How much does Medicare pay for adjustable beds?

Answered by Robert Flynn

Medicare will cover 80% of the cost of an adjustable bed once you have met your Part B deductible. However, it’s important to note that not all beds on the market are eligible for Medicare coverage. There are specific requirements that must be met in order for Medicare to provide reimbursement for an adjustable bed.

Firstly, the bed must be deemed medically necessary by a healthcare professional. This means that you must have a documented medical condition that requires the use of an adjustable bed for treatment or management. Examples of conditions that may qualify include chronic back pain, respiratory conditions, or mobility issues.

Secondly, the adjustable bed must be prescribed by a doctor. A written prescription from a healthcare professional is necessary to demonstrate the medical necessity of the bed. This prescription should include specific details about the condition being treated and why an adjustable bed is needed.

In addition to these requirements, the bed must also meet certain criteria set by Medicare. For example, the bed must be durable and able to withstand repeated use. It should also have a mechanism that allows for adjustments to be made to the head and/or foot of the bed. These adjustments should be able to be made manually or electronically.

It’s important to keep in mind that not all suppliers of adjustable beds may be eligible for Medicare reimbursement. Medicare has specific regulations regarding suppliers, and it’s important to choose a supplier that is enrolled in Medicare and meets all necessary requirements. You can find a list of approved suppliers on the Medicare website or by contacting your local Medicare office.

Once you have met your Part B deductible, Medicare will cover 80% of the cost of the adjustable bed. The remaining 20% will be your responsibility, unless you have additional insurance coverage that can help cover this cost. It’s always a good idea to check with your insurance provider to understand what portion of the cost you will be responsible for.

Medicare will cover 80% of the cost of an adjustable bed after your Part B deductible has been met, as long as the bed meets specific requirements and is deemed medically necessary by a healthcare professional. It’s important to work with an approved supplier and consult with your insurance provider to understand your out-of-pocket costs.