Terms & Conditions


Cost of Services

American Sleep Association (ASA) will bill your insurance company or Medicare for the cost of the oral appliance or CPAP. You are responsible for paying your applicable co-payment and/or deductible.


If you experience any problems with your oral appliance or CPAP, please contact American Sleep Association. For all medical related questions, please contact your caring physician.

Procedures / Responsibilities (Have Sleep Study)

If you already have had a sleep test performed by board certified doctor, ASA will request, from your physician, the following documents: a physician order form (prescription), chart notes related to sleep apnea, and a copy of the most recent sleep study. After all documentation is received and signed by your doctor ASA will send you an impression kit where you will follow the detailed instructions to take an impression of your upper and lower teeth and mail the impressions back to ASA. ASA board certified doctors and dentists will review your impressions and ASA's dentists will fabricate and mail you an oral appliance that is FDA cleared to eliminate or reduce sleep apnea or snoring. Your responsibilities are as follows:

  1. Assist ASA in getting the necessary documents from your physician.
  2. Take and mail back impression to ASA.
  3. Pay your applicable co-payment and/or deductible.

Procedures / Responsibilities (Do Not Have Sleep Study)

If you do not already have a sleep test performed by a board certified doctor, ASA will send you a Physician Order Form. You then visit with your physician and have him/her verify if you are a candidate for a sleep test and have them sign the Physician Order Form. Fax the signed Physician Order Form to ASA. ASA will arrange for a third party sleep diagnostic company to mail you a home sleep test that you administer in the comfort of your own home. After mailing back the sleep test, board certified doctors and dentists will review your home sleep test and determined if you qualify for a CPAP or Oral Appliance. If you qualify, ASA will either mail you a CPAP or oral appliance based on the sleep test and/or your liking. If you decide to try the CPAP, try it for 1 week of use. If you prefer the CPAP, keep the CPAP. If you do not prefer the CPAP, return the CPAP and ASA will fabricate you an oral appliance. ASA will bill your insurance company or Medicare for only the product that you keep.

Your responsibilities are as follows:

  1. Visit caring physician to verify that you are a candidate for a home sleep test.
    1. Candidate: Fax Physician Order Form to ASA.
    2. If Not Candidate: Your responsibilities are completed.
  2. Perform the home sleep test in your home and mail back to the third party company.
  3. Visit caring physician to determine whether a CPAP or oral appliance is preferred.
    1. Proceeding with CPAP:
      1. Wear CPAP 70% of the time for 30 days.
      2. Mail back memory card from CPAP after 30 days that reflects CPAP being worn 70% of the time.
      3. Visit caring physician to determine that CPAP is being effective and have physician sign and fax form indicating that CPAP is effective or not.
      4. Decide whether you want to keep CPAP.
      5. If not: Send CPAP back along with reason why you cannot tolerate.
      6. If keeping: ASA will bill insurance for CPAP only.
      7. Pay your applicable copayment and/or deductible.
    2. Proceeding with oral appliance:
      1. Help ASA get necessary forms from physician.
      2. Take and mail back impressions to ASA.
      3. Pay your applicable copayment and/or deductible.

30 Days to Complete Responsibilities

If you complete your responsibilities as described above, ASA will bill Medicare and/or Medical Insurance. You pay your applicable deductible and/or co-insurance.

If you are not able to complete your responsibilities as stipulated above within 30 days, give ASA a call to extend delivery of your responsibilities. If your responsibilities are not completed within 30 days of this order and you have not made arrangements with ASA, you authorize and consent ASA to bill your credit card for the cost of the equipment. If you complete your responsibilities at any time after the 30 days, ASA will refund you the charge.

Acceptance by ASA

American Sleep Association only agrees to send you the product only after ASA has verified that you're insurance or Medicare will cover the cost of the oral appliance, sleep study and/or CPAP and all required documents have been delivered to ASA.

Assignment of Benefits

You authorize ASA, to request and directly collect all public and private insurance coverage benefits on your behalf, however you understand that it remains your responsibility to ensure that your bill is paid.

Financial Agreement

As the patient, or the authorized agent that is legally responsible to pay for the care of the patient, you will pay all applicable co-payments, deductibles, co-insurance, and all charges for non-covered services, regardless of the amount paid by insurance or any third party payer. If payment arrangements for outstanding balances have not been made within 30 days from date of service, you authorize and consent ASA to bill your credit card for the cost of the equipment received. If the amount outstanding is not taken care and is sent to collection, the patient will be responsible for all court costs, attorney fees, collection charges and interest.

Release of Information

You authorize ASA to obtain any information that is pertinent to your care from other agencies, hospitals, physicians, and other health care providers. You also authorize the release of any information needed to substantiate and process a claim for payment of health care or related services to the Tricare administrator, carriers or program administrators, Social Security Administration or its intermediaries, the state, or to any other applicable payer.

Oral Appliance Use

The American Sleep Association Oral Appliance is a custom made to fit your mouth. The device is designed to reposition your jaw into a forward position. This is to reduce night time snoring and/or mild to moderate obstructive sleep apnea in adults 18 years of age or older.

The American Sleep Association Oral Appliance is manufactured from biocompatible materials. These are corrosion-resistant and non-toxic under biological conditions.

Contact with an individual's mouth environment may change the appliance color, taste and smell due to any of the following:

  • Lack of hygiene
  • Strong aromatic food
  • Drinks such as coffee, tea, soda
  • Certain medications
  • Smoking

Patients can initially expect increased salivation when they begin to wear the Oral Appliance. The excess saliva will subside as the patient becomes accustomed to the appliance.

For additional information on oral appliance instructions and cleaning please see Section 7 of the patient packet at https://americansleepassociation.com/images/Patient_Packet.pdf

WARNING:This appliance is designed to withstand normal forces generated in the mouth but if subjected to abnormal conditions; it may break and become dangerous to you. If the appliance should break , feel or look different then when you received it, immediately contact ASA and follow their instructions.

You agree to the following terms prior to using the oral appliance:

  • You have already consulted with your dentist and he approves that you may utilize the oral appliance.
  • You will consult with your dentist prior to use so he can continue to consult you on how to use the product & if you experience any problems.
  • You do not have severe sleep apnea, heart problems, or any other health related issue.
  • You do not have loose teeth, loose crowns or any other loose dental work.
  • You do not have periodontal problem, or decayed teeth.
  • American Sleep Association only guarantees that which is in writing (no implied guarantees) and does not guarantee against tooth sensitivity, movement of teeth, teeth problems, against trays that don't fit due to a bad impression nor against failure of the post office.
  • You have reviewed and agree to the 'Terms and Conditions' found at http://americansleepassociation.com/user_reg/terms
  • You have reviewed and agree to our Privacy Policy found at http://americansleepassociation.com/user_reg/privacy
  • Customer agrees that the total liability is limited to the amount of the product.

Independent Contractors

You understand that most or all of the physicians, dentists and possibly some non-physicians providing health care services to ASA are independent contractors and are not agents or employees of ASA. You will consider them independent contractors unless you receive notice that such individual is an agent or employee of ASA. You acknowledge and agree that ASA is not responsible or reliable for the judgment, conduct, actions, or inactions of independent contractors who treat or provide professional services to you. You have had the opportunity to ask questions about employees and independent contractors and have had them satisfactorily answered.

Confidential Information

ASA complies with state and federal laws regarding patient confidentiality outlined in the Notice of Privacy Practices. The Notice of Privacy Practices may be revised at any time and you may ask to see a current copy of it at any time.

Advance Beneficiary Notice of Noncoverage (ABN)

If you are insured through Medicare and ASA does not think Medicare will pay for the services provided. We will notify you beforehand and have you sign the ABN, you will then be responsible for any services provided to you through ASA. If you have questions please make sure ask before signing.

Reduction in Deductible and Co-insurance

By law, in order for ASA to reduce or waive your deductible and/or co-insurance ASA must collect some information from you. If your income is below the stated income in the grid below, ASA may reduce your deductible and co-insurance.

Persons in Family

48 Contiguous States and D.C.



































For each additional person, add




Filing Grievances

If you have any complaints or grievances please email them to info@americansleepassociation.com

Oral Appliance Warranty

American Sleep Association provides the following warranties, 5 year warranty Medicare Policies, 3 year warranty for other Insurances, and 2 year warranty for self-pay option. All warranties start from the date of the original purchase on our Oral Appliance. If the product fails under conditions of normal use, American Sleep Association will repair or replace, at its option, the Oral Appliance. This Limited Warranty does not cover any damage caused as a result of improper use, abuse, modification or alteration of the product.

To make a warranty claim the consumer must return the defective Oral Appliance to American Sleep Association.

CPAP Warranty

ResMed warrants that your ResMed product shall be free from defects in material and workmanship for the period specified below from the date of purchase by the initial consumer. This warranty is non transferable

Product Warranty Period


ResMed humidifiers, ResControlT~ I ResLink™

1 Year

ResMed flow generators

2 Years

Accessories, mask systems (including mask frame, cushion, headgear and tubing). Excludes single-use devices.

90 Days

Note: Some models are not available in all regions.
If the product fails under conditions of normal use, ResMed will repair or replace, at its option, the defective product or any of its components. This Limited Warranty does not cover.

  1. Any damage caused as a result of improper use, abuse, modification or alteration of the product;
  2. Repairs carried out by any service organization that has not been expressly authorized by ResMed to perform such repairs;
  3. Any damage or contamination due to cigarette, pipe, cigar or other smoke;
  4. Any damage caused by water being spilled on or into a flow generator. To make a warranty claim, the initial consumer must return the defective product to the point of purchase, freight prepaid.

This warranty is in lieu of all other express or implied warranties, including any implied warranty of merchantability fitness for a particular purpose. Some regions or states do not allow limitations on how long an implied warranty lasts, so the above limitation may not apply to you.

ResMed shall not be responsible for any incidental or consequential damages claimed to have occurred as a result of the sale, installation or use of any ResMed product. Some regions or states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation may not apply to you. This warranty gives you specific legal rights, and you may also have other rights which vary from region to region. For further information on your warranty rights, contact your local ResMed dealer or ResMed office.

Return Policy

Due to the fact that the oral appliance is custom made for the patient and the CPAP is ordered specifically for a patient, only the CPAP may be returned. Either the CPAP or oral appliance will be billed to your insurance company or Medicare.

Sleep Study Billed and Performed

The sleep study will be billed and performed by another company besides American Sleep Association.

Contact Us

If you have any questions about your product, you can contact us directly through email, phone, or in person.

By Email 

In Person
American Sleep Association
1957 Royal Hunte Drive #250
Cedar City, UT 84720

By Phone

Hours of Operation
Monday thru Friday  9:00 am to 5:00 pm MST

After Hours
You may contact us after hours by calling 866-620-3670