SELF PAY PRICING

New Patient Telemedicine Consultation
Established Patient Telemedicine Follow Up
Home Sleep Test (Two Night)
AutoCPAP Setup Package
TravelPAP Setup Package
Nocturnal Oximetry Text (One Night)

Patients agree and acknowledge that should they opt to go outside of their insurance, that they are financially responsible for all fees for service and that payment for such fees is due in full at the time of service. Further they understand that by electing to pay the self-pay rate that Own Sleep Medicine Services, LLC will not process claims on their behalf with any insurance. Therefore, they are financially responsible for services rendered, even if they discontinue the use of their equipment at any point in the future.

NEW PATIENT TELEMEDICINE CONSULTATION / FOLLOW UP
Patients are financially responsible for services rendered, regardless of the outcome of the consultation and regardless if they elect to move forward with testing or treatment now or in the future.

HOME SLEEP TESTING
Patients are financially responsible for services rendered, even if they knowingly or unknowingly do not complete the testing on the dates they have a testing device and are scheduled to complete the Home Sleep Test.

AUTOCPAP / TRAVELPAP SETUP PACKAGES (AKA “DURABLE MEDICAL EQUIPMENT”)
Patients are financially responsible for services rendered and that durable medical equipment, once received by the patient, cannot be returned, exchanged, or refunded.

NOCTURNAL OXIMETRY TESTING
Patients are financially responsible for services rendered, even if they knowingly or unknowingly do not complete the testing on the dates they have a testing device and are scheduled to complete the Nocturnal Oximetry Test.

REPLACEMENT PAP SUPPLIES
Patients are financially responsible for services rendered and that replacement supplies, once received and opened by the patient, cannot be returned, exchanged, or refunded.