A hospital bed is covered if one or more of the following criteria (1-4) are met:
You have a medical condition which requires positioning of the body in ways not feasible with an ordinary bed. Elevation of the head/upper body less than 30 degrees does not usually require the use of a hospital bed, or
You require positioning of the body in ways not feasible with an ordinary bed in order to alleviate pain, or
You require the head of the bed to be elevated more than 30 degrees most of the time due to congestive heart failure, chronic pulmonary disease, or problems with aspiration. Pillows or wedges must have been considered and ruled out, or
You require traction equipment which can only be attached to a hospital bed.
Specialty beds that allow the height of the bed to vary are covered if you require this feature to permit transfers to a chair, wheelchair or standing position.
A semi-electric bed is covered if you require frequent changes in body position and/or have an immediate need for a change in body position.
Heavy-duty/extra-wide beds can be covered if you weigh over 350 pounds.
The total electric bed is not covered because it is considered a convenience feature. If you prefer to have the total electric feature, your provider usually can apply the cost of the semi-electric bed toward the monthly rental price of the total electric model. You will need to sign an Advance Beneficiary Notice (ABN)and will be responsible to pay the difference in the retail charges between the two items every month.