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Does UnitedHealthcare cover hypoglossal nerve stimulation in 2026?

Yes. UnitedHealthcare covers hypoglossal nerve stimulation (HNS) for obstructive sleep apnea as of their January 2026 policy update. Coverage is considered medically necessary when all of the following criteria are met:

Diagnosis of moderate-to-severe OSA (AHI >= 15) confirmed by polysomnography
Failed or intolerant of CPAP therapy (documented trial of >= 3 months)
BMI <= 35 at time of implant
Absence of complete concentric collapse at the soft palate level on DISE

What about Aetna and Cigna?

Both cover HNS with similar criteria. Key differences:

Aetna (Policy IV-398-176): Covers with prior auth. BMI threshold is <= 32, stricter than UHC.
Cigna (Policy 0611): Covers as medically necessary. No explicit BMI cap, but requires DISE confirmation.

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