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Medicare may cover Inspire, a device to treat sleep apnea, if it is medically necessary. A doctor needs to demonstrate that people meet certain criteria and CPAP therapy has been ineffective.
Medicare usually covers medical devices like Inspire if they are FDA-approved and medically necessary. Learn about coverage, cost, and eligibility. Does Medicare Cover Inspire for Sleep Apnea?
Medicare covers sleep tests if you experience clinical signs and symptoms of sleep apnea, narcolepsy, or parasomnia. But there are some limitations depending on what condition is being screened for.
Certain patients with obstructive sleep apnea who are deemed eligible candidates may be offered the hypoglossal nerve stimulator as an alternative. FDA-approved hypoglossal nerve neurostimulation is considered medically reasonable and necessary for the treatment of moderate to severe obstructive sleep apnea when all of the following criteria are met: [4]
Upper airway resistance syndrome is another form of sleep-disordered breathing with symptoms that are similar to obstructive sleep apnea, but not severe enough to be considered OSA. CPAP can be used to treat UARS as the condition progresses, in order to prevent it from developing into obstructive sleep apnea. [4] [5] [6]
The respiratory disturbance index (RDI)—or respiratory distress Index—is a formula used in reporting polysomnography (sleep study) findings. Like the apnea-hypopnea index (AHI), it reports on respiratory distress events during sleep, but unlike the AHI, it also includes respiratory-effort related arousals (RERAs). [1]
RESPeRATE is a breathing device approved by the FDA to help lower blood pressure. Currently, RESPeRATE isn’t covered by Medicare.
NEWARK, Del, Jan. 16, 2025 (GLOBE NEWSWIRE) -- The Home Sleep Apnea Testing Market is poised for significant expansion from USD 712.3 million in 2025 to a projected USD 966.1 million by 2035, reflecting a steady CAGR of 3.1%.
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