Air mattresses are sometimes used as DME to treat certain medical conditions, such as pressure ulcers, bed sores, and other skin conditions. In order for an air mattress to be covered by Medicare, it must be prescribed by a doctor and it must be determined to be medically necessary.

Is An Air Mattress Covered By Medicare?

Yes, Medicare may cover an air mattress if it is deemed medically necessary and prescribed by a doctor.

Medicare Coverage for Air Mattresses:

Medicare Part B covers the cost of DME, including air mattresses, if they are medically necessary and prescribed by a doctor. Medicare Part B covers 80% of the cost of DME, and the beneficiary is responsible for the remaining 20%.

In order to be eligible for Medicare coverage, the air mattress must be:

Durable: The air mattress must be able to withstand repeated use and must be designed to last for at least three years.

Medically Necessary: The air mattress must be necessary for the treatment of an illness or injury.

Prescribed By A Doctor: The air mattress must be prescribed by a doctor who is enrolled in Medicare.

How to Get Medicare Coverage for an Air Mattress?

If you need an air mattress for medical reasons, you should talk to your doctor about getting a prescription. Once you have a prescription, you can contact a Medicare-approved supplier to purchase the air mattress. The supplier will bill Medicare for the cost of the air mattress, and you will be responsible for the remaining 20%.

Other Options for Paying for an Air Mattress?

If you are not eligible for Medicare coverage, or if you do not want to pay the 20% coinsurance, there are other options for paying for an air mattress. You can:

Purchase The Air Mattress Outright. Air mattresses can be purchased from a variety of retailers, both online and in stores.

Rent An Air Mattress. Air mattresses can be rented from some medical supply stores and durable medical equipment companies.

Get Help From a Charity Or Foundation. There are a number of charities and foundations that provide financial assistance to people who need medical equipment.

Conclusion:

Air mattresses can be a helpful medical device for people with certain medical conditions. If you need an air mattress, you should talk to your doctor about getting a prescription. Medicare may cover the cost of the air mattress if it is medically necessary and prescribed by a doctor.