Paying for Cataract Surgery

Payment options vary by insurance and the type of replacement lens involved, but a few standards apply. If you choose a monofocal (fixed focus) lens, the entire procedure is usually covered. If you choose a multifocal or astigmatism correcting lens, you probably will have to pay a portion of the cost.

Medicare

If you have Medicare, your coverage includes the implantation of a standard, or monofocal, intraocular lens (IOL). However, you may choose to receive a multifocal IOL that corrects near, intermediate and distance vision, or astigmatism, for an added fee.

Private Insurance

Private insurance policies vary, but most cover cataract surgeries involving a conventional monofocal IOL. Many insurance companies are also following Medicare's example and offering patients the choice of paying the difference between a standard and specialized lens.

Before you make any decisions, you should talk with someone at your doctor's office or primary insurance provider and confirm what is covered under your policy, so you can, along with your doctor, select the lens that best fits your individual needs.

Flexible Spending

Regardless of coverage, you may have the option of deducting the outstanding costs of your surgery from your Flexible Spending Account (FSA). An FSA allows you to set aside a predetermined portion of your wages for medical expenses and childcare. The money deducted from this account is not subject to payroll taxes.

Doctor Payment Plans

Many ophthalmologists also offer you the option of paying for your surgery over time. If the idea of financing your surgery appeals to you, ask your doctor what type of payment plans he or she offers.

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