Working with your physician and your health plan to secure approval for Inspire therapy
Inspire therapy is a relatively new procedure. Because of this, not all insurance companies are aware of its value. Inspire therapy is being reviewed and approved by insurance providers on a case-by-case basis across the United States. Your Inspire physician will first deem you are a good candidate for the procedure by confirming you meet the following requirements:
- Diagnosis of moderate to severe Obstructive Sleep Apnea (AHI 20-65)
- Unable to use or get consistent benefit from CPAP
- Not significantly overweight
- Over the age of 22
After confirming you are a good candidate for Inspire therapy, your Inspire therapy physician will work with both you and the reimbursement team at Inspire Medical Systems to gain coverage for the device.
Watch to learn more about insurance coverage for Inspire.
As of November 2016, over 140 private insurers have covered Inspire therapy on a case-by-case basis and Medicare has reimbursed Inspire therapy based on medical necessity in many geographies across the United States. To find a doctor in your area who offers Inspire therapy, please click here.
Additionally, Inspire therapy is on the Federal Supply Schedule, making it available for active military members, veterans, and their beneficiaries. Click here to see a list of active VA and military hospitals that offer Inspire therapy.
To learn more about your role in gaining coverage for Inspire therapy, click here to download the Inspire Patient Insurance Support Program brochure.