Orthopaedic mattresses are helpful for persons who have medical issues that restrict them from sleeping on a regular mattress. The problem is that orthopaedic mattresses are prohibitively expensive. However, certain health insurance plans, such as Medicare, may cover up to 80% of the cost of an orthopaedic mattress under certain circumstances.
If the bed qualifies as durable medical equipment (DME) and is to be used by a person recuperating from an accident, a medical condition, or has a disability, Medicare will reimburse the cost of an orthopaedic mattress if it is medically necessary and has been recommended by a physician. Obtain a doctor’s letter, submit the doctor’s note to Medicare, and purchase an orthopaedic mattress from a Medicare-approved mattress supplier in order for Medicare to cover the cost of the mattress.
Medicare covers just certain kinds of beds and mattresses, which are generally established by your doctor’s prescription and diagnosis. An orthopaedic mattress may improve comfort and minimize the risk of future difficulties for those with certain medical conditions by lowering pressure and improving spinal alignment. If you have a medical condition that necessitates appropriate body alignment, or if you need to maintain a precise position to relieve pain that isn’t achievable on a regular mattress, an orthopaedic mattress is considered medically required. Arthritis and sciatica are two examples of such ailments.
Arthritis is a medical condition characterized by severe joint pain and inflammation. Arthritis patients find it difficult to sleep on a mattress that does not provide adequate support for their bodies. Pressure on joints is increased when sleeping on a conventional mattress that is sagging or not supportive enough. Orthopaedic mattresses like these can help relieve pain and prevent pressure on joints by providing optimal support. Arthritis is a medical condition that necessitates the usage of an orthopaedic mattress, and the patient will be reimbursed if they present a doctor’s statement stating that the mattress is medically essential for the patient’s condition. Because it contains multiple supporting layers and a Duraflex coil edge, this orthopaedic mattress might be beneficial to someone with arthritis.
Sciatica is a phrase used to describe pain produced by pressure on the sciatic nerve, which may be short-term or long-term. Choosing a hardness level that is suitable for an orthopaedic mattress like this can assist ease strain on your back and create the greatest possible postural alignment. Doctors prescribe memory foam orthopaedic mattresses for sciatica pain because they alleviate back and nerve tension, which is the major cause of sciatica.
Because sciatica is deemed a valid enough reason for requiring an orthopaedic mattress, Medicare will pay for it. For more information on the many mattress options accessible to you, see our post on selecting an orthopaedic mattress for sciatica pain. Because it contains pressure-relieving eco-memory foam, this orthopaedic mattress would be ideal for someone suffering from sciatica.
Step 1: Obtain a physician’s note
The first step in getting a Medicare-covered orthopaedic mattress is to get a doctor’s note declaring that you have a medical condition that needs the usage of an orthopaedic mattress to relieve pain and enhance your health. In other words, a doctor’s letter is necessary to show that the mattress is a medical necessity and is required for physical recuperation.
Step 2: Send the physician’s note to Medicare.
Once a doctor’s letter establishing the patient’s health condition and the need for an orthopaedic mattress as part of the treatment plan is received, it must be submitted to Medicare for consideration. The request will be reviewed by Medicare to see whether the patient is qualified for orthopaedic mattress coverage. If the request is accepted, Medicare would fund 80% of the cost of an orthopaedic mattress, according to the Medicare website.
Step 3: Purchase a Mattress from a Medicare-approved retailer.
Buying an orthopaedic mattress from a Medicare-approved mattress store is the last step in getting a Medicare reimbursement.
If a medical mattress is to be covered by Medicare, it must be purchased through a Medicare-approved provider. Thankfully, the Medicare website has a supplier list that will assist you find authorized providers in your region.
Tomorrow Health, DMG Wellness Inc, Revive Medical Supplies, Vermont Medical Supply Inc, and Hometown Medical Supplies are examples of Medicare-approved mattress providers. There are other reputable orthopaedic mattress providers, but not all of them are covered by Medicare.