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Does insurance cover sleep testing?

 Most insurance plans, including Medicare, may help pay for sleep tests, doctor visits and CPAP equipment if they are medically needed. You may have a copay for the doctor’s visit and part of the sleep test cost. Insurance often lowers the total price. Check with your provider to see what’s covered. 

How accurate are home sleep tests?

Home tests for obstructive sleep apnea accurately diagnose moderate to severe obstructive sleep apnea about 90% of the time, but in some cases, people have underlying health conditions, like heart or lung disease, that require a more comprehensive sleep study in a clinic.1

How long will it take to receive my results?

Waiting to receive the results of any test can feel unsettling, especially when it’s a test to diagnose a sleep disorder. There’s a waiting period that varies from person-to-person and can range from 2 days up to several weeks.

How will I get my sleep test results?

During a follow-up appointment, you’ll discuss the results of your sleep test with a doctor or sleep specialist. If diagnosed with sleep apnea, this is typically when you’ll find out your Apnea-Hypopnea Index (AHI), which determines the severity of the diagnosis.

What is AHI, anyways?

If breathing stops for more than 10 seconds, this is known as an apnea. Apneas can occur dozens—even hundreds—of times per night without you noticing. When breathing slows down but doesn’t stop completely, this is considered a hypopnea.

With a sleep test, doctors can use a scale called the Apnea-Hypopnea Index (AHI) to measure how many times per hour you either pause or stop breathing each night.2 For example, if your AHI is 2, you have approximately two incidents of hypopnea or apnea per hour for every hour that you’re asleep.

What should I do if I get a sleep apnea diagnosis?

The first step after any diagnosis is figuring out how best to treat it. And with sleep apnea, it’s important that treatment begins as soon as possible. The good news is that sleep apnea is well-understood, and effective treatments are available.

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References

1) Source: Hung CJ, Kang BH, Lin YS, et al. Comparison of a home sleep test with in-laboratory polysomnography in the diagnosis of obstructive sleep apnea syndrome. J Chin Med Assoc. 2022;85(7):788-792. https://pubmed.ncbi.nlm.nih.gov/35507020/

2) Source: Heinzer, R., et al., Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med, 2015

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