Does AARP Medicare Advantage pay for cataract surgery?

Asked by: Miss Josefa Champlin  |  Last update: October 25, 2025
Score: 4.1/5 (47 votes)

If you opt for coverage from a private Medicare Advantage plan, rather than original Medicare, you'll also have coverage for cataract surgery. However, you may have to pay different deductibles or copayments and use an in-network provider. Ask your plan about its coverage details before you schedule surgery.

Do Medicare Advantage plans pay for cataract surgery?

Cataract surgery can help restore your sight so you can enjoy the world around you. Medicare helps many people dealing with cataracts, covering the cost of the surgery and follow-up care. And a Medicare Advantage plan can offer additional support, including advanced lens options and post-operative care.

Does the UnitedHealthcare Medicare Advantage plan pay for cataract surgery?

The plans cover the costs associated with cataract surgery and serious vision problems, but Medigap does not cover the routine costs of eye exams, eyeglasses, and contact lenses.

Is AARP Medicare Advantage the same as UnitedHealthcare?

AARP® Medicare Supplement insurance plans for retirees. UnitedHealthcare Insurance Company (UnitedHealthcare) is the exclusive insurer of AARP Medicare Supplement insurance plans.

What part of cataract surgery is not covered by insurance?

Insurance will cover the basic costs of cataract surgery including the surgeon fee, facility fee, and anesthesiologist fees. Costs for Lifestyle Lenses are and Refractive Services not covered by insurance and are the responsibility of the patient.

Does Medicare Cover Cataract Surgery?

27 related questions found

Who does free cataract surgery?

Mission Cataract USA offers free cataract surgery to people of all ages who can't afford it. Operation Sight helps people with low incomes get cataract surgery. The American Glaucoma Society helps people with low incomes or no insurance get glaucoma surgery through its AGS Cares program.

Why are people leaving Medicare Advantage plans?

Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.

What is the biggest disadvantage of Medicare Advantage?

The biggest disadvantage of Medicare Advantage is that you have fewer doctors to choose from when you get medical care.
  • Plans can also cost more overall than Original Medicare if you have complex medical needs. ...
  • With some plans, you don't have any coverage if you use a doctor that isn't in the network.

Why won't Medicare pay for my cataract surgery?

Medicare pays money toward cataract surgery as long as a doctor agrees that it is medically necessary. The cost of cataract surgery may vary. Medicare Part B usually covers 80% of the surgical costs. People may wish to use Medicare supplement plans, such as Medigap, to help cover the remaining 20%.

How much is cataract surgery out of pocket with insurance?

As a general example, a standard cataract surgery in a clinic or surgery center may cost about $3,500. A patient with Medicare insurance coverage will be responsible for $700 (a 20% copay). The total out-of-pocket cost will also include the deductible amount, which depends on the patient's specific insurance plan.

What does Medicare cover for cataract surgery in 2024?

You must first meet the annual deductible, which will be $240 in 2024, and pay 20% of the cost of cataract surgery. Medicare Part B covers 80% of the cost of the surgery and post-surgical corrective lenses. A Medigap plan will cover the remaining 20% cost you are responsible for paying.

Does UnitedHealthcare Medicare Advantage cover cataract surgery?

Many plans may also offer additional benefits, such as routine vision care and eyeglasses and contacts. Because Original Medicare covers cataract surgery, all Medicare Advantage plans – including UnitedHealthcare plans – are required to the surgery.

Is it better to be nearsighted or farsighted after cataract surgery?

If your daily lifestyle includes activities such as driving or watching TV, then farsightedness after surgery might be a great fit. You'll have clear distance vision for the things you do most, and close-up tasks can be easily tackled with a well-chosen pair of reading glasses.

Are premium cataract lenses worth it?

You can reduce your dependence on glasses and contacts

For many people, this reason alone is what convinces them that a premium IOL is the way to go. If you've worn glasses or contact lenses your entire life, choosing a premium IOL during cataract surgery can finally grant you visual freedom!

Why are seniors losing their Medicare Advantage plans?

Health systems and hospitals are also making the decision to cancel contracts due to excessive prior authorization denial rates and slow payments from insurers. Already 27 health systems have canceled their Medicare Advantage contracts this year.

Why do doctors not like Medicare Advantage plans?

Across the country, provider grumbling about claim denials and onerous preapproval requirements by Advantage plans is crescendoing. Some hospitals and physician practices are so fed up they're refusing to accept the plans — even big ones like those offered by UnitedHealthcare and Humana.

What is the disadvantage of UnitedHealthcare for seniors?

Cons About UnitedHealthcare Medicare Advantage

You may only have access to certain HMO or PPO plans in your area. And while UnitedHealthCare has competitive pricing, your location may only have access to plans with higher deductibles, more copays, and fewer additional benefits.

What is the best Medicare plan that covers everything for seniors?

Original Medicare with Medigap likely offers the most comprehensive coverage, but it may also be the most costly. A person can consider their income and how much they are able to spend before choosing a Medicare plan. Original Medicare with Medigap also offers a lot of flexibility when choosing a doctor or specialist.

Can I drop my Medicare Advantage plan and go back to original Medicare?

Medicare Advantage Open Enrollment Period: Between January 1 and March 31 of each year, if you already have a Medicare Advantage Plan (with or without drug coverage) you can: Switch to another Medicare Advantage Plan (with or without drug coverage). Drop your Medicare Advantage Plan and return to Original Medicare.

Do all hospitals accept Medicare Advantage plans?

While most hospitals do accept Original Medicare, there may be some that do not accept Medicare Advantage Plans. However, if you have a medical emergency while you're enrolled in a Medicare Advantage plan, you can seek care at any ER or hospital in the country.

What if I can't afford cataract surgery?

Mission Cataract USA

Coordinated by the Volunteer Eye Surgeon's Association, it is a program providing free cataract surgery to people of all ages who have no Medicare, Medicaid, third party insurance or any other means to pay for needed cataract surgery.

What part of cataract surgery is not covered by Medicare?

What Type of Lens Does Medicare Cover For Cataract Surgery? Medicare covers a basic monofocal lens implant without the management of astigmatism or presbyopia. That means toric lens implants, or monofocal implants with corneal astigmatism treatment, are not covered.

How do you get covered for cataract surgery?

Fortunately, cataract surgery is covered by OHIP, as it's considered medically necessary to improve quality of life and prevent significant vision loss. OHIP also covers treatments for: Glaucoma. Diabetes.