Medicare vision coverage is critical in providing coverage for several treatments and procedures. Cataracts are one such ailment that frequently needs medical intervention. Cataracts cause the lens of your eye to become clouded, resulting in impaired vision. Cataract surgery eliminates the cataract and replaces the natural eye lens with a new, artificial one, restoring eyesight. Medicare for cataract surgery originally covered 80% of the total cost, but several Medicare plans cover the entire surgery. Let’s continue reading to learn more about this topic.
What Does Medicare Coverage for Cataract Surgery Include?
The original Medicare covers the following:
- A pair of prosthetic eyeglasses or contact lenses.
- A typical intraocular lens (IOL) is a tiny, lightweight disc that replaces the damaged eye’s natural lens.
- Surgical facility and doctor services.
Cost of Medicare for Cataract Surgery
The cost of cataract surgery under Medicare Advantage varies greatly depending on your plan and the type of intraocular lens you require. According to the government, cataract surgery in an ambulatory surgical center costs around $1,789 ($750 for the doctor and $1,039 for the facility). Medicare will pay $1,431, leaving you with $357. In contrast, cataract surgery at a hospital outpatient department costs $2,829 ($750 in doctor fees and $2,079 in facility expenses). Medicare will cover $2,263, leaving you with $565. These figures fluctuate depending on where you reside and the severity of your cataracts.
Which Part of Medicare Is Needed for Cataract Surgery?
According to AARP, cataract surgery is often performed as an outpatient operation and is covered by Medicare Part B. You are liable for the Part B coinsurance once you have paid the yearly Part B deductible of $226 in 2023. You’ll be responsible for paying 20% of the cost of covered treatments. You can get full or partial coverage for the 20% Part B coinsurance if you buy a Medicare supplement policy, known as Medigap.
Best Medicare Plan for Cataract Surgery
Medicare offers different plans and coverage options for cataract surgery, and the best one for you depends on your circumstances, including your healthcare needs, budget, and preferences. It would help if you located a physician, hospital, or surgical center contracted with your particular MA plan. Most physicians and hospitals have Original Medicare contracts, but not all have Medicare Advantage contracts. You must additionally pay 20% of the entire cost of your operation using Original Medicare.
Factors to Consider When Selecting a Medicare Plan for Cataract Surgery
Consider these factors when selecting a Medicare plan for cataract surgery –
- Your overall health and healthcare needs.
- The cost of premiums, deductibles, and out-of-pocket expenses.
- Whether you prefer Original Medicare with Medigap coverage or a Medicare Advantage plan.
- Coverage for pre and post-operative care, including eye exams and medications.
- The network of doctors and hospitals in your area.
- Any additional benefits like dental, vision, or prescription drug coverage.
Choose Medicare Advisors for Better Health Choices
It’s crucial to review plan documents carefully, compare options, and consult with a Medicare counselor or insurance agent to make an informed decision based on your situation. Consult with Medicare Advisors if you need guidance on navigating the complexities of Medicare for cataracts. Our experts are always ready to help you make a well-informed decision regarding your Medicare coverage. Contact us to get started.