{"id":6,"date":"2019-01-07T17:00:43","date_gmt":"2019-01-07T17:00:43","guid":{"rendered":"https:\/\/www.sleepsnoringtmj.com\/blog\/?p=6"},"modified":"2019-03-04T18:17:25","modified_gmt":"2019-03-04T18:17:25","slug":"sleep-apnea-insurance-coverage-need-to-know","status":"publish","type":"post","link":"https:\/\/www.fortworthsnoringandsleepcenter.com\/blog\/2019\/01\/07\/sleep-apnea-insurance-coverage-need-to-know\/","title":{"rendered":"Sleep Apnea Insurance Coverage: What You Need to Know"},"content":{"rendered":"\n
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Considering the fact that sleep apnea is a silent epidemic\nin the United States, there is no better time than now to get the treatment you\nneed. The dangers of untreated obstructive sleep apnea include heart attack,\nstroke, diabetes, and many other complications. Of course, the question of\npaying for certain aspects of treatment, including the devices necessary to\ncurb sleep apnea and the studies to diagnose it all come at a price. Before you\nset out for treatment, it\u2019s worth taking the time to learn how your insurance\ncan lower your overall costs. Here\u2019s what sleep apnea\ninsurance coverage<\/a> generally looks like.<\/p>\n\n\n\n\n\n\n\n

Does Insurance Cover Sleep Apnea Treatment?<\/h2>\n\n\n\n

For the most part, insurance companies will cover sleep\napnea treatment because it is considered to be a chronic condition. It\u2019s also\nconsidered to be a pre-existing condition, and the Affordable Care Act protects\nindividuals against insurance policies that would otherwise reject their claims\nfor reimbursement. However, patients will still need to pick up their\ndeductible and co-pay based on the details of their insurance plans. The best\nway to confirm this total is by contacting the insurance company directly or\nallowing your sleep physician to help verify your benefits.<\/p>\n\n\n\n

Government-paid plans like Medicare and Medicaid also cover\ncertain aspects of treatment, both for sleep studies and dedicated machines to\nimprove air flow. At the end of the day, it is essential that your doctor\nindicates the medical necessity of sleep apnea treatment so that you aren\u2019t\nconstantly being asked for authorization.<\/p>\n\n\n\n

Paying for Sleep Studies<\/h2>\n\n\n\n

If you\u2019re still trying to achieve a concrete diagnosis for\nyour sleep apnea, you\u2019ll need to start thinking about how you\u2019ll receive the\ntest. The two most common methods include at-home and in-lab testing, both\nhaving their own pros and cons. It is true that at-home testing is a cheaper\nalternative, but those with more complicated sleep conditions may not be able\nto use home-testing for the most comprehensive results.<\/p>\n\n\n\n

With that said, most insurances will provide payment for a\nmedically-indicated sleep study. Even though traditional studies are done in a lab,\ninsurance companies are increasingly covering at-home studies to diagnose\nconditions like obstructive sleep apnea.<\/p>\n\n\n\n

Paying for Sleep Apnea Treatment<\/h2>\n\n\n\n

To make sure that your health insurance covers costs,\nwhether it\u2019s with a private entity or Medicare, it\u2019s important that you meet\nall the necessary criteria to do so. This means obtaining at the very least the\nfollowing:<\/p>\n\n\n\n