What should cataract surgery cost

Of course, the cost increases according to the number of add-ons and elective options you choose, but it may not be as expensive as you think. Most people who need cataract surgery qualify for Medicare or private health insurance which will cover the cost of the removal of the deteriorated lens and the insertion of a monofocal intraocular lens IOL.

A monofocal IOL allows clear distance vision, near vision or intermediate vision, but not all three. If you would like an advanced IOL that allows you to see clearly at multiple distances or corrects astigmatism, you should expect an out-of-pocket expense. However, you will not be responsible for the entire procedure. For example, Medicare does not cover astigmatism-correcting IOLs because astigmatism can be corrected with glasses.

Medicare and private insurance will cover the medically necessary portion Basic Cataract Surgery , but you will have to pay the difference for the premium lens. You will also be financially responsible for the Refractive Portion Advanced or Premium such as screening tests, refractions, presbyopic correction, LASIK, or extended postoperative care.

This amount would be covered under Medicare or private health insurance. Most private insurance plans will cover this procedure too. The amount of the cataract surgery cost covered by Medicare insurance will vary based on the specific Medicare plan A, B, C, or D , the type of cataract surgery, any pre-existing conditions the patient has, and whether the procedure is done at a surgery center, clinic, or hospital.

Patients will also be responsible for out-of-pocket expenses if they choose a premium IOL, toric lens or multifocal lens implantation, instead of a standard monofocal lens. Medicare covers the parts of cataract surgery that are deemed medically-necessary. Medicare Part B will cover standard cataract surgery, along with ophthalmologist fees and surgery center fees. Every insurance company is different.

While some insurance plans may offer a low deductible and copay with high monthly payments, other insurance companies may offer a relatively high deductible and copay with lower monthly payments. To gain an accurate understanding of the cost you can expect to pay for cataract surgery, ask your insurance provider the following questions:. Asking each of these questions to your insurance provider can make a difference in the out-of-pocket costs of treatment as well as your experience throughout the treatment process.

If the surgical center or cataract surgeon is not in-network with your insurance plan, you may be facing higher costs as well. We are transparent with our patients, because we believe you deserve a provider with integrity.

If only there were a simple answer to this question. When it comes to the cost of any medical or surgical procedure, every doctor, medical office, and hospital comes up with a price for any given CPT code. Also keep in mind that many surgery CPT codes and their associated charges include post-operative visits in that one cost. Confused yet? Well it gets more complicated, because the surgeon fee is only one charge associated with having surgery.

There are also the facility fee paid to the hospital or surgery center and the anesthesia fee paid to the anesthesiology practice. Small office. Great experience.