Adjustable Beds Covered By Medicare

Medicare provides coverage for the purchase or rental of adjustable beds for home use as long as the bed is deemed “medically necessary” by your doctor. Adjustable beds are considered to be “durable medical equipment” (DME) and are covered by Medicare Part B along with many other types of DME.

Medicare Part B (Medical Insurance) covers hospital beds as durable medical equipment (DME) that your doctor prescribes for use in your home.

Most durable medical equipment providers who are contracted with their state’s Medicaid program will take assignment for adjustable beds if they’re able to obtain preauthorization from Medicaid for coverage. “Assigned” means that the provider bills Medicare and Medicaid (or the insurance company)

Adjustable Beds – not Medicare Approved. Semi-electric Hospital Beds basically do the same thing as Adjustable Beds. But, Adjustable Beds are not Medicare Approved (Medicare specifies that Adjustable Beds have to have a manual crank or electric motor to elevate the whole bed up and down to qualify as a hospital bed.

An extra heavy-duty hospital bed is covered if the patient meets one of the criteria for a hospital bed and the patient’s weight exceeds 600 pounds. A total electric hospital bed is not covered; Medicare considers it a convenience item. However, if you prefer the total electric, you can pay the differences between the bed

Medicare’s Policy on Home Hospital Beds. Basic home hospital beds may be paid for, in part, by Medicare Part B. Anyone who has Medicare Part B, and has a medical need for a hospital bed in their home, is able to get partial coverage under Medicare’s Durable Medical Equipment (DME) policy.

Electric Electric Beds are NOT covered by Medicare. Electric Beds come in all sizes and all types of mattresses and firmnesses. The standard 2 motor 36 inches by 80 inches hospital bed is paid by Medicare. Qualification is usually quite easy. Please call 800-727-1954. Medicare, though, does not pay for an Electric Bed


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