![]() ![]() He recommends asking your eye doctor performing the cataract surgery for names of Medicare-approved locations. Offering post-cataract surgery glasses and lenses “is probably not particularly appealing to a lot of optical shops because there’s paperwork,” says Glasser. That’s an exception to Medicare’s general rule of not covering glasses.īut not every retailer selling eyeglasses accepts Medicare assignment. Medicare may also pay for 80% of the cost of prescription eyeglasses with standard frames or contact lenses if you purchase them from a supplier accepting Medicare assignment. Does Medicare cover glasses after cataract surgery? ![]() Medicare will also cover any “medically necessary” post-surgery complications. Medigap plans can cover some cataract surgery costs that Original Medicare doesn’t-like co-payments, co-insurance and deductibles. If you have a Medicare Advantage plan, check on its coverage rules before the surgery. You may owe a co-pay for the doctor and the facility where the surgery will be done. Original Medicare lets you have the cataract surgery done by anyone accepting Medicare.īut Medicare Advantage plans typically require you to have the surgery through their in-network providers and facilities. Cataract surgery coverage with Original Medicare vs. You may need eye drops daily for weeks after the surgery or much longer. That’s because you’re not using what it deems traditional surgical techniques.Įye drops and antibiotics after cataract surgery will be covered by Medicare Part D with Original Medicare or by a Medicare Advantage plan from a private health insurer (Medicare Part C) that has prescription drug coverage. Then, you may be on the hook for hundreds or thousands of dollars. If you get a type of laser cataract surgery with more advanced technology lenses known as PC-IOLs (posterior chamber intraocular lenses) or AC-IOLs (anterior chamber intraocular lenses), however, Medicare won’t cover as much as it otherwise would. The type of cataract surgery with reduced Medicare coverage But some only need the surgery in one eye. Often, people who need cataract surgery get it done in both eyes, spaced out over a few weeks. Medicare will cover the rest, including a pre-surgery exam, post-surgery care and the cost of seeing an ophthalmologist and paying related fees. You’ll be responsible for any of your annual Medicare Part B deductible ($226) you haven’t yet paid, plus physician fees such as an anesthesiologist assisting with the surgery. If your surgery will qualify for Medicare coverage, you’ll generally pay a 20% coinsurance amount for it and the anesthesia. David Glasser, the American Academy of Ophthalmology secretary for federal affairs and an assistant professor in ophthalmology at Johns Hopkins University. If you have any questions, please contact our Billing Department at (210) 349-5592.Medically necessary, “basically means the cataract is interfering with your ability to do things you need to do or things you want to do,” says Dr. We do not store credit/debit card numbers or PIN’s on any Texas MedClinic computers or servers. Texas MedClinic is committed to providing you with a safe and secure payment experience. However, we will provide the information needed in order for you to file your claim for reimbursement. Texas MedClinic does not accept Auto or other Third Party Insurance as a form of payment.Texas MedClinic is not a provider for Medicaid or Tricare programs.Copays, deductibles, and co-insurance must be paid at the time of service.We don’t store this information from a previous visit. You will be expected to present your most current insurance identification card to the receptionist at each visit. ![]() Here are some important things for you to know about our insurance policies before you visit one of our facilities. Our agreements with Insurance Companies, Networks, and Employer Groups provide for treatment of work related injuries and urgent care services when Primary Care Physicians are not available. Texas MedClinic is an Urgent Care and Occupational Medical provider. ![]()
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