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.
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.
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.
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 at [email protected].
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.
Have you been diagnosed with 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%2 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.
BMI
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
