Insurance Coverage for Oral Appliances
Do insurance companies cover oral appliance therapy?
Yes. Most medical insurance companies cover oral appliance therapy for treatment of obstructive sleep apnea. Most companies do not have coverage for snoring only. Your benefit plan is a contract between you and your insurance company. The specifics of your plan are best answered by calling the customer service number listed on your card.
Do insurance companies have providers (dentists) in the network for oral appliance therapy for sleep apnea?
No. Most medical insurance companies do not have in-network providers (dentists).
Can I still see Dr. Dean and get coverage for my treatment even if he is not a provider in my insurance network?
Yes. If there is no in-network provider within the insurance plan, then the insurance company is required to pay the claims at the network rate (Gap Coverage). If there is an in-network provider, you can still see Dr. Dean and would receive out of network benefits.
How much will my insurance company cover for this treatment?
Our office will send a pre-determination letter of benefits to your insurance company. Each plan has different deductables and co-payments. The medical insurance company will respond by sending an explanation of benefits to you.
Why isn't Dr. Dean a preferred provider on my health plan?
Dr. Dean is currently in the process of becoming credential with all major medical carriers including Medicare.
How do I pay for services?
Payment for portion of treatment not covered by insurance, including copays and deductibles, is required at the time services are rendered. Our office accepts cash, certified check, MasterCard, Visa and Discover.
Western Ohio Dental Sleep Medicine is committed to you and your treatment. The following is an excerpt from our financial policy. You will be asked to read and sign a copy of this policy prior to treatment.
Our office is a "non participating provider" with most medical insurance carriers, which means we do not contract directly with your insurance company in payment of your claims; however, we are able to obtain in network benefits for our patients in 90% of cases. We realize that patients who have elected to participate in oral appliance therapy need our assistance in obtaining coverage. We will make every attempt to assure successful insurance claim submission for our patients.
In order for us to help you with insurance process, please bring the following with you to your appointment:
1. Your medical and dental insurance card(s)
2. A copy of your sleep study and any documentation regarding your sleep disorder.
Several payment options, including credit cards and certified checks, are available to you. Our office will discuss these options with you in further detail.