Sleep Apnea & Snoring Solution
There is a new solution available to those who snore, have sleep apnea, or use a CPAP machine – the TAP®, an oral appliance similar to an athletic mouth guard that is worn while sleeping. Developed with advanced dental technology, the TAP® reduces sleep apnea associated health risks without the need for surgery, medications, or other more cumbersome therapy.
The TAP® is:
• Comfortable and patient friendly
• Custom-made to prevent any change in tooth position or mouth structures
• Patient-adjustable allowing maximum comfort and effectiveness
SLEEP APNEA CAN CAUSE:
• Chronic sleepiness
• Heart attacks
• Morning headaches
• High blood pressure
INSURANCE FILING FOR TAP APPLIANCE
Obstructive sleep apnea is a medical condition. Therefore, we file on your medical insurance, NOT your dental insurance for the Thornton Adjustable Positioner (TAP® appliance). Since we are out-of-network with most medical plans, including Blue Cross Blue Shield of Alabama, the TAP® appliance will fall under your major medical coverage for Durable Medical Equipment. This means in most instances that your medical deductible applies (unless you have already met your deductible for the plan year) and your insurance would then pay whatever your plan covers for major medical (we have found most medical plans cover 60 to 80%).
At this time, the TAP appliance is only covered if you have had a sleep study in an approved sleep center. This means you must stay overnight in a medical facility for them to monitor your sleep. If you are currently using a CPAP, you probably have already done this. Our office offers an at-home sleep monitor, and we hope in the near future that most insurance companies will accept the at-home study as a diagnosis.
If you have Blue Cross Blue Shield of Alabama medical insurance, they will only cover the TAP appliance if you have mild or moderate sleep apnea. Oral appliances for severe cases of sleep apnea are not covered by Blue Cross Blue Shield of Alabama at this time. The severity of your sleep apnea is determined by your Apnea/Hypopnea Index (AHI), a number which is calculated from the results of your sleep study.
If you have any other questions, please contact Sandra Casteel in our insurance department.