What Kind Of Adjustable Beds Are Covered By Medicare

What Kind of Adjustable Beds Are Covered by Medicare?

Adjustable beds, also known as hospital beds, are designed to provide support and comfort for individuals with limited mobility or specific medical conditions. Medicare, the national health insurance program for Americans aged 65 and older, provides coverage for certain types of adjustable beds under specific circumstances. Let's explore the essential aspects of adjustable bed coverage under Medicare.

Eligibility Requirements

Medicare only covers adjustable beds that are medically necessary. This means the individual must have a condition that makes it difficult or impossible to get in and out of bed without assistance or that requires them to be in a specific position for extended periods.

Types of Adjustable Beds Covered

Medicare covers three types of adjustable beds:

Semi-Electric Beds: These beds have an electric motor that adjusts the head and foot of the bed independently.
Full-Electric Beds: These beds offer a wider range of adjustments, including height, tilt, and Trendelenburg positioning.
Traction Beds: These specialized beds are used for traction therapy, which involves applying force to stretch or align specific body parts.

Medicare Coverage Criteria

To qualify for Medicare coverage, the adjustable bed must meet the following criteria:

It is prescribed by a doctor.
It is medically necessary for the individual's condition.
The individual is confined to bed or has limited mobility.
The bed meets the safety and quality standards set by Medicare.

Coverage Limitations

Medicare covers adjustable beds only if they are used in the individual's home. The coverage amount is limited to the Medicare-approved cost of the bed. Medicare does not cover maintenance, repairs, or accessories for the bed.

Getting an Adjustable Bed

To obtain an adjustable bed through Medicare, the individual must follow these steps:

Get a prescription for an adjustable bed from a doctor.
Contact a durable medical equipment (DME) supplier that accepts Medicare.
Provide the DME supplier with the doctor's prescription and other required documentation.
The DME supplier will assess the individual's needs and provide a suitable adjustable bed.

Adjustable beds can provide significant benefits for individuals with limited mobility or specific medical conditions. Understanding the Medicare coverage criteria and process can ensure that eligible individuals receive the support and comfort they need.