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"My experience with Singular Sleep has been wonderful! They mailed me the sleep apnea study equipment for a one-night sleep test right away. When I took the test they contacted me with the sleep study results and then set up a telemedicine appointment to discuss all the details. Dr. Krainin was very kind and explained all the data to me. Whenever I had questions about my CPAP machine I could call or email them and they would respond very quickly. It is so much better to do it this way than going to a sleep clinic and spending the night. I am very, very pleased with the Singular Sleep telemedicine!" - Fran B.
Yes, as long as you live in one of the following states/territories where we offer this service:
The easiest way to order a sleep apnea test is to fill out and submit the online sleep study order form. We'd also be happy to assist you in placing an order over the phone. Feel free to call us at 844-SLP-WELL (757-9355).
You will receive an e-mail from us acknowledging receipt or your sleep apnea test order. You'll then receive an e-mail update from us once the home sleep study test kit has shipped.
There is minimal night-to-night variability in sleep apnea so, for the purposes of diagnosing you with sleep apnea, only one night is needed. Your rental of the home sleep apnea test kit includes two nights in case you have something that comes up that prevents you from doing the sleep study the first night.
The cost of an at home sleep study is $295.
The $295 home sleep study fee includes:
Once your home sleep test order ships, you should receive it in 2-3 business days depending on where in the United States you live.
Yes, our sleep study is considered a qualified medical expense.
Singular Sleep's mission is to provide affordable sleep medicine care with outstanding service. We are unable to fulfill our mission unless we maintain our independence from healthcare insurance companies.
Can you tell me how much of the cost, if any, my insurance company will cover for the home sleep test?
We cannot tell you what your insurer covers. The only way to determine this with certainty is to consult your plan's coverages.
Yes! We are more than happy to provide you with invoices for all products and services that you purchase from Singular Sleep. We will include all sleep apnea-related insurance codes in the invoices: ICD-10 diagnostic codes, CPT procedure codes, and HCPCS medical equipment codes. Always check with your healthcare insurance company to clarify their coverage policy.
Our sleep apnea test is a Type 3, FDA-approved device that meets DOT and FAA requirements. If you have any doubt about your DOT doctor's expectations, check to make sure that he or she approves of a home sleep test versus an in-lab test.
We have hundreds of patients who are commercial drivers. We are very familiar with the process that you are going through and will work with you to get your sleep test results to you quickly so that you can stay on the road. Should your sleep apnea study show that you have sleep apnea, our complete sleep apnea solutions offer several advantages:
We provide clear, concise, and easy-to-read instructions with your home sleep apnea test kit and we also email you an instructional video. However, should you have any difficulties, we will be happy to provide you with phone support to make sure that you get a good sleep study.
Sleep apnea doctors prefer to get at least four hours of sleep to get accurate results. If you think that you had less sleep than that, call us at (844) SLP-WELL (757-9355) to get recommendations from our team.
The typical nasal congestion and throat inflammation from a cold or environmental allergies have little bearing on your sleep apnea test results - go ahead and do the sleep study. If you've been diagnosed with something more serious, like pneumonia or lab-test positive influenza, call us at (844) SLP-WELL (757-9355) to discuss the situation.
No, the device senses when you are standing up and automatically excludes this data from the study so this won't be a problem. Please do not take off or stop the test if you do get up during the night.
You will be provided with a USPS Priority Mail box with a pre-paid return shipping label affixed to it. All you have to do is place the test kit and laminated home sleep test instruction booklet in the return box, seal the box and place it in your nearest blue USPS mailbox.
Once we receive the kit (usually 2-3 business days after you mail the kit) you will most likely receive the results of your home sleep apnea test in 1-2 business days.
You will receive your home sleep study results in a secure email. We do not send the results to anyone else unless you have completed a medical information release form and explicitly directed us to send the test results to another party.
CPAP machines, humidifiers and masks are considered "legacy" medical equipment and require a valid prescription from a qualified healthcare professional. If you test positive for sleep apnea and want to get a CPAP machine, then you will have two options:
Our physician, Dr. Krainin, treats the majority of patients with an auto-CPAP machine or auto-BPAP machine. This prevents you from having to have a titration study. Auto-adjusting machines do require follow-up appointments to verify the effectiveness of the treatment and adjust the machine settings as needed. Some patients with more complex forms of sleep apnea may be required to go to a sleep lab for a full-night sleep study.
There are several CPAP alternatives for sleep apnea. Depending on the type and degree of sleep apnea, you may be a candidate for other treatments such as BiPAP, oral appliances for sleep apnea, Provent, positional therapy, and lifestyle modifications.
Home sleep tests (HSTs) are equivalent to in-lab sleep tests for the purposes of diagnosing obstructive sleep apnea (OSA) in patients who are at increased risk for the disorder. Diagnosing OSA is by far the most common reason to have a sleep study. In-home sleep studies cannot diagnose other sleep disorders besides sleep apnea. It is advisable that patients with certain medical problems such as advanced heart failure and lung disorders have an in-lab study. Consult your doctor or a sleep specialist if you need advice on what type of sleep study is best for your situation.
Many people have reported that they can't sleep well in the sleep lab. This is actually to be expected. There is a phenomenon called "the first night effect" that leads us to not sleep normally in a new environment. Not only do people find it harder to fall and stay asleep in a different environment, but the normal sleep stage pattern may be disrupted. For this reason, there are strong reasons to believe that home sleep test results might actually be more accurate in many cases.
Common obstructive sleep apnea symptoms, signs, and risk factors include:
Other, more subtle signs may indicate OSA, such as:
These factors may also influence sleep apnea risk:
Additionally, there are many medical problems that can cause sleep apnea.
Yes, click the button below if you'd like to receive our scientifically-validated, free, online sleep apnea screening tests:
The equipment used is vastly different. In-lab sleep studies involve electrodes and sensors being applied to your body with abrasive past from your scalp to your legs. There will be a technician observing you during the entirety of the study through an infrared camera in the sleep study room. Our home sleep test units only have three parts:
The "brain" of the unit weighs 3 oz and sits on the chest belt. It records body position and all the data from the other sensors.
Additionally, in-lab sleep studies:
Singular Sleep uses Philips Respironics Alice NightOne home sleep apnea testing devices.
Absolutely. We've helped many patients who needed a rapid solution for sleep apnea testing and management before having a surgical procedure. If you are proactive, you can generally get the results of your sleep study within 7-8 business days of ordering it. Should you test positive for obstructive sleep apnea, we can usually facilitate you seeing our sleep doctor online and getting a CPAP machine within a week.
Obstructive sleep apnea (OSA) is a medical disorder that is caused by repetitive collapse of the upper airway (back of the throat) during sleep. For the purposes of sleep studies, episodes of full upper airway collapse for at least ten seconds are called apneas. Episodes of partial airway collapse for at least ten seconds that result in a significant blood oxygen level drop (3-4% depending on what criteria is used), a brain awakening, or both are called hypopneas. If a sleep study demonstrates an average of five or more combined apneas and hypopneas per hour, the study supports a diagnosis of OSA. Generally, at least four hours of sleep are desired to evaluate for the disorder. Central sleep apnea (CSA) is much less common than OSA. The root cause of CSA is a communication failure between the brainstem (the "central" generator of breathing) and the lungs. There are multiple subtypes of CSA. When there is a mixture of OSA and CSA on a sleep study, the term "complex sleep apnea" is used.
As depicted below, obstructive sleep apnea is caused by the back of your throat being too narrow and closing up repetitively during the night:
OSA can cause or worsen numerous medical problems, reducing the quality and length of your life. Sleep apnea can cause:
For a comprehensive list of sleep apnea-related medical problems, click here.
A sleep study (also known as a polysomnogram or PSG) is a series of physiological measurements conducted synchronously during sleep to assess whether a patient is suffering from a sleep disorder. Sleep studies can either be in-lab or at-home. Home sleep tests are exclusively used to determine the presence or absence of sleep apnea. During a home sleep test, many physiological measurements are taken including the patient’s breathing patterns, oxygen levels, snoring, body position, and heart rate. Sleep doctors interpret the data to determine if the patient has sleep apnea or not, what type of sleep apnea it is (obstructive, central, or "complex" - a mixture of obstructive and central), the degree of sleep apnea (mild, moderate, or severe) and whether there are other issues like hypoxemia (continuously low oxygen levels) or respiratory rate disturbances (bradypnea - low respiratory rate, tachypnea - high respiratory rate). Treatment option recommendations will vary depending on the above variables.
After signing up, you will receive a Philips Respironics Alice NightOne home sleep apnea testing device in the mail between 2-3 days after you receive the shipment notification email.
On the night of your sleep study, you will sleep normally in your own bed with the device attached. Detailed instructions are included to ensure that you set up the test correctly.
After one night of testing, sending back the device is easy with our pre-addressed packaging. You are allowed to keep the device for an additional night should you need more time to complete the study. Upon receiving the device back, our sleep doctor will interpret the results of your sleep test and provide a report detailing the key findings and treatment recommendations.
The raw data is reviewed in its entirety by the sleep doctor. A report is generated and the doctor adds his interpretation of the data, diagnoses (if applicable), and treatment recommendations.
The sleep study will tell you your apnea-hypopnea index (AHI). If your AHI is five or above, then you have sleep apnea. The report will tell you your AHI in different body positions - often sleep apnea is positional and worse when sleeping on the back.
Your AHI will determine the degree of sleep apnea that you have:
The sleep study report will also tell you about your oxygen levels including:
At the end of the report, the doctor will give you a diagnosis. The most common diagnoses are:
Finally, the sleep study report will give you treatment recommendations, which may include a CPAP machine or BPAP machine, and/or CPAP alternatives such as Provent Sleep Apnea Therapy or an oral appliance for sleep apnea.
Generally, our medical director recommends that, before pursuing treatment for sleep apnea, it's a good idea to have had a sleep apnea test in the past five years. This is because sleep apnea severity typically gets worse with age. A new sleep apnea test also is indicated if you've had major weight changes, either a gain or loss, since your original sleep apnea test. It's important to know the degree of sleep apnea severity because it will influence which sleep apnea treatment options might be appropriate for you.
Pediatric patients (age <18-years-old) require a special testing device specifically approved by the FDA for this age group. You can order a pediatric home sleep test here.
Yes, but the person who orders the home sleep test device will be responsible for ensuring the kit is returned on time to Singular Sleep.
The instructions included in the home sleep test kit tell you how to get the machine to tell you in the morning if a good study was obtained. If you have any question about whether you had a good sleep study, please call us at (844) SLP-WELL (757-9355) before returning the test kit so that we can troubleshoot the issue with you.
If you return the home sleep apnea test kit and the sleep apnea doctor determines that there is not enough data to get you a diagnosis, then you will have the option to redo the study with a $30 shipping and handling charge.
To diagnose sleep apnea, a sleep apnea test is required.
In general, the most accurate sleep study data will be obtained if the night of the sleep study is a typical night for you. We typically recommend that, if you take sleeping pills to sleep, then you do so the night of your sleep study. If you have further questions you can schedule an online sleep doctor appointment.
Polysomnogram (or polysomnography) is the formal medical name for a sleep study. A home sleep apnea test is a type of sleep study.
MSLTs and MWTs must be performed in a sleep lab under supervision.
Sleep apnea terminology can get confusing. When people say "sleep apnea machine" they may be referring to a CPAP (the machine that treats sleep apnea) or the testing kit that is used to diagnose sleep apnea. The first step is to see if you have sleep apnea with a sleep apnea test. Then, if your sleep study does indeed show sleep apnea, you will need to get a prescription from a doctor for a CPAP machine to treat the disorder.
The $295 fee is for a two-night rental of the home sleep study kit. The home sleep apnea test unit is a very expensive piece of medical equipment.
No, you can use your sleep apnea test report to get a prescription for treatment from your doctor or our doctor. Either way, you can get your equipment from the durable medical equipment company of your choice.
Advantages of buying CPAP from us include:
Yes, you may have heard some people call home sleep study test kits "sleep apnea testers." "Sleep apnea tester" is just another term for a sleep apnea test kit.
Yes, using your bite guard will not affect the sleep study results.
Yes, the home sleep apnea test device that we use is appropriate to determine if you have sleep apnea and, if so, whether you are a good candidate for an oral appliance for sleep apnea.
Yes, having a home sleep apnea test while using your oral appliance for sleep apnea will let you know how well the device is working to treat your sleep apnea.
If you have a Philips Respironics CPAP machine, then it will be easy to do a "home titration sleep study" to check on the efficacy of your CPAP machine. If you have another brand of CPAP machine, then it is not ideal to do a home sleep test to check the machine's effectiveness.
Yes! We now have special sensors that will work with our home sleep testing system that allows us to assess how effective the Provent Sleep Apnea Therapy is treating your sleep apnea. You would need to make a note of this on your sleep test order so that our team knows to include the special equipment with your test.
Absolutely, if your goal is to get a portable miniCPAP machine, you can use our sleep apnea testing solution.
You might find an answer to your question in this article about the most frequently asked home sleep study test questions. If not, do not hesitate to call us at (844) SLP-WELL (757-9355).
No, you do not have to have a consultation with our sleep apnea doctor before ordering the at home sleep study kit.
Yes! Unfortunately, many of our veterans have to wait too long to get the medical treatment that they need through the Veterans Affairs health system. The major roadblock is usually getting in for the diagnostic sleep study. Obtaining a sleep study through Singular Sleep that shows that you have sleep apnea can be used to obtain CPAP through the VA.