Medicare AdvantageMedicaidJanuary 1, 2025
Our Sleep Apnea Program offers clinical and behavioral health support
Creating the best health outcomes for your patients — our consumers — takes our combined efforts. That’s why we’re dedicated to partnering with care providers to focus on holistic, integrated care. This includes connecting behavioral and physical health, such as through our Sleep Apnea Program.
Untreated obstructive sleep apnea is related to physical conditions such as high blood pressure and behavioral health conditions such as anxiety and depression.[1], [2] Through our Sleep Apnea Program, consumers receive support from our case managers and lifestyle coaches who collaborate with their specialty care providers to help better manage their overall health. The program helps address the multifaceted impact obstructive sleep apnea can have on consumers and their families.
Program eligibility
It’s available to over 15,000 of our consumers across all lines of business, ages 60 to 75.[3] Eligibility is determined by diagnosis of both obstructive sleep apnea and a behavioral health condition, alongside at least two of the following:
- Hyperlipidemia
- Hypertension
- Obesity
- Substance use disorder
- Type 1 diabetes
- Type 2 diabetes
No patient referral is required; those who qualify are automatically identified through claims information and enrolled in the program. Be sure to talk with your patients who may be eligible and encourage them to participate.
The Sleep Apnea Program is one example of how we’re working to transform healthcare with the goal of lowering costs and improving well-being.
Through our shared health vision, we can affect real change.
If you have any questions, contact your Wellpoint provider relationship management representative.
[1] Bangash A, Wajid F, Poolacherla R, Mim FK, Rutkofsky IH.: Obstructive Sleep Apnea and Hypertension: A Review of the Relationship and Pathogenic Association. Cureus (2020): ncbi.nlm.nih.gov/pmc/articles/PMC7306640/.
[2] Kim J, Ko I, Kim D. Association of Obstructive Sleep Apnea With the Risk of Affective Disorders. JAMA Otolaryngol Head Neck Surg. (2019): jamanetwork.com/journals/jamaotolaryngology/fullarticle/2749521.
[3] Internal data (2024).
Medicare coverage provided by Wellpoint Tennessee, Inc. or Wellpoint Insurance Company.
Medicaid coverage provided by Wellpoint Tennessee, Inc.
We comply with the applicable federal and state civil rights laws, rules, and regulations and do not discriminate against members or participants in the provision of services on the basis of race, color, national origin, religion, sex, age, or disability. If a member or a participant needs language, communication, or disability assistance or to report a discrimination complaint, call 833-731-2154. Information about the civil rights laws can be found at tn.gov/tenncare/members-applicants/civil-rights-compliance.html.
TNWP-CDCR-070607-24 _24-1204
PUBLICATIONS: January 2025 Provider Newsletter
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