Now Accepting Medicare: Making Sleep Health More Accessible Than Ever
Quality sleep is essential for daily energy, immune function, mental clarity, and long-term health—but for many older adults, getting tested or treated for sleep disorders felt out of reach. At The Respire Institute, we’re proud to announce that we now accept Medicare, making our specialized sleep services more accessible for the patients who need them most.
Whether you’re struggling with loud snoring, chronic fatigue, or already diagnosed with sleep apnea, this change removes a major barrier to care and allows Medicare beneficiaries to finally take control of their sleep health—with the same compassionate, expert support The Respire Institute is known for.
Why Sleep Health Matters at Any Age
As we age, changes in sleep architecture, medications, and health conditions can all interfere with getting deep, restorative sleep. But poor sleep isn’t just frustrating—it’s dangerous.
Untreated sleep apnea and other sleep disorders can lead to:
- Higher risk of hypertension and heart disease
- Increased likelihood of falls and memory issues
- Elevated risk for stroke, insulin resistance, and cognitive decline
- Worsening of existing pulmonary conditions or chronic fatigue
Unfortunately, many Medicare-eligible patients ignore the warning signs of sleep disorders because they fear the cost of testing or equipment. By accepting Medicare, we’re helping bridge that gap—ensuring that everyone has access to better rest, better breathing, and better health.
What Sleep Services Are Covered Through Medicare?
If you qualify for Medicare and have symptoms of sleep apnea or another sleep disorder, you may now be eligible for:
1. Sleep Study Coverage
Medicare typically covers a home sleep test (HST) when ordered by a physician to diagnose obstructive sleep apnea (OSA). These tests are simple, comfortable, and can be completed in the privacy of your own home using our wearable sleep testing devices. In certain cases, Medicare also covers in-lab sleep studies if medically necessary.
2. CPAP Therapy and Supplies
If you’re diagnosed with OSA, Medicare often covers:
- CPAP machines
- Masks and replacement supplies
- Hoses, filters, and humidifiers
You must demonstrate consistent usage (typically 4 hours per night for 70% of nights in a 30-day period) during a trial period to maintain coverage—something our Sleep Concierge Program is designed to support.
3. Follow-Up and Compliance Support
Follow-up visits, mask fittings, and ongoing monitoring are also generally covered. Our team ensures you’re not only compliant with Medicare guidelines—but comfortable, confident, and sleeping better.
Who Is Eligible for Medicare-Covered Sleep Services?
You may qualify for covered services if you:
- Are 65 or older and enrolled in Medicare
- Have certain disabilities or conditions qualifying you for early Medicare
- Are experiencing symptoms such as loud snoring, daytime sleepiness, or waking up gasping for air
- Have a referral from your physician for sleep evaluation
Not sure if your symptoms qualify? Our team can help guide you through the screening and referral process.
How The Respire Institute Makes the Process Easy
We know navigating insurance—especially Medicare—can feel overwhelming. That’s why our administrative and clinical team takes care of the details, helping you:
- Understand what’s covered and what isn’t
- Schedule a qualifying consultation
- Complete a Medicare-approved home sleep test
- Get access to CPAP therapy and support—without the paperwork headaches
We also offer help coordinating with primary care providers, filing documentation, and tracking compliance so your treatment continues uninterrupted.
Medicare and Sleep Testing: Your Questions Answered
How do I know if my sleep problems are serious enough for a sleep study?
If you’re experiencing loud snoring, waking up gasping for air, chronic daytime fatigue, frequent headaches, or mood changes, you could be showing signs of a sleep disorder like obstructive sleep apnea. These symptoms are common but not normal—and they often worsen with age. A simple home sleep test can help determine if there’s a deeper issue impacting your rest.
Does Medicare cover both in-lab and home sleep tests?
Yes. Medicare often covers home sleep testing (HST) for diagnosing obstructive sleep apnea when ordered by a physician. This is usually the first-line approach, and it’s done in the comfort of your own home. If more complex conditions are suspected, or if HST results are inconclusive, Medicare may also cover a full in-lab sleep study.
What if I already have a CPAP machine but stopped using it? Can I requalify for coverage?
Absolutely. Many patients stop using their CPAP due to discomfort or lack of support. At The Respire Institute, we can re-evaluate your sleep needs and help you restart or renew CPAP therapy under Medicare guidelines. Our Sleep Concierge Program ensures you get the assistance and encouragement you need to stay on track this time around.
Will I have to pay anything out of pocket for my sleep study or CPAP equipment?
Medicare typically covers 80% of the approved cost for sleep studies and CPAP equipment after your deductible is met. If you have a Medicare Supplement (Medigap) plan, it may cover the remaining 20%. Our team will help you verify your coverage and estimate any costs before testing or equipment distribution—so there are no surprises.
How does your team help me stay compliant with Medicare rules for CPAP use?
Medicare requires proof of consistent CPAP use—usually 4 hours per night on 70% of nights during a 30-day period—to continue covering therapy. Our Sleep Concierge Program supports you through this process with real-time monitoring, coaching, and mask fit assistance. We track your usage and work with you to solve any early issues before they become barriers.
Can I refer myself for a sleep study or do I need a doctor’s order?
To qualify for Medicare coverage of a sleep study, you do need an order from a physician. If you’re not already connected to a provider, The Respire Institute can help coordinate this step for you, making the process smooth from start to finish.
Better Sleep Shouldn’t Be a Luxury—It’s a Right
We believe everyone deserves high-quality, accessible care. Sleep health isn’t optional—it’s foundational to quality of life. Now, with Medicare coverage available at The Respire Institute, it’s easier than ever to get the care you need, when you need it.
Whether you’re newly retired, managing chronic conditions, or simply ready to feel better each day, we’re here to help you take the first step.
📞 Call The Respire Institute today to schedule your Medicare-covered sleep evaluation and start sleeping better—for good.
