7 Best Mattresses for Adjustable Beds in 2025
See our top picks for mattresses that maximize comfort and support on any adjustable bed base.
- The best mattress for adjustable beds is the Nectar Memory Foam. It is suitable for most sleeping styles and offers a good balance of support, bounce, and comfort.
- Mattresses in this review range from $1,332–$2,427 for queen models before discounts.
- Memory foam mattresses work best with adjustable beds, but some hybrid and latex mattresses also can be a great fit.
NCOA supports everyone’s right to age well. So we take the time to research, test, and recommend products that can help you live a healthier life. We’ve spent more than 2,500 hours researching and testing mattresses to give you the most accurate product reviews. To find the best mattresses, we:
- Consulted with sleep specialists like doctors, occupational therapists, and physical therapists for guidance on choosing the best mattress
- Put more than 130 models through a series of 19 different tests at our in-house lab
- Mystery-shopped more than 40 brands
- Surveyed more than 2,000 older adults on their sleep quality
- Interviewed experts on the importance of good sleep for older adults
- Worked with older adult testers to evaluate mattresses and get their opinion
- Read thousands of verified customer reviews
We’re constantly testing new mattresses and sleep products to give you the most accurate and up-to-date recommendations. Read more about our mattress review methodology.
All types of aches and pains can make getting a good night’s sleep difficult. When the challenge of finding a comfortable position means you’re up all night, you may need to consider better positioning than a traditional bed offers. The best adjustable beds offer a customizable solution that can boost your comfort and sleep quality by letting you raise or lower different parts of the bed to fit your body’s needs.1
Adjustable vs. lie-flat bed: Which is better for back pain?
“An adjustable bed frame, since you can adapt your sleeping position to support the natural curvature of your spine. This is particularly beneficial for people with chronic back pain, sciatica, or degenerative disc conditions, and is more supportive than sitting upright in bed on multiple pillows that provide uneven and unsupportive pressure points.”
—Carleara Weiss, PhD, MS, RN, a research assistant professor at the University at Buffalo and sleep scientist
But to really reap the rewards of an adjustable base, you need a mattress that feels comfortable but works well with your base. Our team tested dozens of mattresses, evaluating each for pressure relief, support, and flexibility.
Our top choice for the best mattress for adjustable beds? The Nectar Memory Foam. It stood out in our testing for its balance of adaptability and support. We’ve also highlighted several other excellent options to help you find the right fit. Read on for our full lineup of the best mattresses for adjustable beds.
Nectar Memory Foam
Best OverallPrime Time Flash Sale
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- Flexible, easily conforms to the base
- Excellent motion isolation
- Works well for all sleeping positions
Helix Midnight Luxe
Best for Pain ReliefNCOA Exclusive Prime Sale
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NCOA Exclusive Prime Sale
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- Great pressure relief
- Easy to move around
- Zoned support for better pain relief
- Durable construction
- Reinforced edge support
- Moisture-wicking, cooling cover
Best mattresses for adjustable beds in 2025
- Nectar Memory Foam: Best Overall Adjustable Bed Mattress
- Helix Midnight Luxe: Best Adjustable Bed Mattress for Pain Relief
- The WinkBed Luxury Firm: Best Hybrid
- Titan Plus: Best for Higher-Weight Sleepers
- Bear Elite Hybrid: Best Cooling
- Nolah Evolution: Best for Couples
- Birch Natural: Best Organic
Comparing the best mattresses for adjustable beds
| Comparison Features | |||||||
|---|---|---|---|---|---|---|---|
| Score (out of 10) | 9.9 |
9.0 |
9.2 |
9.1 |
7.9 |
9.2 |
9.1 |
| Best for | Best Overall |
Pain Relief |
Hybrid |
Higher Weight |
Cooling |
Couples |
Organic |
| Type | Memory foam |
Hybrid |
Hybrid |
Hybrid |
Hybrid |
Hybrid |
Hybrid |
| Brand's firmness rating | Medium |
Medium-firm |
Medium-firm |
Firm |
Medium-firm |
Medium-firm |
Medium-firm |
| Trial period (nights) | 365 |
100 |
120 |
120 |
120 |
120 |
100 |
Video: Best Adjustable Bases
Finding the right mattress is only half the equation. Pairing that mattress with a quality adjustable base can maximize your comfort and support. In the video below, our team reviews the best adjustable beds of the year.
Top features of the best mattresses for adjustable beds
We looked for the following features when choosing the best mattresses for adjustable beds:
Nectar Memory Foam: Best Overall Adjustable Bed Mattress
We chose the Nectar Memory Foam as Best Overall Adjustable Bed Mattress because the flexibility of its memory foam allows it to move well with an adjustable base. We also love how its memory foam layers create a conforming yet supportive feel, and how the mattress stayed in the right position no matter how the base moved.
Nectar Memory Foam
Best Overall Adjustable Bed MattressPrime Time Flash Sale
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Prime Time Flash Sale
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- Excellent motion isolation
- Contouring and supportive memory foam
- Comfortable for all sleeping positions
- Our pain relief score: 4.3/5
- Accessibility score: 4.3/5
- Mattress type: Memory foam
- Brand’s firmness rating: 6.5/10
Pros
- One-year trial period
- Excellent motion isolation for those who sleep with a partner
- Responsive for easier movement
- Cool-to-the-touch cover
Cons
- Only one firmness level
Helix Midnight Luxe: Best Adjustable Bed Mattress for Pain Relief
We chose the Helix Midnight Luxe as our Best Adjustable Bed Mattress for Pain Relief because it earned high pressure and pain relief scores during testing while also working well with an adjustable base. We were impressed with the bed’s balance of support, responsiveness, and comfort for most sleeping styles.
- Learn more in our Helix mattress review
- Excellent pain relief scores
- Targeted lower back support
- White-glove delivery available
- Our pain relief score: 4.2/5
- Accessibility score: 4/5
- Mattress type: Hybrid
- Brand’s firmness rating: 6/10
Pros
- Suitable for all sleeping positions
- Targeted lower back pressure relief
- Optional cooling cover
- White-glove delivery available
Cons
- May be disturbed by partner’s movements
- Short 100-night trial
The WinkBed Luxury Firm: Best Hybrid Mattress for Adjustable Beds
We chose the WinkBed Luxury Firm as Best Hybrid Mattress for Adjustable Beds because its hybrid design provides support and pressure relief for all sleeping positions. Plus, unlike other brands on this list, it pairs well with multiple adjustable bases, not just WinkBed’s Adjustable WinkBase, a rarity for a hybrid mattress.
- Learn more in our WinkBed mattress review
- Great support and pressure relief
- High pain relief score
- Highly responsive for easy movement
- Our pain relief score: 4.2/5
- Accessibility score: 4/5
- Mattress type: Hybrid
- Brand’s firmness rating: 6.5/10
Pros
- Four firmness options
- Good cooling features
- Great pressure relief for all sleeping positions
- Excellent responsiveness for those with mobility issues
Cons
- Less than average edge support
- Pricier than other mattresses we’ve tested
Titan Plus Core: Best Adjustable Bed Mattress for Higher-Weight Sleepers
We chose the Titan Plus Core as the Best Adjustable Bed Mattress for Higher-Weight Sleepers because the Titan brand is specifically designed to support higher-weight sleepers. The durable Titan Plus Core mattress features individually encased coils that conform well to all adjustable bases. Its sturdiness and solid support make it a great option for higher-weight sleepers seeking an adjustable bed crafted to fit their needs.
- Learn more in our Titan mattress review
- Supports up to 1,000 pounds
- Strong edge support
- High accessibility score
- Our pain relief score: 4.3/5
- Accessibility score: 4.9/5
- Mattress type: Hybrid
- Brand’s firmness rating: 9/10
Pros
- Excellent accessibility score
- Designed for higher-weight sleepers
- Durable construction
- High edge support scores
Cons
- Not great for those who prefer a softer mattress
- May be too firm for lighter-weight sleepers
Bear Elite Hybrid: Best Cooling Mattress for Adjustable Beds
We chose the Bear Elite Hybrid as the Best Cooling Mattress for Adjustable Beds because it stayed cooler than any mattress we tested. It features individually wrapped spring coils that conform to the body’s curves and to the motion of an adjustable base.
- Scored highest in our cooling testing
- Excellent bounce for easy movement
- Designed with a cooling cover and copper-infused foam
- Our pain relief score: 3.5/5
- Accessibility score: 3.5/5
- Mattress type: Hybrid
- Brand’s firmness rating: 6/10
Pros
- Excellent cooling technology
- Targeted lower back support
- Good option for anyone who moves around a lot in bed
Cons
- Edges could be stronger
- Less than average motion isolation
Nolah Evolution: Best for Couples
We chose Nolah Evolution as the Best for Couples because it was nearly perfect at limiting motion in our testing. As another hybrid mattress featuring individually wrapped coils, the mattress is surprisingly flexible while still offering excellent pressure relief.
- High motion isolation score
- Great pressure relief
- Multiple firmness options
- Our pain relief score: 4.3/5
- Accessibility score: 3.9/5
- Mattress type: Hybrid
Brand’s firmness rating: 6.5/10
Pros
- Excellent motion isolation
- Great pressure relief
- 120-night home trial
Cons
- Bulky
- $99 return fee
Birch Natural: Best Organic Mattress for Adjustable Beds
We chose Birch Natural as the Best Organic Mattress for Adjustable Beds. It is made with natural and certified organic materials like wool and latex. In addition to its high-quality materials, the Birch Natural mattress works well with any adjustable base, a rare feature for a hybrid mattress.
- Highest accessibility score
- Made with eco-friendly, organic materials
- Latex hybrid mattress
- Our pain relief score: 4.5/5
- Accessibility score: 4.5/5
- Mattress type: Hybrid
- Brand’s firmness rating: 6.5/10
Pros
- Excellent accessibility score
- High bounce score for easy movement
- Reinforced edges provide great edge support
- Made with organic and natural materials
- Organic cotton helps with temperature regulation
Cons
- Limited 100-night trial period
- Less than average motion isolation
Our process testing the best mattresses for adjustable beds
To find the best mattresses for adjustable beds, we paid close attention to factors like pressure relief, motion isolation, and pain relief. We also looked at flexibility to make sure the mattress could bend and move easily with an adjustable base.
Pressure relief
Many people choose adjustable beds to relieve pressure points. We looked at mattresses with high pressure relief scores to ensure maximum pressure relief.
Our pressure relief scores are based on both our testers’ experiences and the results of a pressure relief map. The map shows areas of high pressure in red or orange. Green and blue indicate even weight distribution and minimal pressure buildup.
Motion isolation
Our motion isolation test is a two-person test. One person moves around in the bed—shifting, rolling, and getting in and out of bed—while the other stays still. The amount of movement the still person feels helps us determine the motion isolation score. Mattresses with high motion isolation absorb movement. This can be helpful for older adults who may already be dealing with a sleep deficit.
Pain relief
Unique to NCOA, the pain relief score estimates how well a mattress may help relieve pain while in bed. High pain relief scores are awarded to mattresses that provide a balance of support, bounce, pressure relief, and firmness. This combination helps relieve pressure and makes it easier to get in and out of bed.
Adjustable base compatibility
If you’re looking for a new mattress for an adjustable bed, we always recommend buying one from the same brand that makes your mattress. But if you want to keep your mattress and get a new adjustable base, you’ll want to make sure your current mattress is versatile and can be used on many different bases.
So we highly recommend mattresses that work on many different adjustable bases. We tested this by putting mattresses on adjustable bases from different companies and rated how well each worked.
What type of mattress is best for an adjustable bed?
Memory foam mattresses are great for adjustable beds because they are flexible and move easily with the bed frame. Hybrid and latex mattresses can also be a good option. If you’re unsure whether a mattress is compatible with an adjustable bed, it’s best to check with the manufacturer. Generally, mattresses and adjustable bases from the same brand are usually designed to be paired together.
Here’s a look at the best mattress types for adjustable beds.
- Memory foam mattresses: Made entirely of memory foam, these mattresses are designed to contour your body and ease tension on your joints.
- Hybrid mattresses: These mattresses combine pressure-relieving foam layers with the support of innerspring coils. The coils improve responsiveness, making it easier to change positions throughout the night.
- Latex mattresses: Made with natural or synthetic latex layers, latex mattresses do not contain springs. The latex makes them bouncier than memory foam mattresses, and they also tend to be firmer and more supportive than memory foam. Research shows that latex mattresses can reduce pressure buildup more than polyurethane mattresses.3
Do you need a special mattress for an adjustable bed?
No. Most mattresses, including memory foam, latex, and hybrid mattresses, work well with most adjustable beds. But you’re less likely to run into problems choosing the adjustable base and mattress from the same brand.
If you’re not sure whether a mattress will work with an adjustable base, it’s always a good idea to check with the manufacturer.
Comparing mattress compatibility with adjustable bases
| Mattress type | Compatible with adjustable bases? | Notes |
| Memory foam | Yes | Flexible, contours well with base movement |
| Hybrid | Yes (most) | Ensure it’s not too thick or stiff; the coil layer should be pocketed |
| Latex | Yes | Natural latex is durable, but can be firm; softer versions bend better |
| Innerspring | Limited | Traditional coils don’t flex well, but modern pocket coils may work |
| Mattresses over 14” thick | Possibly not | Very thick mattresses may not articulate well or conform to base angles |
What to consider when buying a mattress for an adjustable bed
Based on research and testing, we think these are the most important things to consider when buying a mattress for an adjustable bed.
Pain relief
Adjustable beds allow you to sleep with your head and/or legs elevated. This can help shift weight off painful areas and reduce strain on your lower back.
Sleeping position
When choosing the best mattress for an adjustable bed frame, consider your preferred sleeping position. To learn more about finding the best options, we spoke with Gbolahan Okubadejo, MD, FAAOS, a board-certified spinal surgeon and the head of The Institute for Comprehensive Spine Care in Jersey City, New Jersey. Dr. Okubadejo explained the best adjustable bed settings for each sleep position to us:
- Side: “Side sleepers using an adjustable bed should look for a mattress that’s both flexible and supportive. Memory foam or latex mattresses tend to work best because they can bend easily with the base while still contouring to the body’s curves—especially the shoulders and hips, which need pressure relief,” said Dr. Okubadejo. ”A medium to medium-soft firmness usually provides the right balance of comfort and spinal alignment. Also, look for mattresses specifically labeled as ‘adjustable base compatible’ to ensure durability and optimal performance when the bed is in motion.”
- Back: According to Dr. Okubadejo, “Back sleepers using adjustable beds should look for a mattress that offers a balance of support and contouring—ideally with a medium-firm feel. Materials like memory foam, latex, or hybrid designs work well because they flex with the bed’s movements while maintaining support for the spine’s natural S-curve. Zoned support is a plus, as it can provide extra reinforcement in the lower-back area. It’s also important to choose a mattress labeled as adjustable-base compatible to ensure durability and prevent wear from repeated movement.”
- Stomach: “Adjustable beds aren’t ideal for stomach sleepers,” said Dr. Okubadejo. “This position already places strain on the neck and lower back, and elevating the head or legs can worsen alignment. If you’re a stomach sleeper, I generally recommend training yourself to sleep on your side instead, which is much more compatible with the benefits of an adjustable base.”
The older you get, the harder it becomes to sleep on your side or stomach because of hip and shoulder discomfort. There's natural wear and tear that happens in those areas over time."—NCOA Sleep focus group participant
Body weight
Your body weight can affect how well a mattress performs on an adjustable bed. Here’s what to consider:
- Higher-weight (more than 250 pounds): A thicker, firmer hybrid mattress is best for higher-weight sleepers. The coils provide strong support to keep you from sinking too much, which helps keep your spine aligned. Good edge support helps keep the mattress from sagging.
- Average-weight (130–250 pounds): Medium to medium-firm mattresses typically provide a good balance of comfort and support for average-weight sleepers. Foam, latex, and hybrid models all work well, depending on your preference.
- Lower-weight (less than 130 pounds): Lighter-weight people often perceive mattresses as firmer than other sleepers. They usually sleep best on softer mattresses with plush, top layers to help reduce pressure points.
Compatibility
Traditional innerspring mattresses often don’t work well because they aren’t flexible enough to bend with the base. Hybrid, memory foam, and latex mattresses are better choices since they can move with the frame. Buying the mattress and adjustable base from the same brand is best to ensure they work well together. You can also check with your bed frame’s brand to see which types of mattresses they recommend.
How much do the best mattresses for adjustable beds cost?
The mattresses in this list range from $1,332–$2,427 for queen models before discounts. But the average cost of mattresses for adjustable beds can range from around $600–$5,000. The price can vary depending on many factors like durability, cooling features, and pillow top.
Foam mattresses and innersprings are typically less expensive, while hybrid and latex mattresses are generally on the higher end of the price range. White-glove delivery (in-home delivery and setup) can add around $200 to the total cost of your mattress.
Comparing costs of the best mattresses for adjustable beds
| Comparison Features | Nectar |
Helix |
WinkBed |
Titan |
Bear |
Nolah |
Birch |
|---|---|---|---|---|---|---|---|
| Cost for a queen (before discounts) | $2,249 |
$2,373 |
$1,799 |
$1,249 |
$2,427 |
$2,127 |
$1,865 |
| Warranty length | Lifetime |
Lifetime |
Lifetime |
Lifetime |
Lifetime |
Lifetime |
Lifetime |
| Shipping cost | Free; White-glove delivery is $199 |
Free; White-glove delivery starts at $159 |
Free standard shipping |
Free standard shipping |
Free; White-glove delivery starts at $100 |
Free; White-glove delivery starts at $125 |
Free; White-glove delivery starts at $129 |
| Return fees | Free |
Free |
Free |
$99 processing fee for pickup |
Free |
$99 processing fee for pickup |
$99 processing fee for pickup |
How to save money on mattresses for adjustable beds
Buying a mattress can be expensive, but there are ways to save:
- Look for holiday sales, like on Labor Day or Memorial Day.
- Check the brand’s website for coupons or promo codes.
- Take advantage of discounts for military members, students, teachers, and older adults.
- Many mattress brands offer interest-free installment plans to break the cost up.
Research and compare features, and choose a mattress that includes features that are important to you. Avoid paying for extras that you may not need.
Health benefits of adjustable beds
Adjustable beds can improve sleep quality in older adults when combined with clinical treatment, such as physical therapy. Here’s a look at the potential health benefits of adjustable beds.
- Improved sleep quality: Adjusting the head and foot of the bed can help older adults find their most comfortable position. This can make it easier to fall asleep and stay asleep. Research shows that people who sleep on adjustable beds get longer and better quality sleep.5
- Improved breathing: Sleeping with the head of your bed elevated can help reduce snoring and improve breathing in people with sleep apnea.6
- Relief from acid reflux: Elevating the head of your bed can help reduce sleep disturbances caused by acid reflux by preventing harsh stomach acid from flowing back into the esophagus.7
- Better circulation: Elevating the foot of your bed can improve blood flow, reducing swelling and discomfort from poor circulation.8
I have arthritis pain that keeps me up at night. I bought an adjustable bed, and that really helps.”
—Respondent to our March 2025 sleep survey of older adults
Frequently asked questions
Do you need a special mattress for an adjustable bed?
Most latex, hybrid, and memory foam mattresses work well with adjustable beds. For the best compatibility, choose a mattress from the same brand as the base or check with the brand to make sure it's compatible.
What type of mattress is best for an adjustable bed?
Memory foam mattresses work well for adjustable beds since they easily flex with the base. But many latex and hybrid models also work.
What is the best mattress for an adjustable bed?
For this review, we chose the Nectar Memory Foam as the best overall mattress for adjustable bed frames because of its flexible surface, high pressure relief score, and its overall performance during testing.
Questions? Reach out to reviewsteam@ncoa.org.
