Medical Insurance – Glendale, AZ

How Medical Insurance Works

The exact coverage for sleep apnea treatment can vary among insurance policies, but some of the more fundamental aspects apply to most plans:

• Sleep studies and treatments for sleep apnea are often covered. However, each policy differs, so it's important to find out whether in-home or in-lab sleep tests, CPAP machines, or oral appliance therapy are covered. Pre-authorization from your insurance provider may be necessary.
• A deductible might apply. This means you might be required to pay a predetermined amount out of pocket before coverage begins.
• You may encounter either copays or coinsurance. Copays are fixed fees for specific services, while coinsurance involves paying a percentage of the service cost. Most insurance plans implement either copays or coinsurance, not both.

If you're unsure about your insurance coverage, exploring your provider's online patient portal can offer valuable insights. Our knowledgeable team is also available to help out with any insurance-related questions.

Medical vs. Dental Insurance

Although our doctors specialize in dentistry, dental insurance does not typically cover sleep apnea treatment. Dental insurance primarily addresses oral health issues like gum disease and cavities, while medical insurance is better suited for managing overall health concerns, including sleep disorders.

In-Network vs. Out-of-Network Coverage

At GoTo Sleep Center for CPAP Alternatives in Glendale, we accept payments from most PPO medical insurance plans, regardless of our network status. Here's a brief comparison:

In-Network

Being in-network involves a contractual agreement that regulates pricing and treatment terms between a practice and an insurance company. This arrangement benefits both parties by reducing expenses. We can use our expertise to help patients maximize their benefits within network parameters.

Out-of-Network

Even if we're out-of-network with your plan, you can still utilize your benefits at our practice. We handle claims on your behalf and strive to minimize your out-of-pocket expenses to the best of our ability.