Are Weighted Blankets Covered by Insurance? [August 2020 Update]

Weighted blankets are known for being very comfortable blankets to help people get good sleep. They provide warmth and comfort at night. Medical professionals such as doctors prescribe weighted blankets to their patients. Weighted blankets have many benefits for people with certain medical conditions. Thus, many people want to know if their health insurance will cover the cost of treatment.

Disclaimer: The tips and recommendations given here are intended to be used as guidelines. Do not replace our advice for a registered health professional or therapist’s advice. It’s best to consult with a healthcare professional if you have a special condition.

What is a Weighted Blanket?

You may be wondering what the difference is between a weighted blanket and a standard blanket. Weighted blankets are designed with weighted pellets evenly distributed throughout the blanket.

These weights are usually encased in the quilting of the blanket. Usually, the pellets used are plastic or glass. These are the standards for most manufacturers due to reliably. Other niche manufacturers use food, sand, and yes, even water.

How Do Weighted Blankets Work?

Deep Touch Pressure (DTP) is the main reason why weighted blankets work. DTP is a therapy that helps people find calm and relaxation. The only want to get to sleep is to be relaxed first. If you’re alert, restless and wired, you’ll never get the right amount of sleep.

Weighted blankets are now used by people who have:

You have to remember we spend 1/3 of their lives sleeping. This is why it’s important to get the right amount of sleep. It’s a large part of our lives!

How to Choose the Right Size and Weight?

When choosing a weighted blanket, it is important to follow the 10-12% rule. This means get a weighted blanket that’s 10-12% of your body weight. This is for optimal effectiveness. If you are buying one, as a couple, then you need to know the weight of the lighter person. Make sure to get a weighted blanket that’s 10-12% of the lighter person.

This part is easy. To figure out the size, understand what you’re going for. If you want a blanket that covers a certain portion of your body, go for the smallest size. For bigger size or couple, go for a queen or king size. If you’re getting a weighted blanket, as a couple, abide by the above paragraph.

Do Weighted Blankets Provide Treatment?

Weighted Blankets are commonly used to manage and treat ADHD, autism, anxiety disorder, fibromyalgia, and other conditions. Insurance companies typically will cover items for treatment of a person’s medical conditions. In this case, weighted blankets are providing treatment for these conditions. The patient may recover or manage symptoms.

  • ADHD
  • Autism
  • Anxiety Disorder
  • Fibromyalgia
  • insomnia

Also, you may want to consult with your doctor if you have one of these conditions. A weighted blanket may be a possible treatment for you. A doctor could give a prescription if he or she believes it will be a benefit.

The Cost

The price of a weighted blanket varies on the manufacturer and its quality. The starting price is $49.99 to hundreds of dollars. It can be difficult to afford the out of pocket expense.

You can purchase a weighted blanket on websites such as Amazon and Bed Bath & Beyond. The websites have the option to compare brands and prices. Be sure to save your receipt if your health insurance provider will reimburse you.

Health Insurance

Some of the most recognized health insurance companies in the United States provide coverage for weighted blankets. They require a prescription with a diagnosis code. A doctor often submits the request on your behalf.

The following list includes health insurances that cover weighted blankets. Other providers may also provide coverage.

  • Medicaid
  • Mass Health
  • NHP
  • Network Health
  • BCBS

Coverage

Health insurance companies will cover weighted blankets for treatment of the above conditions. The purpose of health insurance is to cover medical expenses, and this type of treatment is a medical expense. The weighted blanket is providing relief, and may be a less expensive option than other forms of treatment.

However, the cost of coverage will variety from each insurance provider and the manufacturer of the weighted blanket. Research a variety of weighted blankets before submitting a request. Review the quality and cost for each one before making a decision. Your doctor may also recommend a particular weighted blanket to you.

Furthermore, a health insurance provider may only cover a portion of the cost. You would be responsible for paying the remaining cost on the bill. Speak to your doctor about a variety of weighted blankets to get a good blanket at a reasonable price. You may also ask your health insurance provider to provide a catalog that may include a variety of weighted blankets.

Contact Your Insurance Provider

Finally, the best recommendation is contacting your insurance provider. Get a clear answer from them before purchasing a weighted blanket. An insurance provider may not reimburse you if you fail to meet the requirements for coverage.

Furthermore, you may be required to provide documentation from your doctor or your doctor may request the insurance provider to cover the cost of a weighted blanket for treatment. A doctor will only submit a request if he or she gives a prescription to you.

Are Weighted Blankets Covered by Insurance?

People often ask what insurance covers weighted blankets which is a good question. After all, it’s a medical tool that helps various sleeping disorders. But, at the end of the end, it’s a really tricky question to answer as well.

There are many things to take into account like insurers, weighted blanket types, and more.

Does Medicaid Cover Weighted Blankets?

The answer isn’t clear. Most weighted blankets are classified as medical devices, which are covered by most insurance companies. However, without a clear diagnosis from your doctor then these “medical devices” won’t be covered. If in doubt, call your insurance company and check your policy.

Are weighted blankets covered by HAS?

The answer isn’t clear.

Lastly

To summarize, weighted blankets are covered by some health insurance companies. Follow the advice by contacting your health insurance provider to learn if they provide the necessary coverage. You could have money without needing pay or paying very little for a weighted blanket.

We now understand how to pick the perfect blanket for you and know what sort of conditions it can help with. Of course, the next big question is are weighted blankets covered by insurance? These blankets can become costly, especially if you are going for a larger or heavier one so having it covered by your insurance would be very useful! Unfortunately, this is a question that only YOUR insurance provider can answer.

Why not give them a quick call today and see if your insurance will cover a weighted blanket? Once you’ve done that you can get online and start picking out the right one for you!


Weighted Blankets for sleep disorders

Many people find that getting a good night’s sleep is impossible. It may be down to the fact that they can’t get off to sleep or that they toss and turn so much in the night that they wake themselves up. You might be suffering from a more serious sleep disorder such as sleep apnea or insomnia. Weighted blankets work really well at helping you both drift off to sleep and to stay asleep. They do this by producing serotonin (triggered by the deep pressure of the blanket) which calms the brain. The pressure of the blanket while you are sleeping also stills your body and lessens your involuntary movements through the night.

Weighted blankets for autism

Weighted blankets were originally created to help children with autism. As well as giving them a good night’s sleep (see above for info on that), they also help to regulate sensory overload and emotions too. Especially good for sensory meltdowns, these blankets can be taken out and about with your child and can be used as a comforter when things get a bit too much. In addition to the pressure it provides, a weighted blanket will also feel like a big hug to your child and will comfort them when you are unable to.

Weighted blankets for anxiety

f you are an anxiety sufferer, then you will know only too well how easy it is for your mind to race and overthink things at night. Thankfully by using a weighted blanket, you can trick your mind into going to sleep. This is thanks to the deep pressure of the weight on your body releasing serotonin and naturally calming you. Feeling anxious throughout the day? Don’t fret, you can use the blanket any time you like (within reason). Taking 10 minutes out of your day to sit quietly with your weighted blanket around you will help to calm your nerves.

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