If you're in need of a new mattress, you may be wondering if Medicare will cover the cost. After all, medical expenses can add up quickly and any financial assistance can be a huge help. However, when it comes to Medicare coverage for mattresses, the answer is not so straightforward.Can you get a new mattress from Medicare?
Medicare Part A and Part B, also known as Original Medicare, do not typically cover the cost of a new mattress. This is because mattresses are considered to be a household item rather than durable medical equipment. However, there may be some exceptions depending on your specific situation.Medicare Coverage for Mattresses
While mattresses are not covered under Original Medicare, there is a possibility for coverage under Medicare Part B if the mattress is considered to be durable medical equipment (DME). DME is defined as equipment that is primarily used for a medical purpose and is able to withstand repeated use. In order for a mattress to be considered DME, it must meet certain criteria set by Medicare. This includes being prescribed by a doctor for a specific medical condition, being used in your home, and being necessary for your treatment or recovery.Medicare Part B Coverage for Durable Medical Equipment
While a traditional mattress may not be covered, Medicare does provide coverage for hospital beds and related accessories. This includes adjustable beds, which can be helpful for those with certain medical conditions such as sleep apnea or chronic back pain. However, in order for these items to be covered, they must be deemed medically necessary and prescribed by a doctor. They must also be purchased from a Medicare-approved supplier. It's important to note that Medicare will only cover 80% of the approved amount for these items, and you will be responsible for the remaining 20%.Medicare Coverage for Hospital Beds and Accessories
As mentioned, Medicare does provide coverage for adjustable beds under certain circumstances. However, it's important to note that coverage is not guaranteed and will depend on your specific situation. Your doctor will need to provide documentation supporting the medical necessity of an adjustable bed for your condition.Medicare Coverage for Adjustable Beds
If you require a new mattress due to a medical condition that requires home health care, it's possible that Medicare may provide coverage under this benefit. Home health care services are covered under Medicare Part A and Part B and may include necessary medical supplies and equipment, such as a hospital bed or mattress.Medicare Coverage for Home Health Care
If you are admitted to a skilled nursing facility and require a new mattress, Medicare may cover the cost as part of your stay. However, this will only be covered if the facility is included in Medicare's list of approved providers and if the mattress is deemed medically necessary for your care.Medicare Coverage for Skilled Nursing Facilities
If you are admitted to an inpatient rehabilitation facility and require a new mattress, Medicare may cover the cost. However, this will only be covered if the facility is included in Medicare's list of approved providers and if the mattress is deemed medically necessary for your treatment or recovery.Medicare Coverage for Inpatient Rehabilitation Facilities
If you are receiving hospice care, Medicare may cover the cost of a new mattress if it is deemed necessary for your comfort. Hospice care is covered under Medicare Part A and may include necessary medical supplies and equipment, including a mattress.Medicare Coverage for Hospice Care
If you are admitted to a long-term care hospital and require a new mattress, Medicare may cover the cost. However, this will only be covered if the facility is included in Medicare's list of approved providers and if the mattress is deemed medically necessary for your care.Medicare Coverage for Long-Term Care Hospitals
While a traditional mattress may not be covered, Medicare does provide coverage for certain types of home medical equipment. This includes items such as air mattresses or pressure-reducing mattresses for those with specific medical conditions. In order for these items to be covered, they must be deemed medically necessary and prescribed by a doctor. They must also be purchased from a Medicare-approved supplier. It's important to note that Medicare will only cover 80% of the approved amount for these items, and you will be responsible for the remaining 20%.Medicare Coverage for Home Medical Equipment