Does My Health Insurance Cover Sleep Dentistry?

An oral appliance can be prescribed as a treatment and would be considered a medically necessary situation with a diagnosis of mild or moderate sleep apnea from our board-certified sleep physician. So for most patients, the answer is “yes.”

Two factors will determine your coverage: your plan’s allowed amount for an oral appliance and your plan’s deductible, which we will determine for you. In most cases, you will have a much higher reimbursement from your medical insurance than from a dental policy (if you have one.) Once your screening is complete, we can provide a “verification of benefits” so you will know what your actual treatment cost will. Of course, coverage will vary by state, carrier, and specific insurance plan.

If you already have a CPAP but aren’t using it don’t worry; your medical insurance can cover oral appliance therapy in addition to the CPAP machine you already have.  We can work with your doctor to obtain documentation that you are non-compliant with CPAP treatment (like nearly 70% of CPAP users) and get you covered.

For more information, please call our office or use the online form to request a consultation to find out if your insurance will cover sleep dentistry and oral appliances

Carmel, IN Dentist Timothy C. Adams, DDS, D.ACSDD, LVIM 13590B North Meridian St. Suite 101 Carmel, IN 46032 (317) 580-9222 (317) 580-9228 fax tooth icon Call For Pricing Options