Insurance Coverage for Sleep Studies & CPAP
An In-Network Provider Can Save You Money
Choosing an in-network provider can save you money. If you choose to have your sleep study or CPAP device set-up with an out-of-network provider, it could cost you well over $1000 for each service. Alternatively, choosing an in-network provider can result in you paying a fraction of that cost. You may even pay nothing at all!
Focus on a Good Night’s Sleep
As an in-network provider, we will verify your insurance and provide an estimate of your out-of-pocket expense. This will provide you with a clear picture of your financial responsibility before your service begins. With fewer questions about finances, you can focus on your goal of getting the best sleep possible.
We Work to Keep Your Costs Low
We are in-network with most Preferred Provider Organizations (PPO). We’re also contracted with hundreds of insurance providers, including government payers such as Medicare and TriWest, as well as most Health Maintenance Organizations (HMO) in Southern California. To find out if we are contracted with your health insurance provider, see our complete list of contracted commercial health plans, government insurances, and medical groups.
Insurance Coverage: What to Keep in Mind
When it comes to your health insurance coverage, there are a few pieces of information that are important to remember, including:
- In order to take part in a sleep study, you must be referred by a primary care physician or specialist.
- Once you’ve been referred, your health insurance will typically cover your sleep study if it is deemed medically necessary.
- HMO insurance plans require authorization. Once your insurance has been properly authorized, we can schedule your service.
- Many PPO insurances now also require authorization. We will request authorization from your insurance provider before providing your service.
Need More Information About Insurance? We Can Help!
Get the Guide to Understanding Your Health Insurance
This simple guide explains what you need to know, like the difference between co-pay, co-insurance and out-of-pocket max and the difference between an FSA and HSA, to ensure you’re making the most of your health insurance.
FAQ: Insurance Coverage for Studies & Therapy
This invaluable resource offers answers to specific questions about coverage for sleep studies and therapy.
Still Have Questions? Contact Us!
If you have specific questions about insurance not covered in our guide or FAQ, give us a call! We can provide answers, start the sleep study scheduling process, and more.
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