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We still have that mattress, and it's still great. It really does help, too, to be able for each of us to control the firmness. My husband keeps his side at 100, and mine is at 45.
Yes, they're absurdly expensive for what they are, but they never wear out and sag because they're air mattresses. We had three mattresses in the 10 years before we bought the Sleep Number, so we've gotten far more life and value out of this one.
Hospice provides the mattresses as they provide comfort for most patients who are so frail that they have little or no muscle tissue for cushioning. Hospice gets paid by Medicare on a lump sum per day basis, and hospice uses that for APP and air mattress rental.
You may be able to rent these devices from a home DME company or pharmacy.
You can also buy them on Amazon. Aim for middle pricing. The very low cost usually don't work great, and the very expensive ones aren't necessarily a great improvement from the average cost devices.
Both of these are available at medical supply stores. The full mattresses of course are more expensive. And the only size I have seen in those is a twin - my FIL was provided one through the VA. I don't know if either one comes in any other size. I would assume you can just buy them without a doctor's request/prescription though. But the only way I have seen them provided to date was either via the VA or when my dad had his from hospice.
Yes it is a bit noisy
You get used to it. Sort of like a "white noise" machine.
I do think that we acclimate to white noise rather quickly.