Adjustable beds allow you to change the angle of the head or foot of your bed, which can help address sleep issues like snoring, swelling, and joint pain. Adjustable beds are also good for sleepers with limited mobility, those experiencing digestive issues like acid reflux, and couples who have individual sleep preferences. This guide includes several of the best mattresses for adjustable beds and covers key info to guide your purchase.

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Best Mattress Overall

WinkBed

8.9 /10

Test Lab Score

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The WinkBed’s four firmness options — medium soft (4), medium firm (6), firm (7), and firm (8) — allow you to choose a mattress that provides both support and comfort at every angle. Since the pocketed coil support core is zoned for firmer support through your pelvis, there’s less chance of losing support even when the bed is adjusted for sitting upright.

Credit: Sleep Foundation Test Lab

Price

$1,499

Mattress Type

Innerspring

Firmness Options

Medium Soft (4), Medium Firm (6), Firm (7), Firm (8)

Trial Period

120 nights (30 night requirement)

Our Verdict
  • Who It’s Best For: People of all body types and sleep position preferences, depending on model.
  • Feel: Feel varies between firmness options, which range from the gentle “hug” of the Softer model to the responsive bounce of the WinkBed Plus.
  • What It’s Made Of: All four models feature a pocketed coil support core. The Softer, Luxury Firm, and Firmer models pair a Euro-top with polyfoam layers, while the WinkBed Plus uses both natural latex and polyfoam in its comfort system.
  • What We Don’t Like: Very light sleepers might find they notice movement from their partner.
Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8/10

130-230 lbs

9.5/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Stomach Sleepers

Under 130 lbs

6/10

130-230 lbs

7.5/10

Above 230 lbs

6/10

We performed a meta-analysis on 8573 validated customer reviews of the Winkbed. This is what people who bought the mattress had to say:

  • Pain Relief and Support: A significant number of users report alleviation of back, hip, and shoulder pain, attributing this to the mattress’s supportive design. Individuals with chronic back issues have noted substantial improvements in sleep quality.
  • Comfort Across Sleep Positions: Reviewers from various sleep positions—side, back, and stomach—find the mattress comfortable. The availability of different firmness levels allows users to select options that best suit their sleeping style.
  • Temperature Regulation: Many customers appreciate the mattress’s ability to stay cool, enhancing overall comfort throughout the night.
  • Edge Support: Users frequently mention the robust edge support, which provides a stable and usable sleeping surface across the entire mattress.
  • Firmness Options: Customers appreciate the variety of firmness options available, finding the right balance for their personal preferences.
  • Durability and Craftsmanship: The mattress is often praised for its high-quality construction and materials, with users expressing confidence in its longevity. The lifetime warranty further reinforces trust in the product’s durability.
  • Customer Service and Trial Experience: Customers value the 120-night risk-free trial and responsive customer service, noting that these factors contribute to a positive purchasing experience.

Full Details

Construction Breakdown

The medium-soft, medium-firm, and firm WinkBeds incorporate adaptive polyfoam quilted into the surface, followed by a denser foam layer designed to cushion and support your body. In the WinkBed Plus model, the second foam layer is replaced with zoned latex, offering a responsive feel that resists buckling, even for sleepers over 230 pounds.

All WinkBeds feature zoned pocketed coils in the support core. Thicker coils reinforce the perimeter to minimize edge sinkage and are strategically placed beneath the chest and hips to provide extra support where your weight is concentrated. The entire mattress is encased in a cover made from eucalyptus-derived Tencel fabric, which enhances breathability and comfort.

Trial, Shipping, & Warranty

Shipping is free to the contiguous U.S. Each purchase comes with a 120-night sleep trial. If you aren’t satisfied with your original firmness selection, you may exchange the mattress for a model with a different feel at no extra cost. All owners receive a lifetime warranty.

Most Comfortable Mattress

Helix Midnight Luxe

9.7 /10

Test Lab Score

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Closely-conforming memory foam is only comfortable when it is matched with effective support, and the Helix Midnight Luxe’s relatively complex design places it firmly in the center of this sweet spot. The mattress gently cradles pressure points while encouraging proper alignment through the spine, even at different angles, which can help prevent both nighttime and next-day soreness.

Credit: Sleep Foundation Test Lab

Price

$1,899

Mattress Type

Hybrid

Firmness Options

Medium Firm (6)

Trial Period

100 nights (30-night requirement)

Our Verdict
  • Who It’s Best For: Side and back sleepers weighing up to 230 pounds.
  • Feel: Soothing pressure relief without sacrificing support, giving it a cozy but balanced feel we rate as medium firm (6).
  • What It’s Made Of: Memory foam and polyfoam comfort layers over a pocketed coil support core. The standard cover is polyester, and a cooling GlacioTex fabric cover is available for an additional cost.
  • What We Don’t Like: Sleeps warmer than some of its hybrid competitors. Strong off-gassing odor for the first couple nights.
Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8.5/10

130-230 lbs

10/10

Above 230 lbs

8.5/10

Back Sleepers

Under 130 lbs

8/10

130-230 lbs

9.5/10

Above 230 lbs

8/10

Stomach Sleepers

Under 130 lbs

6.5/10

130-230 lbs

8/10

Above 230 lbs

6.5/10

We performed a meta-analysis on 5876 validated customer reviews of the Helix Midnight Luxe. This is what people who bought the mattress had to say:

  • Comfort and Support: Many reviewers express that the mattress provides exceptional comfort and support, especially noting its ability to alleviate back, hip, and shoulder pain.
  • Sleep Quality Improvement: The mattress is frequently described as transformative for those who previously struggled with sleep disturbances.
  • Temperature Regulation: Positive remarks are made about the cooling properties of the mattress. Users find the cooling aspect effective, helping to maintain a comfortable sleeping temperature throughout the night.
  • Customer Service: Experiences with customer service are predominantly positive, with buyers appreciating the responsive and helpful nature of the support team. Issues are resolved satisfactorily, contributing to a positive overall customer experience.
  • Durability Concerns: A few reviewers express concerns about the mattress showing signs of wear or sagging prematurely. These concerns are not widespread but are significant enough to be noted by potential buyers.
  • Mixed Reviews on Firmness: While many find the mattress perfectly balanced, there are mixed reviews regarding its firmness. Some users find it softer than expected given its firmness level. While the ‘medium firm’ rating is appropriate by our measurements, the bed does have a ‘cushy’ foam feel that makes for a fairly soft surface feel.

Full Details

Construction Breakdown

The Helix Midnight Luxe is designed for both comfort and durability, with a build that complements adjustable bases. Helix’s Memory Plus Foam comfort layers cradle pressure points while maintaining responsiveness, allowing smooth movement and alignment during position changes. A layer of transitional polyfoam adds extra support and prevents excessive sinking, ensuring the mattress adapts seamlessly to elevated positions.

Pocketed coils provide a sturdy foundation and subtle bounce, enhancing compatibility with the mechanisms of adjustable bed frames while promoting airflow for a cooler sleep. Thicker coils line the perimeter to boost edge support, and the interior coils are zoned to provide extra pushback around your midsection.

Trial, Shipping & Warranty

Shipping is free in the contiguous U.S. The Helix Midnight Luxe includes a 100-night sleep trial. It’s backed by a lifetime warranty covering material and manufacturing defects.

Best Mattress and Adjustable Bed Bundle

Nectar Adjustable Bundle

8.5 /10

Test Lab Score

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With the Nectar Adjustable Bundle, you get a pressure-relieving mattress and a high-quality adjustable bed at an affordable price. This packaged deal also includes pillows, sheets, and a mattress protector.

Best Mattress for Adjustable Beds - Best Mattress and Adjustable Bed Bundle - Nectar Adjustable Bundle

Price

$1,398

Sizes

Twin XL, Full, Queen, King, Split King

Our Verdict
  • Who It’s Best For: Side sleepers.
  • Feel: Medium firm (6) hugs the body closely, creating a deep cradle that molds to your curves. And firm (7) contours to a lighter extent and doesn’t sink as much.
  • What It’s Made Of: All-foam models are high-density base foam in the support core. Hybrids contain pocketed coils for extra reinforcement and bounce.
  • What We Don’t Like: Initial odor can be strong for the first few nights. Thicker models have less support and more compression along the edges.
Scoring Breakdown

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

7/10

130-230 lbs

8.5/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

5.5/10

130-230 lbs

7/10

Above 230 lbs

5.5/10

Full Details

Construction Breakdown

The top layer of the Nectar features 2 inches of gel-infused memory foam that provides strong contouring. Phase change material in this layer helps reduce some of the heat retention that foam is known for.

Next is a transitional layer of polyfoam that moderately conforms to the body but also provides firmness to keep your body from sinking too deep. The support core is made of high-density polyfoam that stabilizes the entire mattress.

With its plush memory foam comfort layer, the Nectar provides excellent relief to areas on the body that may experience pressure buildup at night. Side sleepers put a lot of pressure on their hips and shoulders, so the bed is quite suitable for this sleep position.

While some foam beds are too soft for back sleepers, the firmer feel of the Nectar makes it appropriate for many back sleepers — though those over 230 pounds may sink too much to receive sufficient back support.

Trial, Shipping, & Warranty

Nectar includes a generous 365-day sleep trial with this bed, as well as a lifetime guarantee. The mattress comes with free shipping within the contiguous U.S.

Best Mattress for Side Sleepers

Nolah Evolution 15

9.2 /10

Test Lab Score

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The Nolah Evolution 15, which is available in three firmness options, has a complex design with luxury touches and a distinctive feel. In addition to cooling features and zoned support, the mattress also includes thoughful details like perforated foam around the shoulders for better flexibility and improved pressure relief.

Price

$1,624

Mattress Type

Hybrid

Firmness Options

Medium (5), Medium Firm (6), Firm (8)

Trial Period

120 nights (30-night requirement), $99 return pickup fee

Our Verdict
  • Who It’s Best For: Side sleepers of all body types. Back and stomach sleepers over 130 pounds (firm model).
  • Feel: Medium (5), medium firm (6), and firm (8). A unique feel that’s fluffy yet conforming, with responsive support that encourages proper spinal alignment but may take time for some sleepers to adapt to.
  • What It’s Made Of: Proprietary materials, including ArcticTex fibers in the organic cotton cover, a two-inch layer of zoned AirFoam polyfoam, a Euro-top with quilted polyfoam, multiple polyfoam layers, and an 8-inch pocketed coil support core.
  • What We Don’t Like: Some sleepers love its unique feel while others dislike the amount of pushback and lack of contouring pressure relief.
Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8/10

130-230 lbs

9.5/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Stomach Sleepers

Under 130 lbs

6/10

130-230 lbs

7.5/10

Above 230 lbs

6/10

We performed a meta-analysis on 897 validated customer reviews of the Nolah Evolution 15. This is what people who bought the mattress had to say:

  • Motion Isolation: Couples note the excellent motion isolation, which minimizes disruptions from partner movements during the night.
  • Edge Support: The edge support of the mattress is frequently highlighted, with many finding it adequate for sitting or sleeping near the edge without feeling like they will roll off.
  • Softness: Many reviewers discuss the softness of the mattress. Some find it too soft, causing discomfort, especially for heavier individuals, while others appreciate the plushness.
  • Pressure Relief and Support: Reviewers frequently highlight relief from back and shoulder pain, attributing this to the supportive foam layers and zoned coil system.
  • Heat Retention: A few reviewers note that the mattress retains heat, making it uncomfortable for some, particularly in warmer climates or for those who sleep hot.
  • Durability and Quality: Users often comment on the high quality and durability of the mattress, noting that it maintains its shape and comfort over time.

Full Details

Construction Breakdown

The Nolah Evolution 15 blends foam and coils for a well-rounded performance. The Euro-top cover is designed for comfort, featuring 2 inches of polyfoam quilted into the surface.

Its breathable cotton and ArcticTex fibers work together to help regulate temperature, while the breathable gusset around the mattress’s side allows heat to escape without affecting your body temperature.

Underneath the Euro-top are three foam layers: 2 inches of zoned AirFoam, 2 inches of resilient polyfoam, and 1 inch of denser transition polyfoam. These layers offer moderate contouring to relieve pressure, particularly in areas like the shoulders, lower back, and hips.

The foam sits atop an 8-inch pocketed coil core, which is zoned for targeted support. The coils provide strong edge support, along with stability and light bounce. A thin fiber pad made from recycled materials lies below the coils to dampen noise and vibrations.

Trial, Shipping, & Warranty

Nolah ships for free throughout the contiguous U.S. You’ll get a 120-night sleep trial, though you can opt out to decrease the cost. The mattress is backed by a lifetime warranty against structural defects. You can purchase additional coverage against stains and superficial damage.

Best Value Mattress

Brooklyn Bedding CopperFlex Memory Foam

8.6 /10

Test Lab Score

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Brooklyn Bedding’s CopperFlex Memory Foam is proof a mattress can offer high quality and strong performance without breaking the bank. Flexible all-foam construction makes this mattress a great match for any adjustable bed.

Best Mattress for Adjustable Beds - Best Value Mattress  - Brooklyn Bedding CopperFlex Memory Foam

Credit: Sleep Foundation Test Lab

Price

$466

Mattress Type

Foam

Firmness Options

Medium Firm (6)

Trial Period

120 nights (30-night requirement)

Our Verdict
  • Who It’s Best For: Side sleepers at least 130 pounds and back sleepers 230 pounds or less, as well as couples and hot sleepers.
  • Feel: Medium firm (6) with a plush surface feel, support, and stability. Some gentle contouring when you get into bed and some light pushback around your midsection.
  • What It’s Made Of: Euro-top comfort system contains a top layer of polyfoam quilted to the cover, two memory foam layers, and three-zone transitional polyfoam. Copper fibers infused in the top memory foam layer, and the cover is made of GlacioTex fabric. Two high-density polyfoam layers make up the support core.
  • What We Don’t Like: Strong odor for three days after unboxing. Lacks support for stomach sleepers weighing 130 pounds or more and back sleepers over 230 pounds.
Scoring Breakdown

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

6/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

8/10

130-230 lbs

7/10

Above 230 lbs

6/10

Stomach Sleepers

Under 130 lbs

8/10

130-230 lbs

6.5/10

Above 230 lbs

6/10

We performed a meta-analysis on 549 validated customer reviews of the Brooklyn Bedding CopperFlex. This is what people who bought the mattress had to say:

  • Pricing and Value: Many reviewers have highlighted that the mattress is affordable and offers great value for the price, making it an excellent choice for budget-conscious shoppers.
  • Heat Regulation: Several users noted that the mattress does not retain heat, which contributes to a cooler and more comfortable sleep, especially for those who tend to sleep hot.
  • Edge Support: The mattress is reported to have good edge support, which is beneficial for those who use the edge of the bed frequently or sleep close to the sides.
  • Odor and Off-Gassing: Some reviews mention that the mattress has minimal off-gassing odor upon unpacking, which is a common concern with new mattresses. The smell will dissipate in a few days.
  • Hybrid Option: The availability of hybrid models is appreciated, particularly for those needing more support, such as individuals with larger frames.
  • Customer Service: Positive remarks about customer service suggest that the company handles queries and issues effectively.

Full Details

Construction Breakdown

The CopperFlex mattress features a top layer of adaptive polyfoam, followed by two memory foam layers. Infused with copper fibers, the top memory foam layer is designed to pull heat away from your body, promoting a cooler sleep experience.

Beneath that, a transitional polyfoam layer, divided into three firmness zones, provides firmer support for the midsection while offering a softer feel in other areas. The support core consists of two layers of high-density polyfoam for durability and stability. The cover is crafted from GlacioTex, a proprietary fabric that captures and releases body heat on contact, further enhancing temperature regulation.

Trial, Shipping, & Warranty

Customers in the contiguous U.S. receive free ground shipping. Brooklyn Bedding offers a 120-night sleep trial with 30-night break-in period before returns can be processed. If you decide to keep the mattress after the trial, it comes with a lifetime manufacturer’s warranty.

Best Mattress for Couples

Leesa Sapira Hybrid

8.9 /10

Test Lab Score

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The Leesa Sapira excels in many of the categories that are most important to couples, as it sleeps cool even in warm climates and helps isolate motion so that you don’t disturb your partner when you roll over. Its above-average edge support means that it’s comfortable at different angles even when sleeping close to the edge, allowing you to use the entirety of your bed.

Best Mattress for Adjustable Beds - Best Mattress for Couples - Leesa Sapira Hybrid

Credit: Sleep Foundation Test Lab

Price

$1,599

Mattress Type

Hybrid

Firmness Options

Medium Firm (6)

Trial Period

100 nights (30 night requirement)

Our Verdict
  • Who It’s Best For: Side and back sleepers, as well as stomach sleepers between 130 and 230 pounds.
  • Feel: Medium firm (6) mattress. It cradles with plenty of cushioning for a balanced feel.
  • What It’s Made Of: Four-inch comfort system includes a memory foam layer sandwiched by polyfoam. Support is provided by high-density polyfoam and a six-inch layer of pocketed coils.
  • What We Don’t Like: Lacks support for stomach sleepers — particularly those below 130 pounds or above 230 pounds.
Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8/10

130-230 lbs

9.5/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Stomach Sleepers

Under 130 lbs

6/10

130-230 lbs

7.5/10

Above 230 lbs

6/10

We performed a meta-analysis on 2257 validated customer reviews of the Leesa Sapira Hybrid. This is what people who bought the mattress had to say:

  • Comfort and Support: Many reviewers mention the mattress’s blend of comfort and support, often highlighting its suitability for side and back sleepers, and its ability to alleviate or prevent pain (back, hip, or shoulder).
  • Temperature Regulation: Customers note the breathable construction helps regulate temperature, ensuring a cooler sleep experience.
  • Durability and Longevity: Positive comments on how the mattress maintains its shape and comfort over several years without sagging or indentations.
  • Motion Isolation: The mattress performs well in minimizing motion transfer, making it an excellent choice for couples.
  • Odor and Off-gassing: Some mention initial off-gassing smells upon unpacking, but most report that the odor dissipates quickly.
  • Edge Support: Good reviews on the edge support of the mattress, which is important for those who sit on the edge of the bed or sleep near the edge.
  • Value for Money: Many users feel that the mattress provides good value for the price, especially given its comfort and durability features.

Full Details

Construction Breakdown

The Leesa Sapira Hybrid starts with a polyfoam layer that provides a balance of bounce and contouring. The second layer is memory foam, which enhances pressure relief and motion isolation. The third layer, made of polyfoam, helps prevent excessive sinking into the bed.

The support core includes a thick layer of pocketed innerspring coils, which are reinforced around the edges for added strength. These coils are designed to reduce motion transfer compared to traditional innerspring coils. Below the coils, a final layer of high-density polyfoam stabilizes the system and contributes to the overall firmness and support of the bed.

The mattress cover is made from a polyester blend, which is smooth to the touch and helps wick away moisture, reducing the risk of overheating. The Leesa Sapira Hybrid has a medium firm feel (6), providing enough contouring to relieve pressure points while maintaining a solid, supportive feel with bounce.

Trial, Shipping, & Warranty

Ground shipping is free across all 50 states. Each purchase also includes two free Leesa pillows. You’ll get a 100-night sleep trial, during which you can return the mattress for a full refund. If you choose to keep it, the mattress is backed by a lifetime warranty against manufacturing defects.

Best Temperature Regulating Mattress

Layla Hybrid

8.5 /10

Test Lab Score

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The Layla Hybrid offers two mattresses in one for your adjustable bed, with a flippable design that is medium soft (4) on one side and firm (7) on the other. Combination sleepers who change their position from night to night can flip their mattress as needed, ensuring that their needs are met regardless of their chosen position. Both sides also offer a relatively temperature-neutral sleep with good motion isolation.

Credit: Sleep Foundation Test Lab

Price

$1,499

Mattress Type

Hybrid

Firmness Options

Reversible: Medium Soft (4), Firm (7)

Trial Period

120 nights

Our Verdict
  • Who It’s Best For: Sleepers above 230 pounds, side sleepers under 130 pound, as well as back and stomach sleepers between 130 and 230 pounds.
  • Feel: Depends on side: Soft side creates a deep cradling effect with exceptional pressure relief, while the firm side has a much more responsive feel with minimal contouring.
  • What It’s Made Of: Six-inch pocketed-coil support core sandwiched between each side’s comfort system. Both sides feature the same materials — polyfoam and copper-infused memory foam — but the soft side is nearly twice as thick.
  • What We Don’t Like: Heavy and difficult to flip or move. Firm side is less pressure-relieving and motion-isolating than the soft side.
Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

7/10

130-230 lbs

8.5/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

5.5/10

130-230 lbs

7/10

Above 230 lbs

5.5/10

We performed a meta-analysis on 1121 validated customer reviews of the Layla Hybrid. This is what people who bought the mattress had to say:

  • Comfort and Support: Many reviewers mention the mattress provides excellent support and comfort, particularly noting improvements in back and shoulder pain.
  • Dual Firmness: The dual-sided design, offering both soft and firm options, is frequently praised for its versatility.
  • Motion Isolation: Reviewers mention excellent motion isolation, which minimizes disruptions from partner movements.
  • Temperature Regulation: Some reviewers appreciate the mattress’s cooling properties, though a few mention it sleeps warm. Mant say the copper-infused foam layers effectively regulate temperature, keeping the sleep surface cool.
  • Shipping and Delivery: Fast and efficient shipping is often noted, although a few had issues with delivery services.
  • Weight and Maneuverability: The mattress is noted to be heavy, making it difficult to move or flip without assistance.
  • Smell and Off-gassing: A few reviewers mention an initial off-gassing smell that dissipates over time.
  • Edge Support: Mixed reviews on edge support, with some noting it could be improved.

Full Details

Construction Breakdown

One surface is medium-firm (4) and cushioned with 2.5 inches of memory foam over 2 inches of transitional foam. The latter layer is zoned, so you can enjoy deep contouring without sinking too much beneath your midsection.

The firm side includes the same components, but the layers are thinner to minimize padding and create a firm (7) feel. Thick pocketed coils rest in the middle and serve as a shared support core for both sides. A cover made of polyester, rayon, viscose, and Lycra spandex encases the mattress. The cover can be unzipped, removed, and machine-washed.

Trial, Shipping, & Warranty

Shipping is free in the contiguous U.S. Your Layla Hybrid comes with a 120-night sleep trial, during which you may return the mattress for a full refund. A 10-year warranty covers structural and material defects such as excessive sinkage.

Best Mattress for Back Pain

Bear Elite Hybrid

8.5 /10

Test Lab Score

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The Bear Elite Hybrid is available in three firmness choices — including the option for a different firmness on each side if you purchase a split king — and comes with an array of luxury cooling features. If you experience hip or back pain, particularly next-day soreness, you may be well-served by the responsive support offered by the mattress’s zoned polyfoam with pressure-relieve cut outs.

Credit: Sleep Foundation Test Lab

Price

$1,499

Mattress Type

Hybrid

Firmness Options

Medium (5), Medium Firm (6), Firm (8)

Trial Period

120 nights (30-night break-in period)

Our Verdict
  • Who It’s Best For: Side sleepers, back sleepers above 130 pounds, and some stomach sleepers above 130 pounds.
  • Feel: Medium (5), medium firm (6), and firm (8), designed to help prevent spinal misalignment and has a supportive-yet-cushioned feel. Pressure-relieving contouring that feels comfortably cradling.
  • What It’s Made Of: Copper-infused memory foam and zoned polyfoam, the latter features cut outs. Pocketed coils and high-density polyfoam provide support. The quilted cover is Celliant fabric and phase-change material.
  • What We Don’t Like: Difficult to roll over or change positions.
Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

7/10

130-230 lbs

8.5/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

5.5/10

130-230 lbs

7/10

Above 230 lbs

5.5/10

We performed a meta-analysis on 3703 validated customer reviews of the Bear Elite Hybrid. This is what people who bought the mattress had to say:

  • Comfort and Support: Many reviewers highlight the mattress’s balance of comfort and support, often mentioning relief from back pain and improved sleep quality.
  • Firmness Options: Customers appreciate the various firmness options, with some opting for firmer versions after experiencing discomfort with medium firmness.
  • Temperature Regulation: Several reviews note the mattress’s ability to stay cool, which enhances sleep quality, especially in hot weather.
  • Size and Upgrade Options: Customers are pleased with the availability of different sizes and the option to upgrade, which provides flexibility for different needs and preferences.
  • Quality of Additional Products: Positive remarks on the quality of accompanying products like pillows and sheets, which are often included as free additions.
  • Motion Isolation: Many reviewers highlight the mattress’s excellent motion isolation, making it ideal for shared sleeping arrangements.

Full Details

Construction Breakdown

The Bear Elite Hybrid is a 14-inch mattress with four layers designed for comfort and support. The top layer features memory foam infused with copper to resist heat buildup, offering solid cushioning, pressure relief, and motion isolation.

The second layer is a responsive polyfoam that enhances cushioning while preventing excessive sinkage. Below that, individually wrapped metal coils provide reinforced support around the perimeter. The fourth and bottom layer is high-density polyfoam, which helps absorb vibrations and reduce noise.

The mattress cover is a quilted fabric treated with phase change material to maintain temperature neutrality. For an additional charge, you can add Celliant fabric to the cover for improved temperature regulation and muscle support.

Trial, Shipping, & Warranty

Ground shipping is free in the contiguous U.S., and your order includes two pillows at no extra cost. The mattress comes with a 120-night sleep trial. You’ll receive a lifetime warranty if you decide to keep the Elite Hybrid, and you can purchase additional protection for stains and other types of physical damage.

Best Luxury Mattress

Solaire

8.7 /10

Test Lab Score

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$300 off for purchases of $1,000 or more

If adjusting the angle of your mattress isn’t quite enough for you, the Saatva Solaire offers a true luxury experience with the ability to choose from 50 different firmness settings. The mattress is designed for use with adjustable bases and can be purchased with an “Upper-Flex” option that allows users to raise or lower their side of the bed without disturbing their partner.

Price

$3,745

Mattress Type

Airbed

Firmness Options

Soft (3), Medium Soft (4), Medium (5), Medium Firm (6), Firm (7) Firm (8)

Trial Period

365 Nights ($99 Return Fee)

Our Verdict
  • Who It’s Best For: Sleepers of all body types and sleep preferences, except stomach sleepers who weigh less than 130 pounds.
  • Feel: 50 firmness settings, ranging from soft (3) to firm (8). Support is always paired with targeted pressure relief.
  • What It’s Made Of: Vulcanized rubber air chambers in the core. The comfort system includes an organic cotton and quilted polyfoam pillow-top, zoned Talalay latex, low-density gel-infused memory foam, and a protective layer of polyfoam and PVC sheeting over the air chambers.
  • What We Don’t Like: Price-point is at the upper end of average in this category.
Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

8/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

8/10

130-230 lbs

8.5/10

Above 230 lbs

8/10

Stomach Sleepers

Under 130 lbs

8/10

130-230 lbs

8/10

Above 230 lbs

8/10

Full Details

Construction Breakdown

The cover on the Solaire is made from breathable, lightweight organic cotton. The top layer is a 3-inch pillow top with quilted fabric with extra cushioning in key zones, like the lumbar area, for added comfort.

Next, a 1-inch layer of aerated natural latex enhances airflow and provides zoned support for a more tailored feel. Below that, a 2-inch layer of gel-infused memory foam offers improved comfort, pressure relief, and spinal alignment.

The support core consists of air chambers made from vulcanized rubber, which can be adjusted for firmness using a remote control. The separate chambers allow for different firmness settings on each side, ranging from soft (3) to firm (8), making it customizable for individual preferences.

Trial, Shipping, & Warranty

Saatva offers free White Glove delivery in the contiguous U.S. This service includes in-home assembly, a full tutorial on how to operate the remote and change settings, and removal of your old mattress. You’ll also receive a 365-night sleep trial with your purchase and a lifetime warranty.

Best Mattress for Pressure Relief

Birch Mattress

8.5 /10

Test Lab Score

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The Birch mattress was designed to be both luxurious and environmentally friendly. Wool batting and natural Talalay latex comfort layers create a pressure-relieving mattress that you will not sink into, while the pocketed coil core has a medium firm (6) feel that should appeal to a wide range of adjustable bed sleepers.

Credit: Sleep Foundation Test Lab

Price

$1,499

Mattress Type

Latex Hybrid

Firmness Options

Medium Firm (6)

Trial Period

100 nights (30-night requirement)

Our Verdict
  • Who It’s Best For: Sleepers more than 130 pounds, particularly side and stomach sleepers.
  • Feel: Bouncy and responsive while still feeling plush and cushioned. Pressure relief without close contouring or excessive sinking.
  • What It’s Made Of: Organic cotton cover, layers of wool batting and Talalay latex, support core with pocketed coils and reinforced perimeter, as well as additional wool batting.
  • What We Don’t Like: Isolates motion poorly compared to synthetic foams.
Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

6/10

130-230 lbs

7.5/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

8/10

Above 230 lbs

7.5/10

Stomach Sleepers

Under 130 lbs

6/10

130-230 lbs

8/10

Above 230 lbs

7/10

We performed a meta-analysis on 1917 validated customer reviews of the Birch Mattress. This is what people who bought the mattress had to say:

  • Comfort and Support: Many reviewers mention the mattress provides excellent support and comfort, particularly noting improvements in back and shoulder pain.
  • Dual Firmness: The flippable design offering a choice between firm and soft sides is frequently appreciated, allowing users to customize their sleeping experience.
  • Durability and Quality: Customers commend the high-quality, eco-friendly materials and construction, expressing satisfaction with the mattress’s durability and longevity. The use of organic and natural materials not only ensures comfort but also contributes to the mattress’s overall durability.
  • Temperature Regulation: Customers appreciate the mattress’s ability to maintain a comfortable sleep temperature, attributing this to its natural and organic materials. The use of organic wool and natural latex contributes to effective temperature regulation, enhancing overall sleep quality. .
  • Price: Opinions on the mattress’s price vary, with some finding it a good value and others considering it somewhat expensive.
  • Weight and Maneuverability: The mattress is noted to be heavy, making it difficult to move or flip without assistance.
  • Smell and Off-gassing: A few reviewers mention an initial off-gassing smell that dissipates over time.
  • Edge Support: Mixed reviews on edge support, with some some noting it could be improved.

Full Details

Construction Breakdown

The cover of the Birch Natural Mattress is made from fair-trade, GOTS-certified organic cotton. Directly beneath the cover is a fire barrier made of organic wool batting.

Underneath this, a layer of organic wool adds softness with minimal contouring. Wool is naturally moisture-wicking and breathable, helping to keep the mattress surface cool.

Below the wool, a layer of natural latex provides gentle contouring and a considerable amount of bounce. Latex resists heat retention, contributing to the mattress’s cool temperature. It is also certified by organizations like OEKO-TEX and the Eco-Institut, ensuring it is free from harmful chemicals.

The support core features individually pocketed metal coils, with thicker coils reinforcing the perimeter for improved edge support. Beneath the coils, another layer of organic wool serves as a fire barrier.

Trial, Shipping, & Warranty

Shipping is free to all 50 states. Each order comes with a 100-night sleep trial, and those who choose to keep the mattress also receive a lifetime warranty.

What Makes a Good Mattress for Seniors?
  • Flexible Design: The best mattresses for adjustable beds move with — not against — their bases to ensure a comfortable angle for your body and seamless transition between positions.
  • Strong Pressure Relief: Many people invest in adjustable beds to alleviate pain and soreness, so the mattress you use with your base should build on this quality for even more relief.
  • Split-Style Construction: Split mattresses are divided down the middle, allowing you to change the position of your surface without disturbing your partner and vice versa. Mattresses sold in split sizes tend to perform well among seniors.

How We Evaluated & Reviewed

Meta Analysis: Of the 2,000+ mattresses in our product database, the vast majority are compatible with adjustable beds. We selected 50 models based on historical testing data and construction analyses to decide which mattress is best for adjustable beds.

Hands-On Testing: Our team thoroughly evaluated each of our top 50 mattress selections. Using different tools and technologies, we tested these beds in our lab and rated them for performance areas such as pressure relief, motion isolation, and temperature control.

Field Testing: Next, we sent each of the top 25 beds home with a member of our testing team to sleep on for up to two weeks to see how a mattress performs in real-world  environment.

User Reviews: Our team collected data from roughly 32,300 reviews from verified mattress owners to determine whether our team’s findings match real-world experiences.

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Credit: Sleep Foundation Test Lab

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8.9 /10

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Best Luxury

Solaire

8.7 /10

Test Lab Score

$300 off for purchases of $1,000 or more

Shop Now

A premium airbed with 50 firmness settings available for each side, plus optional “Upper-Flex” for adjustable bases.

See More Details

Best for Pressure Relief

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8.5 /10

Test Lab Score

25% off sitewide

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A flexible, medium firm, sustainably-sourced latex hybrid mattress.

See More Details

Who Should Sleep on an Adjustable Bed?

An adjustable bed frame has hinges and motors that allow you to raise or lower the head of the bed, the foot of the bed, or both. Setting up an adjustable bed requires having an adjustable frame and a compatible mattress that won’t be damaged when it bends.

Adjustable Beds Are Best for

Those With Limited Mobility or Other Health Issues

  • Adjustable beds can make it easier to sit up and get out of bed, which can be especially beneficial for older adults and people with limited mobility.
  • Keeping the legs above the heart can decrease swelling, so you may benefit from an adjustable bed if you have lower extremity edema or other conditions that cause fluid retention like kidney disease, liver disease, and heart failure and involve swelling of your feet or legs.
  • Dr. Dustin Cotliar, M.D., MPH, says people who have an injury or are recovering from surgery can benefit from using an adjustable bed. “[An adjustable bed] reduces pressure on that area and can also help reduce swelling by helping to elevate the extremity.”

Anyone Who Likes to Lounge in Bed

  • Having an adjustable bed gives you more options for finding a comfortable position, including reclining when watching TV or reading in bed.

Sleepers With Sleep Apnea or Acid Reflux

“From a physiological perspective, sleeping with your head elevated works with gravity to keep stomach contents where they belong. This can reduce symptoms because it’s harder for acid to travel upward into the esophagus.”
Dr. Dustin Cotliar
Dr. Dustin Cotliar
Sleep Medicine Physician, MD

Adjustable Beds Are Less Than Ideal for

Shoppers on a Tight Budget

  • Although adjustable beds suit many sleepers, they tend to be expensive and may not be an option for people on a tight budget.

Stomach Sleepers

  • If you’re a stomach sleeper, you may not find an adjustable bed very comfortable.
  • Stomach sleepers tend to need a flat, even surface to promote spinal alignment.

What Type of Mattress is Best for an Adjustable Bed?

Mattresses are categorized by their internal components, and certain types are better suited to adjustable bed frames. For any specific mattress, we recommend confirming that it can be safely used with an adjustable base. It’s also advisable to check whether using an adjustable bed frame will impact the mattress warranty.

Foam

These mattresses are made from multiple layers of different kinds of foam, like memory foam and polyfoam. They typically work well with adjustable bases because of foam’s ability to compress when the base bends and then regain its shape when the bed is flat. Foam mattresses excel when it comes to pressure relief, but they can sleep hot.

“When dealing with chronic pain,” Dr. Cotliar writes, “the combination of positional adjustability and foam’s pressure-relieving properties can help create more comfortable sleep conditions, though individual needs may vary.” 

Hybrid

Hybrid mattresses have a support core of individually wrapped metal coils with comfort layers of one or more other materials, like memory foam. Many hybrids are compatible with adjustable frames, but some models have springs that cannot bend without being damaged. Overall, hybrids offer a nice mix of support and pressure relief. 

Latex

Latex mattresses are known for their bounce, durability, and moderate contouring. Because of latex’s ability to spring back after being compressed, most latex mattresses are compatible with adjustable beds.

Innerspring

Innerspring mattresses are made with interconnected metal coils and only a thin layer of material above them. They are generally less conducive to adjustable frames because of the potential stress that can be placed on the coils.

“The simple construction of innerspring mattresses typically doesn’t provide the kind of pressure distribution that many people need. Their limited contouring ability means they may not adequately cushion pressure-sensitive areas of the body.”
Dr. Dustin Cotliar
Dr. Dustin Cotliar
Sleep Medicine Physician, MD

Airbed

An airbed uses inflatable air chambers in its support core, with a comfort layer made from foam or latex. Certain airbeds can work on an adjustable frame, but other models could be damaged when the frame bends. Compatible airbeds are a good option for anyone who likes a customizable firmness option.

Split Bed

A split bed is designed so that each side of the mattress can be independently adjusted. A split adjustable bed appeals most to couples who have distinct preferences. For example, a split bed can accommodate one bed partner who likes having their head or legs elevated and another who wants the bed flat. The most common split bed size is a split king, but some brands offer split queen adjustable beds.

What to Consider in a Mattress for Adjustable Beds

When deciding which mattress to choose for an adjustable bed, consider the factors that are most likely to impact its performance and your satisfaction.

Support

Support refers to how well a mattress contributes to healthy spinal alignment. For most sleepers, this means that a mattress provides enough cushioning to relieve pressure around high-impact zones of the body. At the same time, a mattress shouldn’t have too much give, which can cause the spine to bend out of alignment.

“With adjustable beds, support needs to be considered dynamically rather than just in a flat position,” says Dr. Cotliar. “The ideal mattress should maintain proper spinal alignment whether you’re lying flat, sitting up, or have your feet elevated – a particularly important consideration for those using adjustable features for health-related reasons.”

Firmness Level

The ideal mattress firmness is subjective, since some people simply like a harder or softer feel. That said, firmness can affect support, and the best firmness level is influenced by body weight and sleeping position.

Side sleepers and people under 130 pounds usually get better results from softer mattresses, while people who weigh over 230 pounds or those who sleep on their back or stomach generally do better with a firmer model.

“Mattress firmness plays a crucial role in both comfort and functionality. A firmer surface typically provides better stability for those who need support during movement, while those with pressure sensitivity might prefer more cushioning. Consider which aspect – ease of movement or pressure relief – is more important for your situation.”
Dr. Dustin Cotliar
Dr. Dustin Cotliar
Sleep Medicine Physician, MD

Size and Weight

For an adjustable bed to work properly, your mattress has to be the right size for your frame. You also want to check the weight capacity of your adjustable base to ensure that it can accommodate the combined weight of the mattress and anyone sleeping on the bed. Exceeding the weight limit could prevent proper functioning or cause damage to the frame or its motors.

Noise

In most cases, noise from an adjustable bed only occurs when the motors are raising or lowering a part of the bed. However, low-quality mattresses may add to this noise as a result of creaky coils or crinkling foam. If you want to minimize potential sleep disruptions, look for a well-constructed mattress with components that are less likely to be noisy.

Sleep Trial and Warranty

A sleep trial gives you an extended period to try a mattress on your adjustable base. During the sleep trial, you can return the mattress for a refund if you aren’t happy with its firmness or performance. Most online mattresses have a sleep trial of at least 90 nights. 

A warranty can also protect your purchase in the rare case that the mattress you receive is defective. We suggest reading the fine print and double-checking that you won’t void the warranty by using the mattress with an adjustable frame.

How We Test: Your Comfort Is Our Science

Our industry-leading product testing team cares deeply about improving your sleep. Having a holistic understanding of a mattress’s role as part of a sleep system is paramount to our testing process. Since a bed’s comfort and feel depend largely on body weight and sleeping position, our testing team represents a wide range of body types, sleep positions, and comfort preferences.

In our Seattle-based Test Lab, we use an objective, hands-on process to evaluate mattresses across performance categories. The following are the key guidelines that inform our performance ratings. Our ultimate goal is to ensure you have all the information you need to make the best purchase decision for you.

Construction analysis: Mattress construction plays a major role in our ratings system. We begin our testing with a top-to-bottom analysis of each mattress, making note of its materials, firmness, thickness, and other physical attributes. Price-point is another major factor as we assess quality of materials and overall value.

Product testing: For hands-on testing, our team members take turns lying and moving on each mattress. This immersive process helps us evaluate beds for performance categories like motion isolation, pressure relief, ease of movement, and temperature control.

Field testing: Once we’re finished testing a mattress in our lab, one of our team members takes it home and sleeps on it in their own bedroom for two to three weeks. Field testing helps us understand how each mattress performs in the long term.

User testing: In addition to our team’s testing data, we draw from customer surveys and product reviews to calculate our final ratings. This helps us ensure our findings are consistent with real-world experiences.

How We Determine Our Overall Scores

To determine a mattress’s overall score, we assign weighted percentages to performance categories based on how important they are to the individual sleep experience. For instance, areas like pressure relief and temperature control tend to matter more to people than something like off-gassing, and because more people sleep on their side and back than on their stomach, we weigh those positions more heavily.

Performance Categories

Motion Isolation

This criteria alludes to the amount of motion a mattress absorbs when a sleeper moves on the surface. We use two testers lying side by side to evaluate motion isolation, who each feel for transfer while the other person moves on the mattress.

Temperature Control

To determine how well a mattress regulates temperature, we perform temperature tests and look closely at its materials and construction. Many mattresses are designed with cooling components meant to reduce heat retention.

Pressure Relief

A bed with strong pressure relief excels at preventing pressure from building up in areas like the shoulders and hips. Beds with even contouring and weight distribution are top performers when it comes to pressure relief.

Off-Gassing

A mattress in a box may release unpleasant chemical odors for a short period after you’ve unboxed it. The initial smell may be strong but typically fades within 2 or 3 days.

Ease of Movement

This criteria reflects how easily a sleeper can move across a bed’s surface. Responsive surfaces made of latex typically perform better than foam surfaces, which can inhibit movement.

Edge Support

We perform sit tests along a bed’s perimeter to measure how well the edges push back against weight. Mattresses with strong edge support have minimal sagging when sleepers sit on or lie close to the perimeter.

Dive Deeper – Mattress Guides by Type

Besides this general guide to mattresses for adjustable beds, our testing team has also hand-picked the best adjustable beds for seniors. If you’d like more mattress options to pair with an adjustable base, check out some of our specific guides below.

Still have questions? Ask our community!

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Learn more about our Editorial Team