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Saatva Rx Mattress review 2024, researched by experts 

Saatva was established in 2010 and quickly made a name for its direct-to-consumer model and high-quality, handcrafted, eco-friendly mattresses. Saatva has one of the highest reviews on Trustpilot we’ve ever seen—and for good reason. (1)

Saatva beds are known for being high-quality, and the company has a reputation for excellent customer service. Saatva designed the Saatva Rx for sleepers with chronic back and joint conditions. Our team tested this bed lying in various positions, evaluating and ranking it in the following categories: support, edge support, cooling, motion isolation, bounce, and pressure relief. The team found that this spine-friendly bed ranked high across the board. 

In this review, we’ll cover each aspect of the Saatva Rx, including who we think this will be the best mattress for.

Saatva Rx Mattress
Saatva Rx Mattress
Saatva Rx is designed for sleepers with back and joint conditions. It excels in support and pressure relief, giving users a restful night’s sleep.
Fortune Score:
4.3 / 5

Key product features

Icon Best Of
Best for Back pain
Icon Firmness Mattress
Firmness Plush medium
Icon Trial Period
Trial Period 365 nights
Icon Warranty
Warranty Lifetime
Icon Shipping Mattress
Shipping Free white glove delivery
Icon Price
Price Range $1,995-$4,390

What you should know

If you’re living with consistent joint or back pain, the Saatva Rx is (literally) designed for you. Our testers found that this bed “zeroed in on the most sensitive joints,” eliminating pain. They also found it comfortable and cooling, even for those without pain. 

  • The Saatva Rx feels incredibly high-quality, durable, and supportive. 
  • It feels plush and comfortable but supports the spine with its Lumbar Zone® Quilting and unique Therapeutic Support Core
  • Because Saatva Rx is a specialty bed for pain, it is expensive. A queen costs $3,295. 
  • Unlike other Saatva mattresses with multiple firmness options, this one is medium-firm, which studies show is best for back pain. (2)
  • It works well for all sleep positions and body types. 
  • It is a thick mattress at nearly 15 inches tall.
Pros
Excellent spinal support
Works well for all sleep positions
Easy to change positions
Sleeps cool
White glove delivery included
Cons
Not the best motion isolation
Just one firmness option
Expensive, at $3,295 for a queen

Saatva Rx Mattress overview

According to Georgetown University, nearly 65 million Americans report a recent incident of back pain. Many list chronic back pain as one of the leading causes of work limitations. (3)

Muscle strain, a ruptured disc, arthritis, osteoporosis, or ongoing conditions like scoliosis or sciatica can cause back pain. (4) Finding a mattress for scoliosis or a good bed for sciatica can be tricky, especially if you don’t know what you’re looking for. Ultimately, the mattress you choose may worsen or improve your back pain. A mattress that is too soft won’t be supportive enough beneath the hips and lower back, and one that is too firm may put undue pressure on the joints. 

The Saatva Rx is designed explicitly with both back and joint pain in mind. This hybrid bed consists of seven layers, each created to support and cushion sensitive areas: 

  • The bottom base layer is made from an eco-friendly, non-woven foam, acting as a foundation for the rest of the bed. 
  • Above that is a layer of eight-inch, individually wrapped comfort coils. 
  • Reinforced edges surround the perimeter of the bed so you may comfortably lie or sit on the edge. Our testers rated the edge support highly, at 4 out of 5. 
  • On top of the coil unit is the unique Therapeutic Support Core. These foam encasings keep the bed cool and allow for more breathability. Mattresses that stay cool through the night may improve overall sleep quality, as a cooler core body temperature is vital for melatonin production. (5, 6)
  • The micro-coil layer provides excellent body contouring, pressure relief, and additional cooling abilities. This layer is zoned to support the lumbar area of the spine. 
  • High-density foam encases the micro-coil layer for even more pressure relief. 
  • Next, a unique Lumbar Zone® Quilting layer provides even more zoned support beneath the spine and cooling features. 
  • The top layer of this bed is a cover made from breathable, organic, hypoallergenic cotton. This cover does not use fiberglass or chemical flame retardants. 

These layers work together to create a bed that feels “squishy, supportive, but not too firm.” Our mattress testers say this mattress works well for all sleep positions. They noted, “All of the testers loved this mattress. It’s overall exceptional when it comes to pressure relief.”

“With the micro-coils, there’s more room (literally, within the bed) for airflow. So, while it’s not cool to the touch, there’s plenty of temperature-regulating materials here and no overheating,” noted our testers. Some studies indicate cooler mattresses may also improve back pain since trapped heat may increase inflammation in the body. (7)

Like other Saatva models, this bed has some bounce, which makes it ideal for those with mobility issues, combination sleepers, or sexually active couples. However, this bounce might be a drawback for sensitive sleepers sharing the bed with a partner. 

Unlike other Saatva models, which come in various firmness options, the Saatva Rx simply comes in medium-firm– though our reviewers noted it is more of a “plush” firm, rating its firmness at about a 6 out of 10. This was likely intentional since medium-firm beds are some of the best mattresses for back pain. (2, 8)

However, if you love a bed that feels especially firm or squishy, this one won’t be a good match for you. This mattress is 15 inches thick, weighs 124 pounds, and includes all these advanced back and joint pain features. As such, it has a hefty price tag to match, at $3,295 for a queen. 

If you don’t need a mattress for back and joint pain, you probably don’t need to spend this much money on this bed. You would do just fine with a different Saatva mattress.

We’ve features Saatva Rx in:

Specs

FirmnessMedium
ShippingFree white glove delivery
Trial period365 nights
WarrantyLifetime
Price (queen)$3,295
Weight (queen)124 pounds
Height (queen)15 inches

Our Saatva Rx Mattress experience

Our overall experience testing the Saatva Rx was positive. Here, we’ll break down our testers’ notes by category so you can get a full picture of its strengths and weaknesses. 

Firmness: Out of 10, our testers rated this mattress’s firmness a six. They noted users “get a lot of cushion from the pillow top, but also stay elevated with the sturdy coils,” adding that it’s “squishy but supportive.” 

Support: This mattress got a perfect 5 out of 5 for its spinal support due to its zoned lumbar support and advanced coil system. 

Edge support: Our testers gave this bed’s edge support a 4 out of 5, saying, “lying on the edge of the mattress is fine, but there is slightly more sinkage when sitting on the edge.”

Cooling: Out of five, our testers gave this bed’s cooling abilities a four due to its micro-coils and organic cotton cover. “While it’s not cool to the touch, there are plenty of temperature-regulating materials here, so we didn’t note any overheating.” 

Motion isolation: Like other Saatva mattresses, the Saatva Rx has a good amount of bounce, which means it doesn’t have the best motion isolation. It got a 3 out of 5 in this category, with our testers noting that “major movements are stifled, but it’s not outperforming other Saatva beds in this regard.”

Bounce: The Saatva Rx earns a 5 out of 5 for bounce. This is great news for combination sleepers, sexually active couples, or people with mobility issues. 

Pressure relief: All our testers “loved this mattress” for its pressure relief, awarding it a 5 out of 5 in this category. 

Overall value: This bed is more expensive than most at $3,295 for a queen. That said, if you live with chronic back or joint pain, this price may be worth it. It also includes some of the best company policies available, like white glove delivery, a lifetime warranty, and a year-long trial. 

Who it’s best for: We think this mattress is a great fit for almost everybody, which is rare. Lightweight, average-weight, and heavy-weight side, back, and stomach sleepers should all feel well-supported and comfortable on this bed. The only note our testers had was when stomach sleeping, average and heavy-weight people should use a flatter pillow beneath their head for proper spinal alignment. 

How we test mattresses

The Fortune Recommends team is made up of certified sleep coaches, industry experts, and real-world consumers. To provide this thorough review of the Saatva Rx, our team personally tested this bed and ranked it from one to five in each of the following categories: support, edge support, motion isolation, bounce, pressure relief, materials used, company policies, overall value, and cooling abilities. From there, we averaged these scores to come up with an overall rating of 4.3 out of 5 for the Saatva Rx. 

Read our full mattress testing methodology for more information.

Performance (sleep experience)—30%

A high-quality mattress should feel like it’s designed to provide you with the best sleep of your life. They should also deliver on the promise of a great sleep experience. Our sleep science coaches assess various factors to reflect the functional aspects of the mattress as well as the user’s sleep experience. Here’s what we’re looking for: 

  • Temperature regulation
  • Motion isolation
  • Edge support
  • Technology
Comfort and support—30%

Alongside the sleep experience, comfort and support are just as important for a healthy and restful sleep. A high-quality mattress should assist in providing relief with certain aches and pains a user may experience when sleeping. It should also help users wake up feeling energized and rested. Here’s what we’re looking for: 

  • Firmness
  • Pressure relief
  • Spinal alignment support
  • Customization
Value—20%

Assessing value involves meticulously examining several key factors contributing to a mattress’s worth. A mattress that’s priced just within reach of its target audience and surpasses competitors in terms of materials, performance, and support presents a compelling value proposition. However, value is not solely determined by the lowest price point. We also determine it by finding the balance between cost and the tangible benefits a mattress provides. 

Customer experience—10%

Sometimes, the mattress can be great, but if the overall shopping experience is lacking, it could easily put a sour taste in a user’s mouth about the mattress they just purchased. We put in the hours to determine how well the entire process of buying a mattress matches users’ expectations and what options are available when something goes wrong. 

  • Shipping
  • Warranty
  • Customer service
  • Sleep trial
Health and safety—10%

It’s important to understand that a mattress is more than just a sleeping surface—it’s an environment where you spend a significant portion of your life. We meticulously assess critical aspects of mattresses that may directly impact your well-being and peace of mind.

Our factors in this rating include: 

  • Hypoallergenic materials
  • Off-gassing and chemical exposure
  • Safety certifications

Compare the Saatva Rx Mattress

Saatva Rx Mattress The Cloverlane Mattress Silk & Snow The S&S Hybrid Mattress Helix Midnight Luxe Brooklyn Bedding Aurora Luxe Cooling
Saatva Rx Mattress The Cloverlane Mattress Silk & Snow The S&S Hybrid Mattress Helix Midnight Luxe Brooklyn Bedding Aurora Luxe Cooling
Rating
4.3/5
4/5
4.3/5
4.7/5
4.8/5
Best for Back & joint pain Back sleepers Budget shoppers Side sleepers Hot sleepers
Price $3,295 $3,764 $850 $2,374 $2,265
Material Hybrid Hybrid Hybrid Hybrid Hybrid
Trial Period 365 nights 365 nights 365 nights 100 nights 120 nights

Saatva Rx vs. Saatva Classic

The Saatva Rx and Saatva Classic are both high-quality beds from a reputable brand but serve different purposes. 

The Saatva Rx is specifically designed for people with back and joint pain. As such, it includes features like the unique Therapeutic Support Core and Lumbar Zone® Quilting and is nearly 15 inches tall. It also only comes in one firmness option—medium—which is best for people with back pain. (2, 8) It is expensive since it is a “specialty” mattress. A queen costs $3,295. 

The Saatva Classic is a more basic bed. It still includes zoned lumbar support for spinal alignment, but it is located in the coil layer in this bed rather than the foam and quilting. It isn’t specifically designed for more serious back or joint pain, but the Classic is a great option if you have minor back pain or are looking for a quality bed. Since it’s not made for those with back pain, it is more customizable: you can choose between three firmness options. Since the Saatva Classic isn’t a “specialty” bed, it costs less at $2,095 for a queen. 

Both beds come with Saatva’s excellent customer service and company policies, including a year-long trial period, a lifetime warranty, and free white glove delivery, which means Saatva will remove your old bed and foundation and set up your new one for you. 

Saatva Rx Mattress pricing

The Saatva Rx is more expensive than most hybrid mattresses since it’s specifically designed for back and joint pain. For reference, according to Consumer Affairs, the average cost of a queen-sized hybrid mattress in 2023 was $2,050. (9

Here’s how the Saatva Rx compares: 

  • Twin – $1,995
  • Twin XL – $2,195
  • Full – $2,995
  • Queen – $3,295
  • King – $3,795
  • Cal King – $3,795
  • Split King – $4,390

Saatva Rx Mattress trial and warranty

Saatva, as a company, has some of the best trial and warranty policies we’ve seen in the industry. It offers a competitive year-long trial period, so you’ll have plenty of time to decide whether the bed is working for you. If you decide it’s not working during your first year, you can return it for a full refund minus a $99 processing fee. Or you can simply exchange your mattress for a brand-new one, and you won’t be charged the $99 fee. 

Saatva also offers a “Friends for Life” warranty. These details are taken from Saatva’s website (10): 

  • For the first two years of the Friends for Life warranty, Saatva will replace your mattress with a new one at no charge.
  • Starting in year three, and for as long as you own your mattress, we will completely repair and re-cover your Saatva mattress. You will be responsible only for a $149 processing fee. 
  • Separately and solely at your option, Saatva offers an unprecedented Fairness Replacement Option should your bed be deemed defective.

If you choose this option, you will keep your original mattress for your personal use in all circumstances. Instead of Saatva repairing your existing mattress:

  • From years 3 to 5, we will deliver and set up a new Saatva mattress for only 50% of the original full retail price at purchase.
  • From years 6 to 10, we will replace your mattress for 60% of the original full retail price at purchase.
  • From years 11 to 15, we will replace your mattress for 80% of the original full retail price at purchase.

For Saatva’s complete warranty terms, visit their website.

How to choose the right mattress for you

When shopping for a mattress, there are a few main factors to keep in mind: preferred sleep position, body type, and budget. 

Back and stomach sleepers should opt for a medium to firm mattress. This level of firmness should prevent the hips from dipping into the bed and keep the spine in proper alignment. On the flip side, side sleepers benefit from a softer mattress that may cushion the shoulders and hips, which tend to press down into the bed. 

Heavy-weight sleepers should also opt for a firmer, more supportive mattress since their body may sink deeper into the bed. Lightweight sleepers might feel more comfortable on something soft to medium (depending on sleep position) since they won’t sink into the mattress as much. 

You’ll want to consider joint or back pain as well. Several mattresses include zoned lumbar support, which may help with back pain. Likewise, beds with memory foam may help ease pressure on the joints. A hybrid bed uses coils and foam in its construction and may be a great option for those who want a combination of spinal support and joint pressure relief.

Remember your budget. Traditional innerspring mattresses are typically the most affordable, followed by all-foam models, hybrids, and latex mattresses, which usually have a higher price tag.


FAQs

How firm is the Saatva Rx Mattress?

The Saatva Rx is a medium-firm bed. Out of 10, we’d say it’s about a six regarding firmness. 

Is the Saatva Rx worth the price?

If you live with chronic joint or back pain, we think the Saatva Rx’s higher price tag is worth the ability to sleep comfortably. If you don’t need a mattress to help with joint or back pain, we’d recommend the less expensive Saatva Classic. 

Is the Saatva Rx a boxed mattress?

The Saatva Rx is not a “bed-in-a-box mattress.” Saatva’s white glove delivery includes in-room delivery and setup. They’ll even take away your old mattress at no additional cost. 

Is Saatva Rx good for back pain?

Saatva Rx is currently one of the best beds for back pain. Saatva mattresses, including the Rx, are endorsed by the American Chiropractic Association for their ability to support healthy spinal alignment while you sleep. (11)

Our experts

Dr. Soma Mandal

Dr. Mandal is a board-certified internist and is considered one of the top physicians in midlife women’s health. She has helped thousands of women navigate aging and reinvent themselves. Her mission is to empower women with the latest knowledge, tools, and resources to make the forties and fifties plus fabulous.

She has been selected by her peers to Castle Connolly Top Docs, New York Top Doctors, Inside Jersey Top Doctors, and Millburn- Short Hills Super Doctors.

Dr. Mandal completed an internship and residency at NYU Langone Medical Center and a prestigious research fellowship in evidence-based medicine at the University of Oxford, England. She practices at a thriving practice in Summit Health, New Jersey.

Krista Manning

Krista Manning is an accomplished medical copy editor and fact-checker who stands out in the pharmaceutical, health, and wellness domains. With a meticulous eye for detail and a command of medical language, Krista ensures the accuracy and clarity of content. Beyond her professional expertise, Krista is an advocate for mental health awareness. Recognizing the crucial intersection of psychological and physical well-being, she actively contributes to projects that promote mental health awareness within the healthcare narrative. Krista’s commitment extends beyond the pages she edits, emphasizing the holistic nature of health communication.

Natalie Grigson

Natalie Grigson

Fortune Recommends Sleep Writer

About Author

Natalie is a writer for Fortune Recommends with a deep passion for all things health and a fascination with the mysterious activity that is sleep. Outside of writing about sleep, she is a bestselling author, improviser, and creative writing teacher based out of Austin.

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