Are sleep apnea treatments covered by insurance?

This question was asked in Minneapolis, Minnesota on 03/07/2013.
Are sleep apnea treatment covered by insurance?

Doctors Answers (10)

Jana P. Kaimal, MD, FCCP
Answered on: 4/5/2013 7

Treatment for sleep apnea is covered by most private insurance companies. The level of coverage, however, is dependent on your own personal policy.

Daron Scherr, MD, DABSM
Answered on: 4/5/2013 1

Yes, almost all insurances cover diagnosis and therapy. Although, I've heard of some rare student insurances that don't.

Vector Sleep Diagnostics Center
Answered on: 3/11/2013

Generally all sleep studies are covered by health insurance. Please check with your coverage if they have any applicable deductibles or co-insurance.

Susan M. Welch
Answered on: 3/7/2013 1

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!

Timothy J. Delcambre, DDS, MHA
Answered on: 3/7/2013 1

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.

Jeannine Louise Gingras, MD
Answered on: 3/7/2013 1

Yes, sleep apnea treatments are covered by insurance.

Robert C. Jones, M.D.
Answered on: 3/7/2013 1

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

Courtney Whitney, DO
Answered on: 3/7/2013 1

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.

Ramie A. Tritt, M.D., FRCSC
Answered on: 3/7/2013 1

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.

SomnoDiagnostics, Inc.
Answered on: 3/7/2013 1

Yes. Most insurances cover sleep disorder testing and treatment. As a courtesy to our patients, we verify the insurance information prior to appointments.