1-800-345-8979
Request an Appointment
Find a Center
Contact Us

Does Insurance Cover Cataract Surgery?

A cataract is a painless, cloudy area in the lens of the eye. The lens is enclosed in a lining called the lens capsule. During cataract surgery in the Inland Empire, our surgeons separate the cataract from the lens capsule. In most cases, the lens is replaced with an intraocular lens implant (IOL). In most instances, with certain limitations, cataract surgery costs are covered under both private insurance plans and Medicare.

Private Insurance

Private insurance for cataract surgery is usually quite comprehensive but also quite variable. In most instances, private insurances cover a portion, if not all, of the Cataract Surgeon Fee, the Facility Fee, the cost of a Monofocal Lens Implant and the necessary follow up care after your Cataract Surgery. Private insurances vary in the deductible that they may require, the co-pay you might be responsible for and the percentage of each allowable expense that they might reimburse.

Medicare Insurance

Medicare for cataract surgery is also quite comprehensive. Medicare generally covers a portion of the Cataract Surgeon Fee, the Facility Fee, the cost of a Monofocal Lens Implant and the necessary follow up care after your cataract surgery. It is likely that you will be responsible for a co-pay or a deductible for the pre-surgery office examination, consultation and measurements for your cataract surgery. If you need a pre-surgery physical with your medical doctor, you may also be responsible for that physician’s co-pay as well. In addition, if you require anesthesia, while your insurance will cover the allowable anesthesia expense, you may be responsible for the anesthesia co-pay and/or deductible.

It is important to note that insurance may not cover the cost of advanced technology lens implants. The amount of coverage, deductibles and any co-pays are uniquely individual to each patient’s specific health insurance policy.

To find out if your insurance plan will cover the cost of cataract surgery, contact Pacific Eye Institute at (800)345-8979.

Common Vision Challenges by Age

20 - 40
Are you tired of glasses & contacts?
Are you curious about LASIK vision correction?

Take Our Free LASIK Self-Evaluation
40 - 50
Has your up-close vision become blurry?
Do you need reading glasses to see menus, text messages, labels, etc.?
50+
Are you experiencing cloudy, yellowed vision?
Have you been diagnosed with cataracts?

Take Our Free Cataract Self-Evaluation