Frequently Asked Questions

TotalCare Sleep Health is a complete sleep apnea diagnosis and treatment program delivered entirely from home. It covers every step of care: a free sleep health assessment, a telehealth evaluation with a board-certified sleep specialist, a 3-night home sleep test, Bongo Rx EPAP therapy, a guided acclimation period, and a titration study that objectively measures whether your therapy is working. One program. One specialist team. Finished in thirty days.

The program serves three groups. First, people who suspect they have sleep apnea but have not been tested, especially those who want to avoid CPAP if possible. Second, people who were diagnosed and prescribed CPAP but stopped using it. They have untreated sleep apnea and need an alternative that actually works. Third, current CPAP users who want an effective backup for travel, camping, power outages, or any situation where CPAP is not practical.

All three groups have the same core need: effective therapy. The program serves all three.

The traditional pathway is fragmented. Your doctor refers you to a sleep lab. A separate company interprets the results. Another company sells you equipment. Nobody coordinates the handoffs. Nobody checks whether treatment is working. If CPAP does not work for you, the system has no structured next step.

TotalCare Sleep Health is built differently. One program owns your complete journey from first assessment through confirmed effective therapy. Your sleep specialist stays with you from evaluation through follow-up. And before the program ends, you know with certainty what works for you. That is not something the traditional system delivers.

Most patients complete the program within 30 days. The evaluation can happen within days of completing the assessment. One package containing the Belun Ring and Bongo Rx ships promptly after your evaluation. The 3-night diagnostic study, acclimation period, 3-night titration study, and treatment plan follow in sequence from there.

Yes. Every clinical decision is made by a board-certified sleep specialist. The Belun Ring and Bongo Rx are both FDA-cleared devices. The program operates under HIPAA-compliant protocols. Sleep studies are interpreted by licensed physicians. Prescriptions are written by qualified specialists. This is real sleep medicine delivered in a more accessible format.

The evaluation is a live telehealth encounter with a board-certified sleep specialist. It is a real clinical appointment with a credentialed physician, not a chatbot or questionnaire. Your specialist reviews your sleep health assessment, evaluates your history, and determines whether this program is clinically appropriate for you. If it is, they write your prescription on the spot. If it is not, they will tell you honestly and point you toward what is. Either way, you leave with a clinical opinion from a sleep medicine expert.

It happens. Certain medical conditions or anatomy may make this program a less appropriate starting point. If that is the case, your specialist will explain why and recommend a better next step. You pay $99 for the evaluation and receive genuine clinical guidance. That is still a better outcome than months of waiting for the same answer through traditional channels.

Our clinical partner, iSleep Physicians Group, provides a network of 80-plus board-certified sleep specialists licensed in all 50 states. These are physicians who specialize in sleep medicine. Your specialist reviews your assessment before your evaluation, interprets your sleep study results, monitors your acclimation data, and is available for follow-up consultation if needed. The same clinical team stays with you through the complete program.

The Belun Ring is the world's first FDA-cleared AI-powered wearable for sleep apnea diagnosis. It is small enough to wear like a ring. Each night it captures a full clinical data set including AHI, oxygen desaturation index, oxygen saturation mean and minimum, sleep stages, heart rate, pulse rate variability, and vascular health metrics. Your specialist uses this data to make accurate clinical decisions at every stage of the program.

The Belun Ring is a loaner device. It ships with your program package, stays with you through the diagnostic study, acclimation, and titration study, then returns via prepaid label when the program is complete.

Sleep apnea severity fluctuates from night to night. Body position, alcohol consumption, and fatigue level all cause your AHI to vary significantly. A single night of data may not reflect your true condition. Research shows that single-night studies can miss moderate OSA in up to 60% of cases.

Three nights captures natural variability, mitigates the first-night effect from adjusting to new equipment, and gives your specialist a reliable clinical baseline. The same logic applies to the titration study. Three nights of on-therapy data is far more reliable than one.

Bongo Rx is an FDA-cleared EPAP device for obstructive sleep apnea. Small soft cones fit just inside your nostrils. When you exhale, gentle back-pressure keeps your airway from collapsing during sleep. No mask, no machine, no power cord, no noise.

CPAP pushes air into your airway. EPAP helps your airway hold itself open. It is a different mechanism entirely. For many patients it is more comfortable, more portable, and more sustainable as a long-term therapy.

CPAP stands for Continuous Positive Airway Pressure. It pushes a continuous flow of pressurized air into your airway through a mask connected to a powered machine. That pressure physically props your airway open while you sleep.

EPAP stands for Expiratory Positive Airway Pressure. Instead of pushing air in from outside, it creates gentle back-pressure when you exhale. That pressure helps your airway hold itself open from within. No mask, no machine, no power cord, no noise.

CPAP does the work for your airway. EPAP helps your airway do the work itself.

CPAP reduces AHI by 90% or more. No other therapy matches that mechanical power. But real-world effectiveness depends on two factors: how well the therapy works and whether you actually use it every night.

CPAP has a 50% failure rate because many patients cannot tolerate it long-term. A therapy sitting in a closet delivers zero benefit. Bongo Rx has adherence rates of 80 to 88 percent compared to 43 to 60 percent for CPAP. For many patients, EPAP produces better real-world outcomes precisely because they use it every night.

Whether Bongo Rx is controlling your sleep apnea is not something you have to assume. The 3-night titration study answers that question with objective clinical data before the program ends.

You can. Many people do. But Bongo Rx does not measure your AHI or oxygen levels. It does not tell you whether your airway is staying open. Without a clinical sleep study during therapy, you are assuming it is working.

The program exists because assumption is not treatment. The titration study gives you and your specialist a definitive, data-driven answer. If EPAP is not enough, your specialist guides the next step. Without the program, you are on your own.

The Belun Ring is a loaner. It stays with you from the start of your diagnostic study through the end of your titration study. When the program is complete, it returns via the prepaid label included in your package. If additional testing is needed at any point, your specialist can order a repeat 3-night study through the program.

The titration study is a second 3-night sleep study conducted while you are using Bongo Rx. It happens after you have completed acclimation and can sleep three consecutive nights with the device comfortably.

Your specialist compares your diagnostic baseline directly against your on-therapy performance. Same device. Same methodology. Same patient. That matched comparison answers the clinical question no consumer sleep product can answer: is this therapy actually working? Not probably. Not hopefully. Objectively, with clinical-grade data.

That is exactly what the titration study is designed to determine. If the data shows EPAP alone is not sufficient, your specialist has a clear picture of what is happening and recommends the appropriate next step. That may be a mandibular advancement device, CPAP, or another clinical approach. Follow-on 3-night titration studies can verify each next therapy using the same methodology.

You are never left without a path forward. The data always drives the decision.

Acclimation is a guided 7-day process. Each day includes a structured encounter that provides education, instructions, and coaching calibrated to exactly where you are. You are never guessing what to do next.

Acclimation starts gently. Your first experience with Bongo Rx is not during sleep. You begin by wearing the device for a few minutes while awake, reading or watching television. Small, easy, low-stakes. Confidence before commitment.

Your specialist reviews your progress throughout. If something needs attention, they will reach out.

Struggling in the first few days is normal. Most people who quit a new therapy do so in the first week, and almost always because they did not have enough support, not because the therapy does not work.

The daily check-ins during acclimation are specifically designed to catch problems early and help you through them. Common issues like fit, pressure sensation, and dry mouth all have solutions. Your specialist and the program support team are there to help you find them. You will not go through this alone.

The program has two purchases.

The evaluation is $99. This is a live telehealth appointment with a board-certified sleep specialist. No further commitment is required after the evaluation.

The program is $599. This covers everything: the Belun Ring and Bongo Rx starter kit shipped to your door, free shipping both ways, the 3-night diagnostic sleep study, specialist interpretation and written diagnosis, guided acclimation with daily check-ins, the 3-night titration study, and your written treatment plan.

Total investment if OSA is confirmed: $698. Follow-up consultations are available at $99 each if you need further clinical guidance.

The program is self-pay. This is intentional. Self-pay eliminates insurance authorization delays and billing complexity that slow traditional sleep apnea care by months. It gives you a transparent, predictable cost at every step.

The full program is 100% reimbursable through HSA and FSA accounts. Clinical services including specialist consultations, HST interpretation, and acclimation monitoring are reimbursable through most health insurance plans. Your itemized receipt includes CPT codes for submission.

You have your answer. A real clinical diagnosis from a board-certified sleep specialist, based on three nights of clinical-grade data. That has genuine value. Your specialist will advise on next steps if other sleep issues are identified.

Because the Bongo Rx starter kit shipped with your program, you will have it on hand. Since OSA was not confirmed, return it unopened and receive a $369 refund. That refund covers the Bongo Rx, the titration study, the acclimation support, and the follow-up consultation. You keep the value of the diagnostic study. We refund what you will not need.

If OSA is not confirmed after your diagnostic sleep study, return the Bongo Rx starter kit unopened and receive a $369 refund. The evaluation fee and diagnostic study are non-refundable because those services were delivered. Outside of a negative OSA result, the program is non-refundable. Contact us if you have a specific situation and we will do our best to help.

No. Your primary care doctor does not need to refer you, approve the program, or take any action. You can start the program on your own.

Yes. We keep your primary care physician informed automatically. After your evaluation, we send your doctor an evaluation report. After your titration study is complete, we send a therapy report. If a follow-up consultation occurs, we send a consultation report. Your sleep apnea diagnosis and treatment outcome become part of your primary care record.

Your doctor does not have to do anything. We take care of it. Most telehealth sleep programs diagnose and treat without ever informing the patient's primary physician. We think that is a gap in care. Your doctor manages your overall health. They need to know what is going on.