How to Use Your Health Insurance to Cover Sleep Apnea Treatment with an Oral Appliance
  • 380
  • 60

How to Use Your Health Insurance to Cover Sleep Apnea Treatment with an Oral Appliance

It’s good news when you’ve found a solution for a restful and healthy night’s sleep. It’s equally good when you discover that your oral sleep appliance can be covered by your health insurance.

To clarify, most dental plans will not reimburse you for sleep apnea treatment. But before you panic, medical insurance can provide a reimbursement.

The key is in the diagnosis

Your dentist can bill your medical coverage for the appliance. Billing changes and applying specific tips can assist with the process.

Again, it’s all about diagnosing your condition and applying the proper coding when billing. Here’s how this applies to us, as your dentist:

”According to the International Classification of Disease, the medical diagnosis of OSA should be coded as ICD 327.23. This ICD code applies to child or adult OSA when diagnosed by a laboratory or home overnight sleep study and interpreted by a sleep physician. A copy of the sleep study should be sent to the medical insurer with your office notes and a letter of medical necessity or written order from a physician. Medical histories should document high blood pressure, daytime sleepiness, cognitive or mood disorders, heart disease, and other consequences of sleep apnea.” [1]

Getting the most from your medical insurance

It’s common for medical policies to cover oral appliances. Medicare made this possible in 2011. And since then, medical plans have improved their coverage allowances for FDA approved oral devices.

To assure that coverage is available, begin by carefully checking your benefits. Do this by phone or request a pre-authorization.

And we’re happy to assist if you have any related questions.

Oral appliances are considered “durable medical equipment (DME).” This gives reason for them to be included under your medical coverage following a necessary diagnosis.

And if you qualify for Medicare…

Approved oral appliances for obstructive sleep apnea are covered. You must meet certain criteria such as:

  •               A visit to your physician prior to treatment using an oral appliance
  •               A reimbursement that requires your dentist be enrolled as a Durable Medical Equipment (DME) supplier
  •               Noting that a DME supplier cannot order a sleep test according to your Medicare benefits

What about sleep studies?

It’s also common for a comprehensive health insurance plan to cover a home or laboratory sleep study. Some insurance companies even require a home study rather than a lab study in order to receive a reimbursement.

This requirement reduces the insurance company’s costs if sleep apnea is possible as a diagnosis. Your co-payment will also be reduced if this applies to you.

Plus, you can expect a more comfortable experience by having a home sleep study. And a diagnosis can be more acceptable as well under those conditions.

Improve your sleep quality and eliminate your health risks

Your sleep study helps confirm the necessary diagnosis that allows for insurance coverage. It opens the door to alternative sleep therapy using an oral appliance instead of the traditional CPAP technology.

Sleep dentistry utilizing a custom-designed oral appliance is more comfortable and convenient.

  •               Experience uninterrupted breathing
  •               Reduce or eliminate the health risks associated with sleep apnea
  •               Sleep more restfully

Contact your St. Petersburg Cosmetic Dentistry Specialist, Dr. Roberto Macedo, DDS, MS, PhD. about your sleep related problems, including sleep apnea. Schedule your initial consultation to discuss sleep dentistry as a solution and how your treatment could be covered by your medical insurance.

[1]              https://www.dentaleconomics.com/articles/print/volume-104/issue-11/features/medical-billing-for-snoring-and-sleep-apnea-appliance-therapy.html

60 Comments

  1. Crysta Romaniak
    August 28, 2019 at 1:15 pm

    Hey There. I found your blog using msn. This is a really well written article. I will make sure to bookmark it and come back to read more of your useful info. Thanks for the post. I will definitely comeback.|

    http://www.filedropper.com/avgultimatekey2017pnnnv

    • betomacedo
      January 26, 2020 at 5:01 pm

      thanks

  2. Fernando Kiel
    August 29, 2019 at 7:17 am

    Hello! This is my first visit to your blog! We are a team of volunteers and starting a new project in a community in the same niche. Your blog provided us valuable information to work on. You have done a extraordinary job!|

    https://adairdixon70.hatenablog.com/entry/2019/04/14/231711

    • betomacedo
      January 26, 2020 at 5:00 pm

      Thank you a lot for reaching out!!

      If you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find and follow us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo).

      I hope to see you there as well!!!
      Thanks again

  3. Mayra Coop
    August 29, 2019 at 7:22 am

    Way cool! Some very valid points! I appreciate you penning this post and the rest of the website is very good.|

    https://justpaste.it/7rq66

    • betomacedo
      August 29, 2019 at 2:03 pm

      Thank you so much for your comments!!!

  4. eebest8 fiverr
    October 6, 2019 at 2:25 am

    “F*ckin’ remarkable issues here. I’m very satisfied to look your post. Thanks a lot and i am looking forward to touch you. Will you please drop me a mail?”

    http://fiverr.com/eebest8

    • betomacedo
      January 26, 2020 at 4:58 pm

      Thank you a lot for reaching out!!
      If you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find and follow us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo).
      I hope to see you there as well!!!
      Thanks again

    • betomacedo
      January 26, 2020 at 4:57 pm

      Absolutely and thank you a lot for reaching out!!
      If you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find and follow us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo).

      I hope to see you there as well!!!

      Thanks again

  5. Adria Hoock
    October 22, 2019 at 12:47 am

    I believe this is among the so much important info for me. And i am happy studying your article. However want to commentary on few normal issues, The web site style is wonderful, the articles is really great : D. Excellent job, cheers|

    https://speakerdeck.com/erichsenrhodes82

    • betomacedo
      January 26, 2020 at 4:56 pm

      Thank you a lot for reaching out!!
      If you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find and follow us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo).
      I hope to see you there as well!!!
      Thanks again

    • betomacedo
      January 26, 2020 at 4:56 pm

      Thank you very much

    • betomacedo
      January 26, 2020 at 4:55 pm

      Thank you a lot for reaching out and bookmarking our page!!
      If you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find and follow us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo).
      I hope to see you there as well!!!
      Thanks again

  6. Elidia Carcano
    October 24, 2019 at 12:22 pm

    Thank you for the auspicious writeup. It if truth be told used to be a entertainment account it. Glance complicated to far added agreeable from you! However, how could we keep in touch?|

    https://unsplash.com/@smedegaardbarton02

    • betomacedo
      January 26, 2020 at 4:55 pm

      Thank you a lot for reaching out!!
      If you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find and follow us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo).
      I hope to see you there as well!!!
      Thanks again

  7. Myrl Southard
    October 27, 2019 at 7:45 am

    I am really enjoying the theme/design of your weblog. Do you ever run into any browser compatibility issues? A small number of my blog visitors have complained about my blog not operating correctly in Explorer but looks great in Chrome. Do you have any advice to help fix this problem?|

    https://www.inventables.com/users/dorseyrodriquez0274

    • betomacedo
      January 26, 2020 at 4:54 pm

      Thanks a bunch!!!

    • betomacedo
      January 26, 2020 at 4:54 pm

      Cool!!!
      Thank you a lot for reaching out!!
      If you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find and follow us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo). I hope to see you there as well!!! Thanks again

  8. Bethel Bendt
    October 29, 2019 at 5:39 pm

    Hello there, just became aware of your blog through Google, and found that it’s really informative. I’m gonna watch out for brussels. I’ll be grateful if you continue this in future. Lots of people will be benefited from your writing. Cheers!|

    https://knowyourmeme.com/users/bjerrumskou2/

    • betomacedo
      January 26, 2020 at 4:53 pm

      Thank you a lot for reaching out and sharing our website!!
      If you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find and follow us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo). I hope to see you there as well!!! Thanks again

    • betomacedo
      November 27, 2019 at 2:11 pm

      Thank you and it is good to know we help you in some way or form

  9. Will Konopka
    November 2, 2019 at 1:47 am

    Hello There. I discovered your blog the usage of msn. This is a very neatly written article. I’ll be sure to bookmark it and come back to learn more of your helpful information. Thank you for the post. I will certainly comeback.|

    http://www.fetchsocial.net/members/loftholman1/activity/13460/

    • betomacedo
      November 27, 2019 at 2:11 pm

      Thank you so much, if you are interested in having more interesting info, please fell free to follow us on FB and Instagram. Best regards

    • betomacedo
      November 27, 2019 at 2:10 pm

      Great!!!!! We are here for you.

  10. Christie Romon
    November 3, 2019 at 1:38 am

    Have you ever considered about including a little bit more than just your articles? I mean, what you say is important and all. But think about if you added some great pictures or video clips to give your posts more, “pop”! Your content is excellent but with pics and video clips, this site could certainly be one of the greatest in its field. Very good blog!|

    https://www.scribd.com/

    • betomacedo
      November 27, 2019 at 2:09 pm

      Thank you, if you are interested in having more interesting info, please follow us on FB and Instagram. Best regards

    • betomacedo
      November 27, 2019 at 12:44 pm

      Thanks a bunch

    • betomacedo
      November 27, 2019 at 12:43 pm

      Thanks, that is why we are here for.

    • betomacedo
      November 27, 2019 at 12:38 pm

      Thank you so much!!!

    • betomacedo
      November 27, 2019 at 12:38 pm

      Thanks

  11. Tyree Picht
    November 28, 2019 at 6:25 am

    Well I really liked reading it. This post offered by you is very useful for proper planning.

    http://www.oprolevorter.com/

    • betomacedo
      December 10, 2019 at 12:39 am

      Thanks we are here to help.

  12. Abraham Muschaweck
    December 3, 2019 at 5:11 pm

    Hi there! This is kind of off topic but I need some help from an established blog. Is it difficult to set up your own blog? I’m not very techincal but I can figure things out pretty fast. I’m thinking about creating my own but I’m not sure where to start. Do you have any ideas or suggestions? Thanks|

    https://pastebin.com/u/hermanbullock9

    • betomacedo
      December 10, 2019 at 12:33 am

      I have help with that as well, I write the blog and I send the content to someone that manages my website. Thanks for reaching out.

  13. Janelle Cordoza
    December 4, 2019 at 3:52 pm

    Have you ever thought about writing an ebook or guest authoring on other websites? I have a blog based on the same ideas you discuss and would love to have you share some stories/information. I know my audience would appreciate your work. If you’re even remotely interested, feel free to shoot me an e-mail.|

    https://writeablog.net/hauserjohansen11/zarchiver-pro-apk-free-download-android

    • betomacedo
      December 10, 2019 at 12:26 am

      Hi Janelle, thank you for your input, I would love to write and e-book and be able to help even more people, unfortunately I am not very familiar with the process.

    • betomacedo
      December 10, 2019 at 12:27 am

      Thanks I really appreciated it!!!

  14. Ozell Hahm
    December 8, 2019 at 12:58 pm

    What i don’t realize is in truth how you’re no longer actually a lot more well-preferred than you might be now. You are so intelligent. You know therefore considerably in relation to this subject, made me in my opinion imagine it from numerous numerous angles. Its like men and women are not fascinated except it is something to accomplish with Girl gaga! Your individual stuffs nice. Always take care of it up!|

    http://kuwestions.248am.com/index.php?qa=user&qa_1=grimesandreassen9

  15. Cherilyn Wenk
    December 12, 2019 at 12:05 pm

    There are certainly a variety of particulars like that to take into consideration. That is a great point to carry up. I offer the thoughts above as general inspiration however clearly there are questions like the one you carry up the place the most important factor will be working in trustworthy good faith. I don?t know if finest practices have emerged round issues like that, but I am positive that your job is clearly identified as a fair game. Each girls and boys feel the impact of only a second’s pleasure, for the rest of their lives.

    http://www.vurtilopmer.com/

  16. Desmond Schurer
    December 14, 2019 at 10:09 am

    Excellent blog here! Also your website loads up fast! What web host are you using? Can I get your affiliate link to your host? I wish my website loaded up as fast as yours lol|

    http://ge.tt/5py4xTx2/v/0

    • betomacedo
      January 26, 2020 at 4:41 pm

      Thanks for reaching out, we use WordPress for our website.

  17. Malik Kraebel
    December 17, 2019 at 5:22 am

    Nice post. I study one thing tougher on completely different blogs everyday. It would always be stimulating to learn content from other writers and observe just a little one thing from their store. I’d desire to make use of some with the content on my blog whether or not you don’t mind. Natually I’ll offer you a hyperlink on your net blog. Thanks for sharing.

    https://thelovedaleschool.weebly.com/

  18. Kieth Paravano
    December 17, 2019 at 8:22 am

    Fantastic beat ! I wish to apprentice whilst you amend your web site, how could i subscribe for a weblog web site? The account aided me a appropriate deal. I were a little bit familiar of this your broadcast offered vibrant clear idea|

    https://www.kickstarter.com/profile/1342437964/about

    • betomacedo
      January 26, 2020 at 4:35 pm

      Hi Kieth, Thank you!! if you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find and follow us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo). I hope to see you there as well!!! Thanks again

    • betomacedo
      January 26, 2020 at 4:23 pm

      Absolutely if you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo). I hope to see you there as well!!! Thanks so much

    • betomacedo
      January 26, 2020 at 4:22 pm

      Thank you!! if you are interested in learning more about sleep apnea, cosmetic dentistry and dental implants, do not hesitate to find us on FB (RM advanced center for cosmetic dentistry; roberto macedo), Instagram (@drrobertomacedo) and twitter (@drbobmacedo). I hope to see you there as well!!! Thanks again

Add Comment

Your email address will not be published. Required fields are marked *