UnitedHealthcare to Revise Medical Policy on Obstructive Sleep Apnea Treatment

Apr 7, 2025 | Sleep Apnea

UnitedHealthcare’s Policy Changes on Obstructive Sleep Apnea Treatment

On March 1, 2024, UnitedHealthcare (UHC) will majorly revise its obstructive sleep apnea treatment policy. This update mandates that adult patients with moderate to severe obstructive sleep apnea (OSA) must first undergo oral appliance therapy before surgical treatment options will be considered for coverage.

Oral Appliance Therapy as a First-Line Treatment

The Role of Oral Appliances in Obstructive Sleep Apnea Treatment

Oral appliance therapy, such as the Thornton Adjustable Positioner (TAP), has been widely recognized as an effective and non-invasive treatment for sleep apnea. This therapy repositions the lower jaw to keep the airway open during sleep, reducing apnea episodes and improving overall sleep quality.

UHC’s Emphasis on Oral Appliance Therapy

Under the revised policy, patients must complete a trial of an oral appliance before UHC will approve procedures such as the Inspire Hypoglossal Nerve Stimulator. By prioritizing oral appliances over surgical interventions, UHC acknowledges their efficacy and comfort for patients with moderate to severe OSA.

Surgical Treatment Options for Obstructive Sleep Apnea

Common Surgical Procedures for Sleep Apnea

Surgical procedures for OSA include:

  • Uvulopalatopharyngoplasty (UPPP)
  • Trans Oral Robotic Surgery (TORS)
  • Maxillomandibular Advancement (MMA) surgery
  • Tonsillectomy

While these surgeries can provide relief, they are often invasive, expensive, and do not guarantee a complete resolution of OSA. UHC’s policy reinforces that surgery should only be considered after an unsuccessful trial of oral appliance therapy.

The Effectiveness of TAP and myTAP for Obstructive Sleep Apnea Treatment

Scientific Support for TAP as an OSA Treatment

Over 55 peer-reviewed studies support the effectiveness of TAP in managing sleep apnea symptoms. The device has been proven to be a safe, comfortable, and effective solution for patients with mild to severe OSA.

The Advantages of myTAP in Sleep Apnea Treatment

myTAP, a low-cost, non-custom oral appliance, aligns with UHC’s new policy by offering an accessible and cost-effective solution for OSA patients. Studies show that myTAP is as effective as custom oral appliances, making it an attractive option for patients and healthcare providers.

The Future of Obstructive Sleep Apnea Treatment

UnitedHealthcare’s revised policy highlights the growing recognition of oral appliance therapy as a mainstream treatment for OSA. This shift represents a move toward less invasive, more patient-friendly solutions that improve accessibility and treatment adherence.

Take Control of Your Sleep Apnea Treatment Today

If you or a loved one in Marysville, OH, is struggling with obstructive sleep apnea, now is the time to explore oral appliance therapy. Contact Sleep Better Marysville at (614) 777-7350 to learn more about how TAP and myTAP can help improve your sleep and overall health.

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