When paired with the right mattress, an adjustable bed frame can make a big difference in how well you sleep. This is especially true for people with joint pain and mobility issues. Pain can have a huge impact on the quality of your sleep. More than 75% of respondents to our March 2025 sleep survey of older adults said their pain makes it harder to sleep well.¹ 

The best adjustable bed frame lets you customize your sleeping position, helping to ease pressure on the joints and make it easier to get out of bed. But with so many choices, it can feel overwhelming.

To help you narrow down your options, our team carefully researched and tested dozens of adjustable beds. We looked at factors like ease of use, smooth movements, and special features. 

Based on our testing, we picked the Nectar Adjustable Bed Frame as the best overall. Since everyone has different needs and preferences, we also included alternative adjustable beds to consider.

Our Top Pick

Nectar Adjustable Base

Best Overall

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• Earned our highest scores in adjustable bed testing
• Smooth, quiet adjustments

• Long 60-night trial

Saatva Adjustable Base Plus

Best Customer Experience

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• Free setup of new mattress and removal of old
• Responsive and helpful customer service

• 24/7 help with live agents

Dream Cloud Adjustable Bed Frame

Easiest to Use

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• Relieves pressure on hips and shoulders
• Three different firmness options

• Zoned lower back support 

Best adjustable beds in 2025

• Nectar Adjustable Bed Frame: Best Overall
• Saatva Adjustable Base Plus: Best Customer Experience
• DreamCloud Adjustable Bed Frame: Easiest to Use
• Helix Adjustable Base: Best Memory Presets
• Brooklyn Bedding Ascension Luxe Adjustable Power Base: Best Value

Top Black Friday and Cyber Monday mattress and adjustable base deals available now: 

Cyber Week deals are underway! Check out the current sales on our favorite mattresses and adjustable beds:

• Nectar: Save up to 50% on mattresses + 66% on bundles
• Saatva: Get up to $625 off
• DreamCloud: Save up to 60% on mattresses and $599 of accessories included
• Helix: NCOA Exclusive Deal! 27% off sitewide with code: NCOA27
• Brooklyn Bedding: 30% off sitewide with code: CYBER30

Comparing the best adjustable beds

Video: Best Adjustable Bases

An adjustable bed can make a big difference for people dealing with pain, mobility issues, or simply looking for a more comfortable sleep setup. In the video below, our team reviews the top adjustable beds of the year, highlighting options for overall quality, ease of use, memory presets, value, and more. These picks are based on in-depth research and testing, with a focus on features that improve comfort and accessibility.

Top features of the best adjustable beds

We looked for the following features when choosing the best adjustable beds: 

Nectar Adjustable Base: Best Overall

We chose the Nectar Adjustable Base as our Best Overall because it checks all the boxes. It’s easy to use, offers smooth adjustments, and comes with loads of convenience features like under-bed lighting, a massage function, and more. It’s also one of only two brands on this list (the other is DreamCloud) that offers a free trial period (60 nights).

Our Top Pick

Nectar Adjustable Base

Best Overall

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• Learn more in our Nectar mattress review
• Smooth, quiet adjustments

• Massage and other advanced features
• Long 60-night trial

Nectar Adjustable Base features

• Trial period: 60 nights
• Warranty: Two years
• Sizes: Twin XL, full, queen, king, and split king
• Weight capacity: 850 pounds

Pros and cons

Pros

• 60-night trial
• Quiet, smooth adjustments
• Three massage intensities
• Control via app or wireless remote
• Under-bed lighting
• Competitive price

Cons

• Limited two-year warranty is shorter than competitors
• Doesn’t support weight of more than 850 pounds

Saatva Adjustable Base Plus: Best Customer Experience

We chose the Saatva Adjustable Base Plus as our “Best Customer Experience” pick because it earned a perfect customer service score. Friendly, responsive agents are available live and 24/7 through multiple channels. No other adjustable bed company we’ve seen offers live customer support every day, no matter the time. Plus, the Saatva Adjustable Base Plus is the only model in our review that includes free white glove delivery (in-home setup of new base and removal of your old bed frame at no additional cost).

Saatva Adjustable Base Plus

Best Customer Experience

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• Learn more in our Saatva mattress review
• Live customer service agents available 24/7

• Helpful, friendly customer support
• Free in-home setup and mattress removal

Saatva Adjustable Base Plus features

• Trial period: None
• Warranty: 25 years
• Sizes: Twin, twin XL, full, queen, king, split king, California king, split California king, upper-flex queen, upper-flex king
• Weight capacity: 850 pounds

Pros and cons

Pros

• 24/7 customer service with live agents
• Free white glove delivery and removal of old bed frame
• Quiet, smooth adjustments
• Control via app or wireless remote
• Under-bed LED light and in-remote flashlight

Cons

• No trial period and no returns
• Most expensive model on this list

DreamCloud Adjustable Bed Frame: Easiest to Use

We chose the DreamCloud Adjustable Bed Frame as our “Easiest to Use” adjustable bed because it received a perfect score for ease of use during testing. Its wireless remote has a simple, user-friendly design that makes it easy to adjust the bed. And it requires no tools for assembly at all—simply screw each part into the base and you’re ready. The combination of intuitive everyday use plus an easy assembly process makes DreamCloud a clear winner for “Easiest Adjustable Bed to Use.”

Dream Cloud Classic Adjustable Bed Frame

Easiest to Use

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• Learn more in our DreamCloud mattress review
• Easiest base to use (no tools needed for assembly)

• Backlit, simple remote
• Long 60-night trial 

DreamCloud features

• Trial period: 60 nights
• Warranty: Two years
• Sizes: Twin XL, full, queen, king, and split king
• Weight capacity: 850 pounds

Pros and cons

Pros

• Easy assembly (no tools required)
• Easy-to-use remote with backlit design
• Long 60-night trial
• Quiet, smooth adjustments
• Less expensive than many other adjustable bases

Cons

• No advanced features like massage mode or under-bed lighting
• In-home setup and removal of old mattress starts at $199

Helix Adjustable Base: Best Memory Presets

We chose the Helix Adjustable Base as the “Best for Memory Presets” because it offers more memory presets (three) than any other brand on this list. This feature makes it easy to find and save your most comfortable positions for activities like watching TV, reading, or sleeping.

Helix Adjustable Base

Best Memory Presets

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• Learn more in our Helix mattress review
• Three memory presets (most on this list)

• Wall-hugging design
• Advanced features like under-bed lighting, multi-function massage, and USB ports

Helix features

• Trial period: None
• Warranty: 10 years
• Sizes: Twin, twin XL, full, queen, king, and California king
• Weight capacity: 750 pounds

Pros and cons

Pros

• Three memory presets for personalized comfort
• Massage capabilities, under-bed lighting, and other advanced features
• Quiet, smooth adjustments

Cons

• No trial period
• Remote is not backlit
• In-home setup and bed removal starts at $139
• Lower weight limit (750 pounds)

Brooklyn Bedding Ascension Luxe Adjustable Power Base: Best Value

We chose the Brooklyn Bedding Ascension Luxe Adjustable Power Base as our Best Value because it’s the least-expensive adjustable bed on this list by more than $100. It’s the most budget-friendly option we reviewed. And we think it’s a great choice for those new to adjustable beds since testers said it had a simple, no-frills design.

Brooklyn Bedding Ascension Luxe Power Base

Best Value

Cyber Monday Sale

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• Learn more in our Brooklyn Bedding mattress review
• Lowest priced base in this review

• Includes wireless remote with preset options
• Simple design

Brooklyn Bedding Ascension Luxe features

• Trial period: None
• Warranty: 10 years
• Sizes: Twin XL, full, queen, split king, and split California king
• Weight capacity: 750 pounds

Pros and cons

Pros

• Lowest price on this list
• Adjustable legs
• Two programmed presets
• Remote is simple and easy to use
• Smooth movements

Cons

• No advanced features like massage or under-bed lighting
• Remote may be hard to see at night
• No trial
• No in-home setup or old mattress removal

Our process for testing the best adjustable bed frames

Our team has spent thousands of hours researching and testing mattresses and adjustable beds. We work with experts in sleep, physical therapy, and occupational therapy, so we know what features are most important when searching for an adjustable bed.

We start the testing process by researching dozens of adjustable beds. We compare them against each other based on what we learned from our surveys of adjustable bed owners. We also interview experts in pain and sleep to learn more and hold focus groups to hear from real owners about how they like their adjustable beds.

We use all that information to develop our scoring criteria. Then we narrow down our choices for what models we want to test firsthand. We keep testing new brands and updating our recommendations based on the results.

We considered these important factors when testing the best adjustable beds:

Ease of use

We looked for adjustable beds with easy-to-use controls. We scored each bed by checking for features like a backlit remote, intuitively labeled buttons, smooth adjustments, and responsive controls.

Preprogrammed settings

Presets like zero-gravity, anti-snore, and TV-watching make it easier to find your most comfortable position. We also looked for beds with memory presets that let you save your preferred position, letting you return to it with the press of a button.

Extra features

We considered special features like under-bed lighting, charging ports, and smartphone app compatibility. We also looked at massage capabilities, which can provide an extra layer of pain relief and comfort.

Shipping and set-up

We looked at factors like adjustable leg heights for easier transfers, cord lengths, and whether professional in-home setup (white glove delivery) was available.

Smooth movements

We looked at how long it took for the bed to reach the desired position after pressing a button. We also tested whether the movements were smooth or clunky. And we listened for any excessive noise during adjustments.

Weight

We looked at the weight limit for each adjustable bed to make sure it can provide enough support for different body types.

Best mattress types for adjustable beds

Memory foam mattresses tend to work best with adjustable beds because they are flexible and can move easily with the base. Depending on your sleeping style and preferences, hybrid and latex mattresses can also be a good option.

Here’s a look at the best mattresses for adjustable beds and who may benefit from each type.

Memory foam mattress

As the name suggests, memory foam mattresses are made completely from memory foam. They are durable and designed to shape to your body’s natural curves, giving you a good mix of comfort and support. 

Memory foam absorbs movement, which can be helpful if you share a bed with a restless partner. These mattresses can also be a good option for older adults with sore joints because they spread weight evenly and help reduce pressure on the joints.

Hybrid mattress

Hybrid mattresses combine the pressure-relieving properties of memory foam with the support of a traditional innerspring mattress. The coils add bounce, making it easier to change positions without feeling stuck. They also help improve airflow, which can make the bed more comfortable for hot sleepers. Also, many hybrid mattresses offer good edge support, allowing you to use the full surface of the bed.

Latex mattress

Latex mattresses are made with natural, synthetic, or breathable latex layers. They don’t contain springs but are slightly bouncier than memory foam mattresses. Latex mattresses also typically have a firmer feel and offer more support. Studies show that latex mattresses can effectively distribute weight and relieve pressure more than polyurethane mattresses.²

How older adults can benefit from adjustable beds

When paired with the best mattress for your needs, adjustable beds can improve your sleep quality. Adjusting the bed to different positions can also help with pain relief when combined with appropriate clinical treatment, like physical therapy.

Improving sleep quality and comfort

Adjustable beds can help older adults find their most comfortable sleeping position. This can make it easier to fall asleep and reduce tossing and turning throughout the night. Studies have shown that people who sleep on adjustable beds report longer and higher quality sleep.³ 

Adjustable beds can even help with specific medical issues. Sleeping with the head of the bed elevated can also improve sleep quality in people with acid reflux by keeping stomach contents from flowing back into the esophagus.⁴ 

A member of our sleep and pain focus group, Terry, a 65-year-old back sleeper of average weight with sleep apnea, said buying a Nectar adjustable bed has helped him sleep better. “The adjustable bed really helps me fall asleep,” Terry said. “I’m much more comfortable because it mimics a recliner and has a massage function, which is comforting.” 

Relieving chronic pains and aches

Adjustable beds allow you to sleep with your head, legs, or both elevated. Changing your position can help shift weight off painful areas, ease pressure on the joints, and reduce strain on your lower back, especially if you pair a base with one of the best mattresses for back pain. In the write-in section of our March 2025 sleep survey of older adults, several respondents said buying an adjustable bed helped relieve their pain.⁴ “I have arthritis pain that keeps me up at night,” one respondent said. “I bought an adjustable bed and that really helps.” 

Enhancing circulation and reducing swelling

Sleeping with your legs elevated can help boost blood flow. This can help reduce leg swelling (edema) in the legs and discomfort caused by poor circulation.

Easier breathing and reduced snoring

Sleeping at a 12-degree incline can help reduce snoring and improve sleep quality in people with sleep apnea and other breathing problems.⁵ That may also make breathing easier and reduce snoring even for people without a diagnosed sleep condition.

Greater independence and mobility

Adjustable beds can help us age in place by making it easier to get in and out of bed without assistance. Adjustable beds also lower the risk of falls and make it easier to move from lying down to standing up with better stability. Many models also feature under-bed lighting. This can make it easier to see at night.

Post-surgery recovery and healing

Adjustable beds can help you recover from surgeries like hip or knee replacements. That’s because they can ease pressure on healing areas, potentially helping to reduce swelling and improve circulation. Adjustable beds also make it easier to rest comfortably, which can support a faster recovery.

How much do the best adjustable beds cost?

The adjustable beds in this list range from $899–$1,564 for queen models before discounts. But adjustable beds for older adults can range from around $400–$2,500. The price can vary depending on a number of factors.

Basic adjustable bases that only raise and lower the head and foot tend to fall on the lower end of the price range. But advanced features like massage, under-bed lighting, app-based controls, or USB charging ports can increase the cost to well over $1,500. White glove delivery, if not included, can add around $200 to the total cost. 

Comparing the cost of the best adjustable beds

Frequently asked questions

What is the best adjustable bed frame?

In our research and testing for the best adjustable bed frame, Nectar was the top option for its smooth adjustments, extra features, and free trial period. But everyone’s sleep experience is different, so it’s important to search for a frame that offers the features you value most. 

Do doctors recommend adjustable beds?

Doctors may recommend adjustable beds for many health concerns. Dr. Stahl, whom we mentioned above, told us that adjustable beds can improve symptoms of obstructive sleep apnea for some people. We’ve also spoken with doctors who recommend using an adjustable bed to reduce leg swelling or find a comfortable and supportive sleep position.

Do you need a special mattress for an adjustable bed? 

Memory foam, latex, and hybrid mattresses are compatible with adjustable beds. Innerspring mattresses are generally not recommended due to potentially damaging the mattress and the base. When in doubt, check with the manufacturer to ensure your mattress is compatible with adjustable beds.

Can you attach a headboard to an adjustable frame?

Yes. In most cases, you can attach a headboard to an adjustable frame using headboard brackets.

Will Medicare pay for an adjustable bed?

If a health care provider says it’s medically necessary, Medicare may help pay for an adjustable bed. But Medicare usually only covers hospital-grade beds, like Hi-Lo beds. These are different from the adjustable beds you can buy online or in mattress stores.

What does “zero gravity” mean on an adjustable bed?

On adjustable beds, the Zero Gravity setting elevates your head and legs above your heart to help distribute your weight evenly and ease pressure while you sleep.

Questions? Reach out to reviewsteam@ncoa.org.