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

Prior authorization Not researched

Initial qualification Not researched

Continued coverage Not researched

Utilization management Not required

Policy number — 002

Effective — 2020-07-14

Read the policy document →

Oral appliance therapy

Policy published

Prior authorization Not researched

Initial qualification Not researched

Continued coverage Not researched

Utilization management Not required

Policy number — 002

Effective — 2020-07-14

Read the policy document →

Hypoglossal nerve stimulation

Policy published

Prior authorization Not researched

Initial qualification Not researched

Continued coverage Not researched

Utilization management Required

Policy number — 006

Effective — 2020-07-14

Published utilization-management detail

Documented CPAP failure or intolerance

Read the policy document →

Tirzepatide (Zepbound) for OSA

Policy not publicly readable

Prior authorization Not researched

Initial qualification Not researched

Continued coverage Not researched

Utilization management Not researched

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.

If you're denied

Horizon Blue Cross Blue Shield of New Jersey publishes its own appeal instructions. Start there, and note the deadline on your denial letter.

Horizon Blue Cross Blue Shield of New Jersey appeals process

How to appeal a sleep apnea denial →

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.