a bearing on how much you will need to pay for your treatment.
  • Ask for help. Many medical teams who offer sleep apnea treatment are experts at dealing with various types of health insurance. When you call to book an appointment, ask them what you should do in order to make sure you get all the benefits that you are entitled to.

Your health insurance is very likely to cover at least a portion of the cost of your sleep apnea treatment! Start learning how your policy works so you can use it to achieve more restful, rejuvenating sleep!

Meet the Practice

Healthy Sleep Tulsa is a sleep apnea treatment provider that is proud to be in-network with a number of popular insurance plans. We also welcome Medicare. If you have questions about how you can use your policy to take advantage of our services, our team will be happy to answer your questions. Contact our friendly staff at 918-409-0914.

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