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does Medicare cover Sleep Number beds

Does Medicare Cover Sleep Number Beds?

Sleep Number is a company that makes adjustable air beds. Many people get this beds because they just find them extremely comfortable. But many also like them because they find that sleeping on a Sleep Number mattress provides relief from back pain. 

If that’s the case for you, you may be wondering “Does Medicare cover Sleep Number beds?” In this article, we answer that question in clear, plain English. You will also find some helpful information about the average costs of Sleep Number beds.

Does Medicare Cover Sleep Number Beds?

The short answer is yes. Medicare will cover the cost of Sleep Number beds. But not 100% of the time. As is often the case with Medicare, certain conditions have to be met in order for Medicare to pay for your Sleep Number beds. Below we look at what these are so you know what to expect.

Original Medicare

Original Medicare (Medicare Part A and Part B) provides coverage for Sleep Number beds. Part B provides coverage for your Sleep Number bed if it is considered medically necessary. The mattress must also be ordered by your healthcare provider for Original Medicare to provide coverage.

Coverage for Sleep Number beds is provided by Medicare Part B. Medicare Part B considers adjustable beds such as Sleep Number beds as durable medical equipment, or DME. 

Medicare Part B provides coverage for the rental or purchase of adjustable beds similar to how they provide coverage for hospital beds. However, just like what was stated earlier, for Medicare Part B to provide coverage for the purchase or rental of your adjustable bed, it has to be medically necessary to treat certain medical conditions. 

What is considered to be a medically necessary condition? Here’s an overview of what the main ones are in order to have Medicare help cover the costs of a Sleep Number bed:

  • A medical condition that requires special equipment or positioning that is not found in a standard bed
  • A prescription from your healthcare provider which states your medical condition and why you need an adjustable bed. Some of these conditions may include:
    • Medical conditions that require frequent body positioning to mend the pain
    • Certain cardiac conditions
    • Chronic pulmonary obstructive disease or also known as COPD
    • Quadriplegia or Paraplegia or other spinal cord injuries
    • Severe arthritis
    • Severe injuries
  • A face-to-face visit with your healthcare provider or DME provider within 6 months of your healthcare provider placing the order for the bed.

Part C Coverage for Sleep Number Beds

Medicare Advantage plans (Medicare Part C) also provide coverage for Sleep Number beds. These Advantage plans are required to cover all the same treatments, services and products that Original Medicare covers. They will also offer additional coverage for things that Original Medicare does not. What the additional coverage includes, and how much it costs, depends on the specifics of each plan.

How Much Do Sleep Number Beds Cost?

Sleep Number offers a number of different models of beds. Their low end model, the starts at around $500 for a Twin size mattress and is $1599 for a King size. Their high end model over $5,000 for the King size mattress. They will often run sales so you can usually find discounts on their beds.

Note: Medicare coverage changes all the time. And your specific coverage may vary from plan to plan for Medicare Advantage and Medigap plans. Always be sure to double check with your health care provider and/or Medicare insurance provider about what your plan covers and what it does not.

Additional Info on Medicare Coverage

This article is part of our series on “What does Medicare cover?”

Also, you can check out other articles in this series including:

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