Medicare AdvantageCoverageMedium impact
MA05.047o, Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring in Adults
Independence Blue Cross·Sleep Medicine, Pulmonology, ENT (Ear, Nose & Throat) +2 more·Medical Policy
Effective date
Jul 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage has updated the medical policy for Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring in Adults, effective July 1, 2025. This policy change affects coverage criteria and potentially billing requirements for sleep apnea treatments and procedures.
Action Required
By July 1, 2025: Billing team must review the complete MA05.047o policy document at the source URL to identify specific coverage changes, prior authorization requirements, and documentation updates for OSA and primary snoring treatments. Update billing protocols and staff training accordingly for all Medicare Advantage patients requiring sleep apnea services.