Will Medicare pay for hospital beds?

We may use a few terms in this article that can be helpful to understand when selecting the best insurance plan:

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There are times when a doctor may feel it is medically necessary for a person to use a hospital bed at home. If this is the case, then Medicare will help cover the cost of this durable medical equipment (DME).

When a doctor deems it medically necessary, Medicare will cover hospital beds to use at home. Generally, Part B will cover 80% of the cost. Medigap and Medicare Advantage may pay more.

Typically people will rent DME, but sometimes they can buy the equipment. Individuals may be able to choose whether they would like to rent or buy a hospital bed.

Items are considered DME when they meet the following criteria:

Medicare provides coverage for certain types of durable medical equipment (DME), such as hospital beds, when a doctor prescribes its use.

Under Original Medicare, Part B will cover hospital beds for use at home.

It is important that both the prescribing doctor and the supplier of the hospital bed are enrolled in Medicare. A person should always check that the supplier is part of Medicare before getting any kind of DME from them.

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In order for Medicare Part B to cover a hospital bed, the prescribing doctor must not only provide a prescription but other detailed paperwork as well. They must also provide detailed information on the individual&#;s medical condition and establish the need for a hospital bed. The order must include:

• documentation that shows the individual needs the positioning of the bed to:
  • relieve pain
  • promote body alignment
  • prevent respiratory infections
• documentation that shows the individual requires special attachments that cannot be fitted to a traditional bed

Medigap, or supplement insurance, may also help pay for the costs of a hospital bed.

Medicare Advantage (Part C) plans must provide the same coverage as Original Medicare. This means they will generally cover the use of hospital beds at home. A person can speak with their provider for more information.

Learn more about Medicare Part B.

Most people have heard from a friend or acquaintance how difficult it can be to navigate Medicare&#;s network of suppliers and approved vendors. It&#;s like trying to decipher a secret code! But don&#;t worry, we&#;ve got you covered.

There are some things you should know before looking into Medicare coverage if you need a hospital bed. In the first place, Medicare has strict guidelines when it comes to the type of hospital bed they will cover. Beds must meet certain criteria and be deemed medically necessary by your doctor in order to qualify for coverage. In addition to an adjustable headrest and height, side rails prevent falls. These are guidelines and you must consult with your physician, Medicare contact and insurance representative about the specifics of your case.

Cost considerations also come into play when it comes to getting a Medicare-covered hospital bed. While Medicare does provide coverage for certain types of beds, it may not cover the full cost of the equipment. You may also have rental options available instead of purchasing outright if that better suits your financial situation.

It&#;s important to make informed decisions about getting a Medicare hospital bed. This means understanding exactly what is covered by Medicare and what is not as well as the health and comfort requirements that you or your loved ones require. Additionally, it&#;s important to work with healthcare professionals who can help guide you through the process and ensure that all necessary paperwork is completed accurately and in a timely manner.

Before making any decisions about getting a Medicare hospital bed, take time to research your options thoroughly and understand all aspects of the process. By doing so, you can ensure that you or your loved one gets the care they need while navigating this sometimes complicated system with confidence. If your loved one is requesting a higher quality bed with advanced features and the highest level of comfort it may not be possible to meet those needs with a bed that is approved by Medicare.

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