Hi-Low Beds

What Are Hi-Low Beds? (aka “High-Low” Beds)

Hi-low beds are reliable, supportive, and comfortable option for individuals prone to falling out of bed or those with mobility issues. They are specialized medical beds equipped with full-motorized or manual height adjustment features. This lets caregivers or users raise or lower the sleeping surface to accommodate various care needs and safety requirements. 

These beds can adjust from very low positions (as low as 7-9 inches from the floor) to standard hospital bed heights (30–32 inches). They are flexible in terms of both patient safety and caregiver accessibility.

The main benefits of hi-low beds are that they prevent people from falling and make care more efficient. The ultra-low positioning reduces injury risk for patients prone to falls, particularly those with dementia, confusion, or mobility impairments who may attempt to exit the bed independently. When lowered, these beds minimize the distance to the floor and reduce the severity of potential injuries. 

Conversely, the bed can be raised to standard heights so that caregivers can provide care without bending or straining. The height adjustability also makes transfers easier, especially between the bed and wheelchairs, stretchers, or other medical equipment.

Hi-low beds are most practical for elderly patients in long-term care facilities, individuals with cognitive impairments or dementia who may not recognize fall risks, patients with balance disorders or mobility limitations, and those recovering from surgeries or injuries that affect their stability. 

Hi-low beds are also ideal for home care patients who require both safety and independence, as family caregivers can adjust the bed height based on the care needs. 

Why Hi-Low Beds Are Ideal for Seniors & Elderly Care

Low beds for seniors are a great fall prevention strategy in elderly care. 

Elderly Safety

As we age, factors like medication side effects, vision changes, balance issues, and cognitive decline can increase fall risk. Traditional bed heights can be dangerous for independent use. Hi-low beds can be lowered to just 7-12 inches from the floor, which means that if a senior falls or slips while getting out of bed, the impact is minimal and far less likely to result in serious injury.

Safer Transfers

Low beds also make transfers easier for the seniors and their caregivers. The adjustable height allows the bed to match the height of wheelchairs, walkers, or bedside tables, making for a more seamless transition that requires less physical effort and reduces strain on joints. 

Caregiver Help

When caregivers need to provide hands-on assistance, the bed can be raised to an appropriate working height to prevent back injuries. This dual functionality means that seniors can remain independent and safe, and caregivers can still easily deliver the necessary care. 

Adjustability

The height adjustability accommodates the changing needs that come with aging – what works for a mobile senior may need modification as mobility decreases. Hi-low beds adapt to these changing life requirements without requiring equipment replacement. 

Alternatively, check the adjustable beds for seniors collection.

Who Benefits from a Hi-Low Hospital Bed?

Benefits at a Glance

• Patients gain independence, pain relief, and anxiety-free movement thanks to low transfer heights and ergonomic positioning in a height-adjustable hospital bed.
  

• Caregivers work at safe heights, avoid bending lifts, and rest easier knowing night-time falls are far less likely.
  

Post-Surgical Recovery

After orthopedic, cardiac, or abdominal surgery, a hi-low bed lets users start near floor-level for safety and gradually raise the deck as strength returns, making every transfer smoother and less painful.

Chronic Pain & Limited Mobility

People living with arthritis, fibromyalgia, multiple sclerosis, or spinal disorders adjust the height to reduce joint strain and line the mattress up with walkers or wheelchairs for stress-free moves.

Bariatric Care

Reinforced hi-low frames pair fall-prevention height control with 600–1,000 lb capacities, giving heavier users secure support and caregivers confident handling.

Long-Term Home Care & Dementia

Ultra-low settings (7″ or less) slash fall injuries for wander-prone dementia patients, while flexible positioning helps long-term bed users avoid pressure sores and breathing issues.

Family & Professional Caregivers

Raising the bed to standing height eliminates back-breaking lifts during dressing, wound care, or therapy—saving time, energy, and repetitive-strain injuries.

Key Features to Compare Before You Buy

Motorized Height Range 

The height adjustment range is the most important feature to evaluate. Quality hi-low beds usually offer a range from 7-9 inches at the lowest setting to 30-32 inches at the highest position. This 20+ inch adjustment range is ideal for both safety and care access. Some premium models can go as low as 6 inches or as high as 34 inches. 

Head & Foot Articulation vs. Height-Only Models 

Hi-low beds come in two main configurations: full-articulation models that adjust head, foot, and overall height independently or height-only models that raise and lower the entire sleeping surface. 

Full articulation beds offer better comfort and medical positioning features. They let patients lift their heads for better breathing, raise their feet for circulation, or find the best sleeping positions. 

Height-only models are more budget-friendly and mechanically simpler but lack the positioning benefits many patients require for medical conditions or comfort.

Weight Capacities 

Standard hi-low beds typically support 350-450 pounds, while bariatric versions can accommodate 600-1,000 pounds or more. Consider current weight requirements, the bed's intended lifespan, and potential changes in patient needs. 

Safety Add-Ons

Important safety features include full-length side rails that adjust with bed height, to keep consistent protection at all positions. 

Under-bed lighting helps prevent falls during nighttime. Locking casters stabilize the bed during transfers. 

Look for beds with rounded corners, gap-free design between mattress and rails, and emergency manual lowering capabilities. 

For high-low electric beds, quiet motors make a world of difference for better sleep quality. Backup battery systems mean the bed can be lowered safely during power outages. 

Selecting the Right Hi-Low Bed for Your Home

Health & Mobility Checklist 

Evaluate the patient's fall risk level, mobility limitations, cognitive status, and any medical conditions that might benefit from adjustable positioning. Think of the future and how progressive conditions may worsen over time. A more feature-rich bed initially may be more cost-effective than upgrading later. Consult your physician to know what to expect and which bed best suits your needs.

Room & Fit Considerations 

Carefully measure your room dimensions. Pay special attention to the ceiling height when the bed is fully raised to its maximum position. Standard hi-low beds require approximately 6-7 feet of ceiling clearance when fully elevated. 

Also, measure doorways, hallways, and stairwells to confirm possible delivery and installation. Consider the space needed around the bed for caregiver access, medical equipment, and emergency situations. 

Finally, factor in the bed's footprint when planning the room layout, as hi-low beds are often longer and wider than standard beds.

Mattress Compatibility

Hi-low beds accommodate mattresses up to 12 inches thick, though some models can handle slightly thicker options. 

Foam mattresses are the most common choice. They offer good support and pressure relief while being lighter for the bed's lifting mechanism. 

Air mattresses redistribute pressure perfectly for long-term bedridden patients but require compatible pump systems. 

Latex mattresses are durable and naturally antimicrobial, but tend to be heavier. 

Ensure your chosen mattress is designed for hospital bed frames and won't interfere with the bed's articulation or safety features.

Budget & Insurance Considerations 

Hi-low beds range from $1,500-$8,000 depending on features and quality, with Medicare potentially covering medically necessary equipment through their Durable Medical Equipment (DME) benefit. 

Medicare requires a physician's prescription, documentation of medical necessity, and purchase from an approved durable medical equipment (DME) supplier. Coverage typically applies to basic models, with patients responsible for additional features or premium models. 

Optional Accessories 

Consider accessories that improve functionality and comfort, such as overbed tables that adjust to match the bed height for tasks like eating, reading, or computer use. 

Trapeze bars help reposition and transfer, and provide upper body support for those with weak lower extremities. Other valuable accessories include bed wedges for positioning, specialty pillows for pressure relief, and bedside commodes that coordinate with the bed's height range.

Standard Sizes & Height Ranges

Standard Hi-Low Beds

Standard hi-low beds measure 36 × 80 inches, matching traditional hospital bed dimensions. They have height adjustment from 8-12 inches at the lowest setting up to 30-32 inches at maximum height. This size comfortably accommodates most adult patients and fits through standard doorways and into most bedroom spaces. They are ideal for home care situations where space may be limited.

Ultra-low Frames

Ultra-low hi-low beds can be lowered to 3-5 inches from the floor and still have the same upper height range as standard models. These beds are specifically designed for patients at extremely high fall risk, such as those with severe dementia, traumatic brain injuries, or significant balance disorders. The ultra-low positioning virtually eliminates the potential for serious injury from falls and still provides the full height adjustment range needed for effective caregiving and medical procedures.

Bariatric Hi-Low Beds

Bariatric hi-low beds feature expanded widths of 42-48 inches to accommodate larger patients. They are combined with reinforced lifting mechanisms and a stronger frame designed to handle weights from 600 - 1,000+ pounds throughout the full height range. These beds maintain the same height adjustment features as standard models but require sturdier motors and structural support to safely raise and lower the additional weight. 

Alternatively, you can check our entire collection of Bariatric beds.

Shop Home Med

Shop Home Med is a trusted provider of many hospital bed types, including high-low and rotating beds, as well as of mattresses, lift chairs, and other mobility aids for your well-being. Our site accepts FSA and HSA cards on qualifying orders, with payment protection through SIKA Health. We also offer Buy Now, Pay Later options through Shop Pay, allowing you to access the necessary equipment without financial delay.

Explore our selection of low beds today, or contact us for personalized assistance in choosing the best fit for your needs!

Frequently Asked Questions

How low can a hi-low bed go? 

Most standard hi-low beds can lower to 7-12 inches from the floor, while ultra-low models can go as low as 3-6 inches. Some premium models reach floor levels of just 2-3 inches. The minimum height varies by manufacturer and model, with the lowest settings designed for maximum fall prevention. 

Does Medicare cover hi-low hospital beds? 

Medicare may cover hi-low hospital beds when deemed medically necessary with proper physician documentation and prescription. Coverage falls under Medicare's Durable Medical Equipment (DME) benefit and requires meeting specific criteria related to the patient's medical condition, fall risk, or mobility limitations. Since Medicare usually covers basic models, patients may need to pay the difference for premium features. 

What mattress works best with a low-profile frame? 

Medium-firm foam mattresses work best with hi-low beds. They provide good support while being lightweight enough for the bed's lifting mechanism. Choose mattresses designed for hospital bed frames, usually 6-8 inches thick, for proper fit and function. Avoid overly thick mattresses (over 10-12 inches) that may interfere with side rails or bed adjustments. Pressure-relieving foam or gel-infused options work well for patients who spend extended time in bed.

Can I move a hi-low bed between rooms? 

Yes, most hi-low beds are designed with mobility in mind. They come with locking casters that let the bed be moved when unlocked. Consider the bed's size, doorway widths, and hallway clearances before moving. Some beds may need to be partially disassembled for tight spaces. 

What’s the difference between a hi-low and a standard electric bed? 

The primary difference is the height adjustment range: hi-low beds can lower to 7-12 inches (or lower) while standard electric beds only adjust between 16-32 inches. Hi-low beds prioritize fall prevention with ultra-low positioning, while standard electric beds focus on caregiver accessibility at traditional working heights. Both may offer head and foot articulation, but hi-low beds are geared towards safety concerns for high fall-risk patients that standard electric beds cannot accommodate.

What are the benefits of hi-low beds? 

Hi-low beds prevent patients from injuring themselves if they fall, since they are closer to the floor. They still offer the full height adjustment for caregiver access and medical care. The main benefits of hi-low beds include reduced fall-related injuries, easier patient transfers, decreased caregiver strain, and more independence for patients. Their dual functionality matches what patients need and what caregivers require.