Does Medicare pay for electric beds?
Does Medicare Cover Adjustable Beds? - The Mair Agency
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Contrary to popular belief, older individuals do not require less sleep than other adults. Adults of any age require roughly seven to nine hours of sleep each night. The misconception stems from the fact that many older adults develop conditions that impact the quality of their sleep. Common conditions like arthritis, insomnia, anxiety, and depression all disrupt our natural sleep patterns. Adjustable beds are a great option to help position the body for a better night’s rest. If so many older adults could use one, are these part of Medicare’s benefits? Let’s find out. Adjustable beds are a great option for older adults that struggle with mobility and need to sleep in different positions. The adjustable bed allows them to adjust the height of their head and feet, as well as the mattress position. This is beneficial for those who suffer from arthritis, joint pain, or muscle spasms because it reduces pressure on their joints. Raising the top portion of the bed will also reduce snoring by increasing airflow and prevent acid reflux by elevating the head. The adjustable bed can also be used by people who have difficulty getting out of low-set beds. It can also be helpful to those recovering from hip surgery or other orthopedic surgeries and injuries like broken hips and femurs because they allow you to raise your legs higher than a regular bed does, which speeds up recovery time. Yes! Original Medicare does offer coverage for adjustable beds as part of a beneficiary’s Part B benefits. Part B offers coverage on durable medical equipment (DME), which includes adjustable beds. Medicare will pay for 80% of the cost of an adjustable bed after you have met your Part B deductible. This does not apply to just any bed on the market, and there are requirements that must be met. Let’s talk about those next. First and foremost, you must have a prescription from your doctor that says an adjustable bed is recommended for your medical health. You cannot simply decide you would like one, purchase it, and expect to be reimbursed by Medicare. For coverage to be considered, you must meet the following requirements: ● Have a condition that requires special positioning; Your doctor may recommend an adjustable bed to treat body pains, cardiac diseases, chronic pulmonary obstructive disease (COPD), quadriplegia or paraplegia (spinal cord injuries), severe arthritis, or other injuries. For Medicare coverage to apply, the bed must be purchased from a supplier that accepts Medicare assignments. Also, you may be offered the option to either rent or purchase the bed. (Or Medicare may dictate one or the other based on your condition.) As a general rule, Medicare Part B will cover basic hospital beds. However, additional items may also be covered if your doctor says that they are medically necessary. For more information, please visit Pukang. Beds with adjustable heights, side rails, and electrically-powered beds are not part of Medicare’s basic coverage. If your doctor includes these in the prescription, Medicare may at least pay a portion of the cost. There are quite a few beds and bedding extras that also fall into the durable medical equipment category. As long they are considered medically necessary, you may get full or partial coverage under Medicare Part B. These extras include things like: ● Mattress pads of various kinds It is unlikely that Medicare will cover the latest and greatest beds, which includes Sleep Number beds. Of course, individuals have the option to purchase an adjustable bed outside of Medicare’s coverage. Whether you need an adjustable bed to help with a temporary injury or require one for long-term use, there is a good chance that you’ll be able to utilize your Medicare benefits. Consult with your doctor to find out if you qualify.What Is the Benefit of an Adjustable Bed?
Does Medicare Provide Coverage for Adjustable Beds?
Requirements for Medicare Coverage on Adjustable Beds
● Have a prescription from your doctor that includes a narrative explaining the medical necessity of an adjustable bed;
● Have medical records that support the narrative of medical necessity; AND
● Have a physician’s report that further details the medical condition requiring an adjustable bed.What Kind of Adjustable Bed will Medicare Cover?
● Air-fluidized beds
● Air, water, or dry pressure pads for regular mattresses
● Extra-wide, heavy-duty hospital beds (weight capacities are 350 to 600 pounds)Would a Sleep Number Adjustable Bed Be Covered by Medicare?
Does Medicare Cover Adjustable Beds?
Yes! adjustable beds are covered under Medicare part B, but there are restrictions. First, you will need to check with your provider, as well as the Durable Medical Equipment (DME) supplier, to ensure they are Medicare Providers and accept assignment. If the supplier accepts the assignment, you will pay 20% of the Medicare-approved amount, plus the Part B deductible. See below, to learn ways you may be able to get help paying some of the remaining costs.
How Will Original Medicare Cover Adjustable Beds in the Home?
Medicare will cover adjustable beds in the home, but you will be required to provide evidence that the bed is medically necessary. For instance, if you require frequent repositioning due to pain caused by cardiac disease, spinal cord injuries, or severe arthritis.
Sometimes patients need adjustable beds like the one above in their homes. Will Medicare pay?
A disability that requires you to use an adjustable bed must exist. First, you will be required to obtain a prescription from your doctor, along with supporting medical records. For example, if a special mattress or bed rails are required then they must be included in the prescription.
When the above conditions are met, Medicare will pay up to 80%, after the part B deductible has been paid.
Examples of Durable Medical Equipment That is Associated with Adjustable Beds:
- Air-Fluidized bed
- Air or water pressure pad for mattress
- Heavy-duty beds with a weight capacity greater than 600 pounds
- Fixed-height hospital bed
- Pediatric crib
- Special gel pressure mattress pad
- Semi-electric hospital bed
- Electric hospital bed with foot, head, and height adjustment
- Variable-height hospital bed
Do Medigap Plans Cover Adjustable Beds?
Medigap plans help fill in some of the gaps that Medicare does not cover. For example, these plans will typically pay the 20% leftover adjustable bed balance not covered by Medicare. Some Medigap plans such as Plan F cover the part B deductible as well as the 20% balance. So some people with certain Medigap plans may not have to pay any money out of pocket for approved adjustable beds through Medicare. Get an instant Medigap quote here.
Do Medicare Advantage Plans Cover Adjustable Beds?
Medicare Advantage (MA) plans may cover some of the costs of adjustable beds. Remember, MA plans are not standardized, which means each carrier determines how much coverage they will offer.
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