Does insurance cover Sleep Apnea Oral Appliance therapy?

Medical insurance and Medicare coverage for Sleep Apnea Oral Appliance therapy varies depending on your specific insurance plan. 

While many insurance providers do offer coverage for oral appliances as a treatment option for sleep apnea, it’s important to review your policy details to understand the extent of coverage and any requirements. 

Most insurance carriers, as well as the Dental Sleep Medicine provider, will  require a 

1) Current sleep study and 

2) A  Prescription with a referral  for Oral Appliance Therapy (OAT) from a sleep specialist and

3) An Examination to evaluate if you are a candidate for this very special procedure. 

To determine if your insurance covers Sleep Apnea Oral Appliance therapy, provide the treating Sleep Apnea Dentist’s office with a copy of your insurance card and the Dental Sleep Medicine office could contact your insurance provider directly to assist you in navigating insurance coverage.

With this information, the doctor’s office can provide guidance on YOUR treatment options based on your specific needs.

The treating dentist’s office will be able to communicate all of the findings to the insurance carrier, verify benefits, and if covered,  obtain authorization to commence treatment. 

When this process is completed, they will inform YOU of any out of pocket expenses.

About the author 

Howard Hoffman

Hi! I'm Howard J. Hoffman, D.D.S. Actually, my patients and even friends call me Doc H. You may remember hearing me talking about conscious sedation on the radio, which earned me another nickname, "Miami's original sedation dentist." I am a member of the American Academy of Physiological Medicine and Dentistry (AAPMD).

Having practiced dentistry for over 45 years and working in Sleep Apnea since 1997.

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