Does Medical Insurance Cover Sleep Apnea Therapy?

Sleep apnea is a serious medical condition; without timely treatment, your overall health and quality of life could suffer! Still, as a frugal individual, you might hold back from seeking care due to concerns about cost. You may wonder if your medical insurance will cover your sleep apnea therapy. The answer is probably yes! In this blog post, you will learn some basic information about how your benefits might apply.

Medical Insurance and Sleep Apnea: The Basics

Most medical insurance companies recognize sleep apnea as a serious health condition that can lead to complications, including heart disease and high blood pressure. As a result, policies usually cover sleep studies, consultations with sleep specialists, and recommended therapies, including custom oral appliances and CPAP machines.

It is important to check the details of your specific plan to understand what is and is not covered. Your sleep apnea care provider may be able to assist you with this, or you can review your policy documents to find out if it goes into detail about sleep apnea coverage.

Tips for Using Your Coverage

Here are some key points to keep in mind if you would like to use your insurance for sleep apnea services:

· Visit a care provider who accepts insurance. Find out if they are in your network, or if they will file claims for out-of-network benefits.

· Seek preauthorization if needed. Some insurance plans require that you obtain preauthorization before you can receive certain types of coverage.

· Find out what your out-of-pocket obligation will be. You may be responsible for a deductible, copay, or coinsurance.

What if Your Insurance Will Not Cover Your Treatment?

If your insurance denies coverage for sleep apnea therapy, do not lose hope. Ask your provider for alternative treatment options that may be more affordable or eligible for partial reimbursement.

You could also explore financing options. For example, many providers offer low-interest payment plans through services like CareCredit. The application process is easy, and most people are readily approved for an arrangement that fits in with their budget.

Also, keep in mind that even though sleep apnea treatment might seem pricey, it can actually reduce your long-term medical expenses. It is truly an investment in your well-being.

Your medical insurance will likely cover sleep apnea treatment! Learn more about your policy so you can take full advantage of it.

Meet the Practice

At Sleep Better Southwest, Dr. Held and our team are proud to provide reliable oral appliance therapy for patients in Prescott Valley, Sedona, and Flagstaff. We welcome insurance, and we are in-network with BlueCross BlueShield and Tricare. To find out more about us or to request a consultation, contact our Prescott Valley location at 928-778-4555.