What documentation do insurance companies require for oral appliances. Typically with group health insurance individual underwriting isn t performed.
Most insurance providers now require authorization for in lab sleep studies and for home sleep apnea testing.
Sleep apnea covered by insurance. However the affordable care act ended that practice. Insurance coverage for mandibular advancement devices mad and other oral appliances may differ from that of cpap machines. However coverage varies from plan to plan and so do authorization requirements.
Call the sleep doctors at koala center for sleep and tmj disorders at 855 977 0400 to find out if your health insurance plan covers sleep apnea dental appliance. The level of coverage however is dependent on your own personal policy. The health and safety of our employees patients customers and communities is our top priority.
Previously an insurer could deny your claim if you had a pre existing condition. Inspire is covered by most major insurance providers. That s why it s important for physicians to indicate medical necessity so the patient doesn t have to go back and forth between healthcare providers in order to be tested.
We ll answer the basic questions like what will i have to pay rental vs. Read more about insurance coverage below. This can vary from one insurance plan to another or from state to state.
Health insurance and sleep apnea. In many cases health insurance will cover all or part of the costs of getting an oral appliance for sleep apnea treatment. Most sleep apnea patients who meet eligibility requirements for inspire have access to insurance coverage.
Documentation and paperwork can vary by the insurer but the minimum is a copy of the sleep study sleepiness questionnaire scores epworth sleepiness scale clinical notes from the sleep apnea screening appointment and a cpap refusal or intolerance affidavit. Sleep apnea dental appliances covered by insurance. Treatment for sleep apnea is covered by most private insurance companies.
That s an advantage if you have sleep apnea. If you have a diagnosis of sleep apnea your insurance company will probably cover the cost of your cpap or bi level pap device.
