If you’re in need of cataract surgery near Boynton Beach, you might wonder what out-of-pocket costs you may incur and what your insurance covers. While you’ll need to have a conversation with your insurance carrier, there are basic guidelines that insurance companies follow. 

Is Cataract Surgery My Only Option?

Unfortunately, yes. The only effective way to treat cataracts is to replace the affected lens with a new lens and this can only be done surgically. 

It is a common procedure, and because of this insurance typically covers most or all of the costs. Medicaid, Medicare, and most private insurance companies consider cataract surgery to be medically necessary. 

How Much Is Cataract Surgery near Boynton Beach?

The average cost without insurance is $3,500 and $7,000 per eye in the U.S. Having insurance could save you considerable out-of-pocket expenses. 

What Might My Insurance Plan Cover?

As a general rule, insurance will cover pre-operative eye scans, basic cataract surgery, some lens implants, and medications you may need as a result of surgery. 

Keep in mind, this is only in reference to your general health insurance plan. Most vision insurance does not cover cataract surgery, and isn’t required to by the Affordable Care Act.

It is recommended you speak to your eye surgeon about your treatment plan and have that in place before speaking to your insurance carrier. The best way to find out what is covered by your insurance is to ask questions and have your treatment plan handy, so you can explain what it entails. 

Are There Factors That May Influence My Insurance Coverage?

Yes, there are. Your insurance carrier looks at several variables before deciding whether or not to cover your surgery. These include: 

  1. Type of lens implants
  2. The technology used during surgery
  3. Whether your surgery is done on an outpatient basis or if you require a hospital stay
  4. Pre and post-op visits and testing
  5. Your surgeon’s fees

For Top-Notch Cataract Surgery near Boynton Beach  Trust the Experts at South Palm Eye Associates!

Our goal is to provide you with the best possible eye care. If you need more information about cataract surgery near Boynton Beach, please contact us at 561-737-4040 to book your consultation today!