Will Medicare Pay For Adjustable Medical Beds?

Will Medicare Pay For Adjustable Medical Beds?

By Jeremy Allen
|
April 24, 2023
Soft focus background of electrical adjustable patient bed in hospital room
Photo Courtesy: Adobe Images

Adjustable medical beds (DME) are versatile forms of medical equipment designed to adapt to changing body positions, offering relief for pain relief and alignment support while helping prevent respiratory infections.

Medicare Part B will cover 80% of the cost for adjustable beds prescribed by your doctor and accepted as assignment by suppliers. You are responsible for paying 20%.

Medicare Part B Deductible

Medicare Part B Deductible is the out-of-pocket amount you must cover before Medicare starts covering any of your healthcare costs. Medigap policies often help cover this deductible amount as well.

Adjustable hospital beds are generally covered under Medicare Part B as durable medical equipment (DME). When you require special positioning due to conditions like COPD or spinal injuries, Medicare will likely cover an adjustable bed as part of its DME coverage.

To receive Medicare approval for a hospital bed, speak to both your physician and Durable Medical Equipment supplier. They should both be Medicare enrolled and accept assignment of responsibility at an agreed upon price point.

If you meet these criteria, your physician can order an adjustable hospital bed from you supplier and Medicare will reimburse for 20 percent of its purchase cost through rent payments made directly to them.

Medicare Part A Deductible

Adjustable beds can help provide a more restful and relaxing night's rest; however, older adults often wonder whether Medicare will cover an adjustable medical bed?

Medicare will cover some adjustable medical beds when prescribed by your doctor, acting as durable medical equipment (DME) to cover roughly half of their costs.

Medicare will cover hospital beds provided they meet certain criteria; once fulfilled, these beds can be used free of out-of-pocket expense.

When purchasing a hospital bed, the first step should be contacting a supplier that accepts Medicare assignment for Part B and has their ten monthly payments paid off until your deductible has been reached and you are ready to purchase the bed.

Medicare Part C Deductible

Medicare Part C (Medicare Advantage) could help cover the cost of an adjustable bed. Plans from private insurance providers that are approved by Medicare offer these plans and could cover this expense.

Adjustable beds, also referred to as hospital beds, are considered durable medical equipment (DME) by Medicare. Adjustable beds enable users to customize various parts of the bed according to their specific needs such as elevating head or foot supports.

Medicare will cover an adjustable medical bed if it is prescribed by your physician and purchased or rented from an approved supplier, and Part B covers 80% of its approved amount, leaving only 20% as your responsibility.

Medicaid and community assistance programs as well as Medicare supplement policies may offer financial support for DME; it is wise to check with both your physician and bed supplier before enrolling in these resources.

Medicare Advantage Deductible

Medicare Advantage Deductible can help reduce your insurance premium costs. The program helps cover some of the associated costs with Part A and Part B coverage for Medicare beneficiaries.

Medigap Deductible plans provide another great option to help manage out-of-pocket expenses. These supplemental health insurance plans fill any gaps left by Original Medicare.

Medicare includes adjustable medical beds as part of its Durable Medical Equipment (DME) category, meaning they will pay for them as long as your physician considers them necessary.

To be eligible for coverage under Medicare, an adjustable bed must be prescribed by your physician as medically necessary and purchased from a supplier approved under their program.