One of the most common concerns patients have about sleep apnea treatment is the overall cost involved in the process. Although traditional medical coverage usually assists in minimizing out-of-pocket expenses, it’s understandable that not everyone can enjoy these types of benefits. With countless people relying on Medicare to help them get the treatments they need and deserve, our team at GoTo Sleep Center for CPAP Alternatives is more than happy to work with these plans so that you can make the most of your policy!
What Does Medicare Cover?
Based on your particular Medicare plan, you can receive coverage for:
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Doctor appointments
: Usually, before coming to our office for your appointment, our team will require you to provide your Medicare information. This way we can easily apply your coverage, which can then reduce the amount you’ll have to pay out-of-pocket.
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Sleep studies
: If you aren’t certain if you specifically have sleep apnea or some other kind of sleeping disorder, then you’ll want to undergo a sleep study. These visits can typically determine the root cause of problems you might be experiencing while resting. If your doctor prescribes an at-home or in-lab diagnostic sleep test, Medicare can typically cover it.
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Your essential equipment
: Oral sleep appliances as well as CPAP machines are usually considered “durable medical equipment” under Medicare guidelines. This means much of their overall cost can most likely be covered by your plan.
Remember that if you have used a CPAP machine within the past five years, you might not receive coverage from Medicare for an oral sleep appliance. When looking for sleep apnea treatment, be sure to begin with an oral appliance before going for treatment with a CPAP. This is especially because most people find oral appliances to be much more comfortable compared to using a CPAP machine.
How Much Does Medicare Cover?
The specific portion of your sleep apnea treatment that will be covered by Medicare will often depend on the details of your policy. If there are difficulties understanding your plan, feel free to consult our knowledgeable staff, as we’ll be glad to help you navigate the details so you know what to expect. In many cases, patients might only pay a small amount or nothing at all out of pocket. In other instances, a person may only need to pay around 20% of the total value of their oral appliance treatment. For further assistance, our team can offer flexible financing through CareCredit, allowing you to pay for sleep apnea services through low-to-no-interest monthly installments!
Using Medicare at GoTo Sleep Center for CPAP Alternatives
Before you can make the most of your Medicare benefits, you may have to first prove the necessity of your sleep apnea treatment, as well as double-check if your provider accepts Medicare. Fortunately, our team wants to ensure that this process is as smooth as possible by handling paperwork and helping to maximize your potential benefits. We understand how Medicare applies to sleep apnea diagnosis and treatment, which allows us to lift some of the weight off your shoulders. Don’t hesitate to reach out to us to learn more about your Medicare coverage, that way you can get closer to enjoying better sleep in the long run!