How can I verify if my insurance covers the test and what my out-of-pocket costs will be?
Understanding your insurance coverage and potential out-of-pocket costs for a sleep test is important. Here’s how to verify your insurance coverage and determine any costs you might need to pay yourself.
Steps to Verify Insurance Coverage
- Activate Your Patient Portal: Once referred for a sleep test, activate your patient portal. This is essential for checking insurance coverage and scheduling your test.
- Insurance Verification: SleepTest.com will perform a complimentary Verification of Benefits (VOB) after activating your portal. This process usually takes 24-48 hours.
- Receive Notification: You will receive an email that details your insurance coverage and any out-of-pocket costs before you proceed with the test.
Understanding Out-of-Pocket Costs
If your insurance does not cover the sleep test or if you have an HMO or Medicaid plan, which may be out-of-network, you can choose to pay cash prices. Here’s how it works:
- Cash Payment Option: You can opt for the Express/Skip-to-Ship model, which allows you to pay out-of-pocket and bypass pre-test telemedicine visits.
- Cost Breakdown: The cash fees are $285 for the home sleep test, with additional charges of $95 for the pre-test and $85 for the post-test telemedicine visits if needed.
Next Steps if You Need Assistance
If you have questions or need further assistance with verifying your insurance coverage or understanding your costs, you can contact SleepTest.com:
- Phone: Call Customer/Patient Support at (800) 753-3783.
- Email: Send an email to info@sleeptest.com.