Sounder sleep for all

Meet with an online doctor today about your Sleep Apnea

If you or someone you care about is experiencing poor sleep, or you are concerned about possibly having Sleep Apnea, taking an at-home sleep study has never been easier.

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Provider Nikki Tsang

Availabilities Today

Sleep study

Frequently accepted plans with

Blue Cross United Healthcare Anthem Aetna Cigna Blue California UMR Health Net Meritain Health

Many more!

What the study looks like

What does Sleep Apnea treatment look like at Circle Medical?

Video meeting: Intake & analysis

What is it?

Once you select a provider, you will attend a 30-minute intake appointment via the secure Circle Medical app from any convenient location of your choosing, such as your own home. Your provider will assess your symptoms and medical history, and order a sleep study to gather data on your sleep.


Cost with insurance

$0-150†

Cash pay

$100

At-home Sleep Study and Screening

Participating in an at-home sleep study has never been easier. The steps are as follows:
  • You will be sent a small WESPER sleep monitoring device (two small, soft fabric patches, and a wrist mounted pulse and blood oxygen monitor)
  • The device pairs with a free app on our phone that will walk you through the easy set up process
  • Sleep (in your own bed!) and perform a two-night sleep study
  • After your sleep study is complete, return the device using an included pre-paid envelope
  • Attend a follow-up appointment with your provider to review the results and determine next steps (it generally takes 2-3 days for your provider to recieve the completed analysis based on the results of your study)

Cost with insurance

$0-250†

Cash pay

$250

Get Treatment

How we determine what treatment is right for you

Based on the results of your sleep study, the severity of your Sleep Apnea, and other relevant health factors, your provider will recommend one or or a combination of the following treatment options and paths:


  1. 1. Behavior Modification

    Many mild cases of Sleep Apnea can be treated by losing weight, changes in frequency and intensity in exercise, breath work, reducing alcohol consumption, stopping smoking, and more.

  2. 2. CPAP Machine or Equivalent

    If a patient's Sleep Apnea is significant enough that behavior changes alone are not effective, the typical treatment for Sleep Apnea is the use of a CPAP machine or similar device to help regulate a patient's breathing while they sleep.

    Available only with a prescription, CPAP machines have continued to evolve along with other medical technology, and have become easier than ever to use. Your provider will be able to recommend a CPAP device that is most compatible with your lifestyle, and will be covered by most insurance plans. Prescriptions for oral appliances are also available if applicable.

  3. 3. Referral

    In very rare or extreme cases, or for patients who are unable or would prefer not to use a CPAP device or other device, Circle Medical providers can make an appropriate diagnosis and refer the patient out to an appropriate specialist.

Once you have chosen and started a treatment plan, your provider will prescribe a follow-up sleep study to confirm that your treatment is working.

See available providers

Sleep Apnea Treatment Quick Answers

Provider Information

  • All providers are board-certified
  • All providers are able to prescribe at-home sleep studies
  • Providers can order at-home sleep studies for DOT sleep apnea screening

Pharmacy Questions

  • Circle Medical is a fully-licensed medical practice
  • Most pharmacies are able to fill prescriptions sent by our providers
  • We recommend going to a pharmacy where you are already an established patient, if possible
  • The decision to fill prescriptions is often up to the discretion of the individual pharmacist

Recommended Pharmacies


  • Bartell Drugs
  • Costco
  • Duane Reade
  • Fred Meyer
  • Giant Eagle
  • HEB
  • OptumRX
  • QFC
  • Rite Aid
  • Walgreens
  • Walmart

Appointment Details and Costs

Details:
  • 1st appointment: 30 mins, includes Sleep Assessment
  • If medically appropriate, you provider may prescribe an at-home sleep study powered by the WESPER device
  • The device will typically arrive within 7-10 business days
  • You will complete a consecutive 2-night sleep study from the comfort of your home
  • All data will be automatically sent to your provider
  • You will then return the WESPER device within 30 days of receiving the device using an included, pre-paid envelope
  • You will follow-up with your provider to review the results
  • We are not able to see or treat patients under the age of 18

Costs:
  • Costs may vary widely based on your particluar insurance plan
  • In 2022, more than 75% of Circle Medical patients with insurance paid $35 or less per Sleep appointment
  • Cash pay costs (without insurance):
    • 1st appointment: $100
    • At-Home Sleep Study: $250
    • Follow-up appointments: $100 ea

  • Circle Medical does not determine the price of any prescribed treatments, if determined to be clinically appropriate, and those may vary widely depending on your insurance plan and choice of pharmacy

Locations

Circle Medical is a virtual-first hybrid telemedicine Primary Care practice.

We are currently available for telemedicine appointments in 32 states, with limited in-person clinic availability for our established ADHD patients at shared clinic locations in these states:
  • AZ
  • CA
  • CO
  • CT
  • DC
  • FL
  • GA
  • IL
  • IA
  • KY
  • MA
  • MD
  • ME
  • MI
  • MN
  • NC
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • SC
  • TN
  • TX
  • UT
  • VT
  • VA
  • WA
  • WI

Our full-service flagship clinics are in:
  • Beverly Hills, CA
  • San Francisco, CA
  • New York, NY

More opening soon!

How to contact us

The fastest and easiest way to get in touch with our care team or your provider is through our in-app chat .


Our secure app-based chat is 100% HIPAA-compliant, which is required for us to be able to discuss patient-related health issues.

Insurance

  • Most PPO insurance plans accepted
  • Medicare accepted
  • We are NOT able to see patients on Medicaid or MediCal
  • You will verify your insurance as part of booking your appointment
  • We are not able to treat patients under the age of 18

Costs with insurance vary by plan. We will provide an estimate based on your plan verification results.

See More FAQs
Insurance Shield

In network with most PPO insurance plans

Get Started

Get tested for Sleep Apnea.

Who gets Sleep Apnea?

Sleep Apnea is very common, and affects nearly 1 billion people across the world each year. In the US, 25-30% of men, and 9-17% of women are estimated to have obstructive Sleep Apnea. While men are more likely to be affected than women, it can be much more common during and after pregnancy, and as we age. Other significant factors that contribute to Sleep Apnea include:

  • Family history
  • Obesity
  • Alcohol use
  • Smoking

What are the symptoms of Sleep Apnea?

Obstructive Sleep Apnea occurs when your airways become blocked during sleep. Typical symptoms include being tired during the day (despite adequate hours of rest), trouble staying asleep at night, headaches or dry mouth in the morning, and excessive or loud snoring that includes moments of gasping for air (these are usually observed by sleeping partners).


It is important to note that not all of these symptoms may present in a person who is experiencing Sleep Apnea. Sleep Apnea often affects people who are not obese, for example. Additionally, up to 20% of patients who have Sleep Apnea do NOT snore. (Snoring in and of itself is not always associated with Sleep Apnea.)

Why is it important to diagnose and treat?

Left undiagnosed or untreated, Sleep Apnea can cause serious health complications for your or your loved one. Not only does it disrupt the quality of sleep for you or your sleep partner, untreated it could lead to other significant issues, including:

  • Hypertension (high blood pressure)
  • Cardiomyopathy (enlargement of the muscle tissue of the heart)
  • Atrial fibrillation (irregular heartbeat)
  • Type-II diabetes
  • Heart disease
  • Heart failure
  • Stroke
See available providers
Get tested for sleep apnea

Say goodbye to awkward sleep studies.

Learn about your sleep health without leaving the comfort of your own bed.

Sleep Study Features

Comfortable equipment (no wires, no beeping, no clamps, no 1-way mirrors)
Sleep in your own bed
Data sent automatically to your doctor
Complete electronic copy of your data and analysis sent to your phone
Easy to reschedule
Equipment delivered to your door
Availability (how soon can I start?)
Results sent your provider to review within
Cost

Circle At-Home Sleep Study

7-10 business days
72 hours or less
$0-250
(depending on insurance)

Typical In-Clinic Sleep Study

3-6 weeks (can be over 6 months)
7+ days
$500-$10,000
(National average cost was $3,075 in 2022)

Circle Medical Providers must meet all of the following standards:

  • Exceptionally qualified in their field

  • Board-certified

  • Deeply empathetic for patents

  • Follows evidence-based care guidelines

  • Embracing of diverse patient backgrounds

  • Impeccable record of previous care

350+ Primary Care Providers.
100% Confidence.

No matter which Provider you choose, you will be seen by a clinician who cares deeply about your health and wants to help you live your happiest, healthiest life.

Circle Medical Providers are held to an exceptionally high standard of compassionate, evidence-based care.

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Don't take our word for it.

We are trusted by over 50,000 patients every month. Here's what they have to say.

  • Quote

    I have tried multiple telehealth options and I have found Circle Medical to be the best one for me. The providers are attentive, informative and don't make you feel rushed. Thank you Circle Medical for helping me to get my mental health back on track.

    Francisco

  • Quote

    Circle Medical has been absolutely amazing to me. I have been a patient at Circle Medical for about 7 months now and the experience has just been awesome. From day 1 I have been welcomed with open arms. I do video visits right in the comfort of my own home, how convenient is that? My provider is awesome, so sweet and comforting and motivating.

    Ronisha

  • Quote

    The process was easy and quick. I waited months for an appointment with an office and missed it. With Circle Medical I was seen and treated in a few days. Amazing.

    Nikki

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    Quick and easy especially if you're super busy with life and work to make a appointment to go some where and see a provider... this is a life changer for me.

    Armando

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    I have sent this app to three of my friends who were having issues with a competitor and they switched and haven't look back. The amount of appointments, the ability to choose your provider and the range of the appointments available in one app.

    Raven

  • Quote

    Awesome doctors. They take time to actually listen to your symptoms and things you're dealing with instead of pushing certain medications.

    Bri

  • Quote

    I have already recommended it to my sister who suffers many of the same things I do, mostly for the incredibly stress-free telehealth appointments as in person visits cause me anxiety and are harder to get to with my schedule.

    Anika

  • Quote

    A friend told me about it. I was extremely hesitant. Was I ever surprised. The process was easy. The provider was wonderful and made me feel very comfortable about my decision.

    Alexus

  • Quote

    Circle Medical has been a life saver! The ability to use insurance is key, as well as the availability and variety of providers. I found an AMAZING primary provider that is hands-down the best I've ever had. Plus, the convenience of video visits is fantastic!! I love Circle Medical!

    Brennan

  • Quote

    Easy and convenient, providers have great personalities. First time I actually felt listened to and heard.

    Devin

  • Quote

    Excellent providers that truly care about their patients and listen to their concerns. Telehealth appointments are seamless.

    Ashley

  • Quote

    The app makes everything really easy and both providers I've seen so far have been wonderful. I couldn't find any doctors in my area that weren't insanely expensive so this app has been a lifesaver!

    Hana

  • Quote

    The app is easy to use, appointment scheduling is convenient, there are lots of providers to choose from, and the providers are supportive, explain things well, and are non-judgemental.

    Sabrina

  • Quote

    I have NEVER had healthcare that was this accessible. Thank you.

    Melanie

  • Quote

    My clinician is amazing. I appreciate being able to move through my treatment online and to see tangible results because of her care.

    Amber

  • Quote

    Circle Medical ADHD treatment has changed my life for the better in so many ways. I love the ease of not having to go to a Doctors office. I travel for work and my travels are sporadic so being able to take a video/zoom appointment wherever I am at is paramount. I never need to worry about when my appointment is as long as I have cell service. It's just incredible. Plus I ABSOLUTELY love my provider. He is just awesome. I could go on and on about him.

    Isabella

  • Quote

    Circle Medical has helped me find a doctor that I am comfortable with, and otherwise wouldn't be able to have as my primary care physician becasue of where I live. It also has helped me get help with my ADHD.

    Mary

  • Quote

    I could not believe that I got an appointment for ADHD within hours. I had a terrible time trying to get an appointment with the group my insurance recommended. The health practitioner is knowledgeable and kind, and I feel like I'm getting both good physical and psychological support.

    Sierra

  • Quote

    They accepted my insurance, easy to schedule an appointment, easy to communicate with my doctor and they have been helping me with my health in the comfort of my home.

    MJ

  • Quote

    My provider has been an amazingly attentive, caring, and informative professional. The accessibility that this group provides is helping me take control of my health.

    Jack

  • Quote

    Prior to Circle Medical, I struggled for months as I visited doctor after doctor for an ADD diagnosis, just to be ignored and misdiagnosed because none of them had researched ADD in women. Then, I found Circle, and was diagnosed and treated within days. The treatment worked, and my life has improved drastically.

    April

  • Quote

    It was very easy to sign up. The provider I chatted with was very thorough.

    Maggie

  • Quote

    Circle Medical has in all honesty provided me with the most attentive, compassionate, and informed health care I've ever received. Being able to get care that fits with my demanding and unusual work schedule is a game-changer. So many times in the past I've been unable to access care I needed, or follow-up care, because of travel issues, time constraints, and my own anxiety & depression.

    Selah

  • Quote

    Very compassionate and professional service with great follow-up.

    Don

  • Quote

    I have recommended Circle Medical to several friends. The process, UI, and providers are very quick and caring. It is perhaps the easiest to use system I've ever seen. I highly highly recommend the organization.

    Jamarion

  • Quote

    Circle Medical has helped me find a provider that I am comfortable with and otherwise wouldn't be able to have as a primary care provider due to where I live. It also has helped me get help with my ADHD whereas I wouldn't be able to as easily with where I live.

    Asher

  • Quote

    I have a great working relationship with my provider. It is really easy to get care, and feel cared for even in a virtual meeting.

    Cardi

  • Quote

    My provider is the best! And Circle Medical is very convenient. I was neglecting my health before I knew about Circle because I never felt like going to the doctors, but Circle has changed my life!

    Sonny

  • Quote

    It's so easy to make appointments, the messaging feature makes help SO accessible, and the quality of the providers are top notch. It's such a relief to be able to schedule an appointment the day I need it. I always feel so heard and so cared for.

    Quinn

  • Quote

    I love having a primary care provider to work with me on getting the correct medication needed to function. I love the convenience of the telehealth appointments as well.

    Tiffani

  • Quote

    I've used several online platforms for various medical needs over the last few years, and Circle has been the most comprehensive, as well as pairing me with an excellent provider who actually listens to my issues and concerns as well as taking into consideration what I think would work for me, and not just putting me on random medications to see what may or may not work. I felt listened to and respected, and believe my provider actually wants to help instead of just getting paid and speeding through our appointment.

    Denisse

  • Quote

    My provider is amazing very professional. Customer care is always on top of any question you have. I highly recommend Circle Medical.

    Briana

  • Quote

    I have been extremely happy with the entire staff, alwasy so willing to help me in any way from appointments to assistance with insurance. I have already recommended Circle Medical to my sister, who struggles with many of the same issues that I do.

    Ayana

  • Quote

    It's was so easy to sign up and get an appointment. The provider was very helpful, friendly and listened attentively.

    Dax

  • Quote

    This is the first practice in over a decade where I actually felt heard. Advocating for yourself can be hard when you've had other practitioners who are dismissive and condescending. This practice is the complete opposite and a much needed breath of fresh air.

    Natalie

  • Quote

    I have gotten my entire family to switch over to Circle Medical. It's extremely convenient and has great providers.

    Serenity

  • Quote

    So easy to work with and around my busy schedule. My provider is amazing and I am loving the medical care that I am receiving.

    Nathanael

  • Quote

    Circle Medical has ALWAYS helped me solve whatever health issue I've brought to them! There has never been a time I've left an appointment dissatisfied. As a fat individual with preexisting health issues, it is usually hard to find medical providers that actually listen to what I have to say rather than attributing everything to weight. It feels amazing to be heard and validated!

    Boston

  • Quote

    Their support has been quite helpful. Apparently certain meds are very hard to get right now but they are fighting for me. As someone with an auto immune disease, telehealth during Covid has been invaluable. I cannot risk getting sick, but must continue my mental health treatment.

    April

  • Quote

    I love how easy the app is to use and how Circle Medical makes healthcare accessible to everyone.

    Kim

Frequently Asked Questions

Insomnia care

If I think I have Sleep Apnea, can I sign up for a Sleep Study on my own?

Current laws in the United States require a doctor's prescription in order for a patient to participate in a sleep study.

If I know I have Sleep Apnea, can I just purchase a CPAP device?

Current laws in the United States require a doctor's prescription in order to obtain a CPAP device.

How do I return the device after my Sleep Study is completed?

You will be sent a pre-paid, pre-addressed envelope along with the device. Once you have completed your at-home sleep study, simply place the device in the provided envelope and put it in the mail. That's it!

Is the device uncomfortable or hard to use?

Not at all. It is a small device that you can easily attach painlessly. The companion smartphone app includes detailed, easy to follow instructions for use, and will send the recorded data back to Circle automatically.

Do I have to pick up, or drop off, my device at a Circle Medical location?

No, the device will be sent to you, and will arrive in 7-10 business days following your provider's recommendation for a Sleep Study. The device will automatically send recorded data back to Circle for evaluation. You will be sent a pre-paid, pre-addressed envelope along with the device. Once you have completed your at-home sleep study, simply place the device in the provided envelope and put it in the mail. That's it!

Who reviews my sleep study results?

Your sleep results will be reviewed by a board-certified sleep specialist, who will then work closely with your Circle Medical provider to create your personalized treatment plan.

What are the benefits of an at home sleep study vs a regular sleep study at a clinic?

Most people find it far more comfortable to sleep in the comfort of their own bed in their own home, where your sleep patterns will much more closely match your typical sleep cycle than they would when you sleep in a clinic that is new to you. The device you will receive will also allow you to perform multiple studies, and all at a small fraction of the typical cost of an in-clinic sleep study.

General

Do new patients need to prepare anything for their first appointment at Circle Medical?

For a detailed breakdown of what you need for your first appointment with Circle Medical, read the article below:

How to Prepare for Your First Appointment

Where are Circle Medical's clinics located? Where can I get care?

Circle Medical has in-person clinics in California and is expanding its in-person presence across the US, but you can get high quality care via telemedicine video appointments in 25 states across the US.

To see what states are currently available, please start booking an appointment and the available states will show as options for you to select.

Do I need to book my appointment with a doctor (MD or DO), or can I book my appointment with any provider (PA-C, NP, etc)?

You do not need to book your initial appointment with a doctor. You can book your appointment with any provider that we have available. Our providers all work closely together to make sure that we are providing the same excellent standard of care to all patients regardless of which provider you book your appointment with.

What is the total cost of treatment?

Circle Medical is a primary care practice, which means that the only fee due to us is the cost of the appointment itself. We accept insurance, so your plan may pay some or all of the appointment fee. Circle does not charge any ongoing membership fees to use our platform.

If you are prescribed medications, you will pay for them when you pick them up at a pharmacy.

Insured
We contract with most PPO insurance plans. If you are a California Bay Area resident, we also work with a small number of HMO plans.

To verify if we work with your insurance, simply start booking an appointment online. You will be prompted to enter your insurance details and will receive eligibility results instantly as well as an estimate of your appointment cost prior to confirming your appointment.

Some PPO plans that we currently work with are:

Anthem Blue Cross/Blue Shield, Aetna, Blue Shield of California, Cigna, Health Net, Humana, and United Healthcare.

Our insured patients pay an average of $5-$50 per appointment.

Plans that we cannot work with are:

Unfortunately, we are unable to provide care for patients who have Medi-Cal or Medicaid insurance. This is because we are not licensed Medi-Cal or Medicaid providers, so we are not able to provide care, even if these patients choose to pay cash instead of use their insurance. If you have Medi-Cal or Medicaid, please do not book an appointment with us, as we will be unable to provide care even if you do not enter your insurance information.

Insured
We also offer a self-pay option at a flat rate of $100 per appointment.

Talk to a provider about Sleep Apnea today.

Provider Nikki Tsang

Same-day Availabilities

Read more about Sleep Apnea treatment

What are the types of sleep apnea?

Sleep apnea is a sleep disorder where your breathing stops and starts throughout the night. It can be classified into three different types, including:



Obstructive

Obstructive Sleep Apnea (OSA) is the most common type of sleep apnea. It happens when the muscles in your throat relax during sleep This causes blockage in your airways. This can lead to sleep interruptions and awakenings throughout the night that impact your overall sleep quality. You may not even be aware of these awakenings.



Central

Central Sleep Apnea (CSA) happens when your brain fails to signal breathing muscles. This leads to periods during the night where breathing stops and starts.



Positional

Positional sleep apnea occurs when a person's breathing difficulties during sleep worsens when they are in certain positions, such as lying on their back (supine position), and may improve when they sleep in other positions, such as on their side (lateral position).




How to get a diagnosis online

In previous years, you would have to go to an in-person sleep clinic to diagnose sleep apnea. You would sleep overnight at the clinic for a sleep study. This allowed a sleep specialist to monitor your sleep patterns and diagnose your sleep disorder. Fortunately, technology has advanced to allow us to conduct sleep studies at home. After connecting with an online healthcare provider like Circle Medical, you can get an at-home sleep study sent to your house. You'll receive a simple device that monitors your sleep. This data is sent directly to your provider and you can get your diagnosis without having to leave your home. Once diagnosed with sleep apnea, your healthcare provider can determine an appropriate treatment plan.



Is sleep apnea genetic or hereditary?

Sleep apnea can be caused by a variety of factors, and evidence suggests that there may also be a genetic or hereditary link. If you have sleep apnea in your family history, your risk for developing the condition may be higher. However, environmental and lifestyle factors also are attributed to sleep apnea. Obesity, alcohol consumption, and smoking can all increase the risk of sleep apnea.



Can you have sleep apnea without snoring?

Snoring is one of the primary symptoms associated with sleep apnea. However, it's not a guaranteed telltale sign. Some people may snore and not have sleep apnea. Likewise, some people with sleep apnea may not have snoring as a symptom. Sleep apnea is characterized by breathing interruptions during sleep, which may simply cause someone to wake frequently or have trouble sleeping. For instance, if someone always wakes up feeling tired or fatigued, but they don't snore, it's possible they may have sleep apnea.