With 35 POSITIVE COVERAGE POLICIES covering 125 MILLION MEMBERS in the United States, a growing number of patients and physicians have access to innovative Inspire Therapy.
Inspire Medical Systems provides resources to assist with coding, coverage and reimbursement for inspire therapy both pre-implant and post-implant.
Most sleep apnea patients who meet eligibility requirements for Inspire have access to insurance coverage.
For other payers that consider Inspire “experimental and investigational”, prior authorization may be denied at first request. Most commercial health plans have a method by which denials can be appealed through a process documented in the plan’s Provider Manual. The Inspire Prior Authorization Program can assist you with this process.
*As of 7/15/2019