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Medicare and Cataract Surgery

Cataract is a serious condition, mostly because it leads to the affected one becoming unable to see. Especially if you are over 60 years old, it can become even worse, which is why you should seek immediate medical attention. It may be a little pricey for some people though – so, if you have Medicare, you’d want that amount of cash to be covered by your plan. Does Medicare pay for a cataract surgery, though?

Does Medicare Cover Cataract Surgery?

Although, in general, a Medicare plan doesn’t cover vision care, cataract surgery will be covered as it’s something considered necessary. Your eyesight is into play, after all. Cataract is a disease that affects the eye’s lens, and in time, it can even lead to you losing your vision. The medical condition occurs, most of the time, because of old age, but it could also happen after a disease or injury.

eye examination

Now, when it comes to Medicare, you should know which plan could cover the costs of your surgery and treatment. If you have a Part B Medicare plan, you’re lucky because it will cover not only the surgery itself but also your appointments prior to the surgery, as well as the services you’ll receive after it. You might also have luck with a Medicare Advantage Plan, the only difference being that there are different costs and condition involved with it. This is why you should get in touch with a representative who could inform you about the matter.

What Exactly Will Medicare Pay for?

If you need cataract surgery, there are particular things a Medicare plan will cover. Aside from the pre-surgery and post-surgery appointments, some additional things related to the surgery will be funded. For example, the cataract removal of the surgery is going to be covered. More than that though, a Medicare plan will cover the implant of the basic lens, as well as contact lenses or prescription glasses once you’re out of the surgery.

During the surgery, you will get lens implants, and they are, as mentioned, covered by Medicare. However, it’s important to know beforehand that only basic lenses are getting coverage, and more advanced ones don’t have this benefit. Therefore, it will be a little of an issue if your provider tells you that more advanced lenses are necessary, as you will be the one to pay for part of the price.

Once you’re out of surgery, you will need either some contact lenses or a pair of glasses. However, sometimes there are exceptions to the rule, so you should always ask your provider about your benefits and make sure you’ll pay the least amount of money for your post-surgery needs.

To conclude, cataract surgery is something considered necessary, so you will have the benefit of having some of the costs covered by Medicare. It’s essential to talk to your provider in advance and know what benefits you are going to have, so you can save some money if you’ll have to deal with part of the costs.


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