Your doctor may suggest a sleep study. The Health Encyclopedia contains general health information. Because sleep apnea disturbs your sleep, it can make you very tired during the day. Use this Prior Authorization Guide to assist you in determining if your patient meets criteria.. These include: People who have sleep apnea are more likely to be obese. I have apnea and the restmed that I have been using has been difficult at best to keep on my face, I just move around way too much at night. Sleep apnea occurs when you often stop breathing for 10 seconds or longer during sleep. Radiofrequency ablation, which reduces the size of the tongue or other tissue that may be blocking airflow to the lungs. The surgery may stop your snoring, but you may still have apnea. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Your condition is easy to fix, such as very large tonsils. Your doctor will probably have you try lifestyle changes and CPAP first. Talk to your doctor or pharmacist about your options. You are unable to use or get consistent benefit from CPAP. It's also not recommended for anyone with ". Uvulopalatopharyngoplasty (UPPP) surgery (which removes tissue from the back of your throat) may reduce sleep apnea and snoring for some people. Obstructive sleep apnea is the most common type. 100 Portland, OR 97232. Lifestyle changes and CPAP may not be enough if your sleep apnea is very bad. By stimulating the tongue and airway muscles, Inspire aims to treat the underlying cause of sleep apnea, not just the symptoms. You're right. Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. Please call the phone number on your prescription label or 1-800-464-4000 (TTY 711), option 5, then option 1. What else do you need to make your decision. Oral devices (also called oral appliances) are sometimes used to treat obstructive sleep apnea. Cookie Notice But it leaves a hole in your throat where the breathing tube sits. 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. Does UPPP always work well for sleep apnea? This is a limited benefit. Consultas sobre citas y consejos de salud : Copyright 2017 Kaiser Foundation Health Plan, Inc. Woodland Hills and surrounding areas (including western Ventura): Antelope Valley: 1-877-554-4404 (TTY 711), Baldwin Park y alrededores: 1-800-780-1277 (TTY 711), Downey y alrededores: 1-800-823-4040 (TTY 711), Fontana, Ontario y alrededores: 1-888-750-0036 (TTY 711), Condado de Kern: 1-877-524-7373 (TTY 711), rea metropolitana de Los Angeles: 1-800-954-8000 (TTY 711), Condado de Orange: 1-888-988-2800 (TTY 711), Panorama City y alrededores: 1-888-778-5000 (TTY 711), Riverside y Coachella: 1-866-984-7483 (TTY 711), Woodland Hills y alrededores (incluido el oeste de Ventura): 1-888-515-3500 (TTY 711). Yes, you're right. Central sleep apnea is less common. Read and follow all instructions on the label. Have nighttime choking or gasping spells. They are easier and more comfortable for some people to use. It really isn't that much of a bother for me to use. The Inspire sleep apnea device is aFood and Drug Administration-approved surgical implant that's placed under the skin on your chest. 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. Your airway can become blocked when your throat muscles and tongue relax during sleep. Medicines include some types of sleeping pills, opioids, and sedatives. This uses different air pressures when you breathe in and out. You are age 18 or above. Inspire should not limit your normal activities, The current version of Inspire can undergo MRI scans provided specific conditions are followed, Having a pacemaker should not disqualify you from becoming a candidate for Inspire, The current version of Inspire (Model 3028) is eligible for MRI scansprovided specific conditions are followed. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. Overview The hypoglossal nerve stimulator (HGNS) is a treatment for obstructive sleep apnea (OSA). Inspire doctor can print out a usage record of Inspire to show the medical examiner that you are using your prescribed sleep apnea treatment; 3100 Seattle, WA 98101. Being able to feel the nerve being stimulated. Are you clear about which benefits and side effects matter most to you? Navigation Menu - Opens a Simulated Dialog. CPAP is a machine that prevents your airways from closing during sleep. Is surgery usually a doctor's first choice in treating sleep apnea? The oxygen levels in your blood may go down, and carbon dioxide levels go up. Learn more by reading the Frequently Asked Questions below: Your doctor will also examine your airway and review your most recent sleep study. I am not willing to risk the complications from surgery, so I am going to continue with CPAP. 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. Your use of this information means that you agree to the Terms of Use and Privacy Policy. It's also a good idea to keep a list of the medicines you take. May help keep heart failure or other heart problems from getting worse. Your throat muscles and tongue relax during sleep and partially or completely block the airways in your nose, mouth, or throat. Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. Were working to get kp.org back online as soon as possible. Follow us on these external social media sites that will open in a new browser window. They check for how often you stop breathing or have too little air flowing into your lungs during sleep. Go to https://www.healthwise.net/patientEd. Because of the need for surgery to place the Inspire implant, it likely isn't most people's first choice. For more information, please visit. There are two main types of sleep apnea. For adults, breathing may stop as few as 5 times an hour (mild apnea) to 30 or more times an hour (severe apnea). For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. 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. If a patient falls outside the coverage criteria of their insurance, a team of insurance specialists at Inspire will assist in gaining approvals. Obstructive sleep apnea is caused by blocked or narrowed airways in your nose, mouth, or throat. This makes your heart and blood vessels work harder and can affect your heart rate and nervous system. Some people who have sleep apnea have a small, receding jaw. Author: Healthwise StaffMedical Review: Anne C. Poinier MD - Internal MedicineE. Your doctor will examine you and ask about your past health. There are symptoms of sleep apnea that you may notice and symptoms that others may notice when you're asleep. A dentist will shape the device to fit your mouth. Other problems may include pain, infection, speech problems, and a narrowing of the airway in the nose and throat. Tubing and other supplies for your sleep apnea machine are generally also covered at 80%. Enlarged tissues in the nose, mouth, or throat can block your airway while you sleep, making sleep apnea more likely. Inspire therapy is approved to treat a subset of people with moderate to severe OSA who are unable to use CPAP therapy. Follow us on these external social media sites that will open in a new browser window. The Medicare program will cover those who require the use of Inspire. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. This information does not replace the advice of a doctor. Taylor Leamey writes about all things wellness, specializing in mental health, sleep and nutrition coverage. Make these other problems worse and harder to treat. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. If you're interested in Inspire, it's best to speak to your provider to discuss your options. Here are some changes to think about. 2011-2023 Healthwise, Incorporated. Spice up your small talk with the latest tech news, products and reviews. Wear compression stockings if your doctor recommends them. If these things don't help, you might try a different type of machine. Inspire is a medical technology company focused on the development and commercialization of innovative and minimally invasive solutions for patients with obstructive sleep apnea. According to Inspire's website, it's covered by most insurance providers. It's also often accompanied by loud snoring. Is surgery usually a doctor's first choice in treating sleep apnea? ", "Since I have been using CPAP, my sleep apnea symptoms have disappeared. When you have sleep apnea, this can help you sleep better, feel better, and avoid future health problems. Do you need treatment even if your sleep apnea doesn't bother you too much? Sign In Sleep apnea tends to occur more often in women who have been through menopause than in women who have not. What are the risks of untreated sleep apnea? For example, you may have enlarged. 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. Servicio a los Miembros (rea metropolitana), Servicio a los Miembros (fuera del rea metropolitana) 1-800-777-7902 (TTY 711). I want to discuss the options with others. Medicines to avoid include sleeping pills, opioids, and sedatives. around. Feeling unrefreshed or tired after a night's sleep. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Taking my CPAP machine on business trips is too much trouble for me. Key points to remember If you snore but don't have other symptoms of sleep apnea, you may not need a sleep study. Things like a stuffy nose caused by a cold or allergies can make apnea worse. 1995-2023 Healthwise, Incorporated. If you need help with Kaiser Permanente services or have questions, please see the phone numbers by state/area below. You may find that you want to take off the mask, or you may find it hard to sleep. These studies can help find sleep problems, such as: Follow-up care is a key part of your treatment and safety. Surgery can sometimes correct the blockage and improve sleep apnea. There are three main types of sleep apnea: Inspire is only for treating obstructive sleep apnea; it will not treat central sleep apnea. This most often occurs because your airways are blocked or partly blocked. Problems staying awake, such as narcolepsy. 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. To learn more about Healthwise, visit Healthwise.org. "In general, most patients will only be required to pay the applicable deductibles and copayments that exist for their insurance plan.".
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