![]() ![]() You may owe a co-pay for the doctor and the facility where the surgery will be done. Original Medicare lets you have the cataract surgery done by anyone accepting Medicare.īut Medicare Advantage plans typically require you to have the surgery through their in-network providers and facilities. Cataract surgery coverage with Original Medicare vs. You may need eye drops daily for weeks after the surgery or much longer. That’s because you’re not using what it deems traditional surgical techniques.Įye drops and antibiotics after cataract surgery will be covered by Medicare Part D with Original Medicare or by a Medicare Advantage plan from a private health insurer (Medicare Part C) that has prescription drug coverage. Then, you may be on the hook for hundreds or thousands of dollars. If you get a type of laser cataract surgery with more advanced technology lenses known as PC-IOLs (posterior chamber intraocular lenses) or AC-IOLs (anterior chamber intraocular lenses), however, Medicare won’t cover as much as it otherwise would. The type of cataract surgery with reduced Medicare coverage But some only need the surgery in one eye. Often, people who need cataract surgery get it done in both eyes, spaced out over a few weeks. Medicare will cover the rest, including a pre-surgery exam, post-surgery care and the cost of seeing an ophthalmologist and paying related fees. You’ll be responsible for any of your annual Medicare Part B deductible ($226) you haven’t yet paid, plus physician fees such as an anesthesiologist assisting with the surgery. If your surgery will qualify for Medicare coverage, you’ll generally pay a 20% coinsurance amount for it and the anesthesia. David Glasser, the American Academy of Ophthalmology secretary for federal affairs and an assistant professor in ophthalmology at Johns Hopkins University. All benefits are subject to the definitions, limitations and exclusions set forth in the official Plan Brochure.Medically necessary, “basically means the cataract is interfering with your ability to do things you need to do or things you want to do,” says Dr. Before making a decision, please read the official Plan Brochure (RI 71-007). Tell them about your visit to MinuteClinic, or MinuteClinic can send a summary of your visit directly to them. *While only your doctor can diagnose, prescribe or give medical advice, the Nurse Line can provide information on a variety of health topics.įor your best health, we encourage you to have a relationship with a primary care physician or other doctor. Teladoc, Teladoc Health and the Teladoc Health logo are registered trademarks of Teladoc Health, Inc. Visit /Aetna for a complete description of the limitations of Teladoc services. Teladoc and Teladoc physicians are independent contractors and are not agents of Aetna. Teladoc® is not available to all members. ***In an emergency, call 911 or go to the nearest emergency room. **Services subject to calendar year deductible. For out-of-network benefits, see Official Plan Brochure located on. ![]() Standard Option and Value Plan: 80 24/7 (Except major holidays) Consumer Option: 80 24/7 (Except major holidays). While these are only a small selection of examples and not an all inclusive list, we encourage you to contact our dedicated MHBP customer service team if you have questions. Severe chest pain, deep wounds, broken bones,head or eye injuries ![]() Copayment waived if admitted to hospital) Minori llnesses and injuries such as congestion, minor cuts, urinary tracti nfections, bronchitis, migraines, sprains and cuts that may require stitches Ongoing medical issues and chronic conditions ($10 copayment for dependents through age 21) $20 copayment ($10 copayment for dependents through age 21) Primary Care Provider Office(includes telephonic and video visits) Minor illnesses and injuries such as ear infections, congestion, minor cuts, urinary tract infections and bronchitis Minor illnesses such as colds, flu, sinus problems, fevers, rashes, and migrainesĪ health concern or need advice on what to do and where to go ![]()
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