Will Medicare reimburse me for glasses after cataract surgery?

Asked by: Vida Weber  |  Last update: September 27, 2023
Score: 4.3/5 (16 votes)

Medicare does pay a portion of the cost for one complete pair of eyeglasses (per eye) after cataract surgery. This is the only time that Medicare will ever pay for your eyeglasses.

Will Medicare pay for a pair of glasses after cataract surgery?

Medicare does not ordinarily cover prescription eyeglasses, with one exception. Because cataract surgery always changes the eyeglasses prescription, Medicare will cover one basic pair of glasses following cataract surgery. Frequently, this amount will not cover the full cost of your new eyewear.

How long do you wait to get glasses after cataract surgery?

When will I get my new glasses? We usually recommend waiting until your eye has settled, at around 6 weeks after surgery, before getting an eye test for your new glasses from your optician.

Does Medicare cover refraction after cataract surgery?

Medicare Coverage of Post-Cataract Eyeglasses, Explained

You may already know this, but it's worth emphasizing: Medicare does not cover refractions, eyeglasses, or contact lenses for beneficiaries. The exception is for post-cataract surgery or in cases when surgery results in the removal of the eye's natural lens.

What does Medicare not cover for cataract surgery?

Medicare covers medically necessary cataract surgery with standard intraocular lenses. Medicare won't cover advanced technology lenses or elective surgery primarily to correct vision from nearsightedness or astigmatism, called “refractive lens exchanges.”

The Use of Glasses After Cataract Surgery with Dr Graham Fraenkel

25 related questions found

Does Medicare Part A and Part B pay for cataract surgery?

If the cataract surgery takes place in an outpatient facility, Medicare Part B will help cover the costs. If the surgery requires hospitalization, Medicare Part A (Hospital Insurance) may pay some of the costs.

Is laser cataract surgery worth the extra money?

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.

What glasses are best after cataract surgery?

If you're comfortable wearing glasses after cataract surgery, a monofocal lens may be the right choice. If you want to avoid wearing distance glasses after cataract surgery and have astigmatism, a toric lens might be appropriate.

Will I need stronger reading glasses after cataract surgery?

Because most IOLs used in cataract surgery can only provide clear distance or clear near vision, you will need glasses to correct for whatever the lens doesn't provide. Usually, just one lens in your glasses needs to be updated for the eye that was operated on.

Should I wear my old glasses after cataract surgery?

In this case, your old prescription glasses won't match the newly operated eye; however, there is no harm wearing them if they help the opposite eye. If the old prescription lens is way off or bothersome, it can be removed from that side of your eyeglass frame.

What happens if you accidentally bend over after cataract surgery?

There are several things people should avoid after eye surgery. Avoid bending over for the first 48 hours after the surgery, as this can cause pressure to build up in the eyes and interfere with healing.

When can I bend over to wash my hair after cataract surgery?

Do not get your hair coloured or permed for 10 days after surgery. Do not bend over or do any strenuous activities, such as biking, jogging, weight lifting, or aerobic exercise, for 2 weeks or until your doctor says it is okay. Avoid swimming, hot tubs, gardening, and dusting for 1 to 2 weeks.

Does your eyesight stay the same after cataract surgery?

No, your vision generally doesn't deteriorate after cataract surgery unless other problems arise, such as macular degeneration or glaucoma. In cataract surgery, the eye doctor (ophthalmologist) removes the clouded lens from your eye and replaces it with a clear, artificial lens.

How many pairs of glasses can you get with Medicare?

Part B will provide coverage for one pair of eyeglasses with standard frames or a single set of contact lenses, and you will pay 20 percent of the Medicare-approved amount for the lenses after each surgery. The Part B deductible will also apply.

How often can you get glasses with Medicare?

These plans also have limits on how often you can get a new pair of glasses. About half cover one pair a year. Others cover a pair every two years. To check out plans with vision coverage in your area, go to Medicare's Plan Finder and type in your zip code.

What is the code for post cataract glasses?

CPT codes to report

For one or two lenses, bill the correct Healthcare Common Procedure Coding System code (V21xx, V22xx, or V23xx) on separate lines for each eye; use modifier RT or LT and the fee for one lens at your standard fee.

Why is my eye no better after cataract surgery?

A person's eyes should feel better by 1–2 days afterward. However, it may take up to 8 weeks to completely heal. If a person's vision starts blurring again years later, they may have developed posterior capsule opacification (PCO). PCO occurs in 20–50% of people within 2–5 years of cataract surgery.

Why is my vision not good after cataract surgery?

Inflammation in the eye can happen after cataract surgery, but it is typically harmless. Any inflammation within the eye following cataract surgery is the body's natural response to having the eye's lens removed. This reaction causes blurry vision, but your eye doctor can prescribe medication to help.

Why hasn't my vision improved after cataract surgery?

If you've had cataract surgery and your vision is still blurry or hazy, you may have a common condition called posterior capsule opacification (PCO). PCO, also sometimes called a “secondary cataract”, occurs when the capsule that holds the IOL in place gets obstructed by epithelial cells from the lens.

What glasses reduce glare at night after cataract surgery?

Polarized lenses – Shop for cataract surgery sunglasses with polarized lenses, which reduce glare and are especially good for driving, says Dr. Khan. “They're going to give you a crisper image, and that comes in handy any time clarity of vision is important,” she says.

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).

Which is better laser or incision for cataract surgery?

In laser cataract surgery, a laser is used to make the incision and lens opening and to fragment the lens," explained Dr. Horne. “It creates a more reliable, repeatable, precise incision than a surgeon can do by hand. Even a very good surgeon can't make a perfectly circular opening as precisely as a laser can.”

What is the safest type of cataract surgery?

Traditional and laser-assisted cataract surgery are both safe, complications are rare, and both methods produce clear vision with little discomfort.

What are the disadvantages of cataract surgery?

What Are the Risks of Cataract Surgery?
  • Eye infection.
  • Bleeding in the eye.
  • Ongoing swelling of the front of the eye or inside of the eye.
  • Swelling of the retina (the nerve layer at the back of your eye).
  • Detached retina (when the retina lifts up from the back of the eye).
  • Damage to other parts of your eye.