Sleep apnea discussion guide

Talking to your doctor about sleep apnea

If you suspect you have sleep apnea, the next step is to see a physician, who can prescribe a sleep study to know for sure. The study is a simple, painless procedure that takes place in a dedicated facility or in your home. In order to make the most of your visit, please complete the steps below.

Sleeping with Wisp.

Checklist for preparing for your doctor visit

Take the test
1

Take the test

If you have not already done so, please take our simple 9 question Sleep Apnea Risk Test and print out the results to take to your appointment.

Take the test now
Talk to a physician
2

Talk to a physician

Contact a sleep physician in your area to schedule an appointment. You can also schedule an appointment with your primary care physician in the unlikely event that you can’t find a sleep physician in your area.

Find a sleep physician in your area
Be prepared
3

Be prepared

Discuss your sleep apnea risk test results with the physician, who will likely schedule a sleep study. Remember, a sleep study is the only way to diagnose sleep apnea.

Learn what to expect

“Be proactive. Ask your doctor about sleep apnea.”

Find the motivation you need to start treatment from others who have had success.

Watch encouraging stories

Sleep apnea has been shown to co-exist with other medical conditions, such as:

  • High blood pressure
  • Heart disease
  • Heart attack
  • Irregular heart beat
  • Stroke
  • Type 2 diabetes

Successful sleep apnea treatment can lead to a number of benefits including:

  • Increased energy and attentiveness
  • Fewer morning headaches
  • Reduced irritability
  • Improved memory
  • Increased ability to exercise
  • Lower blood pressure
  • Decreased risk of strokes and heart attacks
  • Increased effectiveness at home and at work
  • Improved overall quality of life

Talk to your doctor today about getting a sleep study. It's the first step to getting treated if you have sleep apnea, and it could help you lead a happier, healthier life.

Health insurance

Coverage for sleep studies and sleep therapy

Sleep studies

Medicare, as well as most insurance companies, will provide payment for a medically-indicated sleep study. While sleep studies have traditionally been performed in a sleep lab during an overnight stay, Medicare and many other insurance companies now also pay for in-home sleep studies used to diagnose Obstructive Sleep Apnea (OSA).

It is important to contact your insurance company to determine if they will be paying for an in-lab or in-home sleep study; and to understand any deductible or co-payment amounts that will be your responsibility to pay.

Sleep therapy

Medicare and most other insurance companies will pay for a CPAP or bi-level device and related accessories and supplies, provided that specific coverage criteria are met. Coverage criteria is documented by, but is not limited to, the following:

  • Qualifying sleep study
  • Diagnosis of OSA
  • Prescription from your treating physician detailing needed equipment and supplies
  • Physician chart notes

Your insurance company and your durable medical equipment (DME) supplier will be able to assist you in understanding what is covered, what documentation is required, and any financial responsibility you may have, such as deductibles or co-payments.