Insurance & coverage for oral appliances
Oral appliance therapy runs through your medical insurance. Here's how coverage and billing work.
Insurance & sleep treatment
Billed through medical, not dental
Sleep and airway treatment is a medical service, so your oral appliance is billed through your medical insurance rather than dental. We accept all major medical insurances and handle the billing for you, so you’re not left sorting out claims on your own.
How we handle coverage
Every appliance is backed by a diagnosis and a physician referral, which is part of what makes it a covered medical treatment. Before you start, we verify your benefits and walk you through what your specific plan covers and what, if anything, you can expect to pay out of pocket.
Options if you’re uninsured or want to spread out cost
If you don’t have medical insurance, we offer a new patient consultation special and financing through Cherry, so you can break treatment into manageable payments. Our goal is to keep cost from standing between you and better sleep.
Does my dental insurance cover this?
Oral appliance therapy for sleep apnea is billed through your medical insurance, not dental, because it treats a medical condition. We accept all major medical insurances and verify your benefits before treatment.
How do I find out what I’ll pay?
We verify your benefits before you begin and explain what your plan covers and any out-of-pocket cost. Coverage depends on your specific plan, so we go over the details with you up front rather than leaving you guessing.
What if I don’t have insurance?
We offer a $199 new patient consultation for people without medical insurance and financing through Cherry to spread out the cost of treatment. We’ll help you find an option that works.
Know Your Financial Options
➔ All major medical insurances accepted
➔ Benefits verified before you start
➔ Financing available through Cherry
➔ Billing handled for you
Frequently Asked Questions
Why is sleep treatment billed through medical insurance instead of dental?
Sleep apnea is a medical condition, so treating it, even with an oral appliance made by a dental provider, is billed through your medical insurance. This is different from routine dental work. We handle the medical billing for you so the process is straightforward.Does Medicare cover oral appliance therapy for sleep apnea?
Medicare often covers oral appliance therapy for diagnosed obstructive sleep apnea when specific criteria are met. Coverage details and our credentialing status can change, so we'll verify your benefits directly before treatment and explain what to expect. Please confirm current Medicare specifics with our team.What financing options do you offer for sleep treatment?
We offer financing through Cherry, which lets you split the cost of treatment into smaller, manageable payments over time. Combined with medical insurance, it helps keep cost from standing between you and better sleep. Our team can walk you through applying during your visit.Will I know my out-of-pocket cost before I start treatment?
Yes. We verify your medical benefits before you begin and explain what your plan covers and what, if anything, you'll owe. You won't be surprised by a bill later, because we go over the numbers with you up front so you can decide with full information.Do I need a diagnosis before insurance will cover an appliance?
Yes. Insurance covers oral appliance therapy as a treatment for diagnosed sleep apnea, so a sleep study and diagnosis come first. That's also why we always test before treating, since a documented diagnosis is both good medicine and what makes your coverage possible.
Sleep and airway insights from our team
From spotting the signs of sleep apnea to understanding your treatment options, our blog breaks down what you need to know about sleeping and breathing better.
