We've been helping people find their perfect Medicare plan for over 10 years.

Does Medicare cover cataract surgery?

Medicare may cover cataract surgery if your doctor determines it is medically necessary, Medicare will most likely cover the operation. However, you may be responsible for paying 20% of the Medicare-approved cost of the procedure.

Medicare and Your Eyes

Cataract surgery is commonly performed in an outpatient setting, which is usually covered by Medicare Part B. If your procedure is approved by your doctor and the Medicare program, Medicare Part B will cover 80% of the surgery cost. You are responsible for paying for the remaining 20% co-insurance.

Cost

The exact cost of your cataract surgery will vary depending on the medical services you need. Certain factors can impact your out-of-pocket costs, such as inpatient versus outpatient surgery, other insurance coverage, and annual deductibles. If you are enrolled in a Medicare Supplement insurance policy, the policy will pay for part or all of the remaining 20% Part B co-insurance cost. The coverage amount will vary depending on the policy you buy.

Preparation 

Taking the following steps prior to your cataract surgery can help prevent unexpected costs:

  1. Ask your doctor and health care facility about the surgery cost and any follow-up care.
  2. Find out if you will be an inpatient or outpatient for the surgery, because this can impact your out-of-pocket costs.
  3. Call your insurance provider and ask how much you will pay after Medicare.
  4. Check your annual Medicare Part A & B deductibles to see if you have to pay additional costs before Medicare pays its part.

Your doctor may recommend additional services or more visits than Medicare approves. You may be responsible for some or all of these additional costs. Please check with your doctor and Medicare to confirm coverage before each medical visit.

Does Medicare cover eye exams for cataracts?

Generally, Medicare does not cover eye exams. However, an eye exam to determine whether or not you have cataracts may be covered. According to an article by Huffington Post, “Medicare will pay for exams to test and treat medical eye diseases and other problems like macular degeneration, dry eye syndrome, eye infections or if you get something in your eye.” 

Speak with your eye doctor to find out if your eye exam for cataracts is covered under your Medicare benefits. 

 

Resource Center

Medicare Supplement Insurance

Medicare Supplement insurance (Medigap) can help cover copays, coinsurance and deductibles that Original Medicare does not. Here's what you need to know.

Read More

Is Humira Covered By Medicare?

Original Medicare does not cover prescription medication, including Humira. Learn what type of Medicare plans can help cover Humira.

Read More

Find a Medicare Supplement Insurance Plan

Medicare Supplement Insurance plans help cover deductibles, copays and other costs that come with Original Medicare. Learn more and compare plans.

Read More

How Medicare Supplement Insurance Can Help You Save

Medicare Supplement Insurance (Medigap) plans offer basic benefits that cover certain out-of-pocket health insurance costs. Learn more and find the best plan.

Read More

Medicare Supplement Insurance Plans | Medigap

Each type of Medicare Supplement Insurance plan offers a different combination of basic benefits. Compare Medigap plans to find the right fit for your needs.

Read More

Medicare Supplement Insurance (Medigap)

Medicare Supplement Insurance (Medigap) and Medicare Advantage serve two different purposes. Learn the differences in this guide.

Read More

What is a Medigap Insurance Policy?

If you are enrolled in Original Medicare, a Medicare Supplement Insurance (Medigap) plan could save you money. Learn how.

Read More

How Do Medicare and Medigap Cover Acupuncture

Medicare does not cover acupuncture. There are some other forms of therapy that Medicare does help pay for, though they may come with out-of-pocket costs.

Read More

What Does Medigap Plan D Cover?

Medicare Supplement Insurance Plan G is designed to help pay some of the out-of-pocket costs of Original Medicare.

Read More

Sign up for more information!

Enter your email address and get a free guide to Medicare and Medicare Supplement Insurance.

Sign Up Now