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Medical Policies on the Medical Treatment of OSA - Oral Appliance Therapy

Note:  The following policies are presented as representations of Major Commercial Insurer policies only.  The currency of the policies is not guaranteed as updates occur regularly and any provisions are subject to change.  Please reference the Provider Relations departments of the independent insurance companies you provide services for, including those not represented here, or reference the individual insurer medical policies, typically published on their websites.  Represented below are the Oral Appliance Therapy reference sections of 4 major insurers in alphabetical order: Aetna, Anthem, Cigna, and United.  Links to the full medical policies where available are provided.  Insurer limitations and exclusions apply and vary by insurer.  Comfirmation of benefits is highly recommended and we make no warrantees, implied or otherwise, as to the coverage of specific policies or patient benefits.
Aetna Policy 0004
Clinical Policy Bulletin: Obstructive Sleep Apnea in Adults

Anthem Medical Policy Med.00054 has been removed for review and update as of 11/2011, not currently published.

Cigna Medical Coverage Policy 0158
Obstructive Sleep Apnea and Treatment

United Healthcare 2011T0526C
Non-Surgical Treatment of Obstructive Sleep Apnea
Last Updated 5/17/2022          Copyright ©  2022         1st Line Medical, llc.     850 Route 3, Box 452      Holderness   NH     03245      Phone: 866-720-8080   Fax: 800-918-7860