Many health insurance plans will pay for a sleep study if your sleep patterns are tied to a covered medical condition. Sleep apnea is a condition that is usually diagnosed via a sleep study.
Sleep apnea can be a contributing factor in obesity, memory lapse, depression, persistent sluggishness and heart conditions.
Agent Owner, Gilmore Insurance Services, Marysville, Washington State
It will depend on your plan design. It is always a good idea to ask customer service if you're not sure about a procedure. In many cases you can get preauthorization before a procedure is done to know exactly what will be covered if everything goes off as planned.
Speaking from experience, usually a sleep study is ordered when a health condition such as sleep apena is suspected. What the study does is look at how severe the condition is. In some cases, surgery may be suggested over a mask, or given as an option for the insured.
When ever you are in this type of situation, for anything involving hosptial or special time, it is wise to contact your insurance carrier and get a customer service person involved. Many plans have special people who help with specific health conditions to make sure any testing is necessary and benefical to the insured. Used properly, these helpers keep insureds from making costly coverage mistakes.
While you will certainly want to check the details of your specific health insurance policy and I would recommend contacting your insurance carrier's customer service unit to discuss your coverage for this service and their protocols for what is covered and how treatment is approved, the general answer to your question is "Yes".
There can be many causes for sleep problems. Many are often situational and may have to do with stress and anxiety issues that would be more appropriately addressed by other health care providers. But, sleep disorders are not uncommon and prolonged disruption of the normal sleep patterns can have serious health consequences. Getting the correct diagnosis and determination of medical necessity for approval of sleep studies are the critical steps in getting approval for this treatment by your health insurer. So, definitely go through the proper channels starting with your primary care physician and work closely with your health insurance carrier to make sure you get the maximum level of coverage and the appropriate treatment in the correct setting.
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Sleep apnea can be a contributing factor in obesity, memory lapse, depression, persistent sluggishness and heart conditions.
Speaking from experience, usually a sleep study is ordered when a health condition such as sleep apena is suspected. What the study does is look at how severe the condition is. In some cases, surgery may be suggested over a mask, or given as an option for the insured.
When ever you are in this type of situation, for anything involving hosptial or special time, it is wise to contact your insurance carrier and get a customer service person involved. Many plans have special people who help with specific health conditions to make sure any testing is necessary and benefical to the insured. Used properly, these helpers keep insureds from making costly coverage mistakes.
There can be many causes for sleep problems. Many are often situational and may have to do with stress and anxiety issues that would be more appropriately addressed by other health care providers. But, sleep disorders are not uncommon and prolonged disruption of the normal sleep patterns can have serious health consequences. Getting the correct diagnosis and determination of medical necessity for approval of sleep studies are the critical steps in getting approval for this treatment by your health insurer. So, definitely go through the proper channels starting with your primary care physician and work closely with your health insurance carrier to make sure you get the maximum level of coverage and the appropriate treatment in the correct setting.