Are sleep apnea treatment covered by insurance?
Doctors Answers (10)
Treatment for sleep apnea is covered by most private insurance companies. The level of coverage, however, is dependent on your own personal policy.
Yes, almost all insurances cover diagnosis and therapy. Although, I've heard of some rare student insurances that don't.
Generally all sleep studies are covered by health insurance. Please check with your coverage if they have any applicable deductibles or co-insurance.
In my experience, most medical insurances cover mandibular advancement appliances, or MAD's. I request a prescription or request from the referring medical doctor. What you need to know is what percentage and what the usual and customary fee they allow. Also, is the dentist participating or non-participating with the insurance company or are they fee for service, and can they help you file to get reimbursed from your insurance company? At my practice, I have a letter with diagnostic codes and treatment codes that I give the client, so that they can call to verify coverage, (called a pre-estimate of benefits). I am not in-network with Medicare (as a durable medical equipment provider), therefore most medical insurances that are secondary, once the client is eligible for Medicare, won't cover the cost share because the primary, Medicare, won't pay an out of network provider. I have medical billing software and we help the client file for reimbursement, our success varies with the policy. Thank you for your question, please feel free to dialogue more, should you have any more questions!
This question's replay varies from your contract with the insurance company. The easiest way to find out is to call your insurance company and ask.
Yes, sleep apnea treatments are covered by insurance.
Each patient's insurance coverage is different so our staff calls each insurance company and obtains benefits and coverage information specific to the test being ordered by the physician. In general, however, most plans DO cover sleep apnea testing and treatment
Yes, insurance does help cover sleep apnea treatment. Every plan is different and our staff can help spell out what your out of pocket costs might look like if there any.
It depends, some of the surgical treatments are covered by certain carriers. We have to look at each case separately and once the doctors has determined the best course of treatment for your condition we will contact your carrier to check benefits.
Yes. Most insurances cover sleep disorder testing and treatment. As a courtesy to our patients, we verify the insurance information prior to appointments.