Understanding Medicare cover is quite tricky. Despite Original Medicare cover being straightforward, it is challenging to understand what other parts of Medicare, such as Medicare supplements, Medigap, and Medicare Advantage plan cover. Interestingly of you need something like a particular type of mattress Medicare might help you. You will only need to pay some small amount for you to get that bed.
Medicare Part B usually covers the purchase of durable medical equipment, which includes beds and mattresses that may be prescribed by the doctor. However, it is important to be aware of the particular mattress and bed you need to qualify for coverage.
Disposable medical supplies and durable medical equipment
Durable medical equipment that qualifies for coverage is supplies and equipment that are medically necessary for one’s health. Doctors prescribe the equipment for home use. Normally there are two types of equipment, which include disposable medical supplies and DMEs. Disposable supplies are those that a patient uses once while DMEs are meant to last.
Medicare covers the cost of various equipment in different ways. If the supplier agrees to the assignment, you will pay around 20% of the Medicare-approved amount, while Part B deductibles will apply for the rest. Most important is that Medicare will only provide cover if the DME supplier and your doctor are enrolled in Medicare. To be eligible for DME, it has to be prescribed by a medical professional, serve for medical purposes, and one that can be used at home over time.
Medicare covers for mattresses and beds
There are different mattresses and beds covered, including other sleep accessories considered as durable medical equipment. However, few of the mattresses and beds meet the requirements to be covered under Medicare.
The types of beds and bed-related equipment covered include pressure-reducing beds, pressure-reducing mattresses, as well as pressure-reducing mattress overlays. Equally coverage for the beds and mattress depends on specifics of one’s Medicare plan. Also, it depends on one’s diagnosis and what the doctor prescribes. Depending on your health needs, you may need to buy or rent the equipment from a subscriber enrolled with Medicare.