An air foam mattress system includes a foam top component, and a foundation component including a plurality of segmented, individually wrapped, inflatable air cells allowing for a plurality of pivot points, a segmented perimeter, and individual pressure adjustment of the segments for maximum patient comfort in all articulated-bed positions. In an embodiment, the air cell contains a u-shaped insert providing segmented perimeter sections integral to the air cell. In another embodiment, the air-cell contains a trapezoidal shaped insert with multiple segments having different degrees stiffness.
