insurance coverage for oral appliances
Do insurance companies cover oral appliance therapy?
Yes. Most medical insurance companies cover oral appliance therapy for treatment of obstructive sleep apnea. In our office, our experience has been that 90% of patients will have some coverage for this treatment. These companies generally do not have coverage to treat snoring only.
Do most insurance companies have providers (dentists) in the network for oral appliance therapy for sleep apnea?
No, most insurance companies do not have in-network providers (dentists) for this treatment.
Are you a provider of Medical Insurance?
Yes, we are providers of most Anthem, Humana, Medicare and Tricare plans.
Can I still come to see Dr. McCrillis and get coverage for my treatment even if he is not a provider in my insurance network?
Yes, you can still see Dr. McCrillis and you would receive out-of-network benefits.
Why do I need to pay for care at the time of the visit?
We are a fee-for-service office if our office is not a provider in your insurance network, it is our practice to require payment at the time of service and you will be reimbursed by your insurance company according to your insurance plan's fee schedule.
If we are a provider in your insurance network then all copayments, deductibles and coinsurance are due at the time services are rendered.
We will submit your insurance claim for you regardless of our network participation, with all the necessary documentation to help you receive your maximum insurance benefits.
We find that 90% of our patients have some coverage for their treatment. It is our practice to require payment at the time of service and you will be reimbursed by your insurance company according to your policy.
Does the office have payment options that will decrease my up-front expense for treatment?
Yes. We participate with a company called Care Credit, If approved, you will be able to decrease your up-front costs
How do I find out how much my insurance company will cover for this treatment?
You will gain that information by scheduling an appointment for a consultation with our office. With the knowledge you receive at the consultation you will be able to make the best decision regarding you medical care.
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John M. McCrillis, DMD