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.
Lisa G.
Age: 59
BMI: 28
State: Arizona
Insurance type: Blue Cross Blue Shield
Out-of-pocket cost: $0 out of pocket cost for Inspire therapy
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.
Nathan U.
Age: 39
BMI: 36
State: Tennessee
Insurance type: Tricare Veteran Insurance
Out-of-pocket cost: $0 out of pocket cost for Inspire therapy
Tricare paid for every dollar of the Inspire therapy cost from my initial consult appointment, implant procedure, and follow up appointments.
Nancy H.
Age: 66
BMI: 27
State: Florida
Insurance type: Medicare supplement part G
Out-of-pocket cost: $0 out of pocket cost for Inspire therapy
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.
Suzanne H.
Age: 51
BMI: 34
State: California
Insurance type: Blue Cross Blue Shield
Out-of-pocket cost: Less than $1000 out-of-pocket for Inspire therapy
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.
Lisa G.
Age: 59
BMI: 28
State: Arizona
Insurance type: Blue Cross Blue Shield
Out-of-pocket cost: $0 out of pocket cost for Inspire therapy
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.
Nathan U.
Age: 39
BMI: 36
State: Tennessee
Insurance type: Tricare Veteran Insurance
Out-of-pocket cost: $0 out of pocket cost for Inspire therapy
Tricare paid for every dollar of the Inspire therapy cost from my initial consult appointment, implant procedure, and follow up appointments.
Nancy H.
Age: 66
BMI: 27
State: Florida
Insurance type: Medicare supplement part G
Out-of-pocket cost: $0 out of pocket cost for Inspire therapy
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.
Suzanne H.
Age: 51
BMI: 34
State: California
Insurance type: Blue Cross Blue Shield
Out-of-pocket cost: Less than $1000 out-of-pocket for Inspire therapy
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.
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.
Over
300 Million
Covered
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].
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!
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.
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%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.
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.