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due to its luxury features like massage and built-in USB ports, 50-night trial, and extended warranty, which covers the adjustable base for up to 10 years, something no other brand offers.
Sleep disturbance is a serious issue that impacts mental health. A little over 30% of Americans dont sleep enough, leaving them 2.5 times more likely to feel stressed, anxious, or depressed.
If youre one of the many people who need to improve your sleep, talk to your doctor about your options. The Handbook Team understands how nerve-wracking it can be to make a change, but were here to empower you to take control of your health.
Changing your sleeping position with products like adjustable beds may help improve some medical conditions affecting sleep. For example, elevating the head can help relieve neck and back pain, while raising the legs may reduce lower back pain and improve circulation.
Additionally, adjustable bases can reduce pressure points, decrease muscle tension, and promote spinal alignment, which may help relieve pain.
Adjustable beds also come with helpful features designed to enhance comfort and convenience. Many models include USB ports, allowing you to charge your devices while you rest. Remote controls enable you to adjust the beds position easily, and some adjustable beds feature massage functions for targeted relief and relaxation.
The ability to change position can provide a better nights sleep for anyone. When we surveyed 600 adjustable bed owners, more than 500 said their sleep improved after sleeping on an adjustable bed. This was a significant finding, so the Handbook Team investigated.
We test the best adjustable beds and work with sleep experts to find the top brands on the market, uncovering why theyre helpful and who they can benefit. Learn why Nectar is our top pick and the most important features to consider so you can feel confident choosing the right adjustable bed for your needs.
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Best Overall
Extended trial periodExtended trial period
Optional extended warranty for full coverageOptional extended warranty for full coverage
Extra features like massage and USB ports includedExtra features like massage and USB ports included
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Quality sleep is a key part of mental health, physical health, and overall well-being. Sleep helps us reset our bodies, process our emotions, and squash daily stressors. Without it, we can develop chronic mental health issues like anxiety and depression, according to research.
But there are medical conditions that can make sleep difficult. Chronic pain, acid reflux, loud snoring or sleep apnea, and insomnia are issues that can keep you up at night.
Finding solutions for better sleep can be frustrating, but were here to help. The HelpGuide Handbook Team wants to empower you to make the right decision by providing the most honest information about sleep health and related products, like adjustable beds.
Good sleep is essential for physical and mental health because its our bodys chance to recharge after the physical and cognitive loads of our day. When we sleep well, we have better relationships and communication with our partners, we can think more clearly, and were in a better mood.
Julia Catlin, licensed psychotherapist at Calm Science in Las Vegas.
In order to recommend the best options to fit someones needs, we sought to better understand how sleep impacts overall health. We consulted with mental health experts, researchers, and industry leaders in sleep and ergonomics to connect the dots about what really matters in an adjustable bed experience.
Ultimately, we want to support your sleep health and overall mental well-being. Through in-depth testing and research, we aim to take the stress out of your search for better sleep by sharing our findings with you here.
Learn more about our adjustable bed review methodology.
Here are the five most important things to know about adjustable beds.
The best adjustable bed brand is Nectar.
Warranty length, trial period, and white glove delivery set brands apart.
Top brands that offer trial periods include Nectar and Dreamcloud.
Talk to your doctor about sleep concerns before investing in an adjustable bed.
Based on survey results and in-person testing, the most important features include easy adjustments, preset positions, and adjustable leg height.
The Handbook Team mystery shopped in showrooms and third-party retailers, testing each adjustable beds features and interacting with in-store clerks. We evaluated brands and models by recording our findings on a 36-question standardized testing form to identify standout features and services, document problems with each product, and describe what our shopping experience was like. For example, we recorded:
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Research adjustable beds online.
2
Interact with online customer service.
3
Browse flagship and partner retailers as mystery shoppers.
4
Test each model, remote, and feature.
5
Discuss models and services with in-store representatives.
6
Evaluate online and in-store experiences.
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Compare models, features, and customer service.
We searched for adjustable beds that offered the best fundamentals, like easy adjustability and a user-friendly control system, so all of our options fit the basic needs identified by respondents of a survey of 600 adjustable bed owners. We also interviewed real people who bought adjustable beds, digging deeper into the reasons why an adjustable bed worked for themor why it didnt.
According to our survey, about 91 percent of respondents reported they sleep better with their adjustable base, and 73 percent noticed improved mental health. All focus group participants agreed their adjustable beds improved their sleep, and their only regret was not buying one sooner.
We also considered the functionality and practicality of advanced features, like massage, lighting, and mobile applications, which can offer convenient ways to relax and unwind. We found the effectiveness of advanced features was based on personal preference. For example, several testers didnt like the massage quality in some adjustable beds, noting how it felt like intense vibration rather than kneading. But you might find the vibrations relaxing, depending on your tolerance.
In order to focus on the adjustable bases themselves, we structured our test designs so they isolated the bases and judged them on criteria independent of the mattress. For example, we tested the capabilities of the adjustable bases, such as positioning options, that are the same no matter what mattress you use. It is important to note that certain criteria, like mattress firmness, will impact your comfort, but we strategically organized our test designs to focus on the comfort of the adjustable base regardless of what mattress you have. Read our review of the best mattresses for adjustable beds to learn more.
Our tester installing legs on an adjustable bed during testing, documenting the ease of setting up each option.Lastly, we compared warranty lengths, trial periods, and white glove delivery (in-home delivery and setup) options. While most brands offer warranties, not all are comprehensive. And many brands on the market dont have trial periods or free white glove delivery. This could be a deal-breaker if youre nervous to invest in a healthier sleeping environment because youre worried the bed wont get set up properly or offer what you need.
During our testing, we realized that many beds are manufactured by the same company: Leggett and Platt. This means a lot of beds are very similar. But its the brands warranty, trial period, and white glove delivery option that really shows how devoted it is to the customer.
Read more about our adjustable bed testing methodology.
*Some sizes not available in certain models
**The white glove delivery offer frequently changes, so check with customer service to make sure its available for your order
***The Sleep Number Climate 360 Smart bed in a Flex Top California King includes both the mattress and adjustable base.
50-night trial period
Optional comprehensive extended warrantyOptional comprehensive extended warranty
One-touch settings for programmable adjustmentsOne-touch settings for programmable adjustments
Two bed frame options: Classic or PremierTwo bed frame options: Classic or Premier
Labor Day Sale: Up To 40% OFF Mattresses! Check PriceOur verdict
The Nectar Adjustable Bed Frame is available as the more affordable Classic model or with luxury features in the Premier model. It is a safe choice because you get a trial period to test your base at home and an option to extend your warranty to cover accidental damage for up to 10 years, which no other brand offers.
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Nectar seems to understand a buyers initial hesitations when shopping for an adjustable base: At this price, how do you know itll work for you (or at all) over time? To make you feel comfortable with your purchase, this brand offers a 50-night trial period and the industrys most comprehensive accidental warranty coverage when you add it at checkout.
Focus group participants said they waited eight or nine months to commit to their adjustable base because they felt overwhelmed with their options and were worried the adjustable bed wouldnt help after spending thousands. Budget, trial periods, and warranties were three of the most common considerations mentioned by our focus group participants. This list was slightly different from the top five considerations identified in our 600-person survey (brand reputation, variety of features, in-home delivery and setup, discounts or promotions, and price).
I have lots of back pain, chronic pain, so it was always kind of talked about but never really acted upon. My orthopedist was like, why dont you try it? And I was like, okay, its something to try, but its a thousand and something dollars. Eventually, I gave in, and it has worked out [great].
Focus group participant
While the Nectar Adjustable Frame is one of the more expensive options on this list, the brands website frequently advertises deals and promotions that significantly cut costs. Nectar also offers a bundle including an adjustable base, mattress, bed linens, and two pillows that is regularly sold at a discount of as much as 50 percent off. For example, when we wrote this, Nectar had marked down its adjustable queen base by 50 percent to $749. Like Saatva, you might qualify for a 40 percent discount code if youre a military member, veteran, first responder, or health care professional.
The Handbook Team loves that Nectar offers a trial period so buyers can ensure their investment is worthwhile. Similar to other brands that offer trial periods, like Puffy, you need to keep your base for at least 30 days before initiating a return to give your body time to adapt, test out the features, and play with the settings. And if it doesnt work for you after 30 days, you can get a full refund.
It took me a week to figure out what head height to put it at, so I can sleep really well.
Focus group participant
But whats most unique about Nectar is its extended warranty option with Extend, which starts at $169 but is often cheaper with the frequent site-wide promotions. A customer service agent told us that opting in gives you full coverage, including accidental damage protection, for 10 years beginning the date of purchase. This covers electrical and metal frame issues, which most brands refuse to protect. We recommend Nectar for rambunctious households with pets and kids, or if you plan to move and youre worried about movers damaging your bed.
A warranty may offer protection, but you hope never to use it. One of our testers has owned the split king Nectar Adjustable Frame for more than three years and vouched for the bases durability thus far. The only time the bed sounds rickety (like a light clacking sound) is while adjusting it to the fully-seated position without a persons weight on the base. Otherwise, it moves smoothly and hasnt malfunctioned since purchase.
What our Nectar testers say: The base has a slim profile but is very heavy. We got the white glove delivery, so we didnt have to lift it. But the base is easy to use and has a simple remote. There is a Nectar Move app, but I used the remote because it was too much of a hassle to pair the app with the base since there were no instructions.
Best overall
Free delivery, setup, and mattress removal
Custom and preset positioningCustom and preset positioning
Competitive pricingCompetitive pricing
Labor Day Sale: Save up to $600! Check PriceOur verdict
Saatva has the best reviews on the market, and the brands Adjustable Base Pro has the most comprehensive lineup of features and services, like free white glove delivery, a long warranty, preset and memory settings, and multiple leg heights between 1318 inches, all at a competitive price.
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After testing more than 14 adjustable bed brands and 28 models, the Handbook Team awarded Saatva as our pick for the best features because of its strong lineup of highlights like under-bed lighting and multiple presets and leg heights, as well as white glove delivery at a mid-range price, with opportunities to use discounts and frequent promotions for more savings. It also has a reputation for being a trustworthy brand, with 4.78 out of 5 stars on Better Business Bureau and 4.6 out of 5 stars on Trustpilotmaking it the highest-rated brand in the industry.
We also like how Saatva checks almost every box on a shoppers list, which no other brand is able to do. According to our survey of 600 adjustable bed users, the top five considerations when shopping for an adjustable bed include brand reputation, variety of features, in-home delivery and setup, discounts or promotions, and price. Heres how Saatva fulfills each one:
Saatva did not have a TV or reading preset, which elevates the head of the bed to a full seated position. But you can adjust the head of the bed to an upright positionyou just have to do it manually using the arrow buttons.
When we visited the Saatva showroom, we brought along a decibel meter so we could test Saatvas claim that the Adjustable Base Plus is whisper quiet during adjustments. Despite background music interfering with our test, we concluded its indeed about the sound of a whisper, which is helpful if you or your partner is a light sleeper.
Saatvas standard model, the Adjustable Base, was slightly louder. While the sales representative told us both motors are the same, the Adjustable Base has a thinner, fabric-covered platform that transfers sound more easily. While still quiet, you can use a latex or memory foam mattress to dampen the noise even more.
Finally, we also like the Saatva Adjustable Base Pro because it offers couples a queen- or king-size Upper-Flex (split-head) option that only splits the head of the bed, which can help alleviate conditions, like snoring and acid reflux, while the rest of the bed remains intact for more comfortable intimate moments. Split-head adjustable beds are hard to find, and any type of split queen is even rarer, so we applaud Saatva for filling this industry gap for its customers.
My husband does not like the adjustable base, so his side stays flat and his remote gathers dust. I love it and use it all the time. One thing he doesnt like is the spot in the middle. Theres a hole sometimes if the mattresses get pushed apart.
Focus group participant with a split king adjustable bed
What our Saatva testers say: Even though the Adjustable Base Pro doesnt have a seated preset, the bed can go all the way up to a comfortable seated position in a smooth 1520 seconds. Its latex mattresses seemed to stay on the base the best, even in extreme positions, without shifting.
Most customizable
User-friendly controls for preset or programmed positionsUser-friendly controls for preset or programmed positions
50-night sleep trial50-night sleep trial
Adjustable heightAdjustable height
Labor Day Sale: Up To 50% Off Mattresses! Check PriceOur verdict
With its zero-clearance design, the DreamCloud Adjustable Bed Frame is a versatile pick. It can be used with a platform frame or directly on the floor, and its adjustable height makes it possible to customize to your needs.
Features
$1,798-$3,596
50 nights.
Three-year limited.
Twin XL, full, queen, king, split king.
750 pounds.
Zero-clearance design and adjustable height means it works with an existing platform frame or directly on the floor.
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DreamCloud Adjustable Base: Head and foot adjustability, remote or app controls, zero gravity, anti-snore, multiple preset positions, massage, USB-A ports, adjustable leg heights, zero clearance design.
More information
The DreamCloud Adjustable Base is a versatile option that includes many of the top features, according to our survey respondents, such as massage, adjustable leg height, and both custom and preset positions. Discounts also drop the price point considerably: At the time of writing, the DreamCloud base was between $699 and $1,398.
Heres how the DreamCloud base performed, according to our Handbook Team:
The base has a simple design that can be easily concealed within a platform frame. Our team hid it in a panel headboard/frame combo, and it worked well to secure the mattress during adjustments. Two USB ports are conveniently located on either side of the frame.
Frame height on the Dreamcloud is also adjustable. The four-inch bed base (without legs) comes with eight- and three-inch legs, along with two-inch extenders, which allows for multiple height options.
The base is controlled by the included wireless remote or via app with Bluetooth tech. Our team found the remote intuitive and straightforward. It includes a number of preset positions, including positions for television or reading, plus programmable positions so you can save your favorites.
The quiet massage feature on the DreamCloud includes three intensities from which to choose.
The DreamCloud base is one of several on our list that offers a trial period. Fifty nights is a reasonable length of time to determine whether the base is a good fit for your needs.
The zero-gravity and TV presets are the features we use the most. You can also attach both sides of the split king so they operate together, or they can operate independently of each other.
Best Value
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10-year limited warranty10-year limited warranty
Underbed lightingUnderbed lighting
Custom and preset positioningCustom and preset positioning
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This Helix Adjustable Base is a multifaceted option that can help alleviate snoring, low back pressure, joint pain, numbness and poor circulation. Its a great choice for people seeking a well-priced adjustable bed with several upgrades.
Features
$999-$1,999
No.
10-year limited.
Twin, twin XL, full, queen, king, California king.
750 pounds.
Upgraded features, including dual massage capability, USB-A and C ports, under-bed lighting and leg height adjustability.
Compare models
: Head and foot adjustability, remote controls, memory presets, zero gravity, dual massage, USB-A and C ports, under bed lighting, adjustable leg heights, zero clearance design.
More information
The Helix Adjustable Base is a budget-friendly model with a number of upgrades. It comes standard with four of the top five features according to our survey respondents, including massage, adjustable leg height, and both custom and preset positions. Before discounts, the Helix base is priced between $999 and $1,999, keeping it within budget according to survey participants. But at time of writing, discounts dropped the price range to between $799 and $1,599, making it even more affordable.
Heres how the Helix base performed, according to our Handbook Team:
First impressions were quite positive. The base has a simple design that includes adjustable leg height and is slightly thicker when compared to others. The 12-inch stackable legs can be raised or lowered in three-inch increments to customize the base height. Our team also thought the under-bed lighting is a nice touch.
The base is controlled via wireless remote, which includes three programmable presets and a one-touch flat setting. One downside is that its not immediately clear what all of the buttons do without consulting the manual.
Our team was impressed by the dual massage capability for both the head and feet, as well as the massage timer presets. There are three massage intensities, but the massage itself was underwhelming. To our testers, it felt more like a gentle vibration that was neither relaxing nor unpleasant.
While the Helix doesnt have a trial window, it does come with a 10-year warranty and is shipped free of charge in the United States via FedEx Ground.
With three adults, we were able to maneuver it without too much difficulty. Once assembled, you can easily push and pull the base around.
Easiest Assembly
Straightforward setupStraightforward setup
Supports up to 850 poundsSupports up to 850 pounds
Programmable and preset positioningProgrammable and preset positioning
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Brooklyn Beddings reasonable price range, durability, and tool-free set up make it a great choice for those seeking a simple, high-quality adjustable base without paying for all of the extra features.
Features
$699-$
: 10 years.
Twin XL, full, queen, split king, split California king.
850 pounds.
Swift and quiet adjustments during movement and a simple, intuitive remote with a bonus flashlight.
Compare models
: Head and foot adjustability, remote controls, zero gravity, anti-snore, one-touch flat, three custom presets, massage, under-bed lighting, USB-A ports.
More information
Brooklyn Bedding has two adjustable bases, and the Ascension Luxe is the least expensive of the two. We recommend it as the easiest to assemble because it takes about five minutes and requires no tools.
Heres how the Ascension Luxe adjustable bed frame performs, according to our Handbook team:
While the frame is on the plain side, it looks sturdy and well-constructed. It folds toward the center, which makes it easy to lift and move around.
The Ascension Luxe has two USB plugs on either side toward the top of the frame. The cord is on the long side, which is a great feature for those who dont have access to nearby outlets.
The ergonomic remote fits easily into the hand. Its wireless, which is a nice upgrade, and the intuitive design is simple to use. In addition to the recline button, there are presets for specific positions and options for saving favorite positions as well. We also like the built-in flashlight.
The base moves smoothly and gradually from one position to another. Adjusting from neutral to fully inclined takes about 45 seconds. The slow, steady movement is a feature our team appreciated.
Brooklyn Bedding offers free shipping on its adjustable base, but theres no option for white glove delivery. Our team found the base lightweight and foldable. Since there are no extra tools required to set it up, its simple enough for people to manage at home on their own.
We think the base is generally plain looking, but that it looks sturdier than other comparable bases. We think it would fit in a lot of different spaces.
Best for advanced tech
Data-driven ways to improve sleep qualityData-driven ways to improve sleep quality
Automatically elevates when it detects snoringAutomatically elevates when it detects snoring
Built-in and programmable positioningBuilt-in and programmable positioning
Check PriceOur verdict
Tempur-Pedic offers data-driven ways to improve your sleep, which is valuable if you want to understand your sleep preferences better and work with your doctor to improve your sleep quality over time.
Features
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Tempur-Pedic is the most technically advanced adjustable bed brand in this review, offering a smart base with built-in speakers that sync massage vibrations to sounds from your Spotify playlist or action-packed movie marathon. But the most valuable feature found in TEMPUR-Ergo Smart Bases is sleep tracking through a companion mobile app called SleepTracker-AI, where you can see data about your sleep patterns and learn ways to improve your sleep.
TEMPUR-Ergo smart base models have integrated monitors that detect your vitals and movement, translating them into sleep insights on a dashboard. Our team appreciated the apps level of detail, monitoring heart rate and snore frequency detection to help you understand what could be holding you back from a restful night. And when you make changes to your adjustable beds position, you can see if it helps you sleep better the next night.
For example, if you lie awake before bed, try the WindDown Program, which initiates a 1016-minute preset cycle with massage to help you relax. Or if you notice that snoring wakes you up at night, you can elevate the head of your bed to see if it alleviates the issue. People who find head elevation helpful and sleep with a partner can activate Snore Response, which automatically raises your head in response to snore-related vibrations before either of you wake up.
The app also offers AI-based sleep coaching that suggests ways to improve your sleep based on your results. However, we recommend you take your insights to a doctor if you suspect that a medical condition could be affecting your rest, like loud snoring and sleep apnea.
Sleep tracking allows you to make necessary adjustments to your sleep routine, such as adjusting bedtime, optimizing sleep environment, or practicing relaxation techniques, to improve the overall quality and duration of your sleep. Better sleep quality can lead to improved mood, reduced daytime sleepiness, increased energy levels, and better cognitive function.
Carli Streich, owner of Cognitivve Neurofeedback in Colorado Springs, Colorado
While the Tempur-Pedic smart bases seem complicated, our team found the remotes easy to use. The smart models have more features and the remote has more buttons, but we like that the remote is well-labeled and intuitive for such a technical adjustable bed. We also liked that you can access remote controls on the SleepTracking-AI app, but if youre about to sleep, we recommend using the traditional remote to limit screen time before bed.
What our Temper-Pedic testers say: The technical features were unique to this base, but the basic presets and adjustment quality matter the most. The bases movements were smooth and fast all the way to a near-seated position. I really liked the TEMPUR-Ergo models lumbar support at a low setting to give me just a little support, but not too much, since the lumbar adjustment bar rises pretty high (6 inches).
Best mattress and adjustable base combination
Fully adjustable surfaceFully adjustable surface
Partner Snore feature allows you to raise your partners head when snoringPartner Snore feature allows you to raise your partners head when snoring
15-year limited warranty15-year limited warranty
Check PriceOur verdict
Sleep Numbers mattress and adjustable base are a good investment for people who want full control over the firmness of their mattress and position of their base to accommodate issues that change over time, like sickness or different aches and pains.
Features
$1,299$4,199 (base only); $1,898$13,499 (with mattress).
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Sleep Number is our favorite mattress and adjustable base combination because of its customizability. We chose Sleep Number over other brands because you can adjust your mattress by inflating or deflating the air chambers using the same remote that adjusts your base. No other mattress-base combination allows you to sleep on a firmer surface with your feet elevated one night and a soft flat surface the next, adapting to your bodys evolving needs. But this level of customization comes with a price. A queen base alone ranges from $1,499$2,399, and adding the mattress increases the range to $1,898$13,499 in all available sizes.
Peoples sleeping preferences can change over time due to various factors such as age and physical health. Our bodies undergo different stages and experiences, so our sleeping positions may adjust accordingly. For example, a pregnant woman may find it more comfortable to sleep on her side rather than on her back.
Peter Hinz, doctor of chiropractic at Cool Springs Chiropractic in Franklin, Tennessee
During our mystery shopping experience, we were impressed with Sleep Numbers in-person customer service. A store representative will help you find out your Sleep Number setting, which is a number that corresponds with mattress firmness. Using a pressure mapping system integrated into their mattress display, they measure which setting offloads pressure from your hips and shoulders. Sleep Numbers air-chamber mattress adjusts slowly, but we felt a big difference between the firmest and softest settings during our testing.
We also appreciated that queen-size Sleep Number mattresses (or larger) have adjustable firmness on each side, so you and your partner can have different firmness settings on a standard non-split style bed. But if you want to adjust each sides head or foot elevation separately, youll need to purchase a split king or split-top (FlexTop) FlexFit adjustable bed.
When I was in the showroom thinking about it, I thought that it is going to be so convenient if Im ever sick. I also get pain in my legs, and it really helps to elevate them. I thought, man, I dont want to regret not having this option, so Im just going to go for it to help my overall comfort.
Focus group participant and Sleep Number mattress and adjustable base owner
Sleep Number beds also have a companion mobile app called SleepIQ. We didnt think the insights were as detailed as Tempur-Pedics app, although it could still be helpful. For example, SleepIQ detects your vitals and movements like Tempur-Pedics SleepTracker-AI, but we didnt see snore detection. We also didnt like that Sleep Number doesnt sell its beds with a remote. The app serves as the primary control, but we discourage use before bed because blue light emissions can negatively impact sleep quality. If you want the traditional remote, each one will cost $49.
What our Sleep Number testers say: We got to feel the foot-warming feature on the FlexFit 3, which was subtle but comfy on its lowest setting. The representative told me it has a 10-hour automatic shutoff so that it doesnt accidentally run all day. We also found out that Sleep Number beds need the adjustable base and the mattress together to function properly and get all the features. Otherwise, its not worth investing in it.
An adjustable bed is a type of bed frame that allows you to customize your sleeping position by adjusting the head and foot sections. This feature helps promote spinal alignment by allowing you to find the most comfortable and supportive position for your body.
Whether you need to elevate your head to reduce snoring or lift your legs to improve circulation, an adjustable bed makes it possible.
In addition to enhancing comfort, adjustable beds cater to various health needs. Customizing the adjustable position to find the perfect angle to support your spine may help alleviate conditions like sleep apnea, acid reflux, and back pain.
With a simple remote control or a mobile app, you can adjust the bed to your preferred position, making it easier to read, watch TV, or simply relax in bed.
Look out for discount codes. Brands like Nectar and Saatva have discounts for certain types of professionals or age groups, including military members and students.
Adjustable beds cost between $300$7,000 depending on the brand, size, and features.
This review lists brands with adjustable bed options starting at $699 before deals and promotions, keeping prices closer to most peoples budget of $2,000 or less. Remember that some brands, like Nectar, reduce costs by up to 50 percent during certain offers.
Because adjustable beds are DME, or Durable Medical Equipment, they are covered under Medicare Part B. In order to take advantage of this benefit, you must secure a prescription from a doctor stating that the bed is a medical necessity because of a health condition, such as an extensive injury, a cardiac condition, or chronic obstructive pulmonary disease. You will be expected to secure the bed using one of Medicares approved medical equipment suppliers and you may have some out-of-pocket costs, like a copay, associated with the purchase. Medicaid may or may not cover an adjustable bed as part of their coverage of durable medical equipment. Since Medicaid benefits vary from state to state, check with your individual provider to learn more about adjustable bed coverage.
Below are the most important features of an adjustable bed, as identified by our focus group participants, survey results, and testers.
Although some beds (like the Sleep Number FlexFit 1) only elevate the head, most adjustable beds offer both head and foot adjustments.
We found that the best adjustable beds have:
Presets are factory-set buttons that adjust your bed with one press rather than holding down the elevate or lower buttons. Theyre a major convenience for people with dexterity issues, like arthritis of the hand and fingers, who might have difficulty manipulating the small remote buttons. Theyre a minor convenience for those of us who just want to get into certain positions faster.
The most common preset positions are:
Custom or memory presets are unprogrammed buttons that you can set to your favorite positions. You can change these buttons at any time, usually by adjusting the bed to your desired position and holding the button down until you hear a sound from the remote or see a light. Some beds have special instructions, so read the user manual if you need help.
The best adjustable beds have at least one custom preset, but weve seen up to three in Purple Premium adjustable beds.
Most beds have different leg heights for your adjustable bed, but theyre not something you can adjust from your remote. Youll have to set your leg height during setup. This is a crucial feature for most people because you can:
When we tested adjustable beds in big-box retailers, we saw a variety of mattresses paired with adjustable bases, ranging from thick innersprings to thin memory foam options. It was obvious that thicker, firmer mattresses didnt conform well to the adjustable beds movements. For this reason, we dont recommend innerspring mattresses with adjustable beds. Instead, opt for hybrid, latex, or memory foam mattresses.
According to our surveys and interviews, most people like the lumbar support found in Tempur-Pedic adjustable beds and Sleep Number mattress-base combinations despite the price hike. Almost half of all survey respondents who listed lumbar support as their priority had chronic joint or back pain.
Our testers dont consider this necessary in adjustable bases, as much of this support comes from your mattress choice. But we understand its important if you need lower-back support to maintain better spinal alignment throughout the night or provide relief.
Sleeping with good spinal alignment can benefit everyone, as it helps distribute the weight of our body evenly and reduces pressure on certain areas. However, some people may have underlying health conditions affecting their spinal alignment, so it is essential to consult a health care professional for personalized recommendations.
Peter Hinz, doctor of chiropractic at Cool Springs Chiropractic in Franklin, Tennessee
Although we found this feature is up to personal preference, our survey respondents and some focus group participants enjoy the massage features in adjustable beds. One participant said she often uses the massage setting to help her fall asleep if shes having difficulty relaxing, but all three of our teams testers commented that the vibrations felt more annoying than stimulating.
We recommend trying the massage feature in person before spending extra for it.
When you elevate the head of an adjustable bed, it moves your upper body away from your nightstand. Some advanced adjustable bed models shift the head of the bed towards the wall as it elevates, keeping you near the wall and bedside furniture.
While we felt closer to the nightstand when we tried this feature on the Saatva Adjustable Bed Plus, we still had to reach behind us to grab our phones or use the bedside lamp. Its a nice feature to have, but its not groundbreaking.
The Handbook Team likes the idea of under-bed lighting for better visibility at night, especially for people at risk of falls who could benefit from illuminating obstacles in the dark.
You control this feature by using a button on the remote, but some use movement detection that automatically turns on when you get out of bed, like Sleep Numbers FlexFit bases. One of our focus group members owns a Sleep Number adjustable bed and said her under-bed light was bright enough to make sure I dont step on the dog, but not bright enough to startle me.
Remember, the lighting is dim and easily hidden by a thick bed frame, so if you plan on using your under-bed lighting for safe bedroom navigation, opt for a thin bed frame or skip it altogether. Our testers also noticed the bed illuminates its immediate surroundings well, but because its so dim, the rest of the room may remain dark. If you need more lighting, invest in some motion-sensitive night lights along your bedroom walkway.
Many advanced adjustable bed models have one or two USB ports on each side of the bed, either along the outside of the base or under the platform. We like that adjustable beds have this feature for convenience, allowing you to charge your or tablet and freeing up outlet space for bedside items like a lamp. But its unnecessary, and the port placements can be hard to access, especially if you use a surrounding bed frame that blocks them.
The Casper Adjustable Base Max USB ports are located under the bed, which were difficult to find and use.Some advanced adjustable beds come with sleep sensors and heart rate monitoring, allowing you to track and analyze your sleep quality. These features provide valuable insights into your sleep patterns, helping you make adjustments to improve rest and overall health.
These beds offer a comprehensive view of your nightly sleep by monitoring metrics such as heart rate and movement.
The Handbook Team found many adjustable bed models have similar features because the same manufacturer builds them. For example, Leggett and Platt, one of the most common manufacturers, makes Saatva and Tempur-Pedic models.
A good way to differentiate your good options from the best is by comparing warranties, trial periods, and white glove delivery options.
Adjustable bed brands offer a wide range of warranties between three years and a lifetime, but most are limited, only covering manufacturer defects fully for a few years with partial coverage after that period. Finding long-term warranty coverage on metal frames and electrical parts is rare. Nectar is the only brand that offers any accidental coverage, even though its for a relatively short 10-year period when you opt-in.
Trial periods are another brand-specific perk that differentiates good brands from the best. While the industry standard is not to offer a trial, some do, ranging between 30 and 120 nights. Focus group participants stated that budget and fear of commitment were the two biggest reasons they waited to buy, so if you can relate, go with Nectar or DreamCloud.
Some big box retailers replace the brands warranty and trial period with their own. Before purchasing a bed from a retailer like Mattress Firm, compare these terms with the brands website. Youll see that Tempur-Pedic adjustable beds have a reduced five- to 10-year limited warranty when bought at Mattress Firm, while Tempur-Pedic showroom and online purchases come with a 25-year limited warranty.
White glove delivery (known as in-home setup) is also hit or miss, but most brands offer it as an extra service with an additional fee. The only brands in our list that include in-home setup free with your purchase are Saatva and Tempur-Pedic. Otherwise, youre paying up to $249, but our team recommends working it into your budget if you (and your partner) dont feel confident lifting heavy boxes or you live in a multistory house or apartment building. Adjustable bases can weigh as much as 200 pounds depending on the brand, and they dont always fit in elevators. If you dont have help, hauling the shipment to your bedroom could be nearly impossible.
When you purchase white glove delivery, you may also ask brand delivery partners to remove old mattresses and foundations at checkout. Sometimes this is complimentary when you purchase an in-home setup, and other times it costs extra. For example, Avocado charges $249 for in-home setup, but they charge an extra $30 for old mattress removal. To our knowledge, no delivery partner offers old bed frame removal, which will be your responsibility.
Nectar has the best overall features, trial period, and reputation on our list, offering advanced functionality and an option to extend your warranty to cover accidental damage. Close behind is Saatva, which showcases a similar set of features but also offers free white-glove delivery, though it doesnt have the same trial period or warranty options.
Because the Handbook Team acknowledges how difficult it is to commit to a new bed, we prioritized listing budget-friendly brands with a trial period. Nectar and DreamCloud are the best options for people who are nervous about making the switch and need time to determine if the new adjustable bed is right for them. Although Serta didnt make our list this time, it offers the longest trial period on the market at 120 nights.
Helix and Brooklyn Bedding offer budget-friendly adjustable base options, yet lack the trial period of Nectar and DreamCloud. Tempur-Pedic and Sleep Number sit at higher price ranges in this review, but they both have something unique to offer. Tempur-Pedic offers advanced features that aim to improve your sleep quality over time, like sleep tracking. Sleep Number is the best mattress and adjustable base combination on the market for solo sleepers and couples who want full control over their sleeping environment. Thats because you can adjust your sleeping surface to accommodate your needs on any given day, and you can choose a comfortable mattress.
Most importantly, if youre struggling to sleep well, dont wait to address it. Talk to your doctor and see if different sleeping arrangements will complement your treatment plan. Although adjustable beds arent for everyone, they may be a great investment if you have sleep apnea, insomnia, acid reflux, chronic pain, or any other medical condition that impacts how well you sleep.
No. During our testing, it was obvious that thicker, firmer mattresses didnt conform well to the adjustable beds movements. Innerspring mattresses are not recommended with adjustable beds as the springs may deform. Instead, opt for hybrid, latex, or memory foam mattresses.
Yes, but it depends on the person. Some people use head elevation to alleviate snoring and acid reflux, which helps them fall asleep and stay asleep longer. Others may use the leg elevation to offload pressure from their lower back or improve leg swelling.
Every adjustable bed has its own assembly instructions, and some are more complicated than others. The owners manual should have instructions to assemble the beds parts. If you dont want to assemble your own bed, opt for a brand that offers white glove delivery or hire a local handyperson to do it for you.
According to our survey and focus group, most people agree that their adjustable bed helps them sleep better and subsequently improves their mental health. Adjustable bed frames offer a customized sleeping experience, allowing you to find the ideal position for support and comfort. With head and foot adjustability and features like lumbar support, you can adjust your bed to help with pain management and individual preferences. Some adjustable bases have anti-snore settings to help individuals and couples improve sleep quality. For those looking to optimize sleep quality, an adjustable bed frame can be an investment worth considering.
While adjustable beds have many advantages, there are some drawbacks to consider. This includes higher costs and potential maintenance expenses related to mechanical components. Electrical components pose a risk of malfunctions, and the aesthetics of a mechanical bed may not suit everyones preferences. There are limitations on the type of mattress you can buy, since the mattress needs to be flexible enough to move with the bed base, and some users may find the adjustable features uncomfortable, especially if the bed is shared.
In our review, Nectar Adjustable Bed Frame is the best adjustable bed on the market. But whats best for you is subjective to your budget and personal preferences.
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LinkAfter evaluating more than 100 models, which included first-hand testing, we put together our recommendations for the best split king adjustable beds. Find the brand that will work best for you and your partner.
Best Adjustable Beds for SeniorsOur team tested 13 adjustable bed brands, but only five made our list as the best for seniors.
How Much Sleep Do You Need?What are your nightly sleep needs? Why is sleep so important? By better understanding your bodys needs, you can improve your sleep habits and the quality of your waking life.
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