Does Medicare Cover Inspire For Sleep Apnea
Medicare is covering inspire for those who qualify. 22 permitting use of inspire s hypoglossal nerve stimulation device in the treatment of some cases of obstructive sleep apnea potentially removing a barrier to the use of the product.
Visit the find a doctor page or chat with an inspire advisor to see if there is a va or military hospital near you that offers inspire.
Does medicare cover inspire for sleep apnea. Inspire is available for veterans at select va and military hospitals across the us. Medicare does cover cpap machine therapy if you are diagnosed with sleep apnea. Does medicare cover the sleep apnea mouthpiece.
Yes medicare covers oral appliances for obstructive sleep apnea when you meet specific criteria. Medicare offers reimbursements for oral appliances for those 65 and older under the durable medical equipment dme benefit. Inspire sleep apnea therapy review final verdict this device is suitable for people who are above the age of 18 years and suffer from moderate to severe obstructive sleep apnea.
I ve heard there is a new medicare reimbursement policy for obstructive sleep apnea. Inspire medical is seeking to shake up sleep apnea treatment with a pacemaker like system to treat obstructive sleep apnea. Meeting medicare standards and guidelines for coverage is a requirement.
Inspire medical received draft local coverage determinations from two medicare contractors that cover 19 states on aug. What does medicare cover. If the claim receives a denial you can always file an appeal.
What is it and what must clinicians do to comply. Obstructive sleep apnea is also indicative for heart inspire therapy is a promising alternative to traditional treatment options for sleep apnea but getting it covered under insurance is not a given. It even has plans for an 86 million ipo.
You may be eligible for sleep apnea treatment options if you are enrolled in medicare part b and have been diagnosed with obstructive sleep apnea. Most sleep apnea patients who meet eligibility requirements for inspire have access to insurance coverage. To receive reimbursement a dentist must be a dme medicare supplier.
How the company is trying to get its device reimbursed is a great example of just how much things have changed for young medtech companies. This device might help to stimulate the hypoglossal nerve that causes the throat and relevant muscles to move and open the airway for the user to breathe better. If you have been formally diagnosed with sleep apnea you are likely eligible for a 3 month trial of cpap therapy.
Medicare covers a three month trail of cpap treatment for sleep apnea those with medicare part b are also covered for sleep studies if they have symptoms of sleep apnea and their doctor orders the test. Obstructive sleep apnea causes those who suffer from it to sleep poorly and always feel tired. A doctor trained on the inspire procedure can discuss the qualifications with you during an office visit.
Most major us insurance companies cover inspire.
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