Get Sleep Care Get Tested and Treated Get Well

With a licensed medical doctor referral and the proper documentation, most health insurance plans will cover your sleep apnea diagnosis and/or treatment. SleepQuest contracts with most national and regional health insurance organizations and will help you work with your insurance company to ensure your diagnosis and/or treatment is covered. Once we receive a referral from your physician, our experienced staff will contact your insurance provider and obtain coverage information.

Advocating on Your Behalf

The insurance and reimbursement process can be confusing and frustrating – but we can help. The SleepQuest Care Management Department serves as a patient advocate, helping to document the medical necessity for the services for which you are referred. We work directly with physicians and insurance companies to address any issues that may delay the payment of a claim. We strive to provide you with a clear understanding of your insurance coverage – including any possible out-of-pocket expenses you may incur based on your specific benefit plan.

Prior to providing any service, SleepQuest will establish:

  • Whether SleepQuest can provide the service(s) requested
  • Whether SleepQuest is considered in-network or out-of-network with your plan
  • Co-Insurance, deductibles and out-of-pocket estimates
  • If an authorization is required by your insurance company prior to any service

Accepted Insurance Companies and Medical Groups

  • Aetna (National Contract)
  • Alta Bates Medical Group (IPA)
  • Anthem Blue Cross of California
  • Blue Shield of California
  • Blue Shield of California 65+ (Brown & Toland)
  • Brown and Toland Medical Group (IPA)
  • California Foundation for Medical Care
  • CalViva (Health Net Medi-Cal)
  • Chinese Community Health Plan (CCHP)
  • Coastal Healthcare Administrators
  • Community Health Plan Of Fresno
  • Consolidated Association of Railroad Employees
  • Focus Healthcare Management
  • Galaxy Health Network
  • Hawaii Medical Association
  • Health Care Evaluation
  • Health Net
  • Health Payors Organization
  • Health Plan of San Mateo / Care Advantage
  • Humana (National Contract)
  • Inland Empire Health Plan (IEHP)
  • Medicare Advantage Plans
  • Medicare (Within California)
  • NEMS (North East Medical Services)
  • Oscar
  • Santa Clara County IPA (IPA)
  • Sante Community Physicians (IPA)
  • Sequoia Physicians Network (IPA)
  • Stanford Hospitals and Clinics
  • Tricare (United Healthcare)
  • TriWest (Veterans Choice Program)
  • United Healthcare
  • United Healthcare West (formally PacifiCare)
  • Universal Care (aka Brand New Day)
  • University Healthcare Alliance
  • USA Managed Care Organization
  • Last Updated: December 3rd, 2020