ApneaAuthority
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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

Not published
Prior authorization Not published
Initial qualification Not published
Continued coverage Not published
Utilization management Not published

We 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

Not published
Prior authorization Not published
Initial qualification Not published
Continued coverage Not published
Utilization management Not published

We 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 published
Prior authorization Not researched
Initial qualification Not researched
Continued coverage Not researched
Utilization management Required

Policy number — CP.MP.180

Effective — 2026-01-01

Published utilization-management detail

  • Documented PAP failure or intolerance

Read the policy document →

Tirzepatide (Zepbound) for OSA

Policy published
Prior authorization Required
Initial qualification Not researched
Continued coverage Not researched
Utilization management Required

Policy number — CP.PMN.298

Effective — 2026-07-01

Published utilization-management detail

  • The OSA criteria require documented PAP use/adherence or documentation that PAP is not appropriate, as applicable to the member.

Read the policy document →

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.