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Frequently asked questions
How does the Medicare rebate workWhat is a sleep study?Booking a sleep studyCompleting the sleep studyAfter the sleep studyDelivery and Return of the Sleep Test Kit
What are the Medicare eligbility rules?
To meet the Medicare eligbility criteria for the adult 'type 2' home sleep study (MBS item 12250), you need:To be over the age of 18A valid Medicare card, like the examples ticked belowMust not have had a Medicare-funded sleep study within the last 12 months under MBS item 12250To meet an Epworth Sleepiness Scale minimum score of 8And either:A STOPBANG minimum score of 4; ORAn OSA50 minimum score of 5Additionally, you must not have any of the contraindication conditions identified by the Australasian Sleep Association guidelines (2024), listed below.Patients who may be unsuitable for ambulatory studies (home sleep studies) include:1. Those with a low-pretest probability of moderate to severe OSA.2. Patients reporting symptoms suggestive of a condition other than sleep disordered breathing which will require more extensive monitoring (examples include parasomnias, narcolepsy, periodic limb movement disorder, and nocturnal epilepsy).3. Patients with any of the following (where nocturnal hypoventilation or central sleep apnea is likely): a. Neuromuscular disease. b. Severe COPD or restrictive lung disease. c. Hypoxia and/or hypercapnia at rest or requiring supplemental oxygen therapy. d. Significant obesity and/or suspected obesity hypoventilation syndrome. e. Significant cardiovascular disease, i.e. recent hospitalization for acute MI, unstable angina, heart failure, and atrial fibrillation. f. Chronic narcotic use.4. Inability to perform overnight oximetry in a non-monitored environment. For example, significant active psychiatric disease, cognitive dysfunction, or physical limitation. Source: Australasian Sleep Association 2024 guidelines for sleep studies in adultshttps://www.sleep.org.au/common/Uploaded%20files/Public%20Files/Resources/PSG%20adult%20guidelines%202024.pdf
How is the Medicare rebate applied?
If you meet the Medicare eligbility criteria, you will only pay $199 out of pocket for your sleep study booking, and the Medicare rebate will be used to cover the rest of our fees.
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