We Have You Covered
Rest assured, Medicare, Veterans Affairs (VA) and most commercial insurers cover Inspire® therapy.
How much does Inspire therapy cost?
Different plans can result in varying out-of-pocket expenses. Inspire therapy does not verify benefits or quote out of pocket costs. Review the below examples shared by Inspire Patient Ambassadors on how much they paid out-of-pocket for Inspire therapy.
Blue Cross Blue Shield
$0 out of pocket cost
"When I got Inspire therapy, I had a low deductible plan with a low out of pocket maximum. Before I had my procedure, I met my out-of-pocket maximum, so my Inspire® implant procedure and follow up appointments were covered."
Lisa G. | BMI: 28
Tricare Veteran Insurance
$0 Out-Of-Pocket Cost
"Tricare paid for every dollar of the Inspire therapy cost from my initial consult appointment, implant procedure, and follow up appointments."
Nathan U. | BMI: 36
Medicare supplement part G
$0 Out-Of-Pocket Cost
"My doctor had a wonderful nurse who handled everything. Insurance approval was never an issue I had to deal with during the Inspire therapy process."
Nancy H. | BMI: 27
Blue Cross Blue Shield
Less Than $1000 Out-Of-Pocket
"When I got Inspire® therapy I had a basic Blue Cross Blue Shield plan as well as Federal Employee Health Benefits. Once I paid my $1000 deductible, my outpatient expenses were all covered. Before I began the Inspire therapy process, I looked on the BCBC website and made sure my Inspire-trained doctor was in-network for my plan."
Suzanne H. | BMI: 34
The patient testimonials & sleep apnea treatment reviews above relate to accounts of an individual’s response to treatment. The accounts are genuine, typical & documented. Responses to the treatment can & do vary. Insurance coverage and costs vary with each insurance plan. Inspire does not guarantee any third-party coverage or payment for our products or reimburse customers for claims that are denied by third party payors. Always talk with your doctor about diagnosis and treatment information.
More Than
300 Million
Covered Lives ¹
Coverage: What to Expect
The vast majority of U.S. insurance providers – including Medicare, Veterans Affairs (VA) and major commercial carriers – cover Inspire therapy for those who are unable to benefit from CPAP.
1 Data on file
If you have U.S. commercial insurance or Medicare Advantage, it’s best to check directly with your insurance company to confirm your coverage information for Inspire therapy.
If you have questions about coverage for your specific Inspire® implant version, please work with your Inspire-trained provider, contact your insurance company, or contact us below.
Find an event near you
Join a free event to learn more about sleep apnea and treatment options, including how Inspire therapy is helping people sleep better.1 If you have questions, the provider hosting the event will also be available for a Q&A session!
"If you're considering trying to solve your sleep apnea, coming to one of these events is key"
Berry — Event attendee
1 Woodson BT, Strohl KP, Soose RJ, et al. Upper Airway Stimulation for Obstructive Sleep Apnea: 5-Year Outcomes. Otolaryngology Head Neck Surgery 2018; 159(1):194-202
See If You Qualify
Take a few minutes and find out if you qualify for Inspire® therapy. Fill out the questionnaire and get your results immediately.
Do you have obstructive sleep apnea (OSA)?
This questionnaire will ask for personal and health-related information. View our privacy policy.
Eligibility Requirements
To be a candidate for Inspire therapy, you must meet the following FDA indications:
Age 18 or older
Diagnosed with moderate to severe obstructive sleep apnea
Unable to benefit from CPAP
Inspire therapy has been clinically tested for people with a body mass index (BMI) of 40 or less. Over 90%¹ of U.S. adults are within this range. All insurance policies have a BMI policy in place for Inspire therapy coverage. Talk to your provider for more information.
Inspire therapy is FDA-approved for use in pediatric patients with Down syndrome. Learn more about specific qualifications here.
1 “Overweight & Obesity Statistics - Niddk.” National Institute of Diabetes and Digestive and Kidney Diseases, U.S. Department of Health and Human Services, Sept. 2021.
The Inspire® Therapy Process
Inspire-trained providers are available in all 50 U.S. states to help you through each important step in the Inspire therapy process. The following videos demonstrate the typical process for getting Inspire therapy.
01
Learn About Inspire Therapy
Unlike other obstructive sleep apnea (OSA) therapies, the Inspire® implant works comfortably1 inside your body to help keep your airway open while you sleep, so you can breathe regularly and sleep soundly.
02
Attend An Inspire Therapy Consultation
Meet with an Inspire-trained provider. They will ask you questions about your OSA and your experiences with CPAP to help guide you through next steps.
03
Complete An Airway Exam
The airway exam is a simple checkup to confirm the Inspire implant will work for you. Your provider will use a tiny camera to look inside your airway. It usually takes about 20 minutes. The airway exam is a safe procedure with minimal discomfort.2
04
Get The Inspire Implant
The small Inspire® implant is placed near your collarbone during a short and safe outpatient procedure.3* After the safe procedure, most people take over-the-counter pain medication and, within a few days, can resume non-strenuous activities.
05
Turn On Inspire Therapy
During a follow-up appointment, your provider will turn on your Inspire therapy, review how to use your Inspire™ remote, and spend time walking you through your step-up plan. This step-up plan will help you get into the routine of turning on your therapy and help guide you to the right therapy level for you.
06
Complete A Sleep Study
The final step in the Inspire therapy process is a sleep study to verify Inspire therapy is meeting your “sleep better” goals. After this sleep study, you will meet with your provider to review your results and establish a long-term follow-up plan.
01
Learn About Inspire Therapy
Unlike other obstructive sleep apnea (OSA) therapies, the Inspire® implant works comfortably1 inside your body to help keep your airway open while you sleep, so you can breathe regularly and sleep soundly.
02
Attend An Inspire Therapy Consultation
Meet with an Inspire-trained provider. They will ask you questions about your OSA and your experiences with CPAP to help guide you through next steps.
03
Complete An Airway Exam
The airway exam is a simple checkup to confirm the Inspire implant will work for you. Your provider will use a tiny camera to look inside your airway. It usually takes about 20 minutes. The airway exam is a safe procedure with minimal discomfort.2
04
Get The Inspire Implant
The small Inspire® implant is placed near your collarbone during a short and safe outpatient procedure.3* After the safe procedure, most people take over-the-counter pain medication and, within a few days, can resume non-strenuous activities.
05
Turn On Inspire Therapy
During a follow-up appointment, your provider will turn on your Inspire therapy, review how to use your Inspire™ remote, and spend time walking you through your step-up plan. This step-up plan will help you get into the routine of turning on your therapy and help guide you to the right therapy level for you.
06
Complete A Sleep Study
The final step in the Inspire therapy process is a sleep study to verify Inspire therapy is meeting your “sleep better” goals. After this sleep study, you will meet with your provider to review your results and establish a long-term follow-up plan.
1 Suurna MV, Steffen A, Boon M, et al. Impact of Body Mass Index and Discomfort on Upper Airway Stimulation: ADHERE Registry 2020 Update. Laryngoscope 2021; 131(11): 2616-2624
2 De Vito A., Carrasco Llatas M., Ravesloot M.J., Kotecha B., De Vries N., Hamans E., Maurer J., Bosi M., Blumen M., Heiser C., et al. European position paper on drug-induced sleep endoscopy: 2017 Update. Clin. Otolaryngol. 2018;43:1541–1552. doi: 10.1111/coa.13213.
3 Suurna MV, Steffen A, Boon M, et al. Impact of Body Mass Index and Discomfort on Upper Airway Stimulation: ADHERE Registry 2020 Update. Laryngoscope 2021; 131(11): 2616-2624
* Individual results may vary. As with any surgically implanted device, there are risks associated with the Inspire system. See safety information at inspiresleep.com/safety.
You may qualify for coverage.
If you meet the FDA indications for Inspire therapy and your BMI is 40* or less, it's likely your insurance will cover Inspire therapy. This may or may not require a prior authorization process that your clinic and/or the Inspire team can conveniently manage for you.
* Medicare plans require a BMI less than 35
Don't know your body mass index?
Take a simple 5-question quiz to find out if you qualify and calculate your BMI.
Learn more about your specific plan
Talk to your insurance provider for more information about your policy and to get an estimate of what your out-of-pocket costs may be.
An Inspire-trained provider also can talk to you about insurance coverage during your initial Inspire therapy consultation appointment.
Are You Ready?
Find out if Inspire® therapy may be right for you.
The following questions will ask for personal and health-related information. View our Privacy Policy.