
Hi-Lo Beds vs. Adjustable Beds: What's the Difference?
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5 min reading time
If you've been researching beds for yourself or someone you care for, you've probably come across both hi-lo and adjustable beds and wondered if they're the same. It's one of the most common questions customers have, and the terms get used interchangeably even by people in the industry.
They do different jobs though, and knowing the difference can help you find the right option much faster.
A hi-lo electric bed is a height-adjustable bed that can be raised or lowered to different positions using an electric motor. The whole bed platform moves up and down, not just the head or foot sections.
This might sound like a small feature, but for anyone managing mobility challenges, recovering from surgery, or being cared for at home, it's a big deal. A hi-lo bed makes getting in and out of bed significantly safer and easier. When the bed is raised, carers can assist without straining their back. When it's lowered, sometimes almost to floor level, the risk of injury from a fall is greatly reduced.
Hi-lo beds are often used in home care settings, aged care, and for people with complex needs. Many models, like the Icare IC333 and the Aspire ComfiMotion range available at Back to Sleep, also include head and foot adjustment on top of the height function, giving you multiple layers of control.

An adjustable bed refers to a bed base that can change the angle of the head and/or foot sections. Think of it as the ability to elevate your upper body, raise your legs, or find a zero-gravity position, all from a remote.
Adjustable beds are popular for a wide range of reasons beyond medical need. They're great for reading in bed, reducing snoring, easing lower back pain, improving circulation, and getting more comfortable sleep overall. Many people choose an adjustable base purely for lifestyle comfort, not because they have a health condition.
The key distinction is that an adjustable bed moves the sleeping surface into different reclined positions. A hi-lo bed moves the entire bed up and down in height. Some beds do both, and those are generally what people mean when they refer to a hi-lo adjustable bed.
|
Feature |
Hi Lo Bed |
Adjustable Bed |
|
Height adjustment |
Yes |
No |
|
Head/foot recline |
Often included |
Yes |
|
Suited for home care |
Yes |
Sometimes |
|
Fall prevention |
Yes |
No |
|
Lifestyle comfort |
Sometimes |
Yes |
|
NDIS eligible |
Often |
Sometimes |
The right answer depends on what the bed needs to do for you day to day.
A hi-lo bed is likely the better fit if:
You or the person you're caring for has difficulty getting in and out of bed safely
A carer is involved in transfers or daily care routines
Fall risk is a concern
You need a bed that can be configured for clinical-level care at home
An adjustable bed is likely the better fit if:
Comfort and sleep quality are the main goals
You want to elevate your head or legs for health reasons like reflux, snoring, or circulation
You're not dealing with significant mobility challenges
Whichever bed you choose, the mattress matters just as much as the base. A mattress that doesn't flex properly won't work well with an adjustable or hi-lo base, and the wrong level of firmness can undo all the benefits of the bed itself.
A back support mattress helps maintain spinal alignment through the night, which is especially important if you're spending long periods in bed. For anyone at risk of pressure injuries, a mattress for bed sore prevention is worth considering as part of the full setup.

If you're an NDIS participant, you may be eligible for funding support toward a hi-lo or adjustable bed. Back to Sleep is a recognised NDIS contracted bed provider, which means we can help guide you through the process from assessment to delivery.
NDIS bedding covers a range of products depending on your plan and goals. For more details on what's possible, our guide on applying for NDIS-funded bedding is a great starting point. And if you want to understand more about what these beds actually do for your health long-term, the health benefits of adjustable beds for seniors are worth a read.
Reading specs online only gets you so far. Lying down in a bed, adjusting the height, and feeling how the different positions actually support your body, that's where it gets real.
At Back to Sleep our trained product specialists take the time to understand your situation and walk you through the options that genuinely fit your needs. No pressure, just practical, experienced advice. Book a free one-on-one consultation at our Balwyn Showroom or Mobile Showroom today.