I don't want to go through surgery if there's a chance I'll have to go back to using CPAP anyway. Respiratory insufficiency. Sign In If your tonsils or other tissues are blocking your airway, your doctor may suggest surgery to open the airway. Check what you need to do before you make this decision. Decrease daytime sleepiness. It increases air pressure in your throat to keep your airway open. Kaiser Permanente is not responsible for the content or policies of external websites. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. Designed to make shopping easier. What is involved in the Inspire procedure and recovery? The Sleep Lab at South Sacramento Kaiser Permanente is open Monday through Friday between the hours of 8:30 am and 5:00pm. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. This is repeated muscle twitching of the feet, arms, or legs during sleep. If you use portable sleep monitoring, follow the instructions your doctor gave you. UnitedHealthcare's policy will consider Inspire's device to be medically necessary for the treatment of moderate to severe OSA when specified criteria are met--including a patient's . Most sleep apnea patients who meet eligibility requirements for Inspire have access to insurance coverage. Persons who often go through obstructive sleeping experiences can try out this treatment. Inspire Medical Systems, Inc. 2023. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Helps you have more normal sleep, so you feel less sleepy and more alert during the daytime. For some tests, you will also stay part of the next day. These studies usually are done in a sleep lab. No, that's wrong. It's a sleep disorder marked by frequent breathing interruptions that can last between 10 to 30 seconds. These include sleepwalking, night terrors, bed-wetting, and REM behavior disorders (RBD). Smoking can increase your risk for sleep apnea, because the nicotine in tobacco relaxes the muscles that keep the airways open. Do you understand the options available to you? Since I travel a lot, CPAP isn't very convenient for me. Follow us on these external social media sites that will open in a new browser window. But other treatments work almost as well in most people. To learn more about Healthwise, visit Healthwise.org. Your blood oxygen levels will be checked by a small clip (oximeter) placed either on the tip of your index finger or on your earlobe. 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. CPAP is a small machine that you use at home every night while you sleep. Make it harder for people with diabetes to control blood sugar. Your airway can become blocked when your throat muscles and tongue relax during sleep. Take a small overnight bag with personal items, such as a toothbrush, a comb, favorite pillows or blankets, and a book. If the sleep study will be done in a sleep lab, you will be asked to shower or bathe before your test. To get the implant, you must have moderate to severe OSA and not benefit from a CPAP machine. Sore throat, incision pain, and muscle soreness. Apnea episodes and snoring may return over time. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Your doctor will probably do a physical exam and ask about your past health. Your doctor will probably have you try lifestyle changes and CPAP first. I have been using CPAP. Sleep apnea means that breathing stops for short periods during sleep. It's a small device that operates remotely to help open your airways while you sleep, helping to make you sleep better at night. For example, you may have enlarged. This most often occurs because your airways are blocked or partly blocked. My nose is always dry, and my sleep is not improving. Correction, Jan. 27: A previous version of this story contained outdated information about the battery life of Inspire, the types of sleep apnea for which it's approved, and the placement of the system in the body. 3. To learn more about Healthwise, visit Healthwise.org. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Bone deformities or enlarged tissues block your airways. My wife can't believe the change in my attitude during the day. Medicines include some types of sleeping pills, opioids, and sedatives. Getting up often during the night to urinate. Your throat muscles and tongue relax during sleep and partially or completely block the airways in your nose, mouth, or throat. All Rights Reserved, Inspire works inside your body with your natural breathing process. "We are thrilled to receive this positive coverage . Tonsillectomy and Adenoidectomy for Obstructive Sleep Apnea and Snoring, Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea, Oral Breathing Devices for Sleep Apnea and Snoring, Request for confidential communications forms. Several oral devices have been tested to help treat people with sleep apnea or snoring. I also read that surgery may only help about half of the time. Since I have been using CPAP, my sleep apnea symptoms have disappeared. Problems with nighttime behaviors. This combats sleep apnea by keeping your airways open. Some lifestyle changes can help sleep apnea. Remember, it's an outpatient procedure, so there are some medical bills that will have to be taken into account. Because sleep apnea disturbs your sleep, it can make you very tired during the day. You or your bed partner snores loudly and heavily and feels sleepy during the day. The risks and cost of the surgery and the possibility that I might still have to be on CPAP are not worth it.". The impulses sent to the hypoglossal nerve keep your muscles and tongue from collapsing into the airway, which dramatically reduces breathing interruptions. 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). 2. Here's how it works and who should use it. Your child snores, has trouble breathing while sleeping, sleeps restlessly, wakes up often, or is very sleepy during the day. Since I travel a lot, CPAP isn't very convenient for me. To diagnose sleep apnea, the doctor will gather information about your child's symptoms and general health. You can go back to your usual activities. Lead to other problems, such as high blood pressure and heart disease. 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. 1. Sleep apnea is often treated with machines that deliver air through a mask to help keep your airways open. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. Obstructive sleep apnea is the most common type. Sleep studies may be done if your sleep is not restful or if you are tired all day. I don't like the idea of living with a hole in my throat. Monday through Friday, Oahu: 7:30 a.m. to 5 p.m. 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. Request for confidential communications forms. That's called complex sleep apnea. of sleep, attended by a technologist or more additional parameters of sleep, attended by a technologist 18.02 95800 Home sleep test, unattended, Type III (Commercial) 4.88 95801 Home sleep test, unattended, Type IV (Commercial) 2.62 95806 Home sleep test, unattended, Type III (Commercial) 2.94 It reduces the chance of developing long-term. Are you clear about which benefits and side effects matter most to you? For recommended treatments, please consult with your health care provider. Oral devices (also called oral appliances) are sometimes used to treat obstructive sleep apnea. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. 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. For some people, Inspire may be the only real option for relief from OSA. Problems staying awake, such as narcolepsy. Don't wear makeup, fingernail polish, or fake nails. Sleep studies you do at home can be done with portable equipment. Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. 1995-2023 Healthwise, Incorporated. It's mostly used for central sleep apnea. CPAP is a machine that prevents your airways from closing during sleep. Now there's a new alternative to CPAP machines. Inspire is a medical technology company focused on the development and commercialization of innovative and minimally invasive solutions for patients with obstructive sleep apnea. Changing the position of the lower jaw enlarges the airway and decreases the chance that it will collapse when you inhale. Overview The hypoglossal nerve stimulator (HGNS) is a treatment for obstructive sleep apnea (OSA). Blocked or narrowed airways in your nose, mouth, or throat can cause sleep apnea. Sleep apnea is called either mild, moderate, or severe. Obesity is the factor most likely to lead to sleep apnea. Get in touch with an Inspire Advisor. But apnea episodes and snoring may return over time. She has invested hundreds of hours into studying and researching sleep and holds a Certified Sleep Science Coach certification from the. Enter C688 in the search box to learn more about "Sleep Studies: About This Test". Try using devices that you attach to the outside of your nose to help with breathing while you sleep. Or it might take place at a sleep center, where you will spend the night. The Inspire sleep apnea device is aFood and Drug Administration-approved surgical implant that's placed under the skin on your chest. They also find out how much oxygen you have in your blood during sleep. It's recommended that you turn it on at night and turn it off when you wake up for your day. Each time you breathe, the Inspire device sends an impulse to the hypoglossal nerve. Or try using a humidifier. It may lead to other problems, such as high blood pressure and heart disease. Follow us on these external social media sites that will open in a new browser window. Your doctor will probably have you try lifestyle changes and. Drinking alcohol or taking certain medicines, especially sleeping pills, opioids, or sedatives, before sleep may make symptoms worse. Do you understand the options available to you? 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. Instead, use lifestyle changes to try to improve sleep. or This information does not replace the advice of a doctor. Children who are overweight are encouraged to lose weight. around and for a woman whose neck measures more than 16 in. As with any surgery, there's also the risk of pain, swelling or infection after the device is initially implanted. Register. Enter X266 in the search box to learn more about "Learning About CPAP for Sleep Apnea". For recommended treatments, please consult with your health care provider. It's important to treat sleep apnea, because it makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke. 3. If you need help with Kaiser Permanente services or have questions, please see the phone numbers by state/area below. If you have moderate to severe sleep apnea, you may need to use a breathing device (continuous positive airway pressure CPAP) that prevents your airway from closing during sleep. No, that's wrong. When you have sleep apnea, this can help you sleep better, feel better, and avoid future health problems. I want to try surgery even though I know I may have to go back to using CPAP afterward. Almost all people who have sleep apnea snore. It senses the breathing pattern and mildly stimulates the airway muscles to keep the airway open. We talked about my having surgery to treat my sleep apnea so I wouldn't have to use CPAP anymore. Register, Medical Review:Kathleen Romito MD - Family Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. What else do you need to make your decision. 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. The doctor may also ask you or your bed partner about your snoring and sleep behavior and how tired you feel during the day. I don't like the side effects of using CPAP, so I rarely use it. Health Tools help you make wise health decisions or take action to improve your health. Our team of advisors are here to help. Untreated sleep apnea can lead to serious risk of: Treatment options for sleep apnea include: 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.