Adjustable Beds Covered By Medicare

In short yes medicare does cover adjustable beds.

Adjustable beds covered by medicare.

Adjustable beds are covered under medicare part b. Adjustable beds are considered to be durable medical equipment dme and are covered by medicare part b along with many other types of dme. Hospital beds are adjustable beds covered by medicare. Medicare will cover pressure reducing mattresses mattress overlays and beds.

Medicare does not pay for adjustable beds but they can be billed by your dme provider on a nonassigned basis. In order to be covered by medicare a mattress must meet these conditions. This means that you are required to pay the provider for the rental or purchase of the bed but that the provider will submit a nonassigned claim to medicare on your behalf including all completed paperwork. Medicare will only cover your dme if your doctors and dme suppliers are enrolled in medicare.

Not all mattresses qualify as durable medical equipment. Only certain beds qualify for medicare coverage. How much does it cost to rent or buy a hospital bed. Be durable and able to withstand.

Medicare will cover up to 80 percent of the durable medical equipment after your claim is approved. Doctors and suppliers have to meet strict standards to enroll and stay enrolled in medicare. After you have paid your annual deductible you will pay 20 of the medicare approved amount for the hospital bed purchase or rental and maintenance. Yes 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.

Mattresses do fall under this category but only if the patient purchases a certain type approved by medicare. Like other medical insurance the deductible for medicare must be fulfilled. The medicare part b program offers coverage for basic adjustable beds as they are dmes. A physician s prescription and such additional documentation as the medicare administrative contractor mac medical staff may consider necessary including medical records and physicians reports must establish the medical necessity for a hospital bed due to one of the following reasons.

Adjustable beds full electric beds and electric hi lo beds are considered convenience devices and are not covered by medicare. Renting or buy adjustable beds with medicare. Is my test item or service covered. Medicare part b covers 80 of the cost of acquiring an adjustable bed from an accredited medicare supplier.

And certain mattresses are also included. Indications and limitations of coverage. General requirements for coverage of hospital beds. The remaining 20 will have to be covered out of pocket.

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.