Sleep Studies

What is covered under Sleep Studies?

Hospital Cover for Sleep Studies includes hospital treatment to investigate sleep patterns, problems with sleeping and other anomalies. 

Examples include:

• sleep apnoea
• snoring
• overnight stay in a clinic or hospital for diagnosis of sleep patterns
• testing for hypersomnolence (excessive sleepiness). 

This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). 

Which Hospital Cover tiers include Sleep Studies?

What does it mean if cover is ‘optional’?

‘Optional’ means that the Australian Government allows insurers to choose whether or not to cover the clinical category under that Hospital Cover tier.

What does ‘restricted cover’ mean? 

Restricted cover means the insurer pays only limited benefits. 

If insurers offer cover for Sleep Studies under Basic Hospital Cover, they can do so on a ‘restricted’ basis. If you are admitted as a private patient in a private hospital for treatments under this clinical category, you will face considerable out-of-pocket costs.

Always check with your insurer before agreeing to be treated as a private patient in a private hospital if you have restricted cover for Sleep Studies. 

Does Medicare cover Sleep Studies?

Yes. Medicare includes all treatments under the Sleep Studies clinical category.

If there is an MBS item number for the treatment, Medicare covers it. 

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