The 10 Best Mattresses for Adjustable Beds in 2021, According to Sleep Experts

Sleeping on an incline has never felt so natural.
By Jillian Mueller
February 02, 2021
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Adults spend roughly a third of their lives in bed, so it's important to find a mattress that satisfies. And what better way to maximum comfort than with an adjustable bed? Adjustable bases allow you to rest on an incline, which can help reduce back pain and, in some cases, improve sleep apnea. The best mattress for an adjustable bed may not cure your health problems, but it can certainly provide some much-needed relief.

That's why the sleep experts at Mattress Advisor tested hundreds of beds to identify which options pair seamlessly with adjustable frames and provide enough support for elevated sleepers throughout the night. Below, explore our guide to the best mattresses for an adjustable bed.

Our adjustable mattress recommendations:

Note: Mattresses that are eight to 12 inches thick typically fit adjustable bases. Any thicker than that and they may not bend to the frame.

What is an adjustable bed and how does it work?

An adjustable bed consists of a base that uses a motor to raise or lower your bed frame. It allows sleepers to control the position they sleep in, which can help relieve body aches. Adjustable beds tend to appeal to people who are recovering from an injury or experience frequent back pain.

This type of bed is remote controlled and easy to operate, meaning you can change the incline at any time with the push of a button. Adjustable beds are also available in split designs, giving couples the option to independently control just one side of the bed. Though this may sound obvious, the best mattress for an adjustable bed is one that's the same size as the frame-so a queen-size mattress should be paired with a queen-size frame.

Benefits of an adjustable bed

There's a reason these motorized bases are making a comeback outside the hospital ward. Here are a few of the pros.

Better sleep

According to multiple studies, keeping your head elevated while you sleep can relieve symptoms of acid reflux and reduce sleep apnea. By tilting your body, adjustable beds also help maintain optimal spine alignment and keep pressure off your back.

If you want to cut down on your snoring, look for an adjustable frame with an "anti-snore" preset option, which will tilt your head into a position that's designed to limit snoring.


With an adjustable base, you can customize your level of comfort. No more tossing and turning until you find the exact right position-adjustable bed frames let you add presets for your preferred heights so that you can quickly settle in whether you're watching TV, reading a book, or getting ready to fall asleep.

Some adjustable beds even come with a zero-gravity setting, which makes you feel totally weightless. This sensation is meant to give you a deeper sleep by relieving pressure from your lower back.


Many adjustable bed frames come with added perks like built-in massagers, USB ports, and Bluetooth connectivity. You can even find ones with under-the-bed lighting that makes going to the bathroom in the middle of the night a whole lot easier.

Drawbacks of an adjustable bed

While adjustable beds often have a lot of cool features, there are a couple of cons to owning one. These bed frames are big, sometimes bulky pieces of equipment, meaning they're not the most aesthetically pleasing options. Adjustable frames can also be noisy and incredibly hard to move: A queen-size typically weighs around 120 pounds.

Best mattress types for adjustable beds


Innerspring mattresses are made with coils covered in a thin layer of foam, and their bouncy nature works well with adjustable bases. For shoppers looking to purchase both a new mattress and an adjustable bed frame, innersprings tend to be a more budget-friendly pick.

Memory Foam

Memory foam mattresses contour to your body, delivering expert pressure relief. The foam layers are also flexible enough to adapt to an adjustable frame.


Latex mattresses are naturally durable, breathable, and pressure-relieving. The material holds up when paired with an adjustable base because its springy nature easily conforms and adapts to changes in position.


As the name implies, a hybrid mattress combines two or more materials-typically coils and foam-giving you the contour of memory foam and the support of an innerspring. The coils help mold the mattress to an adjustable base by quickly responding to movement.

The 10 best mattresses for adjustable beds

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Mattress Lifestyle Photos
Credit: Saatva

Best Customizable Mattress: Saatva Solaire


The Saatva Solaire is an adjustable air bed with six comfort layers, and sleepers can choose from 50 different firmness options--all accessible via a remote control. You can even customize the elevation settings based on how high you like to sit up in bed. With an innovative design that integrates high-quality latex and a supportive base, the Solaire excels at adapting to movement, scoring an 8 out of 10 for responsiveness in the Mattress Advisor testing lab. The brand goes above and beyond the competition with its free white-glove delivery service that makes mattress setup truly painless. Of course, this unmatched level of customization comes with a hefty price tag, but a good night's sleep is priceless.

  • Mattress Type: Adjustable air bed
  • Mattress Advisor Score: 8.7/10
  • Firmness: 50 levels 
  • Trial Period for Returns: 180 nights
Mattress Lifestyle Photos
Credit: DreamCloud

Best Hybrid Mattress: DreamCloud


The DreamCloud is a luxury hybrid mattress that promotes proper spine alignment and gives you a plush surface to sleep on. When paired with an adjustable base, the DreamCloud's soft foam layers contribute to the mattress's pressure-relieving capabilities, allowing for maximum comfort. This is a great pick for back and stomach sleepers who need a bed that won't exacerbate back pain and provides a little extra support.

The mattress also features a cashmere blend cover, gel-infused memory foam, and individually wrapped coils-a hybrid combination you don't typically see in a bed that costs less than $2,000. According to Mattress Advisor, these materials kept testers' spines in near-perfect alignment, earning the DreamCloud a 9 out of 10 in the spine alignment category. While this bed works for all sleep positions, side sleepers might prefer a plusher surface, like the pillow top found on the brand's newest model, the DreamCloud Premier.

  • Mattress Type: Hybrid (memory foam and coils)
  • Mattress Advisor Score: 9.1/10
  • Firmness: Medium-firm (6.5/10)
  • Trial Period for Returns: 365 nights
Mattress Lifestyle Photos
Credit: Bear

Best Mattress for Active People: Bear Hybrid


If you lead an active lifestyle, an adjustable bed can provide relief to sore muscles through various levels of incline. The Bear Hybrid mattress pairs well with different elevation settings because its bouncy coils flex with the adjustable frame to help maintain a healthy posture and keep your back supported (Mattress Advisor awards it a 9.5 out of 10 for spine alignment).

Bear sets itself apart from other bed-in-a-box brands by catering to fitness enthusiasts. The mattress has thick foam layers that rest on top of the coils to cushion your joints and melt away any soreness--a nice remedy after a long workout. Since this is a hybrid bed with bouncy coils, it does not isolate movement well (it scored a 6.25 out of 10 for motion transfer), which means those who sleep with a partner might want to look elsewhere for their mattress.

  • Mattress Type: Hybrid (memory foam and coils)
  • Mattress Advisor Score: 9/10
  • Firmness: Medium-firm (6.3/10)
  • Trial Period for Returns: 100 nights
Mattress Lifestyle Photos
Credit: Casper

Best Mattress for Combination Sleepers: Casper Original


The Casper Original is a memory foam mattress made with three targeted support zones to relieve pressure points and promote proper spine alignment no matter your sleep position. When used with an adjustable base, its 12-inch thick foam profile easily flexes to fit the frame.

The Casper ensures you're resting in a healthy posture all night long by using softer foam under the shoulders and firmer foam beneath the hips and back. It scored a perfect 10 out of 10 in responsiveness from Mattress Advisor, which is ideal for combination sleepers, who frequently change positions during the night. Due to the Original's all-foam construction, hot sleepers may not find this mattress cool enough, but Casper now offers hybrid models, like the Casper Wave Hybrid, for those who prefer the superior airflow of innersprings.

  • Mattress Type: Memory foam
  • Mattress Advisor Score: 9.1/10
  • Firmness: Medium-firm (6/10)
  • Trial Period for Returns: 100 nights
Mattress Lifestyle Photos
Credit: Nectar

Best Memory Foam Mattress: Nectar


The Nectar combines all the best traits of foam mattresses into one bed: comfort, contouring, and pressure-point relief. Its plush feel lets you sink into the mattress while the stable base offers plenty of support for your spine. The bed's three dense memory foam layers cradle your pressure points, and they're flexible enough to conform to an adjustable frame. 

Typically, memory foam mattresses don't excel at edge support or responsiveness , but Mattress Advisor testers gave the Nectar high scores in both categories. What truly sets this bed apart from the rest is its year-long sleep trial and lifetime warranty, which is unheard of for a memory foam mattress.

  • Mattress Type: Gel memory foam
  • Mattress Advisor Score: 8.7/10
  • Firmness: Medium-firm (6.5/10)
  • Trial Period for Returns: 365 nights
Mattress Lifestyle Photos
Credit: Layla

Best Mattress for Back Pain: Layla


If you frequently suffer from back pain, an adjustable base allows you to sleep on an incline, limiting pressure on your lower back and promoting a healthy sleep posture. By pairing the frame with a Layla memory foam mattress, you can maximize those pain-relieving benefits. That's because the Layla has a unique quality for a memory foam bed: It's flippable. One side is medium-soft, coming in at a 4/10 on the firmness scale, and the other side is quite firm at a 7/10.

Mattress Advisor told Health that the Layla is a great balance of comfort and support on its firm side, and most people with back pain prefer a more supportive, firmer mattress. The top layer of memory foam allows your hips to sink in just right, before the sturdy core foam in the center stops you from sinking too deeply and supports the spine in its natural "S" curve. Likewise, on the flip side of the bed, the soft side, you'll find ample pressure relief when your shoulders and hips are sore and require extra cushioning. No matter which side you choose, it's a win-win for pain relief.

  • Mattress Type: Memory foam
  • Mattress Advisor Score: 8.8/10
  • Firmness: Medium-soft (4/10) and firm (7/10)
  • Trial Period for Returns: 120 nights
Mattress Lifestyle Photos
Credit: Puffy

Best Mattress for Couples: Puffy


The medium-firm Puffy mattress has an ultra-soft memory foam design. The cushy layers easily mold to an adjustable base and excel at isolating motion, meaning couples sharing a bed don't need to worry about disturbing each other during the night. The Puffy also has a 'Cooling Cloud' layer that uses gel memory foam to disperse heat, which is beneficial for both sex and sleep.

But despite Puffy's best efforts, it's still an all-foam bed, so it may not be cool enough for hot sleepers. Still, Puffy is one of Mattress Advisor's top-rated memory foam beds, and since the launch of the original Puffy mattress in 2016, the brand's lineup has expanded to include the Puffy Lux and Puffy Royal models.

  • Mattress Type: Memory foam
  • Mattress Advisor Score: 9/10
  • Firmness: Medium-firm (7/10)
  • Trial Period for Returns: 101 nights
GhostBed Classic mattress
Credit: GhostBed

Best Mattress for Sex: GhostBed


The right mattress can improve your sleep and heighten sexual performance and satisfaction. The GhostBed Classic's layer of aerated latex provides a bouncy surface and keeps you cool-as does the gel-infused memory foam. This  cooling technology and superior responsiveness is an ideal blend for both sex and combination sleepers, who change positions frequently throughout the night.

Unlike similarly priced mattresses, the GhostBed comes with a 101-night sleep trial and a 20-year warranty. The brand offers its own adjustable base, but its mattresses are also compatible with other adjustable frames on the market.

  • Mattress Type: Latex foam
  • Mattress Advisor Score: 8.6/10
  • Firmness: Medium-firm (7.5/10)
  • Trial Period for Returns: 101 nights
Mattress Lifestyle Photos
Credit: Cocoon by Sealy

Best Mattress for Side Sleepers: Cocoon Chill


For side sleepers, an adjustable bed frame can help keep your spine in alignment, and with the Cocoon Chill mattress, you'll feel both supported and cushioned. This mattress features dense memory foam layers that are designed to adapt to your shape and provide pressure relief to your hips and shoulders sides. 

Unlike most memory foam beds, the Cocoon Chill has solid edge support, which provides extra stability (Mattress Advisor gives it a 9 out of 10 in that category). If you're not a fan of memory foam, check out the brand's newest model, the Cocoon Chill Hybrid.

  • Mattress Type: Memory foam
  • Mattress Advisor Score: 8.7/10
  • Firmness: Medium-firm (6/10)
  • Trial Period for Returns: 100 nights
Mint Mattress
Credit: Tuft & Needle

Best Cooling Mattress: Tuft & Needle Mint


Tuft & Needle designed its Mint mattress with versatility in mind, so it works with most foundations, including adjustable frames. The bed's high spine alignment score (9.5 out of 10) ensures that the mattress provides adequate support for your lower back.

The Mint, which is an enhanced version of the original Tuft & Needle, also excels at cooling. Its adaptive foam contains heat-wicking graphite to keep you from overheating during the night.

  • Mattress Type: Foam blend
  • Mattress Advisor Score: 9/10
  • Firmness: Medium-firm (6/10)
  • Trial Period for Returns: 100 nights

Mattress Advisor's Review Process

Each mattress on this list was put to the test (literally) in Mattress Advisor's lab, which is located in Raleigh, North Carolina. Bedding experts spent over 1,200 hours evaluating and comparing mattresses using a 14-point testing methodology to find the best options for adjustable beds. 

While some of the factors tested are tied directly to performance, like responsiveness, edge support, and pressure relief, others are based around brand operations, such as customer service, shipping policies, and trial period. The Mattress Advisor team combines this proprietary methodology with in-depth interviews and customer experience to arrive at a weighted score out of 10.

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