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Weston Dentist on Sleeps Studies and Medicare Coverage

Weston Dentist Explains Sleeps Studies and Medicare Coverage

Sleep issues can happen for a number of reasons. Many people have trouble falling asleep or remaining asleep. Poor sleep can affect not just your physical health but your mental health as well. When you are sleeping, your body is working to support brain functioning. If you find that your sleep problems are chronic and affecting your mental well being and overall health, help is available. A sleep study can help to determine the cause of your sleep issues. and even help with a diagnosis and the formulation of a treatment plan. If you are eligible for Medicare, your Part B coverage may apply.

Sleep Studies 

A sleep study can help your doctor make a diagnosis on the type of sleep disorder that you may be suffering from. The most common sleep studies monitor and record data about your body during a full night of sleep. A sleep study can help your doctor diagnose sleep-related breathing disorders such as sleep apnea. Some sleep disorders include:

Based on your doctor’s recommendation the sleep study may take place at a sleep center or at home with a portable device. At a sleep center, you will sleep in a bed at the location for the duration of the study. Sensors will be placed on you to record your brain waves, heart rate, breathing and muscle movements. At home studies are much more convenient, and their results just like those at a sleep center can lead to a diagnosis and the development of a treatment plan from your doctor. Your doctor will recommend which type of study is best for you.

Does Medicare Cover Sleep Studies? 

It can. A licensed physician must request the sleep test for it to be covered. In addition to studies done at sleep centers many at-home studies are now being covered by Medicare as well. Sleep studies may be covered by Medicare Part B if they are deemed to be a medical necessity. Obstructive sleep apnea (OSA) for example falls into that category. OSA occurs, when the tongue and soft palate collapse onto the back of the throat and completely block the airway which restricts the flow of oxygen and causes breathing interruptions. 

If you have Original Medicare, you will likely pay 20% of the Medicare-approved amount for your sleep study, and the Part B deductible will apply. If you are enrolled in a Medicare Advantage (MA) plan, you will have at least the same coverage as Original Medicare Part A and Part B, but many MA plans offer additional coverage. Check with your plan to find out your exact costs of participating in a sleep study.

As a Diplomate of the American Board of Dental Sleep Medicine (ABDSM), Dr. Pyle is part of an elite group of dentists who have met the highest educational and experiential standards. He possesses an in-depth level of knowledge in the treatment of obstructive sleep apnea using oral appliance therapy. Patients who could more conveniently visit a Davie, Plantation Dentist or a Fort Lauderdale Dentist often travel the extra distance to see Dr. Pyle because of his experience and dedication to sleep apnea treatment. Make an appointment with us today.

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