How much is cataract surgery with insurance

How much does cataract surgery cost with insurance?

The average out-of-pocket cost of cataract surgery is $3,500 per eye, based on most recent estimates (updated January 27, 2020). This cost estimate reflects a standard cataract surgery procedure not covered by private insurance or Medicare, both of which could offset the out-of-pocket expense significantly.

How much should I expect to pay for cataract surgery?

Without Medicare coverage or private insurance coverage, the average cost of cataract surgery can run a person the full $3,500 for surgical procedures at a clinic. The total cost of cataract treatment for a patient who doesn’t have an insurance provider can range: $3,000 to $5,000 per eye for standard cataract surgery.

Will Blue Cross Blue Shield pay for cataract surgery?

Cataract Surgery Coverage

Cataract surgery is considered a medically necessary procedure and is covered by Blue Cross Blue Shield Association plans. However, Blue Cross Blue Shield plans only cover cataract surgery using the monofocal intraocular lens.

Does insurance pay for laser cataract surgery?

Paying for Laser Cataract Surgery

Typically, there are costs not covered by Medicare or private health insurance because they are for procedures or products (such as upgraded lenses or using a laser-assisted technique) that aren’t considered medically necessary by the insurance company.

What are the disadvantages of cataract surgery?

Potential cataract surgery complications include:

  • Posterior capsule opacity (PCO)
  • Intraocular lens dislocation.
  • Eye inflammation.
  • Light sensitivity.
  • Photopsia (perceived flashes of light)
  • Macular edema (swelling of the central retina)
  • Ptosis (droopy eyelid)
  • Ocular hypertension (elevated eye pressure)

Can I drive home after cataract surgery?

Most patients are able to resume driving 24 hours after cataract surgery. However, this completely depends on the individual patient. The day after your surgery, you will return to your surgeon’s office for a follow-up appointment.

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How Much Does Medicare pay for cataract surgery in 2020?

However, generally, a doctor must deem cataract surgery to be medically necessary, and the treating physician must accept a Medicare plan as payment. Typically, Medicare pays 80% of the expenses related to surgery and does not cover 20% of the costs. Medicare also pays for one pair of glasses after cataract surgery.

Will I need time off work after cataract surgery?

Most people are able to return to work or their normal routine in 1 to 3 days. After your eye heals, you may still need to wear glasses, especially for reading.

What is the recovery time for cataract surgery?

Your doctor may prescribe eyedrops or other medication to prevent infection, reduce inflammation and control eye pressure. Sometimes, these medications can be injected into the eye at the time of surgery. After a couple of days, most of the discomfort should disappear. Often, complete healing occurs within eight weeks.

Do you feel anything during cataract surgery?

You may be awake or asleep during the surgery depending upon the amount of sedation given, but you will not be uncomfortable. There is no pain during cataract surgery. You will feel cool water flowing over your eye at times, and perhaps a painless touch around the eye or a very light pressure sensation, but no pain.

Does Medicare take care of cataract surgery?

Medicare generally does not pay for vision care, but it will cover certain medically necessary services, such as cataract surgery. If you have Original Medicare, these services are covered under Part B, which covers outpatient services.

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Is cataract surgery covered by Aetna Insurance?

Cataract surgery is considered medically necessary and covers select procedures. In addition, Aetna only considers “standard fixed monofocal posterior chamber intraocular lenses (IOL)” and a few variations on monofocal lenses to be “medically necessary.”

Does cataract surgery give you 20 20 Vision?

Will I see 20/20? Your vision after cataract surgery depends on: How advanced your cataracts were. What type of intraocular lens, or IOL, you chose.

Which is better for cataract surgery laser or traditional?

Benefits of Laser-Assisted Approach

Compared to traditional cataract surgery, the laser-assisted approach offers a myriad of advantages. First, the use of a computer-guided laser means the surgical incision is up to 10 times more accurate than a corneal incision done by hand.

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