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Hospital Beds

·                 Specialty beds that allow the height of the bed to vary are covered for patients that require this feature to permit transfers to a chair, wheelchair, or standing position.

·                 A semi-electric bed is covered for a patient who requires frequent changes in body position and/or has an immediate need for a change in body position.

·                 Heavy-duty/extra-wide beds can be covered for patients who weigh over 350 pounds.

·                 The total electric bed is not covered because it is considered a convenience feature. If the patient prefers to have the total electric feature, the provider usually can apply the cost of the semi-electric bed toward the monthly rental price of the total electric model by using an Advance Beneficiary Notice (ABN). The patient would be responsible to pay the difference in the retail charges between the two items every month.

 

A hospital bed is covered if one or more of the following criteria (1-4) are met:

·                 The patient has 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

·                 The patient requires positioning of the body in ways not feasible with an ordinary bed in order to alleviate pain, or

·                 The patient requires 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

·                 The patient requires traction equipment which can only be attached to a hospital bed.