Why doesn't insurance pay for laser cataract surgery?

Asked by: Jany McDermott  |  Last update: December 13, 2023
Score: 4.6/5 (29 votes)

Some insurance companies offer a vision plan which may provide a discounted price or apparent partial coverage for laser eye surgery. Because laser eye surgery is an elective surgery, many health insurance companies consider it cosmetic and not medically necessary.

Why is laser cataract surgery not covered?

Refractive (vision) surgery as it is called is considered “elective” rather than “medically necessary” by commercial and government medical insurance programs.

Is laser assisted cataract surgery covered by insurance?

Typically, an insurance company will not cover elective parts of cataract surgery, including different types of IOL and laser-assisted cataract surgery. This means that, if you want these, you will pay out of pocket for at least part of the procedure.

Is it worth it to pay for laser cataract surgery?

Both methods are extremely successful and safe.” To translate that into simpler terms, on average, the evidence suggests that patients who have laser-assisted cataract surgery tend to see about as well as patients who have traditional cataract surgery. Not significantly better, or worse.

Why am I not eligible for laser eye surgery?

Scarring from a previous eye injury or surgery can impede the surgeon's ability to perform the operation safely. Other eye diseases that affect the cornea or infections must be resolved before you can get LASIK. In some cases, you may find that because of eye diseases or another procedure, you cannot get LASIK.

Cataract Surgery: Why doesn't insurance cover Laser Cataract Surgery?

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Who is not a candidate for laser cataract surgery?

Because vision can change dramatically during the adolescent years, laser eye surgery is not recommended for anyone under the age of 18. Those who are pregnant or nursing. Hormone fluctuations during pregnancy and nursing can cause changes to a woman's vision and corrective prescription.

How bad do your eyes have to be for laser eye surgery?

To qualify for LASIK, your prescription can be up to: -10 diopters of near-sightedness. +6 diopters of far-sightedness. 6 diopters of astigmatism.

Which is better laser or incision for cataract surgery?

Laser or advanced cataract surgery will provide the same outcome as traditional cataract surgery but the difference is in the tools used and overall method. Laser-Assisted Blade-Free Cataract Surgery both reduces the number of instruments used and increases the precision of the procedure.

Which is better cataract surgery or laser?

Laser cataract surgery comes with a higher level of precision, and it is considered marginally safer than traditional surgery. Laser surgery is also the best choice for people dealing with eye conditions such as astigmatism.

How do you know if you need laser after cataract surgery?

When PCO causes decreased vision, glare, or difficulties with visual function, a laser capsulotomy is indicated. The procedure is also indicated when PCO compromises the clinician's view of the fundus in a patient with retinal disease.

Is laser cataract surgery more expensive than traditional?

$3,000 to $5,000 per eye for standard cataract surgery. $4,000 to $6,000 per eye for laser-assisted cataract surgery or procedures using advanced lens implants.

Does Medicare cover any part of laser cataract surgery?

Although Original Medicare doesn't cover routine vision care, it does help pay for cataract surgery if it's done using traditional surgical techniques or lasers. This is through Medicare Part B , the medical insurance portion of Original Medicare.

Is cataract surgery safer with laser?

Traditional and laser-assisted cataract surgery are both safe, complications are rare, and both methods produce clear vision with little discomfort. But there are higher risk levels associated with traditional cataract surgery.

Who is a candidate for laser cataract surgery?

Am I a Candidate? If your vision has become cloudy due to cataracts and you are experiencing other symptoms that adversely affect your life, such as blurry vision or the need for brighter light to read, you are likely a candidate for laser cataract surgery.

What are the problems with laser surgery for cataracts?

Possible Complications

There may be some temporary blurring, cloudiness or redness immediately following cataract surgery, but those usually clear up within a few days. Some patients may also experience short-term grittiness, redness or irritation, halos, faint floaters and/or discharge.

Do cataracts grow back after laser surgery?

Because cataract surgery completely removes your natural lens, it is actually impossible for cataracts to grow back after surgery.

What is the most preferred cataract surgery?

Phacoemulsification (a type of ultrasound) is the most common method used to remove the cataract. After the natural lens has been removed, it often is replaced by an artificial lens, called an intraocular lens (IOL).

How long does cataract laser surgery take?

Laser Cataract Surgery Procedure

Expect the whole process to last 3 to 4 hours from check-in to discharge. The procedure itself takes less than 30 minutes. Most people are awake for the surgery, but they are given medicine to help them relax.

Is laser cataract surgery painful?

Patients experience little to no discomfort during cataract surgery, even though they are kept awake during the procedure. Your medical team will take steps to ensure that you do not feel any pain or discomfort before or during surgery.

Why is laser surgery sometimes needed after cataract surgery?

YAG laser capsulotomy is surgery to help you see clearly after cataract surgery. You may need this surgery because months or years after cataract surgery, your vision may get fuzzy again. This happens when a membrane in your eye, called the posterior capsule, becomes cloudy.

What are the 3 types of cataract surgery?

There are three major cataract surgery procedures:
  • Phacoemulsification.
  • Femtosecond laser-assisted cataract surgery (FLACS).
  • Extracapsular cataract extraction (ECCE).

What is the best age for laser eye surgery?

LASIK: 25-40

Generally speaking, most LASIK eye surgeons agree on 25-40 as the ideal age range for LASIK eye surgery candidacy for a few reasons. By the age of 25, eyeglasses and contact lens prescriptions have most likely stabilized. A stable prescription is one of the hallmarks of a good LASIK candidate.

Will you ever need glasses after laser eye surgery?

Patients typically undergo laser eye surgery to reduce or completely eliminate their need for visual aids such as contact lenses and glasses. The truth is that most patients will eventually require reading glasses at some point in their future.

Can your eyesight get worse after laser eye surgery?

For those who haven't previously worn glasses or contacts in the past, there is virtually no chance your vision after Laser Eye Surgery will be worse than before. For those who have a glasses prescription, the chances of your visual acuity being reduced by even a minute degree is around 1 in 1,000.

When should cataract surgery be avoided?

For example, if you have advanced macular degeneration or a detached retina as well as cataracts, it's possible that removing the cataract and replacing it with a clear intraocular lens (IOL) might not improve your eyesight. In such cases, cataract surgery may not be recommended.