What are the requirements and processes for obtaining or updating a prescription for CPAP, oral appliances, or other sleep-related therapies?

To obtain or update a prescription for CPAP, oral appliances, or other sleep-related therapies, follow these steps:

Requirements for a New Prescription

• Pre-Test Telemedicine Visit: Most insurance plans require a pre-test telemedicine visit to authorize a home sleep test (HST). Ensure you have a functioning email and a device with a camera for the call.
• Diagnostic Testing: Complete a home sleep test using one of the approved devices, such as the ApneaLink Air, SleepImage Ring, or Nox T3.
• Post-Test Telemedicine Visit: A post-test telemedicine visit is often required after the sleep test, especially for severe OSA or specific insurance plans. This visit will discuss therapy options like CPAP or oral appliances.

Updating an Existing Prescription

• Insurance Changes: If the patient's insurance changes, update the patient's information by uploading the new insurance card in the SleepTestCRM.
• Post-Test Visit: Attend a post-test telemedicine visit to discuss changes in patient therapy needs. This is especially important if the patient's condition changes or new therapies are being considered.

Insurance and Payment Options

• Insurance Verification: SleepTest.com provides a complimentary benefits check once you activate the patient's patient portal. Verification typically takes 24-48 hours.
• Cash Payment Option: Patients who prefer not to use insurance can opt for the Express/Skip-to-Ship model, paying out-of-pocket for the home sleep test and any necessary telemedicine visits.

SleepTest.com is committed to effectively helping you manage the patient's sleep therapy needs. Please don't hesitate to reach out if you have any questions or require support.