Commercial · NJ

Horizon Blue Cross Blue Shield of New Jersey

Horizon Blue Cross Blue Shield of New Jersey publishes coverage policies for 3 of the 4 sleep apnea treatments we track. Each is linked to its source document below.

By treatment

CPAP and PAP therapy

Policy published

Policy number — 002

Prior authorisation — Not stated in the policy we found

Try another treatment first — Not stated

Read the policy document →

Oral appliance therapy

Policy published

Policy number — 002

Prior authorisation — Not stated in the policy we found

Try another treatment first — Not stated

Read the policy document →

Hypoglossal nerve stimulation

Policy published

Policy number — 006

Prior authorisation — Not stated in the policy we found

Try another treatment first — Yes

The HNS pathway requires prior PAP failure or intolerance.

Read the policy document →

Tirzepatide (Zepbound) for OSA

Policy not publicly readable

Horizon Blue Cross Blue Shield of New Jersey's policy library is not readable without provider credentials, so we could not confirm whether a policy exists. Ask your plan directly for the medical policy covering this treatment — you are generally entitled to the criteria used to decide your claim. Where we looked →

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 Horizon Blue Cross Blue Shield of New Jersey'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.