And chances are also good that your doctor will only recommend therapy that your insurance provider will cover. So, does insurance cover sleep apnea therapy? Chances are good that, if you’ve been diagnosed with a form of sleep apnea, your condition is considered medically necessary enough to be covered. Since a dentist specializing in sleep medicine will fit your sleep apnea oral appliance, this means you’ll have to work with both your dentist and your medical insurance coverage provider to figure out what level of coverage you’re eligible for. Typically, oral treatments will be covered by your medical insurance, and not by your dental insurance. Oral appliances for sleep apnea are also generally covered by insurance, but this area can get a little complicated. “Deductibles and copayments may apply depending on whether or not you have a secondary insurance.” “Supplies are covered separately, and the amount of coverage varies by state,” Dr. The EMA is highly effective due to its ability to be customized. EMAs have been used to successfully treat patients’ snoring and obstructive sleep apnea for more than 20 years. Emsellem, director of the Center for Sleep and Wake Disorders. The Myerson Elastic Mandibular Advancement (EMA®) is an innovative oral appliance that moves the mandible forward and opens the bite to increase airflow during sleep. CPAP is “considered to be durable medical equipment,” writes Dr. Since CPAP is the most common form of sleep apnea therapy, it’s generally covered by most insurance policies. Sleep apnea insurance coverage for CPAP therapy It’s common for insurance providers to only offer coverage for major sleep apnea therapy like surgery in the case that less extreme treatment options, like CPAP and oral sleep apnea appliances, have been tried and proven to be ineffective. There are a variety of different treatment options, ranging from simple weight loss to advanced surgery, but the most common is continuous positive airway pressure therapy, or CPAP. The type of sleep apnea therapy your physician has prescribed is also a factor in whether you’ll receive insurance coverage.
So, the fastest, most direct way to answer these questions and find out whether your insurance covers sleep apnea is to call and ask your provider, using the number on your insurance card. Whether or not you’ll receive sleep apnea insurance coverage depends on your insurance provider’s specific policies, your geographic location and your exact sleep apnea treatment prescription. And – good news! – the short answer is yes. Does insurance cover sleep apnea therapy? If you’re diagnosed with sleep apnea, or suspect you may soon be, that’s one of the first questions you’ll probably ask.
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