Does Medicare Cover Adjustable Beds?

Original Medicare does cover adjustable beds, with stipulations.
For an adjustable bed to be covered, your doctor must order it.
The company your doctor orders the bed from must participate in Medicare.

Original Medicare (parts A and B) will cover an adjustable bed, like a hospital bed, but a number of conditions have to be met first.

Adjustable beds are covered under Medicare Part B. However, Part B may not always cover the purchase of a bed — only a rental or loan while you need it.

Read on to find out how Medicare coverage for adjustable beds works.

Does Medicare cover adjustable beds?

Medicare covers adjustable beds under Part B.

Medicare Part B pays for outpatient medical costs, such as durable medical equipment. This includes adjustable beds. Part B will cover these beds when your doctor orders one for you to use in your home.

For Part B to cover your adjustable bed, both your doctor and the company that’ll supply the bed must be enrolled as Medicare providers.

Depending on the bed you need and the supplier, you might be able to:

Rent the bed
Purchase the bed
Choose between rental or purchase

What is an adjustable bed?

“Adjustable bed” is a general term for a bed that doesn’t remain flat or stationary. Adjustable beds allow you to move or elevate different parts of the bed to suit certain needs.

When does Medicare cover adjustable beds?

Medicare covers an adjustable bed when you have a specific medical need for it. You must have a face-to-face visit with your doctor or provider within 6 months of your doctor placing the order for the bed.

You must also be enrolled in Medicare Part B, which is part of original Medicare, to have an adjustable bed or any other durable medical equipment covered.

To be considered for coverage, you must have the following:

A condition that requires special equipment or positioning not possible with a standard bed
A prescription from your doctor for an adjustable bed that describes your medical condition and why it requires an adjustable bed
Medical records that support the need for an adjustable bed
Physician reports that detail the medical condition for which an adjustable bed is needed

Some conditions that might cause you to need an adjustable bed include:

Those that require frequent positioning of your body to address pain, contractures, or poor alignment
Some cardiac diseases
Chronic pulmonary obstructive disease (COPD)
Spinal cord injuries like quadriplegia or paraplegia
Severe arthritis or injuries

Which adjustable beds are covered?

Medicare covers basic hospital beds as a rule, but your options include a number of items, exceptions, and additions if your doctor thinks they’re necessary.

For example, adjustable height features, an electric-powered bed, and side rails aren’t part of the basic coverage, but they can be added if your doctor orders them for you. There may still be coverage limitations, but Medicare does pay at least a portion if these additions are needed for your condition.

Medicare also covers a number of extras for beds or bedding items. The following is a list of what’s included on the durable medical equipment list of specific covered items:

Gel or gel-like pressure mattress pad
Synthetic sheepskin pad
Lambswool sheepskin pad
Air-fluidized bed
Air pressure pad for a standard mattress
Water pressure pad for a standard mattress
Dry pressure pad for a standard mattress
Fixed-height hospital bed — with or without side rails, with or without a mattress
Variable-height hospital bed — with or without side rails, with or without a mattress
Semi-electric hospital bed with head and foot adjustment — with or without side rails, with or without a mattress
Total electric hospital bed with head, foot, and height adjustment — with or without side rails, with or without a mattress
Heavy-duty, extra-wide hospital bed with side rails with weight capacities of 350 to 600 pounds, or greater than 600 pounds — without or without a mattress
Hospital-grade, fully enclosed pediatric crib

If the supplier you choose accepts your Medicare assignment, Medicare will pay 80 percent of the approved amount, and you’ll pay the remaining 20 percent. You’ll also have to pay your Part B deductible.

Without Medicare, you would have to use private insurance or pay for the entire amount of the bed purchase or rental.

Which Medicare plan may be best for you if you know you need an adjustable bed?

If you need an adjustable bed and you have Medicare, chances are you have most of the coverage you need. Medicare Part B is part of original Medicare.

Original Medicare includes Part A and Part B. You’re automatically enrolled in Part A at age 65, but you must enroll in Part B yourself. If you decide not to enroll when you first become eligible, you may have to pay a late enrollment fee.

Adjustable beds like hospital beds are included in the allowances for durable medical equipment covered under Part B, which covers outpatient care.

If you have a Medicare Advantage plan, also known as Medicare Part C, you’ll have all the basic coverage offered by original Medicare. Plus, you should have some additional coverage. This coverage may include allowances for certain services or equipment.

When Medicare covers your adjustable bed, it’ll pay 80 percent of the approved amount. You’ll pay the remaining 20 percent of the covered cost.

You’ll also have to pay your Medicare Part B deductible and any costs not eligible under your Medicare coverage, such as extra features not included in your doctor’s order.

To help manage your share of the costs, a Medicare supplement plan, also known as Medigap, can help. These plans provide help with your out-of-pocket costs after Medicare pays its share. The takeaway Medicare Part B will cover much of the cost of an adjustable bed if your doctor orders it for a specific, permitted need. Extras or add-ons might not be covered under Medicare Part B; instead, you could pay out of pocket for these costs or use supplemental insurance to help pay for your share. The information on this website may assist you in making personal decisions about insurance, but it is not intended to provide advice regarding the purchase or use of any insurance or insurance products. Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance. Last medically reviewed on September 28, 2020 5 sourcescollapsed Medically reviewed by Ayonna Tolbert, PharmD — Written by Rachael Zimlich, RN, BSN on September 28, 2020 related stories What Medicare Covers Does Medicare Pay for Meal Delivery? What to Know About Medicare Part B vs. Part C Original Medicare: FAQs About Medicare Part A and Part B Understanding the Medicare Advantage Trial Period