Orthopaedic mattresses are beneficial for people who are unable to sleep on a standard mattress due to medical issues. Orthopaedic mattresses, on the other hand, are unreasonably pricey. Certain health insurance policies, such as Medicare, may, under certain conditions, reimburse up to 80% of the cost of an orthopaedic mattress.
If the bed is considered durable medical equipment (DME) and is being used by someone recovering from an accident, a medical condition, or a disability, Medicare will cover the cost of an orthopaedic mattress if it is medically necessary and has been recommended by a physician. In order for Medicare to reimburse the cost of an orthopaedic mattress, obtain a doctor’s letter, submit the doctor’s note to Medicare, then purchase an orthopaedic mattress from a Medicare-approved mattress provider.
Only specific types of beds and mattresses are covered by Medicare, as determined by your doctor’s prescription and diagnosis. By lowering pressure and improving spinal alignment, an orthopaedic mattress can help people with certain medical disorders feel more comfortable and reduce the risk of future problems. An orthopaedic mattress is regarded medically necessary if you have a medical condition that requires proper body alignment, or if you need to maintain a precise position to reduce discomfort that isn’t possible on a standard mattress. Arthritis and sciatica are two of these conditions.
Arthritis is a chronic disease that causes severe joint pain and inflammation. Patients with arthritis find it difficult to sleep on a mattress that does not give appropriate body support. When sleeping on a traditional mattress that is sagging or not supportive enough, pressure on joints is increased. By offering proper support, orthopaedic mattresses like these can help ease discomfort and prevent pressure on joints. Arthritis is a medical ailment that needs the use of an orthopaedic mattress. If the patient presents a doctor’s declaration confirming that the mattress is medically necessary for the patient’s condition, the patient will be reimbursed. This orthopaedic mattress may be good to someone with arthritis because it has many supportive layers and a Duraflex coil edge.
Sciatica is a word for pain caused by pressure on the sciatic nerve, which can be either short-term or long-term. Choosing a hardness level that is appropriate for an orthopaedic mattress, such as this one, can help relieve back pain and promote the best possible postural alignment. For sciatica pain, doctors recommend memory foam orthopaedic mattresses because they relieve back and nerve stress, which is the main cause of sciatica.
Medicare will cover the cost of an orthopaedic mattress if sciatica is deemed a sufficient reason. See our page on choosing an orthopaedic mattress for sciatica pain for more information on the many mattress alternatives available to you. This orthopaedic mattress would be great for someone suffering from sciatica because it features pressure-relieving eco-memory foam.
Obtain a physician’s letter as the first step.
To receive a Medicare-covered orthopaedic mattress, you’ll need a doctor’s statement stating that you have a medical condition that necessitates the use of an orthopaedic mattress to reduce pain and improve your health. To put it another way, a doctor’s letter is required to prove that the mattress is a medical requirement and necessary for physical recovery.
Step 2: Send Medicare the physician’s note.
Once a doctor’s note confirming the patient’s health condition and the requirement for an orthopaedic mattress as part of the treatment plan has been obtained, it must be submitted to Medicare for review. Medicare will examine the request to see if the patient is eligible for orthopaedic mattress coverage. According to the Medicare website, if the request is approved, Medicare will cover 80% of the cost of an orthopaedic mattress.
Step 3: Go to a Medicare-approved retailer and buy a mattress.
The final step in receiving a Medicare reimbursement is to purchase an orthopaedic mattress from a Medicare-approved mattress store.
A medical mattress must be obtained from a Medicare-approved provider if it is to be funded by Medicare. Fortunately, the Medicare website provides a provider list that will help you locate authorized physicians in your area.
Medicare-approved mattress providers include Tomorrow Health, DMG Wellness Inc, Revive Medical Supplies, Vermont Medical Supply Inc, and Hometown Medical Supplies. Other trustworthy orthopaedic mattress providers exist, but not all of them are Medicare-approved.