The Inspire Sleep Apnea Innovation is an upper airway stimulation (UAS) treatment designed to open your airway during sleep. Will Inspire Work For You? Other problems may include pain, infection, speech problems, and a narrowing of the airway in the nose and throat. No, that's wrong. Please call the phone number on your prescription label or 808-643-7979. Our team of advisors are here to help. Your throat muscles and tongue relax during sleep and partially or completely block the airways in your nose, mouth, or throat. Servicio a los Miembros (rea metropolitana), Servicio a los Miembros (fuera del rea metropolitana) 1-800-777-7902 (TTY 711). Do you need treatment even if your sleep apnea doesn't bother you too much? Are you clear about which benefits and side effects matter most to you? For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. I don't like the idea of living with a hole in my throat. The nicotine in tobacco relaxes the muscles that keep the airways open. If youve got questions around insurance coverage for Inspire, speak with an Inspire Advisor. No, that's wrong. 2. According to Inspire's website, it's covered by most insurance providers. Nota: Si necesita ayuda para un miembro de Kaiser Permanente que no es usted, seleccione el estado o rea donde reside esa persona. After menopause, women get sleep apnea at a rate similar to men. Sleeping on your back may make sleep apnea worse. Taking my CPAP machine on business trips is too much trouble for me. You have tried CPAP, but it hasn't helped. CPAP is a machine that prevents your airways from closing during sleep. Central sleep apnea is less common. ", "Since I have been using CPAP, my sleep apnea symptoms have disappeared. By stimulating the tongue and airway muscles, Inspire aims to treat the underlying cause of sleep apnea, not just the symptoms. I talked with my doctor, and we agreed that surgery might be a good option to treat my sleep apnea. Kaiser Permanente is not responsible for the content or policies of external websites. Follow the directions for cleaning the machine. around and for a woman whose neck measures more than 16 in. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. Raise your risk of having high blood pressure in the lungs (pulmonary hypertension). For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. I have been using continuous positive airway pressure (CPAP) to treat my sleep apnea for over a year. Bilevel positive airway pressure (BPAP). Traditional continuous positive airway pressure, or CPAP, machines can be loud, uncomfortable, and have a pesky mask and hose attached to the device. According to Inspire, the stimulation is subtle and is designed to not wake you up, meaning it shouldn't be painful or uncomfortable. You will probably be asleep during surgery. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. You can wear your own nightclothes. I am not willing to risk the complications from surgery, so I am going to continue with CPAP. Note: If you need help for a Kaiser Permanente member other than yourself, please select the state/area in which that person resides. Register. My doctor said that even if I have the surgery, I still might have to use CPAP. You might be able to try another type of mask or make other adjustments. But they may not give the same results as a sleep lab. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. Helps you have more normal sleep, so you feel less sleepy and more alert during the daytime. It may help to go back and read "Get the Facts." You may also hear this called BiPAP. My nose is always dry, and my sleep is not improving. It is the first treatment choice and the most widely used. For example, you may have enlarged. This is done by having a sleep study. Sleep apnea and coronary artery disease (CAD). Apnea episodes and snoring may return over time. To get the implant, you must have moderate to severe OSA and not benefit from a CPAP machine. I want to discuss the options with others. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your airway can become narrowed when your throat muscles and tongue relax during sleep. Sleep apnea increases as people get older. Gregory Thompson MD - Internal MedicineAdam Husney MD - Family MedicineKathleen Romito MD - Family MedicineHasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Medical Review:Anne C. Poinier MD - Internal Medicine & E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. CPAP Machine. The stimulation is very gentle and designed to move the tongue forward without disturbing your sleep. Some CPAP devices automatically adjust air pressure or use different air pressures when you breathe in or out. Blocked or narrowed airways in your nose, mouth, or throat can cause sleep apnea. To diagnose sleep apnea, the doctor will gather information about your child's symptoms and general health. The Inspire systemis the latest in obstructive sleep apnea treatment. Uvulopalatopharyngoplasty (UPPP) surgery (which removes tissue from the back of your throat) may reduce sleep apnea and snoring for some people. A sleep study may take place in your home. Or try using a humidifier. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Examples include a mandibular repositioning device (MRD) or a tongue-retaining device. Bachelor of Science, Psychology and Sociology. "I have been using continuous positive airway pressure (CPAP) to treat my sleep apnea for over a year. You can get many of these devices without a prescription. First, the patient must be diagnosed with at least moderate obstructive sleep apnea. If your sleep apnea doesn't improve with treatment, you may have more tests to find out what's causing it. Some people who have sleep apnea have a small, receding jaw. 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. It happens when the brain has trouble controlling breathing. To learn more about Healthwise, visit Healthwise.org. We talked about my having surgery to treat my sleep apnea so I wouldn't have to use CPAP anymore. Getting up often during the night to urinate. Continuous positive airway pressure (CPAP) is nearly always the first medical treatment for sleep apnea. 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. 1-800-464-4000 (TTY 711)Espaol: 1-800-788-0616Chino: 1-800-757-7585. Appointments are strongly recommended. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Kaiser Permanente is not responsible for the content or policies of external websites. You can expect to see a total bill of around $30,000 to $40,000 for both the surgery and device cost, but that'sbeforeyour insurance kicks in. 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. Some patients will also have one on the side of the rib cage. That eliminates an incision and, according to Inspire, reduces the procedure time by 20%. I don't want to go through surgery if there's a chance I'll have to go back to using CPAP anyway. or ", "CPAP is doing wonders for my sleep apnea. Lower daytime and nighttime blood pressure. Medicare is covering Inspire for those who qualify. Do not use the medicine longer than the label says. Designed to make shopping easier. The Inspire isn't constantly sending impulses to your nerves. Check what you need to do before you make this decision. It's important to treat sleep apnea, because it makes you more likely to have other serious problems. Conditions such as periodic limb movement disorder. This makes your heart and blood vessels work harder and can affect your heart rate and nervous system. 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. These studies usually are done in a sleep lab. This uses different air pressures when you breathe in and out. 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. The benefits of the Inspire implant are significant -- better sleep quality, no more daytime fatigue and a lowered risk for a stroke or heart attack. Decision Points focus on key medical care decisions that are important to many health problems. Inspire is the most effective alternative to CPAP., Having an effective alternative sleep apnea treatment is important in our field of sleep medicine., Inspire offers a way to stimulate the bodys own physiology to provide a more natural way to keep the airway open during sleep., Ryan Nord, MD - VCU Health, Department of Otolaryngology, Suzanne Stevens, MD - The University of Kansas Health System, Department of Neurology, Bruce Corser, MD - Sleep Management Institute, Asim Roy, MD - Ohio Sleep Medicine Institute, Gerard J. Meskill, MD - Comprehensive Sleep Medicine Associates, Inspire Medical Systems, Inc. 2023. Sleep apnea tends to occur more often in women who have been through menopause than in women who have not. The Health Encyclopedia contains general health information. Privacy Policy. 1995-2023 Healthwise, Incorporated. Your doctor will probably have you try lifestyle changes and CPAP (continuous positive airway pressure) first. You're right. Wear compression stockings if your doctor recommends them. It reduces the chance of developing long-term. They may also be used for people with severe sleep apnea who find that continuous positive airway pressure (CPAP) doesn't work for them. Consultas sobre citas y consejos de salud : Copyright 2017 Kaiser Foundation Health Plan, Inc. Woodland Hills and surrounding areas (including western Ventura): Antelope Valley: 1-877-554-4404 (TTY 711), Baldwin Park y alrededores: 1-800-780-1277 (TTY 711), Downey y alrededores: 1-800-823-4040 (TTY 711), Fontana, Ontario y alrededores: 1-888-750-0036 (TTY 711), Condado de Kern: 1-877-524-7373 (TTY 711), rea metropolitana de Los Angeles: 1-800-954-8000 (TTY 711), Condado de Orange: 1-888-988-2800 (TTY 711), Panorama City y alrededores: 1-888-778-5000 (TTY 711), Riverside y Coachella: 1-866-984-7483 (TTY 711), Woodland Hills y alrededores (incluido el oeste de Ventura): 1-888-515-3500 (TTY 711). As with any surgery, there's also the risk of pain, swelling or infection after the device is initially implanted. Go to https://www.healthwise.net/patientEd. You start at lowest level and go up every week. 2023 CNET, a Red Ventures company. Inspire is a sleep apnea treatment. Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. BCBS of Kansas City, March 1, 2019 . Do you understand the options available to you? While you sleep, Inspire delivers mild stimulation to key airway muscles, allowing the airway to remain open. You are unable to use or get consistent benefit from CPAP. Sign In Use this Prior Authorization Guide to assist you in determining if your patient meets criteria.. Key points to remember If you snore but don't have other symptoms of sleep apnea, you may not need a sleep study. 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. It senses pauses in breathing and adjusts air pressure. Before you speak with an Inspire Advisor, please make sure you've read about insurance coverage and viewed the Frequently Asked Questions. They check for how often you stop breathing or have too little air flowing into your lungs during sleep. This is repeated muscle twitching of the feet, arms, or legs during sleep. Remember, it's an outpatient procedure, so there are some medical bills that will have to be taken into account. Have personality changes, anxiety, and depression. I also read that surgery may only help about half of the time. Do you have enough support and advice from others to make a choice? Decrease daytime sleepiness. The main symptoms of sleep apnea are feeling extremely sleepy during the day, not feeling rested after a night's sleep, or waking up with a headache. It happens when the brain has trouble controlling breathing. A device is implanted in the upper chest. Le pedimos disculpas por cualquier inconveniente y agradecemos su paciencia. Sign In Details. If CPAP does not work, or if large tissues are blocking your airway, you may need surgery. Medical Review:Anne C. Poinier MD - Internal Medicine & E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine & Lesley Ryan MD - Family Medicine. 2006-2023 Healthwise, Incorporated. You will stay in the sleep lab overnight. You can try nonsurgical treatments, including lifestyle changes and. Instead, you can remote control it. Small pads or patches called electrodes will be placed on your head and body with a small amount of glue and tape. Your doctor will probably have you try lifestyle changes and CPAP first. If you still feel sleepy during the day while using CPAP at night, tell your doctor. If the sleep study will be done in a sleep lab, you will be asked to shower or bathe before your test. While youre asleep, a camera records how your airway opens and closes, The whole exam only takes about 20 minutes, and when youre done, youll find out if Inspire is right for you, Inspire is placed under the skin, in a same-day, outpatient procedure that takes about two hours, Most patients take over-the-counter pain medication and resume non-strenuous activities within a few days, You can resume more strenuous activities within a couple of weeks, Inspire sends mild stimulation to the motor nerve that controls your tongue, moving it out of the way. If you don't use it, your symptoms will return right away. There are two main types of sleep apnea. I want to try surgery even though I know I may have to go back to using CPAP afterward.