Commercial · Multiple states
Centene
Centene publishes coverage policies for 2 of the 4 sleep apnea treatments we track. Each is linked to its source document below.
By treatment
CPAP and PAP therapy
No published policy foundWe searched Centene's published policy library and did not find a policy covering this treatment. That does not mean it isn't covered — it means there is nothing published for a member to read. Where we looked →
Oral appliance therapy
No published policy foundWe searched Centene's published policy library and did not find a policy covering this treatment. That does not mean it isn't covered — it means there is nothing published for a member to read. Where we looked →
Hypoglossal nerve stimulation
Policy publishedPolicy number — CP.MP.180
Prior authorisation — Not stated in the policy we found
Try another treatment first — Yes
- The published criteria require prior PAP failure or intolerance before HNS for the applicable adult pathway.
Tirzepatide (Zepbound) for OSA
Policy publishedPolicy number — CP.PMN.298
Effective — 2026-07-01
Prior authorisation — Required
Try another treatment first — Yes
- The OSA criteria require documented PAP use/adherence or documentation that PAP is not appropriate, as applicable to the member.
Last verified 2026-08-15. We record structured facts and link the source; we do not reproduce policy text. The document itself governs.
Your specific plan may differ from Centene's general policy, particularly if your coverage is through an employer. Policies are revised without notice. Nothing here is a guarantee of coverage or a substitute for confirming with your plan.