Commercial · Multiple states
Oscar Health
Oscar Health 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 publishedWe searched Oscar Health'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 publishedWe searched Oscar Health'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 — CG065 Ver. 6
Effective — 2025-11-01
Published utilization-management detail
- PAP failure, intolerance, or unwillingness after an attempted course
Tirzepatide (Zepbound) for OSA
Policy publishedPolicy number — PG255 Ver. 4
Effective — 2026-09-01
Published utilization-management detail
- At least three months of CPAP or other appropriate non-invasive ventilation with failure, intolerance, contraindication, or inability to use
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
Oscar Health publishes its own appeal instructions. Start there, and note the deadline on your denial letter.
Your specific plan may differ from Oscar Health'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.