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Weight care built into your sleep apnea plan

Weight and obstructive sleep apnea (OSA) are often closely linked, with research showing that changes in weight may influence the risk and severity of OSA.

Cutting-edge treatment

Access modern prescription weight management treatments that can help address the biological factors influencing your sleep apnea when weight is a contributing factor.

Cutting-edge treatment
If I had to sum up my experience, I would use the word transformational.

Comprehensive care

Get a treatment plan made just for you along with tools to support your health goals.

Comprehensive care

Ongoing support

Chat with your healthcare practitioner at any time for support during your sleep apnea treatment journey.

Ongoing support

Find exclusive features to support your health goals along your obstructive sleep apnea journey

Weight Loss Progress Tracker

Track your weight management journey over time so you can visually monitor changes

Injection Tracker

Keep your treatment on track by logging your injections to stay on schedule, avoid missed doses, and ensure you’re getting the most out of your treatment.

Integrated Treatment Guides

Receive customized guides that offer support tailored to wherever you are in your treatment plan.

The sleep–weight connection

For many people, excess weight can be an important contributing factor to obstructive sleep apnea. At the same time, poor or disrupted sleep can affect the hormones that regulate appetite and metabolism, which may make weight harder to manage.

As a result, body weight and obstructive sleep apnea often affect each other, and weight loss achieved through appropriate medical treatment may also help improve sleep apnea.

What really impacts our weight?

Body size and sleep health are determined by a complex combination of factors that go beyond our daily habits. Biological, psychological, environmental, and social factors can also play a significant role.

  • Genetic makeup
  • Hormonal and metabolic factors
  • Chronic illness and certain medications
  • Mental health and stress
  • Socioeconomic and environmental factors 
  • Nutrition and activity
  • Sleep patterns and sleep quality

Weight loss as part of sleep apnea care

For many people, lifestyle behaviours aren’t enough for lasting weight management.  This often occurs because the body responds to weight loss with hormonal changes that increase appetite and reduce energy expenditure.

When excess weight contributes to sleep apnea, addressing the biology alongside lifestyle behaviours, often gives the best chance of improving both weight and sleep. Weight loss often improves OSA severity, though OSA may not fully resolve without additional treatment measures.

Comprehensive treatment options

There are a variety of treatment options available for sleep apnea, but it’s best to consult a healthcare practitioner first.  Adults managing sleep apnea effectively often requires individualized care plans that address contributing factors. Plans often combine medical interventions with weight management strategies and guidance for long-term health habits depending on your health and goals.

This communication exclusively relates to services provided through the Felix platform. Treatment and services obtained outside of Felix may be subject to separate terms and fees.

Sleep apnea care,
on your terms

No shame, no judgment, and no awkward conversations. We’re here to support your sleep health journey and can help you find treatment that works with your body — not against it.

Frequently Asked Questions

Are there different types of sleep apnea?

  1. Obstructive Sleep Apnea (OSA): The most common form, caused by repetitive blocking or narrowing of the upper part of your airway when throat muscles and other upper airway structures collapse during sleep. The muscles that cause you to breathe  continue to work, but the airflow into your lungs is blocked.
  2. Central Sleep Apnea (CSA): Occurs when the brain fails to send proper signals to the muscles that control breathing, so breathing briefly stops.  This causes you to stop breathing or to not breath adequately during sleep. 
  3. Complex Sleep Apnea: A combination of both obstructive and central sleep apnea. Essentially what happens is that after the OSA is treated and resolved (usually with CPAP), CSA episodes are present. 

How is obstructive sleep apnea treated?

The most common first-line treatment is CPAP (Continuous Positive Airway Pressure) therapy, which uses gentle air pressure through a mask to keep the airway open during sleep.

Other options include oral appliances (mouthpieces that hold the jaw forward), positional therapy (avoiding back-sleeping), weight management, and, in selected cases, surgery. The right choice for you depends on many different factors including personal preference.

How is sleep apnea diagnosed?

Diagnosis involves a sleep study (polysomnography), which can be conducted overnight in a clinical lab. Alternatively, a simplified home sleep apnea test may also be used. These tests monitor your breathing patterns, heart rate, and blood oxygen levels while you sleep. Sleep studies in the lab are more comprehensive and include monitoring of sleep stages, while home testing is more convenient and cost-effective but does not measure actual sleep time, which in some people may make it a bit less accurate.

Is sleep apnea treatment covered by insurance or provincial health plans?

Coverage varies by province and private insurance plan. Many extended health plans cover certain OSA-related treatments when prescribed by a healthcare provider, but details differ from plan to plan.

  • Prescription Coverage: Many extended health plans cover medical weight management treatments when prescribed by a healthcare provider as part of your sleep apnea care.
  • Provincial Differences: Public coverage and private plan rules vary across provinces for different aspects of sleep care.
  • Coverage Support: You do not have to figure out the fine print on your own. Our team works alongside our partner sleep clinics to help guide you through your coverage options before you start.

What are the symptoms of sleep apnea?

Some common signs include loud snoring, gasping or choking for air during sleep, and excessive daytime sleepiness. Other symptoms might include morning headaches, irritability, waking up frequently and difficulty concentrating.

What happens if sleep apnea is left untreated?

Untreated sleep apnea  is associated with a higher risk of serious health conditions over time, including high blood pressure, heart disease, type 2 diabetes, atrial fibrillation and stroke. It can lead to excessive daytime sleepiness, increasing the likelihood of workplace or motor vehicle accidents.

What is a “normal” sleep apnea count?

Sleep apnea severity is measured by the Apnea-Hypopnea Index (AHI).  This is the number of breathing pauses or shallow-breathing events per hour of sleep. “Normal” is fewer than 5 events per hour. Between 5 to 14 is mild, 15 to 29 is moderate, and anything over 30 is severe.

What is sleep apnea?

Sleep apnea is a common but serious sleep disorder where your breathing repeatedly stops or becomes shallow while you sleep. This often interrupts sleep and can lower blood oxygen, which can affect both sleep duration, quality and daytime functioning.

Can I just get the treatment and skip the online visit?

No. A visit with a licensed healthcare practitioner is required for all treatments currently offered through Felix.

Do I need to complete my online visit at a scheduled time?

No. We use an asynchronous telemedicine model so you can complete your online visit in your own time and we save your progress so you can come back later to finish it.

If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.

Does the online visit require a phone or video appointment?

Most assessments do not require a phone or video conversation. Once a prescriber has reviewed the info in your assessment they will respond to you via secure instant messages that you can access within your Felix account.  

If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.

How does the visit work?

After creating an account, you will complete a medical assessment for evaluation by one of the Felix healthcare practitioners. 

During your assessment, you will have the opportunity to send your practitioner questions via secure messaging.  

In most cases, practitioners will complete your assessment with secure messaging alone but sometimes they may determine you require an audio or video visit and/or further diagnostic testing to help determine the best treatment plan for you. 

If your practitioner has determined a prescription treatment is appropriate, they will approve your visit and write you a prescription. Our pharmacy will then ship your prescription to your home.

You’ll be able to message your healthcare practitioner if you have questions or want to make changes to your treatment at any time.

How quickly will a healthcare practitioner review my online visit?

You can expect to receive a response from a healthcare practitioner within 48 hours of submission.  Delays may occur at high volume periods or over statutory holidays – we thank you for your patience and look forward to supporting you.

I completed my online visit. Now what?

Great, you’ve already taken the first step! Next, a healthcare practitioner will review your assessment and if necessary, will send you a link to book an online audio or video appointment with them. This appointment will help them determine the best treatment plan for you. If your healthcare practitioner thinks you will benefit from an available medication, they will write you a prescription. Our pharmacy can ship your medication to your home if you would like your medication dispensed through the Felix Pharmacy network.

Do I have to be home to receive my package?

A signature upon delivery may be required.

How and when can I update my shipping address?

Your address can be updated from the Shipping tab of your account. Kindly note that any changes need to be made 48hr ahead of your refill date.

How long will it take to get my medication?

Not long. After completing your assessment, a practitioner will generally respond within 24 hours, and often much sooner.

The pharmacy will process and fill your prescription within 2-3 business days of your prescription approval date if there is nothing blocking them from doing so.

All packages are shipped via Express Post, which usually takes 2-3 business days. You will receive an email with your tracking number once your treatment has been shipped.

How many days do I have to notify you of an undelivered or lost package, or damaged medication?

You have 14 days from the date your tracking link was sent to notify us of an undelivered or lost package, or damaged medication.

How much does it cost for shipping my medication?

There is currently no cost to have your medication sent to you from our Felix Pharmacy network.

I received an email with a tracking number but it doesn’t seem to be working!

Your tracking number will be activated once the courier picks up your shipment from the pharmacy. Please allow until 6 p.m. on the following business day for the tracking information to update.

Is your packaging discreet?

Absolutely. All Felix shipments arrive in a nondescript blister package so you can have your treatment shipped wherever makes sense for you as long as there is someone there to sign for it.

What do I do if my package was returned to Felix?

We’ll contact you via email if your package is returned to us! For most treatments, your meds will be destroyed 1 month after your fill date should you fail to respond to Felix Customer Support or contact the partner pharmacy. Temperature controlled medications may have a reduced reshipment eligibility window due to their limited shelf life, in accordance with product guidelines. All reshipments are at the discretion of a pharmacist’s professional judgment.

What happens if there isn’t anyone available for the delivery?

Depending on your province of residence and the treatment being dispensed, your Felix packages may require a signature on delivery. If this cannot be collected where necessary, your package will be available at the closest post office for pick up. Usually, packages are available for up to 14 days after the first attempted delivery. If you don’t pick up your package within the allotted time, it will be returned to the sender, which may cause a further delay in your delivery.

When is my medication shipped?

Status updates for your prescription will appear in the Upcoming tab. You’ll be able to see if your prescription is being processed by our pharmacists or if it’s en route for delivery.


Refill schedule (drug dependent)

  • Monthly: refill is processed approx. every 20 to 23 days
  • Every 2 months: refill is processed approx. every 50 to 53 days
  • Every 3 months: refill is processed approx. every 76 to 84 days

Will I be able to receive my medication on time during the holidays?

Yes, the pharmacy will process your prescription to account for any expected delays due to the holiday season.

Can I have my medical records with Felix shared with my primary care provider?

We are happy to facilitate requests for a release of your medical records with Felix to your primary care provider.

How is my privacy protected?

Your privacy is our top priority. All your data is 256 bit SSL/TLS encrypted, and we take significant steps to keep your data secure. You can read our Privacy Policy for more information. 

Is my information private and secure?

Yes, your security is paramount to Felix’s mission. Personal health information provided during your medical assessment is strictly and legally confidential between you and the Felix healthcare practitioner.

Beyond that, all your account information (including the medical assessment, credit card, and shipping information, etc.) is also stored safely and securely. Felix is compliant with all federal and provincial health privacy legislation. It is our duty to protect your data with comprehensive security infrastructure and stringent data policies to ensure it stays private and secure.

Read more on our Privacy Policy.

Is this legal?

Yes! In Canada, only a licensed healthcare practitioner can write a prescription, and only a registered pharmacist can fill that prescription. We are supported by leaders in the Canadian pharmacology and specialized medical fields. Felix adheres strictly to all the regulations set forth by all applicable Colleges of Pharmacists and Colleges of Physicians and Surgeons in which we operate.

Is this safe?

Absolutely. All prescriptions obtained via Felix are provided by licensed Canadian healthcare practitioners—the same as you would get at a hospital, doctor’s office, or clinic. These practitioners do not provide prescriptions unless they deem it medically safe and appropriate to write them based on your medical profile and assessment answers. Our assessments have been crafted by the practitioners on our medical team. Finally, all Felix Pharmacies are provincially accredited just like any retail pharmacy.

How do I change my credit card information?

Go to Billing, and you will be able to update the credit card information on file.

How much does a checkup visit cost?

The cost of the checkup visit varies by category, but in many cases there is no charge, so long as you complete your checkup visit before your current prescription expires.

How much is the online visit?

Felix charges a fee for the online visit. In most cases the fee is $40 but varies by treatment category. The visit fee includes a prescription valid for up to a year (depending on the condition) and on-going support from the healthcare practitioner or pharmacist.

How much will my treatment cost?

It depends. Treatment costs vary but will be in line with what you would pay at a pharmacy in person. You will see the estimated cost of your treatment before insurance, during the online visit but will only be billed for medication costs for your prescription once it is approved and sent to our pharmacy. Once approved, your treatment and payment will be processed within one to two days.

Keep in mind that you won’t necessarily need to pay the full price yourself. If you have insurance, Felix’s partner pharmacies will bill your insurer directly. You may also be eligible for financial support in your province.

What payment methods do you accept?

We accept all major credit cards for any aspect of your treatment not covered by insurance or other financial support

Why can’t I see medication prices on the website?

While it is illegal in Canada to display market pricing for prescription medication, you will be able to see the estimated cost of medication during the online visit. The price shown is an estimation and will vary if the healthcare practitioner prescribes you a different medication, or if you have insurance or benefits coverage. All estimated prices shown during the online visit include the pharmacy fill fee based on the refill schedule of your choice.

Will I be charged for the visit fee, even if a prescription is denied?

Yes, the visit fee is charged when you submit your visit and is generally refunded if the visit is denied by your healthcare practitioner.
Exceptions apply: Weight Loss visit fees are refunded only if you are deemed clinically ineligible. Visit fees for Diagnostic categories (Metabolic Health, STIs) and Menopause are non-refundable. For these complex health categories, the visit fee covers the practitioner’s time to review your medical assessment, issuing a lab requisition, reviewing your lab results with you, and making a diagnosis if applicable.

Am I covered by my insurance?

Treatment coverage varies greatly between different insurance plans.

The good news is that if you are covered, Felix can bill your insurer directly, and then process your treatment plan at no additional cost to you. We recommend that you upload your private and/or provincial benefit card during the online visit so that our pharmacy partner can apply any coverage you are eligible for before processing your treatment plan.

Insurance coverage for treatment plans through Felix doesn’t include the cost of your visit.

I didn’t have insurance when I first got my prescription, but now I have it. What do I do?

Go to Billing where you can add or update your insurance information on file.

I forgot to upload my insurance information before my first fill was charged. What can I do now?

You will find the official receipt for your medication costs within your package from the pharmacy. This receipt can be used to submit a manual claim directly to your insurance/benefits provider. Future refills will be direct-billed directly to your insurance provider, once you have uploaded your insurance information from the Billing tab of your account.

I uploaded my insurance information during my online visit but still see a cost for the medication in my profile.

The coverage you are eligible for will not be deducted until the pharmacy processes your refill, so the price you see in your profile is the estimated maximum medication cost before benefits. Once the pharmacy ships your meds, the actual cost will be displayed for the respective refill.

Is birth control covered by OHIP in Ontario?

OHIP+ covers some birth control for eligible residents of Ontario who are under 25 years old and do not have private insurance. You can check if your birth control medication is covered here. Make sure to upload your Ontario health card during your online visit so our pharmacy partners can apply your coverage directly.

Is the medication covered by my insurance or provincial health plans?

Medication coverage varies greatly between different plans, provinces, and has specific criteria that determine eligibility. For private insurance, we recommend contacting your benefits administrator with your details and the Drug Identification Number (DIN) and the drug name to determine your coverage.

For more details on provincial health plan coverage see below:

Alberta: Learn more about AHCIP here. Search for covered drugs here.

British Columbia: Learn more about MSP here. Search for covered drugs here.

Manitoba: Learn more about MHSIP here. Search for covered drugs here.

Newfoundland and Labrador: Learn more about MCP here. Search for covered drugs here.

Nova Scotia: Learn more about MSI here. Search for covered drugs here.

Ontario: Learn more about OHIP+ here. Search for covered drugs here.

Prince Edward Island: Learn more about Health PEI here. Search for covered drugs here.

Saskatchewan: Learn more about Saskatchewan Health Coverage here. Search for covered drugs here.

Is the online visit covered by my insurance or provincial health plans?

A Felix online visit is considered asynchronous since it is conveniently completed through a secure chat bases system. Currently, asynchronous visits are not covered by insurance or provincial health plans so you will be charged a visit fee, depending on the category of treatment you are requesting.

My insurance provider needs a physician to fill out a form before they will cover my medication costs. Can this be done through Felix?

Yes, at the discretion of our medical team. Please submit your insurance form request here. If a healthcare practitioner agrees to complete the form, a fee of $35 per form will apply.You can also read more about the Insurance Special Authorization Form process here.

Have more questions?