Home Resources Tips of the Week AMAC’s Medicare Tip of the Week: Is Cataract Surgery Covered by Medicare?

AMAC’s Medicare Tip of the Week: Is Cataract Surgery Covered by Medicare?

Are you aware that by age 65, almost a third of all Americans will have cataracts? Since this is so common, Medicare, fortunately, covers the surgery. To find out how much your Medicare plan would cover, watch the video below!

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Since this kind of vision impairment is so common, it’s important to know what your Medicare plan will cover and how much you’ll have to pay on your end.

Now, the surgery itself is usually done as an outpatient procedure and takes about an hour. And although you won’t be under general anesthesia, your doctor will likely give you something to help you relax.

Medicare Part B will cover 80% of your outpatient surgery expenses and doctor’s fees after you’ve met your annual deductible. If you have a Medigap, it will pay after Medicare, and you’ll be responsible for any remaining fees once Medicare and your Medigap have paid their share.

On the other hand, if you have a Medicare Advantage Plan, you’ll pay any applicable deductibles, copayments, or coinsurances. Every Advantage plan has different limits, so be sure to consult your plan provider for exact costs.

Your Part D Drug Coverage – if you have it –  will help you pay for any medications needed before and after your surgery.

Medicare will also cover either one pair of eyeglasses with standard frames or one set of contact lenses post-surgery.

Overall, Medicare will cover most of your costs associated with cataract surgery.  But keep in mind that your total costs will depend on how the surgery was performed, where it took place, and whether you received upgrades like premium lenses.

(Please note that we do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.)

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