Pays Medicare for adjustable beds
Does Medicare cover adjustable beds?
- Original Medicare covers adjustable beds with regulations.
- In order for an adjustable bed to be covered, your doctor must order it.
- The company your doctor orders the bed from must be a Medicare member.
Original Medicare (Parts A and B) covers an adjustable bed like a hospital bed, but a number of conditions must first be met.
Adjustable beds are covered by Medicare Part B. However, Part B may not always cover buying a bed - just a rental or loan while you need it.
Read on to find out how Medicare Adjustable Bed Coverage works.
Does Medicare cover adjustable beds?
Medicare covers adjustable beds under Part B.
Medicare Part B covers outpatient medical costs, such as: B. durable medical devices. This includes adjustable beds. Part B covers these beds if your doctor orders one for you to use in your home.
In order for Part B to cover your adjustable bed, both your doctor and the company supplying the bed must be registered as Medicare providers.
Depending on the bed you need and the supplier, you may be able to:
- rent the bed
- buy the bed
- Choose between renting or buying
What is an adjustable bed?
"Adjustable bed" is a general term for a bed that does not stay flat or stationary. Adjustable beds allow you to move or lift different parts of the bed to meet specific needs.
An example is a hospital bed that allows you to raise the head or foot of the bed.
When does Medicare cover adjustable beds?
Medicare covers an adjustable bed if you have a specific medical need. You must have an in-person visit with your doctor or provider within 6 months of your doctor placing the order for the bed.
You must also be enrolled in Medicare Part B, which is part of Original Medicare, to have an adjustable bed or other permanent medical device covered.
To be eligible for coverage, you must have:
- A condition that requires special equipment or positioning that is not possible with a standard bed
- Your doctor's prescription for an adjustable bed describing your health and why an adjustable bed is needed
- Medical records showing the need for an adjustable bed
- The doctor reports in detail on the state of health, for which an adjustable bed is needed
Some conditions that could make you need an adjustable bed are:
- those that require frequent body positioning to manage pain, contractures, or poor alignment
- some heart disease
- chronic pulmonary obstructive disease (COPD)
- Spinal cord injuries such as quadriplegia or paraplegia
- severe arthritis or injury
Which adjustable beds are covered?
Medicare usually covers basic hospital beds. However, your options include a number of items, exceptions, and supplements if your doctor deems it necessary.
For example, height-adjustable features, an electrically powered bed, and side rails are not part of the basic care but can be added if your doctor orders them for you. There may still be coverage restrictions, but Medicare will pay at least a portion if these supplements are needed for your condition.
Medicare also covers a number of extras for beds or bedding. The following is a list of the items included in the Permanent Medical Device List for specific Covered Items:
- Gel or gel-like pressure mattress pad
- synthetic sheepskin padding
- Sheepskin Sheepskin Pad
- Air fluidized bed
- Air pressure cushion for a standard mattress
- Water pressure pillow for a standard mattress
- Dry pressure pad for a standard mattress
- Fixed-height hospital bed - with or without side rails, with or without a mattress
- Hospital bed with variable height - with or without side rails, with or without mattress
- semi-electric hospital bed with head and foot adjustment - with or without side rails, with or without mattress
- Totally electric hospital bed with head, foot and height adjustment - with or without side rails, with or without mattress
- Heavy duty, extra wide hospital bed with side rails weighing 350 to 600 pounds or more than 600 pounds - with or without a mattress
- Hospital-filled, fully closed day nursery.
What does the average adjustable bed cost?
The cost of an adjustable bed depends on several factors, including:
- the model
- Options and extras
- Which supplier do you choose?
- What additional insurance may you have?
In general, hospital bed prices range from $ 500 to more than $ 30,000. Some of the most expensive models, such as B. Beds in the intensive care unit can only be rented. You may also find suppliers who renovate and sell used beds or offer rentals.
If the supplier you selected accepts your Medicare order, Medicare pays 80 percent of the approved amount and the remaining 20 percent. You will also need to pay your Part B deductible.
Without Medicare, you would have to take out private insurance or pay the full amount of the purchase or rental of the bed.
If you know you need an adjustable bed, which Medicare plan is best for you?
If you need an adjustable bed and you have Medicare, you probably have most of the coverage you need. Medicare Part B is part of Original Medicare.
Original Medicare includes Part A and Part B. You are automatically enrolled in Part A at the age of 65, but you must enroll yourself in Part B. If you choose not to sign up when you are first eligible, you may have to pay a late sign up fee.
Adjustable beds, such as hospital beds, are included in the long-life medical device allowances that fall under Part B, which covers outpatient care.
When you have a Medicare Benefit plan, also known as Medicare Part C, you have all of the basic coverage that Original Medicare offers. Also, you should have extra coverage. This coverage may include allowances for specific services or equipment.
When Medicare covers your adjustable bed, it pays 80 percent of the approved amount. You pay the remaining 20 percent of the costs covered.
You will also need to pay your Medicare Part B deductible and any costs that are not covered by your Medicare coverage, such as medical expenses. B. Additional features not included in your doctor's order.
To better manage your share of the cost, a Medicare supplement plan, also called Medigap, can be helpful. These plans will help you with your expenses after Medicare pays its portion.
Take that away
- Medicare Part B pays a large portion of the cost of an adjustable bed if your doctor orders it for a specific, permissible need.
- Medicare Part B may not cover extras or add-ons. Instead, you can pay for these costs out of pocket or purchase additional insurance to pay your share.
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