Sage-Tips

Does regular medical insurance cover cataract surgery?

The short answer is “Yes.” Many people are unsure whether eye surgery is supposed to be a Vision Insurance or Health (called Major Medical) Insurance benefit. Vision Insurance is generally for routine eye exams, glasses, and contact lenses.

Is cataract surgery covered by medical or vision?

Vision insurance does not typically cover cataract surgery. However, the procedure is seen as medically necessary, so most private health insurance companies will partially, or entirely, cover basic cataract surgery.

Can you get rid of cataracts without surgery?

Unfortunately, there’s no way to get rid of cataracts without cataract surgery. Some ophthalmologists are exploring alternatives, but at this time, only cataract surgery can cure your cataracts.

What are the signs that you need cataract surgery?

9 Signs You May Need Cataract Surgery

• You’re No Longer Able to Enjoy Your Favorite Pastimes.
• Performing Up Close Tasks Has Become Impossible.
• Difficulty Driving at Night.
• Everything Has a Brown Tint or Looks Yellow.
• You Suddenly Start Having Double Vision.
• Your Prescription Keeps Changing.
• Your Vision Gets Blurry.

What types of insurance policies cover cataract surgery?

Aetna. For insured members who have a visual acuity of 20/50 that is due to cataract is medically important.

Cigna. Despite that Cigna will not cover the cost for cataract surgery,it will provide coverage for the cost of an intraocular lens to treat those conditions listed above

Pacific Prime.

United Healthcare.

How much does Medicare cover for cataract surgery?

Usually Cataract surgery is done on an outpatient basis and will be covered under Medicare Part B. Medicare will cover 80\% of your Cataract surgery if you have met your annual Part B deductible of $166.

Does private or Medicare insurance cover cataract surgery?

In most instances, with certain limitations, cataract surgery costs are covered under both private insurance plans and Medicare. Private insurance for cataract surgery is usually quite comprehensive but also quite variable.

Does Medicare pay for cataract surgery?

While Medicare will pay for cataract surgery, it doesn’t cover the costs in full. Medicare covers 80\% of your medical costs, including: In these instances, you’ll either pay out of pocket, or your other forms of insurance will pick up the costs.