A multiple position air mattress system for achieving various support positions includes a first mattress, a second mattress, and a bellows unit attached to the second mattress. The bellows unit is extendable for either elevating the second mattress or providing a support for an individual. A pump unit is adapted to be fluidly connected to and for providing pressurized air to the first mattress, the second mattress and the bellows unit. The multiple position air mattress can assume a prone bed position with the mattresses longitudinally adjacent each other and the bellows unit deflated, a recessed lounge position with the mattresses longitudinally adjacent each other and the bellows unit inflated and atop the second mattress, an adjustable lounge position with the mattresses longitudinally adjacent each other and the bellows unit inflated under the second mattress, and a chair position with the first mattress under the second mattress, and the mattresses and bellows unit inflated.