The short answer, in almost all cases, is “yes.” With a diagnosis of mild or moderate sleep apnea from our board-certified sleep physician, an oral appliance can prescribed as sleep apnea treatment and would be considered a medical necessity.
Of course, coverage can vary by state, insurance provider and specific insurance plans or policies. In most cases, you will have a much higher reimbursement from your medical insurance than from a dental policy (if you have one.) Two factors will determine your coverage regarding sleep dentistry: your plan’s allowable amount for an oral appliance and your plan’s deductible, which we will determine for you during your screening. Once your screening is complete, we will be able to run a “verification of benefits” to determine what the specific costs for treatment will be for you.
If you already have a CPAP, but aren’t using it (like nearly 70% of CPAP users), we can work with your doctor to obtain documentation that you are non-compliant with CPAP treatment. In that case, your medical insurance will cover oral appliance therapy in addition to the CPAP machine you already have.
To find out if your insurance covers oral appliances or sleep dentistry, simply call our office or use our handy online form to request an oral appliance consultation in North Cleveland. If you are not sure if you are at risk for sleep apnea, take our FREE online assessment.