The sleep apnea appliance is not covered under your dental insurance, but it may be covered under your medical insurance. The medical code we bill is E0486 and is under your Durable Medical benefits. In order for insurance to approve benefits, certain criteria must be met (based on your plan's policies). This usually includes a diagnosis of mild to moderate sleep apnea and a current sleep study.
Another caveat worth noting is that we are not an in-network provider for any medical plans. This means we will be viewed as an out-of-network provider, and your out-of-network deductible and benefits will apply UNLESS your plan will allow you to obtain an "out-of-network exception" or "gap exception". These exceptions are agreements that your insurance will pay us as though we are an in-network provider, and in-network benefits will apply. This is generally an easy ask from insurance, as there are no in-network providers who provide this service, and medical providers who are in-network aren't capable of providing the service.