Worker health and wellness Respiratory conditions Bus/limo/taxi Trucking Transportation

Truck drivers pay out of pocket for sleep apnea screenings: survey

Truck driver

Arlington, VA – The majority of commercial motor vehicle drivers who participated in a study to screen for obstructive sleep apnea paid some or all of the costs involved with the screening, according to the results of a recent survey conducted by the American Transportation Research Institute.

The findings highlight the need for the Federal Motor Carrier Safety Administration to keep costs in mind while considering a proposed rule related to sleep apnea, said ATRI, which is the research arm of the American Trucking Associations. In March, FMCSA and the Federal Railroad Administration issued an advance notice of proposed rulemaking that seeks to establish requirements aimed at improving safety for drivers and operators with the condition. Sleep apnea is a respiratory disorder that disrupts sleep and may hinder alertness during the day.

Some of the findings from the survey:

  • 53 percent of CMV drivers who were referred to the sleep study paid an average of $1,220 in out-of-pocket expenses.
  • A Continuous Positive Airway Pressure machine was the most common treatment prescribed for drivers who were diagnosed with sleep apnea.
  • Of the drivers with severe sleep apnea who used a CPAP, 84 percent reported that the device helped them sleep better, 71 percent said they felt better when they woke and 75 percent have lower blood pressure.
  • 64 percent of drivers who have been tested for sleep apnea believe federal guidelines for referring drivers for screening are too broad.

“ATRI’s research clearly shows what my fellow drivers and I have been experiencing,” Owner-Operator Independent Drivers Association member Barbara Beal said in a press release. “The costs associated with sleep apnea screening and treatment are not inconsequential for drivers, and the flexibility to utilize lower-cost options for both screening and treatment will be critical if FMCSA moves forward with a formal rulemaking.”

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Darrell Powledge, MD, MPH
June 1, 2016
We have been dealing with the Sleep Apnea issue in my clinic for many years. Most drivers diagnosed with sleep apnea didn't believe they had it and were therefore resistant to testing. I have worked diligently with a local Sleep Study Center to find the least expensive method for screening for sleep apnea without sacrificing sensitivity. We do not require an in-house PSG but accept an Apnea Link Home study. The result is a significant cost reduction to about $250. Yes, if diagnosed with significant sleep apnea the driver will have to purchase a CAPAP/BIPAP/OR AUTOPAP machine and they are not cheap. But, we shouldn't lose focus on the fact that the diagnosis and treatment of Sleep Apnea benefits the driver greatly in improved health and quality of life as well as makes them a safer driver. And it's hard to put a price on that.

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mary
June 15, 2016
Air conditioning Makes me sick That's blowing directly into my lungs They said sleep with the windows open The exhaust from the other trucks Going directly in my lungs Making me deathly sick What options do I have

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Cindy
January 13, 2017
We have had more and more of our drivers being pulled into sleep studies and then recommended for CPAP machines. Our company does not pay for these expenses and the cost can be very prohibitive for some of our guys. My biggest issue is that there is no real guidance that I can find that spells out when a driver MUST be required to use the machines. The wording currently stated in the guidance is that this is geared for those with moderate to severe sleep apnea but I have guys getting diagnosed with mild sleep apnea but because the sleep study doctor puts on there that he 'recommends' a CPAP machine, the medical examiner won't clear him without evidence that he has been using it. Everyone seems to be afraid to use some common sense on this issue. I appreciate the concern that there are tired drivers out on the road which puts them and others at risk. But unlike the other health issues, such as, blood pressure and diabetes, there is no clear cut requirements which is having a huge impact on how this is getting implemented and the consequences this is having on the drivers. The only ones who seem to be benefiting from this are the sleep clinics and the seller of CPAP machines.