Understanding Your Medicare Coverage for Oral Appliance Therapy
Are you considering an oral appliance to treat your Obstructive Sleep Apnea?
Good news! Medicare may cover a significant portion of your treatment. At Best Sleep Today, we’re committed to helping you navigate your coverage options and maximize your benefits.
What Medicare Can Cover
- Oral appliances for OSA when prescribed by a Medicare-enrolled doctor
- Both prefabricated and custom-fabricated devices
- Up to 80% of the Medicare-approved amount for your appliance*
- Initial fitting and adjustments for the first 90 days
*It’s important to note that each case is treated differently by Medicare. Estimates of coverage and cost savings are not guarantees and are approximations only.
Key Points to Remember
- Medical Necessity: Your oral appliance must be deemed medically necessary, and you must have a formal OSA diagnosis, typically through a sleep study.
- Doctor’s Prescription: A Medicare-enrolled physician must prescribe your oral appliance.
- Approved Suppliers: Your appliance must come from a Medicare-approved supplier like Best Sleep Today.
- 5-Year Lifetime: Medicare typically covers replacement every 5 years or in cases of loss, theft, or irreparable damage.
- Your Responsibility: You’re generally responsible for 20% of the approved amount, plus any applicable deductible.
What’s Not Covered
- Devices used only for snoring without an OSA diagnosis
- Tongue-retaining devices
- Appliances for other dental conditions
- Adjustments and follow-up visits after the initial 90-day period
Maximizing Your Benefits
At Best Sleep Today, we’re dedicated to working with Medicare on your behalf. We’ll help you:
- Understand your specific coverage
- Navigate the approval process
- Minimize your out-of-pocket expenses
- Ensure all necessary documentation is in order
Remember, while Medicare provides significant coverage, your specific plan and situation may affect your final costs. Our team is here to provide a clear breakdown of your benefits and any potential expenses.
Sleep Well, Live Better with Best Sleep Today
Don’t let sleep apnea control your life. With Medicare coverage and our expert guidance, effective treatment is within reach. Contact Best Sleep Today to schedule your consultation and take the first step towards better sleep and better health.
