CPAP Horror Story: Thousands for a Sleep Test?

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You may have seen recent articles about José Mendoza, the man who owed over $5000 after his sleep study¹, which he did through his insurance! Unfortunately, this is not uncommon. And in this case, “The Mendozas followed the rules: They used an in-network provider and got prior authorization from their insurance company for the test.”¹

But what happened after? They were blindsided with bills and costs that no one had mentioned beforehand. It’s wrapped up in something called “balance billing” where the final cost isn’t determined until after the services are provided. Whatever the insurance company decides not to pay comes back to you. Balance billing can happen when:

  • your doctor is in your network but the lab they run test results through is not
  • your insurance and healthcare provider have different pricing structures
  • your costs exceed your coverage or have to be met by your deductible first

But it doesn’t end there. Much of the time, the cost overflowing to you is heavily inflated along the way, and it can skyrocket. That’s why it pays to be extra careful when choosing a provider. To help you avoid these costly traps, we’ve compiled some pointers on how to spend less on your CPAP supplies.

Here are 4 tips for avoiding unnecessary CPAP expenses:

1. Let us check to see if insurance is your best option.

Not every insurance plan will be a horror story like this one. For a lot of plans, insurance provides ample or even total coverage of tests and supplies. Most will even do this multiple times a year so you always have fresh supplies. We want your CPAP experience to be as easy as possible, so we’ll handle all the legwork with your insurance company for you.

Once we know what your real costs will be, we’ll confirm with you what steps you’d like to take next. Nothing is done without your input, and most importantly, we will never balance bill you. We do everything up front so you’re never surprised by what the real cost of something will be.

Your CPAP supplies could be yours for $0! Allow us to check with your insurance provider for you to find out what is covered (for free!). Click below to get started:

Are your supplies due for a replacement? Check out our standard insurance replacement schedule below:

2. See all your options when choosing a sleep test.

In-lab sleep tests can cost an arm and a leg – or if you’re lucky, a few thousand dollars. But in-lab sleep studies aren’t the only option available! You can do a sleep study from home to check for obstructive sleep apnea. Best of all, they cost a fraction of in-lab studies with none of the price gauging. And that’s before even mentioning that they are:

  • Easy to do: Instead of complicated machines and wires, you’re wearing a simple device
  • More accurate: Sleeping in your normal conditions means results match your actual experience
  • All from home: You won’t have to set appointments or prepare to sleep somewhere strange
  • Easy to do: Instead of complicated machines and wires, you’re wearing a simple device
  • More accurate: Sleeping in your normal conditions means results match your actual experience
  • All from home: You won’t have to set appointments or prepare to sleep somewhere strange

Save $100 on a Home Sleep Test today!

3. Don’t overpay when choosing a CPAP machine.

Newer CPAP machines are now auto-titrating, meaning they adjust to your needs breath-by-breath to give the most effective pressure needed all through the night. But they don’t need to cost multiple thousands of dollars either. If you need a fair price, we have interest free payment plan options available, including ResMed’s AirSense 11 Auto CPAP with:

  • Humidification: 7 levels of humidity and an optional heated tube ensures you don’t dry out
  • EPR: Expiratory Pressure Relief reduces pressure upon exhale, avoiding high pressure mask leaks
  • AutoRamp: Starts your sleep therapy at a low pressure so you fall asleep more comfortably
  • Humidification: 7 levels of humidity and an optional heated tube ensures you don’t dry out
  • EPR: Expiratory Pressure Relief reduces pressure upon exhale, avoiding high pressure mask leaks
  • AutoRamp: Starts your sleep therapy at a low pressure so you fall asleep more comfortably

Upgrade to the AirSense today for just $399 down and 0% APR!

4. Know when insurance just isn’t an option.

Insurance companies can make artificial barriers, like requiring a sleep study when you’ve already been diagnosed. That’s why we have our CPAP Prescription Package to cut out unnecessary steps between you and a new CPAP. It works with travel CPAPs like the AirMini, which comes with:

  • Powerful and quiet: Auto-titrating machine adjusts to your pressure needs as you sleep
  • Control in the palm of your hand: The AirMini smartphone app gives you complete control over your CPAP therapy
  • Mask included with machine: Choose from the AirFit P10, AirFit N20, AirFit N30, AirFit F20, or AirFit F30
  • Powerful and quiet: Auto-titrating machine adjusts to your pressure needs as you sleep
  • Control in the palm of your hand: The AirMini smartphone app gives you complete control over your CPAP therapy
  • Mask included with machine: Choose from the AirFit P10, AirFit N20, AirFit N30, AirFit F20, or AirFit F30

For a limited time, you can get a FREE CPAP prescription renewal without a trip to the doctor!

Link:

  1. Andrews, Michelle. (2021). A $10,322 Tab For A Sleep Apnea Study Is Enough To Wreck One Patient’s Rest. NPR. May 27, 2021.

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