Medicare can help with cataracts
Cataracts often come with age and can affect your vision. By age 80, more than half of all Americans either have a cataract or have had cataract surgery. New eyeglasses, brighter lighting, antiglare sunglasses, or magnifying lenses may help your symptoms. If not, you may need surgery.
If you have cataracts and need cataract surgery, Medicare can help. And after surgery, Medicare helps pay for cataract glasses, contact lenses, or intraocular lenses you get from an ophthalmologist. Generally, Medicare doesn't cover eyeglasses or contact lenses. However, following cataract surgery that implants an intraocular lens, Medicare Part B helps pay for corrective lenses (one pair of eyeglasses with standard frames or one set of contact lenses).
Medicare covers the surgery if it’s done using traditional surgical techniques or using lasers.
Medicare will only pay for contact lenses or eyeglasses provided by a supplier enrolled in Medicare. This is true no matter who submits the claim (you or your supplier).
What will you pay if you have Original Medicare?
- You pay 20 percent of the Medicare approved amount for one pair of eyeglasses or one set of contact lenses after each cataract surgery with an intraocular lens.
- You pay any additional costs for upgraded frames.
- The Part B deductible ($183 in 2018) applies.
How much will you pay for the surgery with Original Medicare?
With surgeries or procedures, it's hard to know the exact costs in advance. This is because no one knows exactly what services you'll need. If you need surgery or a procedure, you may be able to estimate how much you'll have to pay. You can:
1. Ask the doctor, hospital, or facility how much you'll have to pay for the surgery and any care afterward.
2. Find out if you're an inpatient or outpatient because what you pay may be different.