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Sleep Apnea

Covered by Medicare

Coverage

Obstructive sleep apnea (OSA) happens when you experience involuntary pauses in your breathing (usually 10 to 60 seconds) while you’re sleeping. You may also experience loud snoring and gasping.
Medicare covers a three-month trial of CPAP treatment for sleep apnea. If you have Medicare Part B, you may be covered for a sleep study if you have symptoms of the condition and your doctor orders a test.

Costs

You’ll be responsible for 20 percent of the cost of the CPAP machine rental and supplies after you’ve met your deductible. If you have Original Medicare (Part A and Part B), you might consider getting a Medigap policy to help with the out-of-pocket costs of the CPAP machine. After you’ve rented the machine for 13 months, it’s considered yours.

What to Know

Experts recommend these general steps to have better sleep:

  • Go to bed and wake up at the same time every day
  • Get eight to nine hours of sleep
  • Don’t nap for longer than 20 minutes during the day
  • Use your bedroom just for sleeping
  • Avoid caffeine, nicotine, alcohol, and large meals before bed
  • Exercise at least 30 minutes every day

Medicare By State

Medicare is regulated by the federal government. However, private insurance companies are allowed to offer various parts of Medicare, and these plans can differ from state to state.

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