Hospital Beds Covered By Medicare

Medicare classifies hospital beds as durable medical equipment dme which is covered by medicare part b. Medicare pays for different kinds of dme in different ways. Medicare part b covers 80 of the cost of acquiring an adjustable bed from an accredited medicare supplier.

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Depending on your needs and your dme supplier you may choose to either rent or buy your hospital bed.

Hospital beds covered by medicare.

The doctor must document your need in your medical records and write you an order prescription for the equipment. Medicare part b medical insurance covers hospital beds as durable medical equipment dme that your doctor prescribes for use in your home. Hospital beds are considered durable medical equipment dme which is covered under part b. Your costs in original medicare if your supplier accepts assignment you pay 20 of the medicare approved amount and the part b deductible applies.

General requirements for coverage of hospital beds. The medicare part b program offers coverage for basic adjustable beds as they are dmes. Medicare will pay for a hospital bed purchase or rental if it s considered medically necessary and prescribed by a doctor and provided by a medical equipment provider approved by medicare. However there are some requirements you must meet for medicare hospital bed coverage.

You have to be covered under the medicare part b and have been properly accessed by a doctor. You must also be covered under medicare part b and have been assessed by your doctor. A physician s prescription and such additional documentation as the medicare administrative contractor mac medical staff may consider necessary including medical records and physicians reports must establish the medical necessity for a hospital bed due to one of the following reasons. If your supplier participates in the medicare program medicare may pay 80 of the allowable charges whether you rent your hospital bed or purchase it outright.

Medicare will cover a hospital bed when you can show a medical necessity for the bed. In short yes medicare does cover adjustable beds. The remaining 20 will have to be covered out of pocket. The doctor must document you need a hospital bed in your medical records and also write an order or prescription for the equipment.

Additionally even if medicare does cover your hospital bed there are some out of pocket costs you ll likely. Medicare covers hospital beds if you can show a medical necessity for the hospital bed. Only your doctor can prescribe the equipment for you.

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