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IDS Patient Education

IDS Patient FAQ

If you have questions regarding the home sleep test itself and how it is performed, please review the Home Sleep Test Patient Instructions.

Q: Does insurance cover the home sleep test?

A: It will vary depending on insurance. Medicare, Aetna and Humana will typically pay for a home sleep test; other insurance companies are beginning to adapt their policies to cover it as well. Companies such as Cigna, United Healthcare and Anthem Blue Cross will cover home sleep testing ONLY under certain circumstances. The best way to find out if a home sleep test is covered is to call your insurance company or visit their website.

If researching their website, search for billing code G0400; this is typically the code that Medical Policies bill under. Call IDS at 1-800-355-0691 if you need more direction or cannot get through to your insurer.

You should also inquire about coverage for Continuous Positive Airway Pressure (CPAP). This is the treatment your doctor is likely to recommend if you test positive for Obstructive Sleep Apnea (OSA). See our OSA Fact Sheet for more information.

Q: How much will an IDS Home Sleep Test cost?

A: Of course that depends on your insurance. For example, the patient responsibility for regular Medicare patients who have met their deductible without a secondary insurance for 2012 is is 20% of the medicare allowable for participating providers. Deductible also applies.. Again, other co-pays and deductibles obviously vary depending on the patients plan.

As of the date of this printing, our published fee for an HST was $295 for a Type 3 (subject to change). There are also discounts available for patients paying in advance of equipment delivery. We make every attempt to validate insurance coverage up front for the patient if they request that we do so. We also let patients know what their responsibility is likely to be and give them the choice to continue.  

To put it in perspective, an IDS HST will typically be between 1/3rd to 1/10th the fee of an in-lab study and often the full cost of the HST is less than just the co-pay amount of a lab study.

Q: Who should have a home sleep test?

A: Home Sleep Testing is intended for patients who have a moderate to high suspicion of OSA based on an assessment by their doctor. It will not diagnose insomnia or other sleep disorders; a home sleep test is not intended to be used as a screener (used on patients without symptoms). See our OSA Fact Sheet for more info.

 

Q: When will my doctor receive the test results?

A: Once IDS receives the device back from you, we process it and make it available to our panel of board certified sleep physicians for interpretation. In most cases, it is reviewed and interpreted the same day. Our automated system immediately faxes the report to your physician. Call your doctor after 2-3 days to see if the results have been received. Please do not call IDS for your test results. Only your physician can discuss the results with you. 

Q: What exactly will the test results show?

A: While you sleep, the home sleep test device monitors your breathing and records pauses in your breathing known as Apneas (see our OSA Fact Sheet for more information). It also records your pulse rate and the level of oxygen in your blood. Changes in pulse rate and blood oxygen levels, to some degree, are a measure of how much stress each of these abnormal breathing events cause to your body.

Ready now? Simply print out the Home Sleep Test Physician's Order Form and give it to your physician.