In order to offer you the very best value, we do not deal with healthcare insurance companies directly. This allows us to save a great deal on overhead and administrative expenses that have nothing to do with your health and pass along the savings to you. We are considered an "out-of-network" provider to commercial insurance plans like Blue Cross Blue Shield, Aetna, Cigna, and United. We are happy to provide you with a "superbill" for purchased medical products and services that you may submit to your insurer for reimbursement.
Your health records are kept completely private and protected with secure encryption methods. You control who sees your records. If you want to share your records with another person or entity, we will need you to complete an authorization for release of records form.
Yes, you will be receiving a sophisticated, expensive piece of diagnostic equipment that is reusable. The staff at Singular Sleep take care to thoroughly clean the devices after each use to protect your personal hygiene.
Each test is $295, which includes the rental of the device, as well as the interpretation and provision of results by a sleep physician for one night of data, plus shipping both ways. At the time that your order is processed, you will also be charged a $200 security deposit which will be refunded as soon as we receive the equipment back from you.
Other options such as multiple nights of interpretation, expedited results, and expedited shipping are available for additional costs.
Should you break or damage the device due to neglect or improper use, you will be responsible for the cost of replacement or repair. The replacement cost of the device is $2,999.
Generally, your sleep study report will be available in your online account within 2-3 business days of return receipt of the device.
In the event that our sleep physicians determine that the data is of insufficient quality to be diagnostic due to technical problems or device failure, Singular Sleep will contact you to schedule another test. If the test failure was due to user error, you will have the opportunity to retry the test for a $30 shipping and handling fee. If it was determined that the test failure was due to mechanical failure, we will ship you another test kit at no charge.
Should the subsequent test also demonstrate non-diagnostic data, Singular Sleep reserves the right to cancel the study and refund your charge less $30 for shipping and handling.
We will be happy to send a copy of your home sleep study report to your health care provider, but we will need to obtain your written consent to do so. Alternatively, you can download a copy of your medical records from the Singular Sleep, LLC website at any time.
The sleep diagnostics devices we use are sophisticated and expensive pieces of equipment. Therefore, we will need to keep your credit card information on file until the device has been returned to us and verified by our team to be in proper working order. Should the device become nonfunctional due to normal use, you will not incur any additional charges. However, should the device not be returned to us or returned broken or damaged due to improper use, you will be charged for repair or replacement as deemed appropriate by Singular Sleep. The replacement cost of the device is $2,999.
The high demand for our home sleep testing services often creates a backlog. Other customers, such as yourself, are depending on us for critical answers about their health. Singular Sleep will charge a late fee of $15 for each day that the device is not returned past its due date.
We have tested many commercial drivers and pilots for job-related sleep studies and generally have not had any difficulties with our sleep studies meeting their needs but it is always a good idea to check before purchasing.
The FAA sleep apnea testing policy says that type 3 home sleep studies, like we use, are an acceptable alternative when type 2 home sleep studies are not available. Type 2 home sleep studies are not readily available anywhere in the country anymore.
sleep related breathing disorders like sleep apnea
parasomnias like sleepwalking, REM sleep behavior disorder
restless legs syndrome
periodic limb movement disorder
circadian rhythm disorders
pediatric sleep disorders
However, we are unable to prescribe drugs labeled as controlled substances by the DEA (schedule II-IV) which include several medications that are commonly used to treat narcolepsy and severe restless legs syndrome.
Due to the limitations of home sleep testing, we might need to refer you to an outside sleep center for an overnight, in-lab sleep test for the evaluation of certain medical conditions that include, but are not limited to:
central hypersomnias such as narcolepsy and idiopathic hypersomnia
central/complex sleep apnea
periodic limb movement disorders
parasomnias, including REM sleep behavior disorder
The base consultation fee for patients is $195. For patients who have conducted a home sleep test through Singular Sleep, we offer a $100 coupon with purchase of an initial consultation to be used towards the purchase of a PAP machine. Follow-up appointments carry a fee of $105. Evening appointments (after 5 p.m. Eastern Time) carry an additional fee of $75 on top of the regular consultation fee. Weekend and holiday appointments have an additional $150 fee. Consultations lasting longer than the allotted time will be billed pro rata.
The company may run special bundled programs that include consultations from time to time.
If you have sleep apnea, your consultation will include a prescription for the treatment that was agreed upon between you and the doctor during the meeting. After the consultation, you will be authorized to purchase prescription products from singularsleep.com and we will keep a copy of your prescription on file. If you would like a hard copy or your prescription, we will email you one upon request.
At the sole discretion of our sleep providers, if you are diagnosed with a sleep disorder, you may receive a prescription medication. Singular Sleep in no way guarantees that a previously given prescription will be refilled.
Prescriptions may be sent electronically to the pharmacy of your choice. In certain situations, you may be emailed, faxed, or mailed a prescription.
You can find availability through our online scheduling calendar. In addition to weekdays, we have limited weekend and evening hours available to suit your schedule. Additional fees will apply to evening and weekend consultations.
Should a connectivity problem occur that prevents initiation of or is disruptive to the consultation, Singular Sleep will make a determination as to the cause of the problem. If our system was responsible for the problem, we will provide a full refund of the consultation fee and reschedule you for the next available appointment time that is convenient for you. If the problem was due to your Internet connection or failure to meet the technical specifications as specified here, you will forfeit the consultation fee.
If you are a foreign national, the doctor will be able to provide informational consultations but he will not be able to prescribe devices or medications in your home country. Please contact us by email at email@example.com or by phone at 844-SLP-WELL (757-9355) for further information.
We will be happy to send a copy of your consultation report to your health care provider but we will need to obtain your written consent to do so. Alternatively, you can download a copy of your medical records from the Singular Sleep website at any time.
Certain sleep conditions require blood work as part of the diagnostic evaluation. Should you need blood work, you will be given a laboratory requisition order which can be taken to the lab of your choice. You will need to schedule a follow-up consultation to review the results with one of our physicians.
We are able to send prescriptions electronically to most online or mail-order pharmacies. We are not able to send electronic prescriptions to Canadian pharmacies, but we may be able to give you a hard copy of your prescription that you can submit to your pharmacy.
Yes, sleep disorders are highly associated with a number of medical problems, including heart and lung disorders. Our physicians might deem it necessary to refer you to another specialist for further evaluation.
You will be able to reschedule or cancel an appointment through our online scheduling portal up to 24 hours before the appointment time. Charges for cancellations within 24 hours of the appointment time will not be refunded.
To provide you with excellent and efficient care, it is necessary that you give us a comprehensive overview of your sleep and medical history by filling out our new patient questionnaire prior to your consultation. We will send you this form in an easy-to-complete electronic format for your convenience. It is absolutely essential that you electronically sign the telemedicine consent form.
Due to the majority of states' laws requiring clinicians to obtain photo identification prior to telemedicine consultation, it is Singular Sleep's policy to require a legible copy of a government issued photo ID such as a driver's license or passport.
You can obtain a prescription from an approved health care provider and fax it to us at 844-841-8454 or email it to us at firstname.lastname@example.org. Alternatively, you can schedule an online consultation with a Singular Sleep provider who, if appropriate, will provide you with a prescription.
Federal law requires that we have a valid prescription on file before we ship you a PAP machine, complete mask, or humidifier. You do not need a new prescription to fulfill this requirement and can send us your original prescription, provided it has not expired. Prescriptions can be written by any of the following providers:
Medical Doctor (M.D.)
Doctor of Osteopathy (D.O.)
Physician Assistant (with supervising M.D. or D.O.)
Nurse Practitioner (N.P.)
Dentist (D.D.S. or D.M.D.) including oral surgeons and orthodontists
Naturopathic Physicians (N.D.)
We're sorry, we cannot accept prescriptions from:
The prescription should be faxed to (844) 841-8454, emailed to us at email@example.com, uploaded to our secure website, or a physical copy can be mailed to us at 830 A1A N, Suite 13-308, Ponte Vedra Beach, FL 32082. We are also happy to request the prescription on your behalf from your provider with your authorization.
Below, we’ve outlined the various required elements of prescriptions for various types of CPAP equipment. All medical prescriptions must include the patient’s name, the prescribing physician’s full name, the physician’s contact information, and the physician’s signature.
CPAP Machine Prescription
One of the following phrases: "CPAP" or "Continuous Positive Airway Pressure."
Specific pressure. For example: “9 CM/H2O,” or simply “9.”
APAP Machine Prescription
One of the following phrases: "APAP," "AutoPAP," "AutoSet," "Auto CPAP," "Auto Adjusting CPAP," "Self Adjusting CPAP," "CPAP," "Continuous Positive Airway Pressure," or similar term.
Optional: pressure range. Example: “5-20 CM/H20,” or simply “5-20.”
BPAP Machine Prescription
One of the following phrases: "BPAP," "BiLevel," "BiPAP," or "VPAP."
Your inspiration pressure (also called IPAP Pressure or Breathing In pressure). Example: “IPAP 11 CM/H20,” or just “IPAP 11.”
our expiration pressure (Also called EPAP Pressure or Breathing Out pressure). Example: “EPAP 13 CM/H20,” or simply “EPAP 13.”
BPAP Auto Machine Prescription
One of the following phrases: "BPAP," "BiLevel," "VPAP," "BPAP Auto."
Inspiration pressure (IPAP) and expiration pressure (EPAP) are NOT required for the BPAP Auto.
BPAP ST Machine Prescription
Contains one of the following words or phrases: "BPAP ST," "Synchrony ST," "VPAP ST."
Contains a backup rate or BPM setting.
Contains your inspiration pressure (also called IPAP Pressure or Breathing In pressure). For example: “IPAP 12 CM/H20,” or simply “IPAP 12.”
Contains your expiration pressure (also called EPAP Pressure or Breathing Out pressure). For example: “EPAP 18 CM/H2O,” or just “EPAP 18.”
BPAP Auto SV Machine Prescription
Contains one of the following words or phrases: "BPAP SV" or "BPAP Servo Ventilation."
May or may not contain a backup rate or Breath Per Minute (BPM) setting.
Contains your IPAP Min and Max, or Minimum and Maximum Inspiration Pressure (breathing in pressure), or the settings can be provided to us. Examples: “IPAP Min 6 cm/H20 - IPAP Max 15 cm/H20,” “IPAP Min 6 cmwp - Max 15 cmwp,” “IPAP Min 6 - IPAP Max 15.”
Contains your EPAP or Expiration (breathing out Pressure) or the setting can be provided to us. This may be called the EEP (End Expiratory Pressure). Examples: “EPAP 5 cm/H2O,” “EPAP 5 cmwp,” “EPAP 5.”
Sample of wording for a complete prescription for a BPAP Auto SV to include Back Up Rate: “BPAP SV,” “IPAP Min 6 cmH2O,” “IPAP Max 15 cm H2O,” “EPAP 6 cmH2O,” “13 BMP.”
BPAP AVAP Machine Prescription
Contains one of the following words or phrases: “BPAP ST,” “AVAP,” “BPAP AVAP,” “BLevel AVAP,” or “Average Volume Assured Pressure Support.”
Contains the Tidal Volume Estimated.
CPAP Mask Prescription
Contains one of the following words or phrases: “CPAP Mask,” “CPAP Supplies,” “CPAP Humidifier,” “CPAP,” “Continuous Positive Airway Pressure,” “APAP,” “AutoPAP,” “AutoSet,” “Auto CPAP,” “Auto Adjusting CPAP,” “Self Adjusting CPAP,” “BPAP,” “BiLevel,” “VPAP,” “BPAP Auto,” “BPAP ST,” “Synchrony ST,” “VPAP ST.”
CPAP Humidifier Prescription
Contains one of the following words or phrases: “CPAP Humidifier,” “Humidifier,” “HH,” “CPAP Supplies,” “CPAP Mask,” “CPAP,” “Continuous Positive Airway Pressure,” “APAP,” “AutoPAP,” “AutoSet,” “Auto CPAP,” “Auto Adjusting CPAP,” “Self Adjusting CPAP,” “BPAP,” “BiLevel,” “VPAP,” “BPAP Auto,” “BPAP ST,” “Synchrony ST,” “VPAP ST.”
The prescription needs to say, "Provent," or "Provent Sleep Apnea Therapy"
The prescription needs to say, "Bongo RX"
ApneaRx Oral Appliance for Sleep Therapy
The prescription needs to say, "Oral Appliance for Sleep Apnea," or "Mandibular Advancement Device"
The prescription policy may be amended from time to time as needed to comply with company policies, as well as state and federal regulations.
If you live in Florida, we will charge you tax only on consumer (non-prescription) purchases at checkout. You will not be charged tax for home sleep tests, online consultations, or prescription products.
Residents of other states will be responsible for paying sales tax themselves per the laws of their state of residence.
Please send us a copy of your prescription via fax to 844-841-8454, upload to our secure database on the product page, or email to firstname.lastname@example.org. You can also physically mail a copy of the prescription to:
Practice makes perfect. To help get used to wearing the mask during sleep, practice by wearing it during the day while sitting in a chair watching television or reading. This will distract your focus from the mask to a positive, familiar activity. PAP use will become a habit and part of your routine.
Snoring, choking, and gasping noises should be eliminated during PAP use. If not, it could mean that your machine pressure is not adequate or your "leak" is high. Please contact a member of our Singular Sleep staff to discuss further.
The medical term for this common PAP issue is aerophagia. Aerophagia occurs when the air delivered by your machine enters the esophagus and stomach and not the airway. It can occur when your machine pressure is set too high or if you are a mouth breather and prone to swallowing air - this happens more often with full face masks. Possible solutions include using a chin strap, turning down the pressure, and increasing the humidification setting.
This is a typical complaint from BiPAP users at first. It mainly occurs because your wakeful breathing differs from your sleep breathing. It is more irregular, especially because you may anticipate what the machine will do and try to match that. The machine was designed for sleep breathing which is very regular. Once you get to sleep, the machine should synchronize with your breathing. We recommend trying to do relaxation breathing exercises to regulate your breathing and just be persistent with it. More than likely you'll get used to it over the course of the next few nights. Most patients report that within two weeks, they find they have grown accustomed to using the machine. If you’re really struggling with this, please let us know and we may be able to adjust a setting on your machine that might help.
Try using the “Ramp” option on your therapy device. Designed to make therapy more comfortable, the Ramp feature helps you ease into therapy each night by setting your device at a lower pressure than prescribed and slowly ramping up to your full therapy pressure over a maximum of forty-five minutes. Using Ramp gives your machine more time to gradually reach your prescribed therapy pressure — and gives you more time to comfortably fall asleep. We recommend setting the Ramp to the typical time that it takes you to fall asleep. So if it takes you, on average fifteen minutes to fall asleep, set the Ramp to fifteen minutes.
Often, side or stomach sleepers find their pillow causes unwanted mask frame movement (pushed off center) causing mask leak, pressure point soreness, or bruised cheekbones. You may consider trying a "CPAP Pillow" which is a specially made bed pillow designed for side- or belly-sleeping PAP users.
Mask leak is one of the most common challenges for patients. To assure the best fit and adjustment, when retiring to sleep, sit on your bed and place the mask on the head/face with straps loose. With the machine turned on and air blowing lay down with your head on the pillow in your normal sleeping position. Slowly tighten your mask straps just until you get a good seal, being careful not to needlessly over tighten. The final step is to “seat” your mask. After the straps are adjusted, pull the mask out and away from your face (about 2 inches) and gently lay back on your face. Mask fit varies with sleeping positions, so if you fit for side or stomach sleeping, you will need to readjust if you roll to your back. This is why many patients train themselves to sleep solely on their side or stomach (same mask fit) versus back sleeping, which has a different mask fit.
Full Face — Mask users with forehead pads/brace: tighten upper strap first, then follow with lower strap positioning and fit.
Mask Headgear — Masks come with a “one size fits most” headgear. Larger and smaller headgear may be by special order.
Nasal Pillow Mask — Place the mask on your face and position the headgear; place side straps above the ears. Gently slip the nasal pillows into your nostrils, rotating the angle of the pillow barrel for a comfortable fit. The pillows lay just inside the nostril opening, not to be aggressively inserted. Proper placement should not cause the tip of the nose to be raised.
No mask should cause pain or discomfort if sized correctly and fitted properly. If irritation or sores develop, chances are that you are over-tightening your mask. Your mask cushion may be worn out and need replacement; over time, mask cushions deteriorate and can cause air leakage. If you are having problems with pressure on the bridge of your nose, Boomerang Gel Pads may solve the problem. If you are experiencing irritation in the inside of your nose due to nasal pillows, coating the inside of your nostrils with Nasal Ayr Gel (found at most pharmacies) may help.
This commonly occurs while patients are getting used to therapy shortly after starting it but if this problem persists it may indicate one of the following issues:
Your pressure may need to be adjusted. Not getting enough pressure at times during the night can cause patients to take the mask off due to a sense of claustrophobia. Most of the time, people don't remember this in the morning.
You may be having periodic leak that is waking you up due to a REM sleep related phenomenon. The annoyance of the leak can cause a reflexive response of removing the mask. When your body enters REM sleep, all the muscles in your body relax and your lower jaw can drop down causing air to rush out of your mouth or break the seal if you're wearing a full face mask. We tend to have REM sleep periods at the same time every night so patients suffering with these issues will often report waking up at the same times, e.g. 3-3:30 a.m. and/or 5-6 a.m. every night. Using a chin strap is the best solution. If you're using a full face mask, you only have to apply the chin strap with modest tension; our goal is not to rigidly keep your mouth shut but to merely provide some gentle support for your jaw to prevent it from dropping way down during the night.
Rolling to a side sleeping position may also break your mask seal and cause a similar response as described above. If you think this might be happening, try a CPAP pillow that allows the mask to nest into a cutout on the side of the pillow and decrease the chances of disrupting your mask seal.
There is an adjustment period, usually lasting about a week to ten days, for most patients as they get used to sleeping with the equipment. While your goal is to sleep all night with PAP, using it as long as you can tolerate it each night is better than no PAP therapy at all. Try to increase usage over time until you reach your goal. To help get used to wearing the mask during sleep, practice by wearing it during the day with the machine turned on and while sitting in a chair watching television or reading. This will distract your focus from the mask to a positive, familiar activity. If you think that you might struggle with claustrophobia, consider trying a nasal pillow masks as the relatively small size may be more tolerable for you.
No air should be directed up into the eye area with a properly sized and fitted mask. This might indicate a leak in the top area of your mask. This is something that you need to take action if is is consistently occurring as chronically irritated eyes from exposure to air leak can develop sores. Gently tighten the top mask straps taking care, not to over tighten. This leak might also indicate a worn mask cushion that needs replacing. In some instances, using a Boomerang Gel Pad may block air leakage directed at the eyes from a leak in the region of the nasal bridge.
Skin irritation can quickly occur when the nasal pillows are not inserted properly. Try rotating the barrel that holds the nasal pillow inserts to a more comfortable angled position of the pillows into the nostrils. After best positioning, if a leak occurs at the nostril opening, size up. You can also try “Ayr Nasal Saline Gel” to prevent any rubbing or soreness from your mask. It can be purchased over-the-counter at most pharmacies.
All masks have exhalation ports (look for a tiny cluster of holes) that allow the escape of CO2 (carbon dioxide). When routinely cleaning your mask parts, these tiny holes must be checked to make sure they are not soiled and clogged by body oil or bedding lint. When clogged, they can cause the mask to make a whistling noise. Use a sewing needle or toothpick to keep the holes free flowing.
All masks have exhalation ports to allow the escape of CO2 (carbon dioxide). The higher the machine pressure setting, the harsher this escape flow will be. Some masks have better air diffusion features than others. Some patients resolve this by side sleeping with their backs turned to their bed partner to avoid a distracting air flow.
Make sure the electric plugs to the wall and to the machine are firmly in place. Check your electric outlet to make sure it is working. Make sure the humidifier is closed and your tubing is connected properly to the machine. If this does not fix the problem, please contact a member of our Singular Sleep staff.
Try running the tubing behind your head and over the headboard and then looping it around to your PAP machine. If that doesn't work, consider purchasing a hose management system which can help keep your tubing neat and tangle-free while you sleep.
Standard CPAP tubing is six feet in length. Active sleepers who toss and turn are more apt to tug on the tubing and pull their machine off the bedside table. Extra-long tubing may help with this problem.
Many PAP users are not aware that they can control their machine's humidification settings. A machine humidifier setting or temperature adjustment may resolve the issues above. If you're experiencing temporary nasal congestion due to a cold or seasonal allergies, you can try Breathe Right strips, nasal stents (i.e., SleepRight intranasal stents, found in drugstores), over-the-counter decongestants such as Afrin (DO USE FOR MORE THAN 72 HOURS), allergy medication such as over-the-counter Claritin (loratadine) or over-the-counter Zyrtec (cetirizine). If your nasal congestion is chronic, you can try nasal saline rinse (NeilMed kit is a recommended brand and found in most drugstores) 30-45 minutes before bed. Make sure to use DISTILLED OR BOILED WATER ONLY. There may be additional benefit in using an over-the-counter nasal steroid e.g. Flonase (fluticasone) IMMEDIATELY AFTER nasal saline rinse. Keep in mind that both nasal saline rinse and nasal steroids must be used every day for several weeks to achieve optimal results.
Excess condensation can form in the CPAP tubing when the temperature of your bedroom is colder than the air coming from your machine. This is called "rain out" and can be resolved by using an insulated sleeve over your tubing or changing to heated tubing.
Germs and minerals can accumulate in the water chamber. All manufacturers recommend the use of distilled water. Each morning, empty any leftover water, rinse chamber, and let air dry. To remove the film, fill the chamber with 1/3 white distilled vinegar to 2/3 tap water solution. Let soak for one hour. Rinse with clear tap water; air dry. There is also the SoClean CPAP Cleaner & Sanitizer that uses a dry process to sterilize your equipment, killing 99.9% of germs that can develop in your machine, tubing, and mask. Our patients have found that it saves a lot of time and hassle over the long-term.
Always remove the water chamber unit from the machine before filling with distilled water. Also, make sure your PAP machine is always placed on a level surface. Spilling water into the machine may compromise the interior circuits, damage the machine, and void the warranty so dry the machine carefully if you have an accident.
Today’s machines are nearly silent, so unless you are hypersensitive to noise (try earplugs), this would indicate a problem. Check the machine filters. They should be changed monthly or when visibly discolored to help keep the machine running smoothly. There will be a slight audible noise if you are using a Bi-Level machine as the pressure transitions between inhalation and exhalation settings. There will be a slight audible noise if you use an APAP as the machine changes inhalation pressure. If your machine is otherwise excessively noisy, there may be a machine defect. Please contact a member of our Singular Sleep staff.
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