Talk to your doctor or pharmacist about your options. It may lead to other problems, such as high blood pressure and heart disease. Nerve stimulation. In the sleep lab, you will be in a private room, much like a hotel room. Before you speak with an Inspire Advisor, please make sure you've read about insurance coverage and viewed the Frequently Asked Questions. Depending on the type of test, you will be allowed to sleep through the night or you'll be awakened periodically and asked to stay awake for a while. Sorry, you're wrong. It senses the breathing pattern and mildly stimulates the airway muscles to keep the airway open. If a patient falls outside the coverage criteria of their insurance, a team of insurance specialists at Inspire will assist in gaining approvals. It's important to treat sleep apnea, because it makes you more likely to have other serious problems. You may find that you want to take off the mask, or you may find it hard to sleep. I am willing to have surgery to treat my sleep apnea if it can help. They may also be used for people with severe sleep apnea who find that continuous positive airway pressure (CPAP) doesn't work for them. Central sleep apnea is less common. All rights reserved. This uses different air pressures when you breathe in and out. 3. For adults, breathing may stop as few as 5 times an hour (mild apnea) to 30 or more times an hour (severe apnea). The risk increases for a man whose neck measures more than 17 in. Sleep apnea is often treated with machines that deliver air through a mask to help keep your airways open. Don't use sprays, oils, or gels on your hair. Problems with nighttime behaviors. Your throat muscles and tongue relax during sleep and partially or completely block the airways in your nose, mouth, or throat. Decrease daytime sleepiness. That eliminates an incision and, according to Inspire, reduces the procedure time by 20%. For more information, please see our Problems with nighttime behaviors. Nose strips widen the nostrils and improve airflow. It really isn't that much of a bother for me to use. I talked with my doctor, and we agreed that surgery might be a good option to treat my 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. Disorders that may increase your risk include hypothyroidism and acromegaly. Your doctor will probably have you try lifestyle changes and CPAP (continuous positive airway pressure) first. These studies can help find sleep problems, such as: Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. Traditional Health Insurance Medicare Veterans Persons who often go through obstructive sleeping experiences can try out this treatment. Children may also be treated with CPAP or corticosteroid medicine. 1995-2023 Healthwise, Incorporated. Be sure the mask, nasal mask, or nasal pillow fits well. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. Servicio a los Miembros (rea metropolitana), Servicio a los Miembros (fuera del rea metropolitana) 1-800-777-7902 (TTY 711). Kaiser Permanente is not responsible for the content or policies of external websites. Answer a few short questions to see if you may qualify for Inspire, then connect with a doctor to take the first step toward better sleep. Other oral breathing devices supply electrical stimulation to the tongue muscles to prevent the airway from collapsing when you sleep. Your doctor may suggest CPAP if you have: If using CPAP is not comfortable, or if you have certain side effects, work with your doctor to fix them. The Medicare program will cover those who require the use of Inspire. For recommended treatments, please consult with your health care provider. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Bone deformities of the nose, mouth, or throat can interfere with breathing, causing sleep apnea. This prevents the tongue from relaxing and blocking your airway during sleep. According to Inspire, the stimulation is subtle and is designed to not wake you up, meaning it shouldn't be painful or uncomfortable. Follow us on these external social media sites that will open in a new browser window. Radiofrequency ablation for sleep apnea can cause: Damage to tissue near the area being treated. If you don't smoke, those muscles are less likely to collapse at night and narrow the airways. It may help to go back and read "Get the Facts." Sign In Enter C688 in the search box to learn more about "Sleep Studies: About This Test". Some insurance won't approve it. Apnea episodes and snoring may return over time. These include: People who have sleep apnea are more likely to be obese. That's right. Enlarged tonsils or adenoids are a common cause of sleep apnea in children, so surgery to remove them is usually the first treatment. A dry mouth or sore throat in the morning. All Rights Reserved, Inspire works inside your body with your natural breathing process. Sleep Apnea: Should I Have a Sleep Study? You might be a candidate for Inspire if. Being able to feel the nerve being stimulated. But other treatments work almost as well in most people. It's also not recommended for anyone with ". They check for how often you stop breathing or have too little air flowing into your lungs during sleep. This information does not replace the advice of a doctor. After three months, there is a sleep study for the inspire reps to jack with settings to hone in the best setting. A device called a mandibular repositioning device pushes the jaw forward, improving airflow. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. Your doctor will probably have you try lifestyle changes and. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. You may be able to help treat sleep apnea by making some lifestyle changes. around. ", "Since I have been using CPAP, my sleep apnea symptoms have disappeared. 2. Have personality changes, anxiety, and depression. Problems staying awake, such as narcolepsy. Your use of this information means that you agree to the Terms of Use and Privacy Policy. This is a limited benefit. This is repeated muscle twitching of the feet, arms, or legs during sleep. Treatment Options for Obstructive Sleep Apnea, Inspire Medical Systems, Inc. 2023. The Health Encyclopedia contains general health information. The Inspire device delivers what's called "hypoglossal nerve stimulation therapy" while you sleep. All Rights Reserved. Inspire - Obstructive sleep apnea treatment option - VA News Clarksburg VA performs the Inspire procedure, an obstructive sleep apnea treatment that works inside the body with the natural breathing process. Around 22 million Americans have sleep apnea. There are two or three incisions made to place the device. Adaptive servo ventilation (ASV). Other problems may include pain, infection, speech problems, and a narrowing of the airway in the nose and throat. Some patients will also have one on the side of the rib cage. Inspire is a medical technology company focused on the development and commercialization of innovative and minimally invasive solutions for patients with obstructive sleep apnea. These include sleepwalking, night terrors, bed-wetting, and REM behavior disorders (RBD). If you're interested in Inspire for treating your obstructive sleep apnea, I recommend that you speak to your doctor to assess your needs and if it's a good fit for you. You start at lowest level and go up every week. First, the patient must be diagnosed with at least moderate obstructive sleep apnea. The surgery called tracheostomy (which puts a permanent opening in your neck to your windpipe) almost always cures sleep apnea that is caused by blockage of the upper airway. Medical Review:Kathleen Romito MD - Family Medicine & Adam Husney MD - Family Medicine & E. Gregory Thompson MD - Internal Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. Consultas sobre citas y consejos de salud, Abierto las 24 horas del da, los 7 das de la semana, Consultas sobre recetas mdicas, resurtidos de recetas o recetas nuevas, Llame al nmero de telfono que se muestra en el frasco de su medicamento recetado, O BIEN, al 1-800-464-4000 (TTY 711), Espaol: 1-800-788-0616Chino: 1-800-757-7585, Abierto las 24 horas del da, los 7 das de la semana (cerrado los das festivos). For example, you may have enlarged. I'm willing to try surgery to get better. The company claims that their device is a more convenient alternative to Continuous Positive Airway Pressure (CPAP) machines. But it leaves a hole in your throat where the breathing tube sits. The Health Encyclopedia contains general health information. You may not sleep well during the test and may be tired the next day. Per the FDA, the "probable benefits outweigh the probable risks" for approved obstructive sleep apnea patients who aren't benefitting from traditional CPAP therapy. The Health Encyclopedia contains general health information. Decision Points focus on key medical care decisions that are important to many health problems. Lifestyle changes can help treat obstructive sleep apnea. Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. Inspire is available for veterans at select VA and military hospitals across the US, Visit the Find a Doctor page or chat with an Inspire Advisor to see if there is an VA or military hospital near you that offers Inspire, If there is not a center near you, you can possibly utilize a program called the Community Care Program. A Continuous Positive Airway Pressure (CPAP) machine is also known as a respiratory assist device. According to the FDA's summary of clinical studies on Inspire, the most commonadverse eventsinclude: Inspire says that most of these adverse events resolve themselves over time, with the use of medication or by adjusting the settings on your Inspire, which the FDA's report also confirms. Medicare is covering Inspire for those who qualify. Do you understand the options available to you? She has invested hundreds of hours into studying and researching sleep and holds a Certified Sleep Science Coach certification from the. Don't use alcohol or certain medicines before bed. After your sleep problem has been identified, you may need a second study if your doctor orders treatment such as CPAP. The Inspire systemis the latest in obstructive sleep apnea treatment. You are age 18 or above. If your child snores, be sure to tell your doctor. Delivered on weekdays. If these things don't help, you might try a different type of machine. My wife can't believe the change in my attitude during the day. Certain things increase your risk for obstructive sleep apnea. You are unable to use or get consistent benefit from CPAP. It may help to go back and read "Get the Facts." How sure do you feel right now about your decision? ", "I have been using CPAP. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Humana provides health insurance coverage to approximately 16.7 million individuals in the United States. For some tests, you will also stay part of the next day. or If your nose is runny or stuffy, talk to your doctor about using a decongestant medicine or steroid nasal spray. Nota: Si necesita ayuda para un miembro de Kaiser Permanente que no es usted, seleccione el estado o rea donde reside esa persona. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. People who have sleep apnea and tend to have swelling in their lower legs and ankles may be helped by wearing compression stockings during the day. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Apnea episodes and snoring may return over time. You're right. 3100 Seattle, WA 98101. Be safe with medicines. This may prevent a buildup of fluid and swelling of the tissues in the nose and throat at night. I don't like the side effects of using CPAP, so I rarely use it. Enlarged tissues in the nose, mouth, or throat can block your airway while you sleep, making sleep apnea more likely. Other oral breathing devices supply . That's because you aren't snoring or restless. 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. A tracheostomy nearly always cures sleep apnea. Despite seeming like a minor annoyance that might keep your partner up at night, there are several serious side effects of sleep apnea if left untreated, including high blood pressure, strokes and heart issues. If you use CPAP, or another machine to help you breathe, you need to use it every night and while you nap. Sign In Follow us on these external social media sites that will open in a new browser window. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. Spanish: 1-800-788-0616Chinese: 1-800-757-7585, After 7 p.m., call 1-833-KP4CARE (1-833-574-2273) (TTY 711), Monday through Friday.Call anytime Saturday and Sunday, 1-800-464-4000 (TTY 711)Spanish: 1-800-788-0616Chinese: 1-800-757-7585, Medicare Advantage plans are not currently available in the Colorado Mountain area, Member Services outside metro area 1-800-777-7902 (TTY 711). Taking my CPAP machine on business trips is too much trouble for me. Problems staying awake, such as narcolepsy. There are two main types of sleep apnea. When you stop breathing or have reduced airflow into your lungs during sleep, you don't sleep well and you can be very tired during the day. Your doctor may also help you with problems like swallowing air, bloating, or claustrophobia. Mark Klimek. The Inspire sleep apnea device is a Food and Drug Administration-approved surgical implant that's placed under the skin on your chest. You can use it to talk with your doctor or loved ones about your decision. For more information, please visit. If other members of your family have sleep apnea, you are more likely to have it than someone who doesn't have a family history of it. Make these other problems worse and harder to treat. Traditional continuous positive airway pressure, or CPAP, machines can be loud, uncomfortable, and have a pesky mask and hose attached to the device. I nspire is a brand which manufactures the only Food and Drug Administration (FDA)-approved device for treating obstructive sleep apnea. Apnea episodes and snoring may return over time. It's also a good idea to keep a list of the medicines you take. Things like a stuffy nose caused by a cold or allergies can make apnea worse. It's a small device placed during a same-day, outpatient procedure. The device sends a signal to the nerve that controls your tongue and upper airway to tighten them while you sleep. Have nighttime choking or gasping spells. It may cost you from $40,000 to $60,000 to implant the inspire device and make a clear breathing airway. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. My appearance after a tracheostomyhaving a hole in my throatwon't bother me. You may not need to use CPAP after surgery. I have been using continuous positive airway pressure (CPAP) to treat my sleep apnea for over a year. Snore loudly. Enter X266 in the search box to learn more about "Learning About CPAP for Sleep Apnea". For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. Inspire is an alternative to CPAP that works inside your body while you sleep. This device pushes your tongue and jaw forward to improve airflow. To start, let's talk about what sleep apnea is. Since I have been using CPAP, my sleep apnea symptoms have disappeared. You have tried CPAP, but it hasn't helped. It may help to go back and read "Get the Facts." I am not willing to risk the complications from surgery, so I am going to continue with CPAP. What is involved in the Inspire procedure and recovery? or If youve got questions around insurance coverage for Inspire, speak with an Inspire Advisor. Sleep studies are tests that watch what happens to your body during sleep. You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Lead to other problems, such as high blood pressure and heart disease. Do you need treatment even if your sleep apnea doesn't bother you too much? Does UPPP always work well for sleep apnea? Continuous positive airway pressure (CPAP), Sleep Apnea: How Treatment Can Improve Your Life, continuous positive airway pressure (CPAP), E. Gregory Thompson MD - Internal Medicine, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Continuous positive airway pressure (CPAP) for sleep apnea. 2023 CNET, a Red Ventures company. What sleep apnea treatment options exist? My nose is always dry, and my sleep is not improving. It's important to treat obstructive sleep apnea, because sleep apnea makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke. You might be able to try another type of mask or make other adjustments. Wear compression stockings if your doctor recommends them. Details. Respiratory insufficiency. Your doctor may suggest that you use nasal devices (such as nose strips or disks) to help keep your airways open while you sleep. No, that's wrong. Your doctor will probably have you try lifestyle changes and CPAP first. However, if you're living with sleep apnea and finding no relief with the usual treatments, the Inspire implant may be right for you. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Si necesita ayuda con los servicios de Kaiser Permanente o si tiene alguna pregunta, consulte los nmeros de telfono por estado o rea, tal y como se indica a continuacin. The doctor may also ask you or your bed partner about your snoring and sleep behavior and how tired you feel during the day. You'll avoid the risks of having surgery. Or it might take place at a sleep center, where you will spend the night. Sleep apnea and coronary artery disease (CAD). In some cases, a dental device that widens the mouth can help. Obesity is the factor most likely to lead to sleep apnea. Sleep apnea occurs when you often stop breathing for 10 seconds or longer during sleep. For some, sleeping with a CPAP machine is impossible. 100 Portland, OR 97232. It may take time for you to be comfortable using CPAP. I am tired of being attached to a machine at night while I sleep. As breathing resumes, loud snoring starts. We apologize for the inconvenience and thank you for your patience. Health Insurance Inspire is covered by most major insurance providers.