There are six main ways to get a hospital bed at home. Which one fits depends on the person’s coverage, how soon the bed is needed, and for how long.
Your options at a glance
| Route | Who it’s for | What you pay | Paperwork | Learn more |
|---|---|---|---|---|
| Original Medicare | People who meet Medicare’s criteria | Deductible plus 20% of the approved rental | Practitioner’s order, records, enrolled supplier | Medicare guide |
| Hospice | People in hospice care | Nothing for covered hospice care | Hospice arranges it | Hospice beds |
| Medicaid | People with Medicaid | Usually little or nothing; varies by state | Practitioner’s order; state rules | Free and low-cost beds |
| VA | Enrolled veterans with a clinical need | Usually nothing | VA clinician’s prescription | Free and low-cost beds |
| Private rental | Anyone | Monthly rent plus fees | Minimal | Rental guide |
| Private purchase | Anyone | Full price | Minimal | Cost guide |
| Borrow (loan closet, state AT program) | Anyone, typically | Free or small fee | Minimal | Free and low-cost beds |
Getting a hospital bed through Medicare, step by step
- See your treating practitioner. Explain what’s hard about your current bed. The practitioner decides whether a hospital bed is medically necessary and which type, and documents it. See Medicare hospital bed requirements.
- Get the written order. It must include your name or Medicare number, a description of the item, the quantity if applicable, the order date, and the practitioner’s name or NPI and signature (42 CFR 410.38).
- Check whether a face-to-face visit is needed first. For codes on CMS’s list, including E0290, E0301, and E0304, the visit must be within 6 months before the order, and the order must reach the supplier before delivery (CMS list; 42 CFR 410.38).
- Choose a Medicare-enrolled supplier using Medicare’s supplier directory. Ask whether it accepts assignment for every rental month (Medicare.gov).
- Take delivery and sign the proof of delivery, which the supplier must keep (LCD L33820). Check the mattress and rails fit.
- Watch your Medicare Summary Notice for what was billed and what you owe.
Medicare Advantage members should call the plan first; it may require a network supplier and prior authorization.
Getting a bed through hospice
If the person is in hospice care, ask the hospice team. Medicare’s hospice benefit includes medical equipment for the terminal illness and related conditions, and you pay nothing for covered hospice care (Medicare.gov). See hospice beds at home.
Getting a bed through Medicaid or the VA
- Medicaid covers medical equipment, and federal rules say state coverage isn’t limited to what Medicare covers; for new equipment, a face-to-face encounter must be within 6 months before services start (42 CFR 440.70). Ask your practitioner and your state Medicaid agency or plan.
- VA provides home medical equipment to eligible veterans when VA finds it’s needed (38 CFR 17.3230). Start with the veteran’s VA care team.
Renting or buying privately
You don’t need insurance to rent or buy a hospital bed, and many sellers don’t require a prescription. Compare written quotes that include delivery, setup, pickup, mattress, and rails. Our rent vs buy calculator shows which costs less for your timeline. For beds that look like furniture, see our furniture-style comparison.
Borrowing a bed
State assistive technology programs and community loan closets lend donated equipment. Call the Eldercare Locator at 1-800-677-1116 to find local programs. See free and low-cost hospital beds.
Coming home from the hospital?
- Ask the discharge planner or social worker to arrange the bed before the discharge date.
- Decide where the bed will go and measure doorways; see setting up at home and our room-fit checker.
- Have sheets that fit; see hospital bed sheet sizes.
How we researched this guide
We used Medicare.gov, Medicare’s hospital bed policy (LCD L33820), the federal rules for equipment orders (42 CFR 410.38), Medicaid (42 CFR 440.70), and VA (38 CFR 17.3230), CMS’s face-to-face list, and ACL’s Eldercare Locator, all checked October 7, 2026.
