Insurance Coverage FAQ

  1. Is this treatment covered by my insurance?
    Oral appliance therapy is covered by medical insurance because the dentist is treating the patient for a medical condition, namely obstructive sleep apnea, and not a dental condition. For several years, oral appliance therapy for obstructive sleep apnea has been covered by most medical insurance companies, as well as Medicare. However, it is still common to find professionals in the sleep medicine community who are not aware of this coverage. This sometimes results in patients being told that oral appliance therapy is not covered by their insurance.

  2. Are you in network with my medical insurance?
    Not at this time. We are currently working with a couple carriers to see about joining the network, but with some of the carriers we can get authorization for the treatment to be paid using your in network benefit.

  3. Do most insurance companies have in network providers in my area?
    No. Most insurance companies do not have providers in network (Dentists) for this treatment. That is how we are able to file authorization to utilize your in network benefits.

  4. What if my insurance requires prior authorization?
    Before your first visit, we verify your insurance coverage, deductibles, out of pocket max and co-insurance. We also verify if any clinical authorizations are needed for procedures and start working with your insurance carrier to get the authorizations.

  5. How much does the treatment cost?
    The total cost of treatment will depend on the course of treatment, whether or not you have insurance, and what type of insurance coverage and carrier you have.

  6. Do I need to pay for care at the time of my visit?
    After verifying your benefits, you will be responsible for your deductible and co-insurance at the time of visit. This will be estimated for you at your initial consultation.

  7. Does the office have payment options that will help me afford my out of pocket expenses?
    We are pleased to offer third-party financing through CareCredit. These leaders in patient financing offer interest-deferred and low-interest options for qualified applications. Check out the CareCredit website for details and complete an application online.