Your dentist will discuss the cost of your oral appliance therapy and payment terms available. If you are obtaining your home sleep test through SleepArchitects and REST Diagnostics, and you have medical insurance, SleepArchitects will work with your dentist to find out what coverage may be available from your medical insurance provider.
If you are getting a Home Sleep Test through SleepArchitects and REST Diagnostics, please read this Financial Disclaimer from REST Diagnostics:
All services are subject to medical necessity, contract limitations and exclusions (e.g. payment of premium). This is not a guarantee of benefits and all claims are subject to the terms, exclusions, and conditions at the time of service. Benefits are given to patients based on information received by your insurance plan. If the benefits are different than the terms in the member’s contract, the terms will take control. This is an agreement between REST Diagnostics, LLC and the Patient/Guarantor/Legal Guardian. In this agreement the words you, your, and yours mean the Guarantor/Patient/Legal Guardian, responsibly party. The word ‘account’ means the account that has been established in your name to which charges are made and payments credited. By executing this agreement, you are agreeing to pay for all services that are received. You authorize the use of this signature on all insurance submissions whether manual or electronic.
When we submit your claim for medical reimbursement, you may receive one or multiple documents from your insurance carrier known as Explanation of Benefits (EOBs). An EOB is not an invoice. It is simply an explanation of how our services are being applied against your benefits. Please contact us at (949) 347-5070 if you have any questions.
Payment is expected on the day you schedule delivery of the Home Sleep Test Device. You may pay by check, debit card or credit card.
Sleep Study Cash Price: If you do not have medical insurance or your medical insurance does not cover the test, the out-of-pocket cash price for the Home Sleep Test will be provided during your scheduling call with SleepArchitects.
Return Checks: There is a $30.00 fee on any checks returned by the bank.
Upon receipt of this agreement, you acknowledge having read and complied with all the terms and conditions contained herein. For collection purposes, we have the option to report your account status to any attorney, collection agency, or credit bureau.
If you are obtaining a sleep study through an organization other than SleepArchitects and REST Diagnostics, you will need to work directly with that sleep study organization regarding use instructions and cost.
We work with most private PPO plans, including all of the major insurance carriers, such as AETNA, Blue Cross/Blue Shield, United Health Care, Cigna, Humana, and any other PPO carrier.
The coverage depends on the benefits plan you purchased. Normally, you pay 100% of your individual deductible before your medical plan begins to cover additional medical costs. Most dental providers fall out-of-network relating to dental sleep therapy. To understand your out-of-network coverage, go to your plan’s website for more information, or call the customer phone number on your medical insurance card.
Yes, you can make arrangements to use your FSA/HAS Spending Card with your dental sleep provider.
We are able to service sleep testing to patients with Medicare coverage. For other types of insurance, please provide front and back copies to your medical insurance card so the appropriate verification of benefits can be completed. While we are not able to work with Medicaid, TRICARE, or other HMO plans, we do as much as we can to help you through discounts and our convenient cash-pay service. To find a provider that can work with these insurance plans, call the phone number on your insurance card.
Many times you will receive an Explanation of Benefits (EOB) detailing charges made to your medical insurance. Sometimes these documents can look like bills, but they are not. However, if you still have questions relating to your EOB, or if you received an actual invoice, please call us at 888-777-3198 or email us at reachus@sleeparchitx.com.
You can call us at 888-777-3198 or email us at reachus@sleeparchitx.com.
