Does Medicare cover oral sleep appliances?
Sometimes. The hard part is getting a sleep study so that you know if you have sleep apnea. We are one of the few Medicare Durable Medical Equipment (DME)-certified offices in Dutchess County, New York. However, due to a recent Medicare rule change, if you have used a CPAP for 3 months, you have to wait 5 years for Medicare to pay for an oral appliance. That is why we have informed medical offices that if the patient is not using the CPAP after 45 days, the patient should come to our office. Then we can make an oral appliance before the 90-day period has passed.