Does Medicare Part B Cover Adjustable Beds

Does Medicare Part B Cover Adjustable Beds?

Adjustable beds are a great way to improve your sleep and relieve back pain. But if you're thinking about getting an adjustable bed, you may be wondering if Medicare Part B will cover it. The answer is: it depends.

Medicare Part B covers medically necessary equipment that is used to diagnose or treat a medical condition. So, if your doctor prescribes an adjustable bed for a medical condition, such as back pain, Medicare Part B may cover it. However, Medicare will only cover the cost of the bed if it is considered to be "durable medical equipment" (DME). This means that the bed must be able to withstand repeated use and must be necessary for your medical condition.

To get Medicare Part B to cover an adjustable bed, you will need to have a prescription from your doctor. The prescription must state that the bed is medically necessary for your condition. You will also need to provide Medicare with a certificate of medical necessity from a qualified health care provider.

Once you have a prescription and a certificate of medical necessity, you can submit a claim to Medicare for the cost of the bed. Medicare will review your claim and make a decision about whether to cover the cost of the bed.

If Medicare approves your claim, you will be responsible for paying a 20% coinsurance payment. This means that you will pay 20% of the cost of the bed, and Medicare will pay the remaining 80%. You may also be responsible for a deductible, which is a set amount of money that you have to pay before Medicare starts to cover your costs.

If you are considering getting an adjustable bed, it's important to talk to your doctor to see if it is medically necessary for your condition. If it is, you can then submit a claim to Medicare to see if the cost of the bed will be covered.