Medicare · National

Medicare

Medicare publishes coverage policies for 4 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 — NCD 240.4

Prior authorisation — Not stated in the policy we found

Try another treatment first — No

Read the policy document →

Oral appliance therapy

Policy published

Policy number — L33611

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 — L38276

Prior authorisation — Not stated in the policy we found

Try another treatment first — Yes

Documented PAP failure or intolerance is required before hypoglossal nerve stimulation under this LCD.

Read the policy document →

Tirzepatide (Zepbound) for OSA

Policy published

Prior authorisation — Not stated in the policy we found

Try another treatment first — Not stated

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 Medicare'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.