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Are sleep apnea appliances covered by medical insurance?

Are sleep apnea appliances covered by medical insurance?

We Are In Network with Your Medical Insurance!

We understand concerns about cost may impact your decision to seek sleep apnea treatment. We are in network with several medical insurance carriers and will do everything we can to maximize your benefits so you can get the critical care you need.

A few of the insurance carriers that we are contracted with include: Aetna, BlueCross Federal, Cigna, Humana, Premera, TriCare, and United Healthcare. 

Is your carrier not listed or do you want to verify what your out-of-pocket cost will be for oral sleep therapy? Please reach out! As a courtesy, we're happy to contact your insurance carrier to verify your policy details to determine if your sleep apnea appliance is a covered benefit. We will also verify if your insurance carrier requires documentation that other treatments were ineffective before approving coverage. We will also assist you by working with your physician and carrier to ensure the correct documentation is received to process your claims. 

Since sleep apnea is a medical condition that can lead to serious health issues like high blood pressure, heart disease, and stroke, many insurers categorize its treatment as medically necessary. As a result, appliances and devices designed to treat sleep apnea by keeping the airway open during sleep often qualify for coverage under medical, not dental, insurance. Of course, it is important to note that coverage can vary among different insurers and plans.

Common Sleep Apnea Appliances

Among the most popular and effective devices and appliances for treating sleep apnea are:

  • Continuous Positive Airway Pressure (CPAP) machines Keep the airways open by delivering a constant stream of air through a mask worn during sleep.
  • Mandibular Advancement Devices (MAD)—This is the most common oral appliance for treating sleep apnea. It gently moves the lower jaw forward during sleep to keep the airway open.
  • Tongue Retaining Devices (TRD) — Hold the tongue in a forward position, preventing it from collapsing back into the throat and blocking the airway.
  • Hybrid oral appliances — Devices combining the functions of MADs and TRDs adjust both the jaw and the tongue to optimize airflow and prevent obstructions.

Some policies include out-of-pocket costs such as deductibles or co-pays. Check with your insurance provider to understand your specific coverage options and any necessary pre-approvals.

Precisely Delivering Oral Sleep Appliances in Camas, WA

If you’re looking for a dentist in Camas, WA, to assess your risk for obstructive sleep apnea and expertly guide you through the treatment process, contact Dr. Demian Woyciehowsky and the excellent Camas Dentistry team to schedule a consultation!

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