May 17

Cataracts and Medicare

Cataracts and Medicare - Monterey, CA

Posted on May 17, 2019 — by Eric Del Piero

A man with cataractsAccording to the American Academy of Ophthalmology (AAO), half of all Americans age 75 and older will develop cataracts. Given how common this age-related eye condition is, our Monterey, CA vision practice offers different treatment for cataracts, including surgical removal and corrective lenses. Dr. Eric J. Del Piero and Dr. Leland H. Rosenblum take time tailoring each treatment to the needs of the patient.

Many people who come to our eye care enter ask if their cataract treatment will be covered by Medicare. Let’s go over some of the basics of Medicare coverage and cataract removal surgery.

Does Medicare Cover Cataract Surgery?

Yes.

While Medicare typically does not cover vision procedures, it does cover cataract removal so long as the surgery is deemed medically necessary. This includes pre-surgery examinations and follow-up care. Patients will be responsible for paying a 20 percent coinsurance as well as the Medicare Part B deductible.

When Is Cataract Surgery Medically Necessary?

Cataract surgery is concerned medically necessary when it significantly impairs your vision and there are no other options to address your vision loss without surgery.

During your visit to Monterey County Eye Associates, we will be sure to consider the progression of your cataracts and let you know if surgical removal is a medical necessity. We will also go over any documentation and paperwork needed to ensure your surgery gets the coverage it qualifies for.

Will Medicare Cover Intraocular Lenses (IOLs)?

Yes.

Since IOLs will be part of the surgical procedure and directly related to your cataracts, they will be covered by Medicare. IOLs will be able to restore your vision quality without the need to wear glasses or contacts.

Will Medicare Cover Glasses and Contacts After Surgery?

Yes.

If the glasses or contacts are directly related to the cataract removal surgery, Medicare will cover them. Some patients prefer glasses or contacts after cataract surgery to IOLs. In any event, this is a rare instance of Medicare covering the cost of corrective lenses.

What If My Cataracts Do Not Require Surgery?

If your cataracts have not progressed to a stage in which surgery is medically necessary, there are many other options to consider to improve your vision. Corrective lenses are helpful to address vision loss related to cataracts. We can also offer advice on obtaining assertive devices for your vision needs.

Keep in mind that Medicare will not cover these vision treatments for cataracts. That said, we will work closely with you to improve your eyesight and general quality of life.

Tailoring Treatment to Your Needs

Whether you require cataract surgery or need non-surgical care of your cataracts, our team is here to help. Our vision specialists will work to ensure you are able to see well enough and overcome the various hardships associated with cataracts. We will be available to you when you have questions and concerns about your vision.

Contact Monterey County Eye Associates

If you would like more information on cataract surgery and your many other options for care, be sure to contact our team of vision care specialists. You can reach our practice by phone at (831) 424-1150.

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