Cataracts are when the lens of the eye becomes cloudy, resulting in blurry vision. This condition worsens with age, and can be very uncomfortable. There is surgery available, but since Original Medicare does not cover most general eye care, many wonder does Medicare cover cataract surgery?
Does Medicare Cover Cataract Surgery?
Original Medicare does cover cataract surgery*. That’s good news, but what does it cost? It can be a little complicated. We’ll explain below.
*Your doctor may recommend you get services that Medicare does not cover, as well as, they may recommend services more frequently than Medicare covers. If this is the case, you may be required to part or all of the costs.
How Much Does Cataract Surgery Cost?
Like we said, Medicare’s coverage of cataract surgery can be complicated. Since cataract surgery can be done both as inpatient and outpatient surgery, as well as every patient has specific surgical needs, and aftercare varies, there isn’t a hard and fast cost breakdown. See, when we say complicated, we aren’t lying. However, if you have certain Medigap plans you won’t need to worry about the out of pocket costs. I’ll explain below.
Does Medigap Cover Cataract Surgery?
Medigap plans do cover cataract surgery. Remember, Medigap plans fill in the gaps of Original Medicare, so some plans will cover more than others. If you think you might need cataract surgery, you would want to compare Medigap plans. To eliminate costs, you would want to choose one that covers both your Part A and B deductible, as well as your copays and coinsurance, such as Medigap “C” or “F”.
Does Medicare Advantage Cover Cataract Surgery?
Yes, Medicare Advantage does cover cataract surgery. But to add to the confusion, one of the cons of Medicare Advantage is they vary in coverage, therefore each plan can cover the surgery differently AND does not need to offer the same coverage as Original Medicare.
To learn more about what Medicare covers call a Senior65 agent 800-930-7956.