What Sleep Disorders Can Home Tests Detect
Currently, at-home sleep tests are designed to test for obstructive sleep apnea. These tests are recommended only for people with symptoms that indicate moderate to severe obstructive sleep apnea. Those with a history of cardiorespiratory diseases, stroke, insomnia, or hypoventilation should do their sleep study in a lab and not conduct an at-home sleep test.
How Does A Sleep Study Work
Obstructive Sleep Apnea is an incredibly common and potentially dangerous sleep disorder, estimated to affect 22 million Americans. Researchers believe that up to 80% of moderate to severe cases of OSA remain undiagnosed, and thats partly due to misconceptions about in-lab tests, or polysomnograms .
Many people imagine staying overnight in a brightly-lit hospital room, where theyll be hooked to hundreds of tubes and wires, and watched like a lab rat. While there was a time when this was true, sleep medicine has come a long way since then, and with good reason! To get an accurate diagnosis, you need to sleep the same way you would in your own home.
While youre asleep, a few non-invasive sensors will monitor your breathing pattern, airflow, oxygen levels, and heart rate to determine the cause of your sleep problems.
More advanced sleep studies may also keep track of your:
- Respiratory effort
- Brain waves
- Sleep position
- Eye movements
What they look for and how they track it depends on whether you have your test done at a sleep clinic or with a home sleep apnea test .
The First Step: Check Your Health Insurance Policy
Many companies will pay the full treatment amount, but it depends on your plan. Some require you to prove that your treatments are âmedically necessary.â
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Personal Stories About Sleep Studies
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.
My husband snores so much when he sleeps that he has been keeping me awake. I don’t think that he has been sleeping well either, because sometimes he falls asleep when he is just talking to me. I discussed it with him, and we decided that he should have a sleep study to see if he has sleep apnea.
Sometimes I snore so loudly that I wake myself from sleep. I am also tired during the day. I read somewhere that snoring could be a symptom of sleep apnea. I called my doctor and told her about my symptoms. She gave me a few tips to prevent snoring. I am going to try these methods first to see if they work before I think about having a sleep study to diagnose sleep apnea.
Jamal, age 37
I have been a truck driver for almost 20 years. Recently, I have almost had a few driving accidents because I have a hard time staying awake while driving. When I sleep at home, my wife says that I stop breathing while I sleep. I am going to have a sleep study to see if I have sleep apnea.
Hal, age 41
Frank, age 63
Using Your Medical Insurance For Sleep Testing
Here are some factors you should consider when you arethinking about using your medical insurance to pay for your sleep test:
- Network status can make a difference. Ifa sleep lab is in-network with your insurance, you will likely pay less out ofpocket than if you visit an out of network lab. You might be able to use yourinsurance policys online patient portal to find an in-network sleep clinic.
- You might need a referral. Some insurancepolicies require a referral from your primary care provider before theywill cover a sleep test.
- Have you met your deductible? Manyinsurance policies require that you pay out of pocket for medical services upto a certain dollar amount each year. For some policies, the deductible isthousands of dollars. If you have a healthcare savings account orflexible spending account , you may be able to use those funds to coverthe deductible.
- A sleep test is just the beginning. Whileyou are researching your insurance, you may want to find out if it will covertreatment for various sleep disorders. For example, you should ask if it coversoral sleep appliances or other therapies for sleep apnea in Vero Beach.
A sleep test may be the first step on your journey towardenjoying higher-quality rest. Although the test costs a significant amount ofmoney, your medical insurance may be able to significantly reduce your out ofpocket obligation.
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There Is No Law Stating I Need A Sleep Test Why Do I Have To Do This
There is no new law on DOT physical sleep apnea for truck drivers. Currently, the U.S. Department of Transportation does not require sleep apnea testing for truck drivers.
However, DOT does require that truck drivers get a medical examination in order to maintain a CDL license if a medical examiner decides the driver needs sleep apnea testing. DOT says that itâs up to your medical examiner whether your medical condition will interfere with your driving.
If diagnosed with moderate to severe sleep apnea, you are considered unsafe to drive and will lose your CDL until youâre treated for sleep apnea and deemed safe to drive again by your medical examiner. In short, whoever examines you during your CDL physical will determine your need for a sleep apnea test and your ability to safely drive.
How Does A Home Sleep Apnea Test Work
After your doctor prescribes a home sleep apnea test, you will pick up the test kit at your doctors office. Or, the kit may be delivered to your house by a trained sleep therapist. You will get printed or video directions for how to use the kit.1-2
You should go to bed at your regular time. You will put on the sensors and turn on the monitor.
The parts of a home sleep apnea test include:1,3
- A tube that fits into your nostrils and secures behind your ears, like an oxygen mask
- A belt with sensors that fits around your waist or chest
- A sensor that clips onto a finger
- A monitor to collect details as you sleep
Just before you go to sleep, you will put on the parts of the test kit and turn on a monitor. The nose tube measures your breathing. The belt around your chest measures the rise and fall of your chest as you breathe. The finger sensor measures oxygen levels and heart rate. The monitor may record the sound of your snoring as well as collect data.1,3
When you wake up, you will take off the sensors and turn off the monitor. You will return the kit to the doctors office or mail it back. The information gathered overnight will be sent to a sleep doctor who will interpret the results. These results will be sent to your doctor. Your doctor will usually want to schedule an appointment for you to come in and discuss the findings.
A study in a sleep lab may be needed if your doctor suspects a sleep disorder other than sleep apnea.1-2
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Sleep Study Scoring Services
One of the ways your sleep study test results can be tabulated is by a sleep study scoring service. There are several services offered for polysomnograms and home sleep tests that often include sleep physician interpretations.
Because the data is compressible and easily transferable, sleep studies may be sent from a sleep center or laboratory to a sleep tech in a different part of the world. The sleep study data is sent and reviewed by a sleep technologist and a sleep doctor. They are usually contracted for outsource sleep center services.
There Is A Great Misconception Out There That You Can Fake Central Sleep Apnea But If You Have Cardiopulmonary You Cant The Reason For This Is That When You Sleep The Muscles Of Your Diaphragm To Move With It And Try To Keep Your Airways Open By Creating A Vacuum However The Airway In Your Chest Is Not Going To Dilate Because It Is Attached To The Top Of Your Lungs Therefore You Can Fake Central Sleep Apnea But If You Have Cardiopulmonary You Cant
You might be asking yourself what the best way to try and cure sleep apnea is, after all you can fake it right? Well you can fake it because you can learn how to control your breathing through speech. Some people learn through hypnosis while others learn through audio tapes. You have to decide which method you want to use because there is no one method that will work for everybody.
The most important thing you can do to cure sleep apnea is to get regular exercise. This is the number one thing that will help you breathe properly. If you dont breathe properly then you can easily cause yourself to stop breathing for a few seconds and then start again. This is why exercising is such an important part of the treatment. Also it will help you relax during the day because stress will slow down your breathing as well.
Price Of Sleep Study Test In The Philippines
Sleep study in hospitals in the Philippines can range from Php 10,000 to Php 20,000 or more depending on the package available from the hospital. Sleep medicine services in these facilities are available as a stand alone test or as part of an executive check up exam.
Cpap Coverage By Province:
Once you have been diagnosed with Sleep Apnea, check with your private insurance company how much coverage they offer for CPAP equipment. Keep in mind that each insurance company and each province will be different in how much of the expenses they cover.
Below, we walk you through the funding and coverage options of the following provinces: Ontario, Alberta, British Columbia, Quebec and Nova Scotia.
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Answers To The Tough Questions That You Are Probably Asking Right Now
- Im nervous about ordering an at home sleep study over the Internet. How do I know that your company is legitimate?
- I have seen cheaper at home sleep studies available online. Why is your at home sleep study more expensive than some other companies?
Choosing a company to perform your at home sleep study is a big decision. The testing fees are a considerable expense. But price isnt everything and you also want to make sure that you get a valid report with an accurate diagnosis. We know that what youre really looking for is value and we feel that we offer the best value on the market. We use the Alice NightOne testing device from Philips Respironics, the world leader in sleep diagnostics. The Alice NightOne meets the American Academy of Sleep Medicine recommended criteria for home sleep study devices and is superior to less expensive tests like the Watch-PAT because it allows our sleep doctor to directly review your breathing data. The Watch-PAT simply generates a report that the doctor signs based on estimating abnormal breathing from changes in the diameter of finger artery. Our experience is that the Watch-PAT is not as accurate, and particularly not as good at distinguishing obstructive from central sleep apnea, as the Alice NightOne. The Watch-PAT also claims to measure your sleep stages but this is also just an estimate based on the frequency of your body movements during the night.
- Do you take me insurance?
- If I need CPAP, do I have to get it from Singular Sleep?
What Is The Ahi Scale
The AHI scale is a measurement tool that represents the amount of times that a person stops breathing, or almost stops breathing per hour. The goal of using the AHI scale is to measure the severity of your sleep apnea. The AHI is the sum of the number of apneas plus the number of hypopneas that occur, on average, each hour.
What You Need To Know About Health Insurance Coverage For Sleep Studies
The rate you pay for your sleep study depends on the relationship between the sleep center and your insurance company . Your insurance company will contract for services with providers at greatly reduced rates. So its important to understand your coverage. Theres a big difference between the price youll pay for going to a contracted or in-network provider vs. one who will accept your insurance but isnt contracted. For you, this could mean the difference between paying $150 and $1,200 for the same procedure. Weve devoted an entire post to this topic here.
Youll need to know if you have a deductible to meet before your insurance coverage kicks in. For many patients, deductibles can be as high as $2,000 to $4,000 or more. So while you have coverage for the service, you have to pay out-of-pocket until you meet that deductible.
If youve met your deductible, your insurance will pay for a covered service, but may not pay 100%. Again, be sure to find out the difference between coverage for an in-network vs. out-of-network provider as in-network coverage could be 80-100% while out-of-network coverage is 50% or none at all. We see typical in-network co-pays are around 20% and end up as a $100-200 charge for the patient .
Diagnosis For Sleep Apnea
Sleep apnea does require a diagnosis from a board-certified sleep physician or one of the other approved medical professionals. Other approved medical professionals include:
- Primary Care Physicians
Many people may be at risk for OSA, and there are only a few surefire ways to ensure you are getting a reliable diagnosis. Be sure to talk to your doctor or speak to a ApneaMed representative about your options for testing.
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Va Rating For Sleep Apnea Explained The Experts Guide
In this post, we will be exploring how to get a VA Rating for Sleep Apnea.
A veterans final VA disability rating for Sleep Apnea depends upon the frequency, severity, and duration of symptoms, meaning, the more severe your symptoms, the higher the VA rating for Sleep Apnea.
In 2020, Sleep Apnea VA ratings range from 0% to 100% with breaks at 30% and 50%.
The highest possible scheduler VA disability rating for Sleep Apnea is 100%, which includes symptoms such as, chronic respiratory failure with carbon dioxide retention or cor pulmonale, or requires tracheostomy.
Okay veterans lets take a minute to explore the law regarding the symptoms and level of impairment required to warrant a VA disability rating for Sleep Apnea.
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How To Prepare For A Sleep Study
A sleep study involves an overnight stay at a sleep center, hospital or even a special hotel room. These environments are set up to make you as comfortable as possible so you can have a full nights sleep. Typically, you will not need to report for your sleep study until the early evening.
On the day of your sleep study, you should:
- Follow your regular routine as much as possible
- Avoid napping
- Avoid using hair sprays or gels that can interfere with the sleep recording
- Avoid alcohol or other sedatives unless otherwise prescribed by your doctor.
Your medical provider may recommend that you to temporarily discontinue using some medications prior to a sleep study.
When it is time to report for your sleep study, bring any items that you need for your nightly routine. Prepare for the sleep study as if you are staying at a hotel for a night. You may want to bring:
- Comfortable pajamas or clothes to sleep in
- A toothbrush, toothpaste and dental floss
- Makeup remover
- Reading material
- Clean clothes for the morning
When you arrive, a sleep technologist will ask about your sleep habits. There may be a questionnaire for you to fill out.
You will have some time to make yourself at home. There will not be any other patients in your room. You will have a bathroom and you may have a TV to watch.
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Types Of Sleep Disruptions
While apneas, which occur when you stop breathing for at least ten seconds, are typically the most common characteristic of sleep apnea, there are other types of sleep disruptions that will be charted during your sleep study. A hypopnea, a partial cessation of airflow, can be just as serious as an apnea, or you may have a respiratory effort-related arousal that can disrupt the depth of your sleep without qualifying as an apnea or hypopnea. The sleep study should note other arousals or partial awakenings or excessive movements, which will help your doctor assess your sleep quality and select the most appropriate treatment option.
Sleep disruptions create significant short-term and long-term health consequences ranging from mild stress to serious cardiovascular and metabolic issues, so the quality of your sleep is very important.
Simple To Set Up And Perform
Sleep studies are an important tool for diagnosing sleep apnea. In the past, all testing for sleep apnea needed to take place at a sleep medicine center, but today, many patients are able to conduct this test in their own home.
There are several benefits to home sleep apnea testing versus staying overnight in the lab:
Privacy and comfort: Being in a familiar environment and following your typical bedtime routine may provide the most accurate picture of your sleeping patterns.
Convenience: Scheduling an overnight sleep study at the lab can be difficult if you have to arrange child care or if you live far away from a sleep center. HSATs only require you to arrange a time to pick up and return the testing equipment.
Cost: Whether you are paying out of pocket or using health insurance, HSATs are generally less expensive than those performed in the lab. Most insurance companies cover home testing for sleep apnea, however its best to check your policy first.
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