Are Mattresses Covered by Medicare?

Understanding what medical equipment is covered by Medicare can significantly ease financial burdens for seniors and those with disabilities. One common question is whether mattresses qualify for Medicare coverage. While traditional mattresses are not covered, certain types of medically necessary mattresses, like pressure-reducing beds, may be eligible under specific circumstances. It’s important to know what qualifies and how to navigate the system to get the support you need.

Medicare Part B covers durable medical equipment (DME), which can include certain types of mattresses if they are considered medically necessary. Pressure-reducing mattresses or adjustable beds are typically included if they are prescribed by a healthcare provider. This coverage is primarily aimed at patients with specific medical conditions, such as those who are bedridden or have severe and chronic pain issues.

To qualify for Medicare coverage, the mattress must be a prescribed medical necessity by a physician. The process involves getting a doctor's recommendation and ensuring the mattress meets Medicare's durable medical equipment criteria. It's also crucial to purchase from a supplier that is enrolled in Medicare, as this ensures the equipment is covered and approved for reimbursement. Understanding these requirements can make the process smoother and more efficient.