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The policy about the adjustments of hospital beds.
Feb 07, 2019

A fixed height hospital bed is one with manual head and leg elevation adjustments but no height adjustment.

Elevation of the head/upper body less than 30 degrees does not usually require the use of a hospital bed.

A semi-electric hospital bed is considered medically necessary if the member meets one of the criteria for a fixed height bed and requires frequent changes in body position and/or has an immediate need for a change in body position. A semi-electric bed is one with manual height adjustment and with electric head and leg elevation adjustments.

A heavy duty extra wide hospital bed is considered medically necessary if the member meets one of the criteria for a fixed height hospital bed and the member's weight is more than 350 pounds, but does not exceed 600 pounds. Heavy duty hospital beds are hospital beds that are capable of supporting a member who weighs more than 350 pounds, but no more than 600 pounds.

An extra heavy-duty hospital bed is considered medically necessary if the member meets one of the criteria for a hospital bed and the member's weight exceeds 600 pounds. Extra heavy-duty hospital beds are hospital beds that are capable of supporting a member who weighs more than 600 pounds.

A total electric hospital bed is not considered medically necessary; consistent with Medicare policy, the height adjustment feature is a convenience feature. A total electric bed is one with electric height adjustment and with electric head and leg elevation adjustments.