Accepted Insurances
Sleep Health MD works with most medical insurance plans, including many HMOs and PPOs, and accepts Medicare, so patients across Santa Cruz, Freedom, Sunnyvale, and Monterey can access specialty sleep care. Here is what you need to know about verifying your coverage before your visit.
Request an AppointmentInsurance Plans We Accept
Sleep Health MD is contracted with most medical insurance plans, including many managed HMOs and PPOs. We also accept Medicare assignment of benefits for standard and supplemental Medicare. Because we do not maintain an all-inclusive list of every plan we are contracted with, we recommend contacting your insurance carrier to verify that our providers are in network for your specific plan.
How to Verify Your Coverage
- Call the member services number on the back of your insurance card
- Ask whether Sleep Health MD and our providers are in network for your plan
- Ask whether you need a referral from your primary care provider to see a specialist
- Confirm whether sleep studies require prior authorization
- Ask about coverage for CPAP equipment and supplies
If you have additional questions, call our office at (844) 387-5337 and one of our friendly schedulers or billers can help.
Coverage for Sleep Testing and Treatment
Because sleep disorders are medical conditions, many plans provide full or partial coverage for consultations, home and in-lab sleep testing, CPAP therapy, and other treatments when medically necessary. Coverage for advanced treatments such as Inspire therapy typically requires documentation, including a recent sleep study and a trial of CPAP. Many plans also require proof of regular CPAP use to continue coverage for equipment, and our CPAP specialists help you stay on track.
Referrals and HMO Plans
Many HMO plans require a referral from your primary care provider before your first visit. Physicians can submit referrals through our referring physicians page.
What to Bring to Your Appointment
Please bring your insurance card(s), a valid photo ID, and a credit card or cash for any copay. Review our new patient information and download your forms from the patient forms page. Once you’re a patient, you can review statements and make secure payments through our patient portal. Learn more about the conditions we treat and our sleep medicine services, including care for sleep apnea and insomnia.
Insurance FAQs
Does Sleep Health MD accept my insurance?
We are contracted with most medical insurance plans, including many HMOs and PPOs. Contact your carrier to verify that our providers are in network for your plan.
Do you accept Medicare?
Yes. We accept Medicare assignment of benefits for standard and supplemental Medicare.
Is a sleep study covered by insurance?
Most plans cover sleep studies when medically necessary, though some require prior authorization. Check with your carrier for details.
Is CPAP equipment covered by insurance?
CPAP is often at least partially covered, and many plans require documented regular use to continue coverage.
Do I need a referral?
Many HMO plans require a referral from your primary care provider. PPO and Medicare plans often do not, but check with your carrier.
Is Inspire therapy covered by insurance?
Many plans cover Inspire for qualifying patients who meet specific criteria, including a recent sleep study and CPAP trial.
Who can I call with billing questions?
Call (844) 387-5337 to speak with one of our schedulers or billers.
Questions About Your Coverage?
Our schedulers and billers are happy to help you understand your benefits. Call (844) 387-5337 or request an appointment online.