How To Get A Mattress Under Medicare In 2023

Getting a good night's rest is crucial for our physical and mental health. Without quality sleep, we risk developing chronic fatigue, irritability, and difficulty concentrating. Unfortunately, quality mattresses that help us achieve this restful sleep often come with hefty price tags.

Depending on your situation, you may qualify for Medicare coverage! If you are 65 or older, satisfy certain requirements, and have a doctor's approval, Medicare will generally cover the majority of the cost.

When it comes to mattress coverage, Medicare Type B has got you covered! This type of Medicare provides 80% coverage for Durable Medical Equipment (DMEs). You'll need to pay the remaining 20%, plus a monthly premium, but you may even qualify to own the mattress instead of just renting it. The eligibility for owning the mattress depends on your individual health and medical case, so be sure to check with your doctor to see if you qualify.

Eligibility Rules And Conditions

To qualify for Medicare coverage, two vital elements must be taken into account: the patient's overall health status and the mattress itself. To receive DME status, the mattress must be a pressure-reducing mattress that is officially accepted by Medicare. These specialized mattresses are specifically designed to reduce pain associated with medical conditions and aid in the healing process following surgery or an injury.

The patient must demonstrate that the mattress is medically necessary for them by providing evidence such as:

The attending physician must compose a clear prescription that outlines why the mattress is a medical essential for the patient, accompanied by pertinent medical records.

The physician must be approved by Medicare and have seen the patient in person at least six months prior to prescribing any treatment.

The mattress must be utilized in the patient's home.

You can only get this mattress through a Medicare-approved DME provider!

You must submit your claim for coverage to Medicare in advance and gain approval before receiving any benefits.

Typically, if you're looking to replace your DME mattress, it must have been in use for at least five years before you can receive approval for a new one.

Once Medicare has given the green light for the mattress, the patient must take care of any deductibles associated with their Part B coverage before Medicare coverage is applied.

Discover the top Medicare-approved pressure reducing mattresses of 2023! Take a look at our list of the most highly recommended DME mattresses below.

Drive Medical Alternating Pressure Low Air Loss Mattress System

This remarkable machine offers adjustable pressure for optimal comfort, with a whisper-quiet electric pump that ensures a restful sleep. The pressure settings can be easily adjusted via a hand-held control device, while friction reduction and microclimate control give you the perfect sleeping environment.

This innovative system has been crafted to help with the prevention and treatment of pressure ulcers, providing a powerful solution.

This mattress is designed to provide optimal comfort for patients, with 20 air bladders and nine laser holes that keep the affected area cool and dry. The 8-inch Aire cells are made with a durable blend of 40% nylon and 60% PVC, while the zippered cover is constructed with a quilted, urethane-coated fabric that is water resistant and machine-washable, so you can rest assured your patient's skin will be safeguarded and they will enjoy maximum comfort.

This device offers essential performance data with its LED display and audible alarms, ensuring that caregivers are alerted when the pressure falls below 10mmHG.

Drive Medical Therapeutic 5-Zone Support Mattress

This mattress offers unbeatable comfort and support with five zones that evenly distribute weight and pressure, along with a 2-way stretch cover to reduce friction and shear. Crafted from durable and soft foam, it is also vapor permeable, anti-microbial, and water-resistant to ensure maximum comfort and health protection. With a non-skid bottom to keep the mattress in place and a removable nylon cover, you can rest assured that you are getting the best night's sleep.

This mattress features a solid supportive foam core, topped with a thick, cross-cut corrugated layer to offer superb comfort. The top portion helps to evenly distribute pressure and the cut channels ensure increased air-flow, keeping you cooler than traditional foam construction.

ThevoRelief Pressure Relief Mattress

The ThevoRelief mattress has been specially designed to provide relief from the discomforts of arthritis, body aches, sores and more! Its revolutionary wing suspensions create a luxurious, soft sleeping surface, while the integrated MiS Micro-Stimulation® technology gently stimulates the body’s nerve tracts to reduce soreness and ease the burden of caregivers. Get the restful sleep your body needs with ThevoRelief mattress!

For cancer patients, the ThevoRelief Pressure Relief Mattress is an ideal option, as it can help to diminish some of the common side-effects of chemotherapy, such as nausea and fatigue.

Solace Resolution Glissando Heavy Duty Mattress

The Solace Resolution Glissando Mattress offers incredible protection against pressure ulcers with its exclusive “gliding” layer designed to prevent friction and shear. Combining this with a high density foam that reduces pressure on the body and individual sections of foam that move independently to fit adjustable beds perfectly, this mattress is sure to provide a comfortable and safe sleeping experience. Plus, its fluid resistant cover helps keep it clean and dry.