Insurance
Does Insurance Cover Oral Appliance Therapy?
Obstructive sleep apnea can significantly compromise the quality of sleep, lead to daytime sleepiness, increase blood pressure, and even trigger mood disorders. At Sleep Better Philly, we prioritize making oral appliance therapy access convenient and affordable. This treatment is recognized within the medical community as an effective treatment option for sleep apnea, but does medical insurance cover it?
Is Oral Appliance Therapy Included in Insurance Coverage?
Insurance coverage for Oral Appliance Therapy (OAT) as a treatment for sleep apnea can differ considerably based on the specifics of your policy and your insurance provider. Many insurance providers might cover some or all of the costs of an oral appliance, provided it is deemed necessary medically by a licensed physician.
However, this coverage often depends on various factors, such as your individual insurance plan and if your annual deductible is fulfilled. Some insurance companies not participating might not provide coverage for OAT unless a reimbursement form is duly completed.
We accept the following types of insurance:
- Blue Cross Blue Shield
- MetLife
- Aetna
- Cigna
- Medicare
Remember, having medical insurance isn’t necessary to use our services. You can choose to buy our tailor-made oral therapy devices and take home sleep examinations directly by using one of our easily adaptable payment options for sleep apnea.
Does Insurance Provide Coverage for Sleep Studies?
Under most insurance plans, tests related to medical conditions such as sleep apnea are considered essential and, therefore, covered. This includes sleep studies or polysomnograms needed to diagnose the condition. However, it’s advisable to check with your insurance provider as coverage may vary depending on your specific plan and the requirements of these tests. Some insurers may require preauthorization.
In general, coverage for sleep studies is common because it allows healthcare providers to identify and begin treatment for potentially serious disorders, preventing more intensive and expensive treatment.
What Are the Requirements of My Insurance to Cover Oral Appliances?
Written Prescription for Oral Appliance Therapy
Like any other medical treatment, oral appliance therapy for sleep apnea requires a written prescription from your doctor or dentist for custom sleep appliances. The prescription serves as approval and confirmation that the success of treating sleep apnea with an oral apparatus is necessary.
Sleep Study
If requested by your medical insurer, a sleep study conducted by a sleep doctor can be an essential piece of evidence showing that oral appliance therapy helps. Performing this study in an advanced dental sleep treatment center is highly recommended, contributing to successful billing practices for sleep apnea treatments.
Start Your Journey to Healthier Sleep
Call Sleep Better Philly Today
At Sleep Better Philly, we’re dedicated to offering convenient, effective sleep apnea treatment to all patients. If you’re uncertain about your insurance coverage, give us a call today. We’re here to navigate the often complex world of medical insurance claims, medical insurance billing, and insurance policies with you.
Whether it’s custom mouthpieces, mandibular advancement devices, or comprehensive oral sleep apnea appliances, we’re equipped to make your journey to better sleep smoother.
Talk to us today at (215) 918-7890 for your obstructive sleep apnea solution.