Show Information About Insurance Coverage for Oral Appliances INSURANCE COVERAGE FOR ORAL APPLIANCES Dr. Braga works closely with Sleep Medicine Physician Specialists and Medical Sleep Labs to verify and document that you suffering from Sleep Apnea, to what degree and document the medical necessity for the treatment. At the completion of this procedure the Diplomate Sleep Physician provides Dr. Braga with the necessary prescription for the oral appliance. STANDARDS OF CARE – Prefer oral appliances to CPAP FEE ARRANGEMENTS MEDICARE
COVERAGE FINANCING ANSWERS TO COMMON QUESTIONS – Is a Dentist the only medical professional licensed to provide oral appliances to treat Obstructive Sleep Apnea? Yes. Other medical professionals are not licensed to perform this service. Internet devices to treat snoring can mask a serious sleep disturbance problem, cause TMJ (Joint) problems and negatively alter you occlusion (Bite). –How will I know what my treatment will cost and how much my insurance company will pay? Patients normally begin treatment with a consultation conducted by Dr. Braga. If you provide us with your insurance information prior to your appointment our office can contact your insurance company before your arrival. You will then have an very accurate picture of what your insurance will cover and what your out-of-pocket expenses will be. –Will my dental insurance pay for sleep apnea treatment? Insurance coverage for sleep apnea is covered by your medical plan. Dental insurances do not cover any of your treatment for Sleep Apnea. –Do insurance comapnies normally cover oral appliance therapy for sleep apnea? Yes. Virtually all medical insurance companies cover oral appliance therapy for treatment of Obstructive Sleep Apnea. However if your diagnosis is Primary Snoring and not Obstructive Sleep Apnea no insurance, medial or dental, will pay for your treatment. If I don’t have sleep apnea but I snore will an insurance company cover my treatment costs? Unfortunately, snoring is viewed as a benign condition by the medical community and therefoe insurance companies do not cover treatment for snoring only. However, if snoring is one of the symptoms of your Obstructive Sleep Apnea your insurance will cover treatment and in a large number of cases treating Sleep Apnea will greatly reduce your snoring and in some cases eliminate it. –Do most insurance companies have providers (Dentists) in their medical network for oral appliance therapy? No most insurance companies do not have specific medical in-network dentists providing treatment. Only dentists are licensed to provide oral appliance but be sure to ask questions about credentials. Questions such as, ‘How long have you provided this service?, How many patients have you treated?, What specific training do you have in the treatment of sleep apnea? are important to the ensuring that you are getting appropriate care. –Can I still be treated by Dr. Braga and get coverage for my treatment even if she is not a provider in my insurance network? Yes. If there is an in-network provider you can still see us and receive your out-of-network benefits. –Is Dr. Braga an In-Network Provider for any insurance companies? Yes. This office is an in-network provider for BlueCrossBlueShield, HealthPartners, Medica and PreferredOne. Cahill Dental Care is also an authorized Medicare DMEPOS — an Medicare approved supplier of custom made dental devices to treat Sleep Apnea. What is the average cost of an oral appliance for sleep apnea?Oral Appliance Costs
Mouthpieces and other oral appliances can help treat mild to moderate sleep apnea and snoring. The average cost for a sleep apnea mouth guard ranges from $1,800 to $2,000. This includes the appliance, dental visits, and follow-ups. Many health insurance companies will cover the expense.
Which oral appliance is best for sleep apnea?What is the Most Effective Oral Appliance for Sleep Apnea?. Elastomeric Sleep Appliance. ... . Tongue Stabilizing Device. ... . Mandibular Inclined Repositioning Appliance. ... . Medical, Dental Sleep Appliance. ... . Full Breath Appliance. ... . Lamberg Sleep Well Device. ... . Oral Pressure Appliance. ... . Is a mouth guard considered durable medical equipment?Most health insurance plans categorize oral appliances for OSA as medical equipment, so reimbursement is typically under the coverage for Durable Medical Equipment (DME).
Which is more effective CPAP or oral appliance?Both CPAP and oral appliances have been used for the treatment of obstructive sleep apnea. CPAP is more effective at reducing the apnea-hypopnea index, but oral appliances are better tolerated.
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