Bedspreads are similar and often the same as a quilt.  The significant difference is their size.  Bedspreads are larger and typically the edges fall to the floor.  This can alleviate the need for a bedskirt.

They can be quilted, Matelasse, patchwork, chenille, floral and solid in styles from Primitive Americana to Contemporary giving you the ability to dramatically change the look of your bedroom.