Around 22 million Americans have sleep apnea. The Inspire sleep apnea device is a Food and Drug Administration-approved surgical implant that's placed under the skin on your chest. That eliminates an incision and, according to Inspire, reduces the procedure time by 20%. For more information, please see our Learn more by reading the Frequently Asked Questions below: Your doctor will also examine your airway and review your most recent sleep study. This information does not replace the advice of a doctor. Do you understand the options available to you? The Inspire device delivers what's called "hypoglossal nerve stimulation therapy" while you sleep. Inspire is a popular alternative to the CPAP machine. To learn more about Healthwise, visit Healthwise.org. Want CNET to notify you of price drops and the latest stories? Sleep studies are tests that watch what happens to your body during sleep. Since I travel a lot, CPAP isn't very convenient for me. The risks and cost of the surgery and the possibility that I might still have to be on CPAP are not worth it.". It is the first treatment choice and the most widely used. Mark Klimek. The Inspire device is placed during a minor surgical procedure, but you can usually go home the same day. You are not significantly obese. What is involved in the Inspire procedure and recovery? Navigation Menu - Opens a Simulated Dialog, E. Gregory Thompson MD - Internal Medicine, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. or Lifestyle changes may reduce your snoring. How sure do you feel right now about your decision? Medicare partially covers the cost of a medically necessary CPAP machine as durable medical equipment. That's because you aren't snoring or restless. Do you understand the options available to you? Your child snores, has trouble breathing while sleeping, sleeps restlessly, wakes up often, or is very sleepy during the day. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. When you're ready for bed, simply click the remote to turn Inspire on. Monday through Friday, 8 a.m. to 5 p.m.; Saturday, 8 a.m. to noon, Member Services D.C. metro area1-800-777-7902 (TTY 711), Member Services outside D.C. metro area1-800-777-7902 (TTY 711), Portland: 503-813-2000 (TTY 711)All other areas: 1-800-813-2000, Member Services Portland1-800-813-2000 (TTY 711), Member Services outside Portland 1-800-813-2000 (TTY 711), Member Services outside D.C. metro area, Washington (Vancouver/Longview area) Address, Kaiser Foundation Health Plan of the Northwest 500 NE Multnomah St., Suite 100 Portland, OR 97232, Washington (outside Vancouver/Longview area), Address 601 Union St., Suite. The more often it happens, the more severe your sleep apnea is. Register. Sleep apnea means that breathing stops for short periods during sleep. I'm willing to try surgery to get better. Drinking alcohol or taking certain medicines before going to sleep can increase the risk for sleep apnea. Designed to make shopping easier. Inspire works inside your body with your natural breathing process to treat obstructive sleep apnea. All Rights Reserved, Inspire works inside your body with your natural breathing process. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. A device called a mandibular repositioning device pushes the jaw forward, improving airflow. Delivered on weekdays. "In general, most patients will only be required to pay the applicable deductibles and copayments that exist for their insurance plan.". Inspire's . For example, you may have enlarged. Successful procedures make breathing easier and decrease OSA-related symptoms. The CPAP machine will have one of the following: CPAP is usually the best treatment for obstructive sleep apnea. Do Not Sell or Share My Personal Information. Medical Review:Anne C. Poinier MD - Internal Medicine & E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine & Lesley Ryan MD - Family Medicine. Inspire is a medical technology company focused on the development and commercialization of innovative and minimally invasive solutions for patients with obstructive sleep apnea. Now it's connected only to your hypoglossal nerve, which stimulates the tongue and airway muscles that open your airway. Seizures that occur at night (nocturnal seizures). The Inspire Sleep Apnea Innovation is an upper airway stimulation (UAS) treatment designed to open your airway during sleep. Instead, use lifestyle changes to try to improve sleep. You might be able to try another type of mask or make other adjustments. Inspire is the most effective alternative to CPAP., Having an effective alternative sleep apnea treatment is important in our field of sleep medicine., Inspire offers a way to stimulate the bodys own physiology to provide a more natural way to keep the airway open during sleep., Ryan Nord, MD - VCU Health, Department of Otolaryngology, Suzanne Stevens, MD - The University of Kansas Health System, Department of Neurology, Bruce Corser, MD - Sleep Management Institute, Asim Roy, MD - Ohio Sleep Medicine Institute, Gerard J. Meskill, MD - Comprehensive Sleep Medicine Associates, Inspire Medical Systems, Inc. 2023. Decrease daytime sleepiness. If you're interested in Inspire, it's best to speak to your provider to discuss your options. Inspire Medical Systems, Inc. 2023. If you use portable sleep monitoring, follow the instructions your doctor gave you. Surgery is 2.5-3.5 hours-outpatient most have a quick recovery got to wait a month to turn the device on. Do not drive when you are drowsy. I talked with my doctor, and we agreed that surgery might be a good option to treat my sleep apnea. Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. Sleep studies you do at home can be done with portable equipment. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. It's important to treat sleep apnea, because it makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke. It also reduces the chance that tissue will collapse and narrow the airway when you breathe in. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives. Ongoing problems that have not responded to treatment. Apnea episodes and snoring may return over time. Does Medicare Cover Inspire For Sleep Apnea? Prescription questions, refills, or new prescriptions. Remember, it's an outpatient procedure, so there are some medical bills that will have to be taken into account. If you don't use it, your symptoms will return right away. However, as an example, the pricing page states that a person with traditional Medicare should expect to pay a maximum of $1,400 out of pocket if the procedure is done in hospital. Kaiser Permanente is not responsible for the content or policies of external websites. I don't like the idea of living with a hole in my throat. These can relax your throat muscles and slow your breathing. Health plan provider Humana Inc will provide coverage for Inspire Medical Systems Inc's Inspire upper airway stimulation therapy for obstructive sleep apnea, effective August 27. Follow us on these external social media sites that will open in a new browser window. You are unable to use or get consistent benefit from CPAP. Check what you need to do before you make this decision. In some cases, a dental device that widens the mouth can help. It is approved to treat mixed sleep apnea, as long as central sleep apnea does not account for more than 25% of events. To learn more about Healthwise, visit Healthwise.org. Spanish: 1-800-788-0616Chinese: 1-800-757-7585, After 7 p.m., call 1-833-KP4CARE (1-833-574-2273) (TTY 711), Monday through Friday.Call anytime Saturday and Sunday, 1-800-464-4000 (TTY 711)Spanish: 1-800-788-0616Chinese: 1-800-757-7585, Medicare Advantage plans are not currently available in the Colorado Mountain area, Member Services outside metro area 1-800-777-7902 (TTY 711). Even though that might sound intimidating, it's an. Some lifestyle changes can help sleep apnea. Use this Prior Authorization Guide to assist you in determining if your patient meets criteria.. These include sleepwalking, night terrors, bed-wetting, and REM behavior disorders (RBD). Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. CPAP side effects may include nosebleeds, a sore throat, and headaches. All Rights Reserved. This is repeated muscle twitching of the feet, arms, or legs during sleep. Inspire improves airflow and reduces obstructive sleep apnea . 1. All Rights Reserved, Most major US insurance companies cover Inspire, An Inspire trained doctor can discuss insurance coverage requirements during an initial consultation, Typically, you can expect to pay any unmet deductible for the year, along with any copay or coinsurance fee for a surgery. Most major US insurance companies cover Inspire, An Inspire trained doctor can discuss insurance coverage requirements during an initial consultation, Typically, you can expect to pay any unmet deductible for the year, along with any copay or coinsurance fee for a surgery. For recommended treatments, please consult with your health care provider. Get in touch with an Inspire Advisor. Sign In People who are overweight may have extra tissue around their neck, adding to their risk for sleep apnea. If you are overweight and have sleep apnea, nutritional counseling, daily activity, and other treatments may help. It can reduce snoring and daytime sleepiness. Treatment Options for Obstructive Sleep Apnea, Inspire Medical Systems, Inc. 2023. Health Tools help you make wise health decisions or take action to improve your health. Your doctor may suggest CPAP if you have: If using CPAP is not comfortable, or if you have certain side effects, work with your doctor to fix them. Kaiser Permanente is not responsible for the content or policies of external websites. Follow us on these external social media sites that will open in a new browser window. After your sleep problem has been identified, you may need a second study if your doctor orders treatment such as CPAP. If you have a bed partner, they may notice that you: Children who have sleep apnea nearly always snore. After menopause, women get sleep apnea at a rate similar to men. Sore throat, incision pain, and muscle soreness. I don't like the side effects of using CPAP, so I rarely use it. Children who are overweight are encouraged to lose weight. Inspire Model 3024 is not eligible for MRI scans. The company claims that their device is a more convenient alternative to Continuous Positive Airway Pressure (CPAP) machines. When you have sleep apnea, this can help you sleep better, feel better, and avoid future health problems. Sleep studies may be done if your sleep is not restful or if you are tired all day. It's important to treat sleep apnea, because it makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke. Details. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. A sleep study may take place in your home. You might be a candidate for Inspire if. 1995-2023 Healthwise, Incorporated. CPAP: If you have a bed partner, they may also sleep better when you use a CPAP. Inspire is available for veterans at select VA and military hospitals across the US, Visit the Find a Doctor page or chat with an Inspire Advisor to see if there is an VA or military hospital near you that offers Inspire, If there is not a center near you, you can possibly utilize a program called the Community Care Program. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. You have moderate to severe obstructive sleep apnea. To improve the airflow during sleep and reduce sleep apnea, inspire sleep therapy is the most ideal way. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Not to mention that battery replacements are needed every 11 years. Lower daytime and nighttime blood pressure. For more information, please visit. Request for confidential communications forms, A nasal pillow that covers only the openings of your nose. 3100 Seattle, WA 98101. This most often occurs because your airways are blocked or partly blocked. However, if you're living with sleep apnea and finding no relief with the usual treatments, the Inspire implant may be right for you. 2. Persons who often go through obstructive sleeping experiences can try out this treatment. Because sleep apnea disturbs your sleep, it can make you very tired during the day. If your nose or mouth is dry, set the machine to deliver warmer or wetter air. The Inspire procedure gives my patients control of their sleep and allows them to feel refreshed and restored to live life to their highest potential., Inspire is a modern treatment for OSA that is changing lives for the better., Inspire provides effective treatment for moderate-to-severe OSA patients who havent been able to tolerate CPAP therapy. Consultas sobre citas y consejos de salud, Abierto las 24 horas del da, los 7 das de la semana, Consultas sobre recetas mdicas, resurtidos de recetas o recetas nuevas, Llame al nmero de telfono que se muestra en el frasco de su medicamento recetado, O BIEN, al 1-800-464-4000 (TTY 711), Espaol: 1-800-788-0616Chino: 1-800-757-7585, Abierto las 24 horas del da, los 7 das de la semana (cerrado los das festivos). Medicines to avoid include sleeping pills, opioids, and sedatives. Central sleep apnea is less common. You can expect to see a total bill of around $30,000 to $40,000 for both the surgery and device cost, but that'sbeforeyour insurance kicks in. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. Oral breathing devices or other types of devices that you wear while you sleep have not worked for you. What else do you need to make your decision. Other forms of surgery are not right for you. You can get many of these devices without a prescription. Shop your favorite products and well find the best deal with a single click. Monday through Friday,7:30 a.m. to 7 p.m.Saturday and Sunday,8 a.m. to 4:30 p.m. Estamos trabajando para restaurar el sitio kp.org/espanol lo antes posible. Changing the position of the lower jaw enlarges the airway and decreases the chance that it will collapse when you inhale. They also find out how much oxygen you have in your blood during sleep. But it leaves a hole in your throat where the breathing tube sits. Your doctor may suggest a sleep study. Most U.S. insurance companies cover Inspire; Over 400 insurance companies have covered the cost of Inspire for patients who meet the eligibility requirements; . Register. Decision Points focus on key medical care decisions that are important to many health problems. For more information on MRI Guidelines, please, To find out what Inspire Model you have, please contact your doctor or refer to your Patient ID card. Sleep labs are often located in hospitals. Apnea episodes and snoring may return over time. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. If you use CPAP, or another machine to help you breathe, you need to use it every night and while you nap. Conditions such as periodic limb movement disorder. It's mostly used for central sleep apnea. Watchful waiting may be right for you if you snore but are not excessively sleepy during the day. Humana provides health insurance coverage to approximately 16.7 million individuals in the United States. If you still feel sleepy during the day while using CPAP at night, tell your doctor. Some people have both types. It's also not recommended for anyone with ". It senses pauses in breathing and adjusts air pressure. 3100 Seattle, WA 98101. For recommended treatments, please consult with your health care provider. My wife can't believe the change in my attitude during the day. Enlarged tonsils or adenoids are a common cause of sleep apnea in children, so surgery to remove them is usually the first treatment. 1. A device is implanted in the upper chest. Bone deformities or enlarged tissues block your airways. The Inspire isn't constantly sending impulses to your nerves. This information does not replace the advice of a doctor. CPAP stands for "continuous positive airway pressure." The CPAP machine will have one of the following: Sleep apnea increases as people get older. You have tried CPAP, but it hasn't helped. Think about what matters most to you in this decision, and show how you feel about the following statements. Lifestyle changes can help treat obstructive sleep apnea. Drinking alcohol or taking certain medicines, especially sleeping pills, opioids, or sedatives, before sleep may make symptoms worse. The visibility of the scars will depend on your skin tone and individual healing process. You will probably be asleep during surgery. As breathing resumes, loud snoring starts. They push the jaw or hold the tongue forward. These include: People who have sleep apnea are more likely to be obese. Do you need treatment even if your sleep apnea doesn't bother you too much? It's important to treat sleep apnea, because it makes you more likely to have other serious problems. Blocked or narrowed airways in your nose, mouth, or throat can cause sleep apnea. Smoking can increase your risk for sleep apnea, because the nicotine in tobacco relaxes the muscles that keep the airways open. A doctor trained on the Inspire procedure can discuss the qualifications with you during an office visit. Don't use sprays, oils, or gels on your hair. You may still need CPAP after surgery. My appearance after a tracheostomyhaving a hole in my throatwon't bother me. This makes your heart and blood vessels work harder and can affect your heart rate and nervous system. Dangers During Surgery Details. Because of the need for surgery to place the Inspire implant, it likely isn't most people's first choice. I am not willing to risk the complications from surgery, so I am going to continue with CPAP. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. You notice that your bed partner stops breathing, gasps, or chokes during sleep. Are you clear about which benefits and side effects matter most to you? Radiofrequency ablation, which reduces the size of the tongue or other tissue that may be blocking airflow to the lungs. De lunes a viernes, de 8:00 a. m. a 6:00 p. m. Horario Abierto los 7 das de la semana, de 8 a. m. a 8 p. m. Washington (fuera del rea de Vancouver/Longview), Direccin 601 Union St., Ste. By stimulating the tongue and airway muscles, Inspire aims to treat the underlying cause of sleep apnea, not just the symptoms. You or your bed partner snores loudly and heavily and feels sleepy during the day. Your airway can become narrowed when your throat muscles and tongue relax during sleep. People who have sleep apnea and tend to have swelling in their lower legs and ankles may be helped by wearing compression stockings during the day. 2006-2023 Healthwise, Incorporated. I am not willing to risk the complications from surgery, so I am going to continue with CPAP. or But apnea episodes and snoring may return over time. When you stop breathing or have reduced airflow into your lungs during sleep, you don't sleep well and you can be very tired during the day. 1995-2023 Healthwise, Incorporated. Inspire is an alternative sleep apnea treatment to a traditional CPAP machine. or You can try nonsurgical treatments, including lifestyle changes and. Excessive snoring. It's important to treat obstructive sleep apnea, because sleep apnea makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke. Nerve stimulation. Monday through Friday, Oahu: 7:30 a.m. to 5 p.m. That's called complex sleep apnea. Sign In Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. The Sleep Lab at South Sacramento Kaiser Permanente is open Monday through Friday between the hours of 8:30 am and 5:00pm. These will record things like brain activity, eye movement, oxygen levels, and snoring. If your sleep apnea doesn't improve with treatment, you may have more tests to find out what's causing it. A CPAP machine is durable medical equipment. For more information, please visit. That in turn may: Watchful waiting is a wait-and-see approach. Problems with nighttime behaviors. CPAP is doing wonders for my sleep apnea. If your tonsils or other tissues are blocking your airway, your doctor may suggest surgery to open the airway. While you sleep, Inspire delivers mild stimulation to key airway muscles, allowing the airway to remain open. You may have other tests to find out what's causing sleep apnea. Register, Medical Review:Kathleen Romito MD - Family Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. Make these other problems worse and harder to treat. Continuous positive airway pressure (CPAP), Sleep Apnea: How Treatment Can Improve Your Life, continuous positive airway pressure (CPAP), E. Gregory Thompson MD - Internal Medicine, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Continuous positive airway pressure (CPAP) for sleep apnea. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. The Health Encyclopedia contains general health information. Are you clear about which benefits and side effects matter most to you? Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. It's also a good idea to keep a list of the medicines you take. Follow the directions for cleaning the machine. Since I have been using CPAP, my sleep apnea symptoms have disappeared. 2011-2023 Healthwise, Incorporated. Health Insurance Inspire is covered by most major insurance providers. You may be asked to keep a sleep diary before your sleep study. Numerous clinical trials have found Inspire to be safe and effective at treating OSA. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. I am tired of being attached to a machine at night while I sleep. You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Each time you breathe, the Inspire device sends an impulse to the hypoglossal nerve. Problems staying awake, such as narcolepsy. The main side effect of tracheostomy is that you have a hole in your throat where the breathing tube sits. No, that's wrong. This may prevent a buildup of fluid and swelling of the tissues in the nose and throat at night. If CPAP does not work, or if large tissues are blocking your airway, you may need surgery. It reduces the chance of developing long-term. Cookie Notice My doctor said that even if I have the surgery, I still might have to use CPAP. Follow us on these external social media sites that will open in a new browser window. While you sleep, Inspire opens your airway, allowing you to breathe normally and sleep peacefully. CPAP stands for "continuous positive airway pressure.". 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Being able to feel the nerve being stimulated. ", "Since I have been using CPAP, my sleep apnea symptoms have disappeared. Children may need to see a specialist if they have sleep apnea. This information does not replace the advice of a doctor. This combats sleep apnea by keeping your airways open. Enter X266 in the search box to learn more about "Learning About CPAP for Sleep Apnea". Some people who have sleep apnea have a small, receding jaw. All Inspire patients are eligible to have CT scans and X-Rays anywhere in the body. It should not be painful or uncomfortable. The oxygen levels in your blood may go down, and carbon dioxide levels go up. The Tampa VA is the first VA hospital to offer Inspire therapy. Is surgery usually a doctor's first choice in treating sleep apnea? Follow us on these external social media sites that will open in a new browser window. Other problems may include pain, infection, speech problems, and a narrowing of the airway in the nose and throat. According to Inspire, the stimulation is subtle and is designed to not wake you up, meaning it shouldn't be painful or uncomfortable. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. cross-references to other topics, definitions or medical illustrations) is only available in the online version. Sleep apnea is often treated with machines that deliver air through a mask to help keep your airways open. For recommended treatments, please consult with your health care provider. This prevents the tongue from relaxing and blocking your airway during sleep. The side effects of CPAP aren't bad enough to keep me from using it. Eat sensibly, exercise, and stay at a healthy weight. Please call the phone number on your prescription label or 1-800-464-4000 (TTY 711), option 5, then option 1. A tracheostomy nearly always cures sleep apnea. If you have moderate to severe sleep apnea, you may need to use a breathing device (continuous positive airway pressure CPAP) that prevents your airway from closing during sleep. The Health Encyclopedia contains general health information. Other oral breathing devices supply electrical stimulation to the tongue muscles to prevent the airway from collapsing when you sleep. Navigation Menu - Opens a Simulated Dialog. For some, sleeping with a CPAP machine is impossible. Request for confidential communications forms. Learn more at. Once that information is recorded in your medical record, Medicare will generally cover an additional ten months of sleep apnea machine rental, for a total of 13 months, at which time, you will own the equipment outright. 100 Portland, OR 97232. Monday through Friday, 7:30 a.m. to 9:00 p.m. Oahu:808-432-2000Maui:808-243-6000Hawaii:808-934-4000 (Hilo) / 808-334-4400 (Kona). Show which way you are leaning right now. If you can't get used to CPAP, talk to your doctor. More serious risks associated with Inspire, which are also much more rare, include allergic reaction, nerve trauma or damage, or damage to blood vessels around the site of the implant. Now there's a new alternative to CPAP machines.