Is Lens Replacement Surgery Covered By Insurance?

Refractive lens exchange, cataract surgery, and implantable contact lenses all have slightly varying costs. Other factors to consider are the patient’s geographic location, surgeon, and special needs.

  • Refractive Lens Exchange Cost: With RLE, the lenses are frequently adapted to a patient’s individual needs, adding a significant cost to the process. The cost of RLE varies between $2,500 and $4,500 each eye. RLE with a typical monofocal implant cost an average of $3,783 per eye in 2019. (according to a large survey of U.S. cataract and refractive surgeons). Patients with astigmatism or farsightedness may have a higher score because corrective lenses are more complicated. Because RLE is commonly considered an elective operation, insurance normally does not pay any of the costs.
  • Cost of Cataract Surgery: Cataract surgery performed by hand (without the use of a laser) with a simple intra-ocular lens is usually covered by insurance. A premium lens that provides a wider range of focus and eliminates the need for glasses is usually an out-of-pocket cost. It should be noted, however, that medical insurance should still cover the cost of the surgery. The cost of this procedure can range from $3,500 to $5,500 each eye, depending on the premium lens a patient chooses.
  • The cost of an implantable contact lens (ICL) is approximately $4,000 per eye. Because this is a non-essential operation, your insurance provider is unlikely to cover the costs.

Many clinics may offer financing solutions for individuals if their insurance does not cover the treatment choice they want. This can help make the costs more affordable and reachable.

What is the cost of lens replacement eye surgery?

The cost of cataract surgery varies depending on the institution and the type of surgery, but it usually ranges from 15,000 to 80,000 INR.

Are intraocular lenses covered by insurance?

No, only monofocal intraocular lenses (IOLs) are covered by Medicare and commercial insurance for cataract surgery. Premium upgrades to advanced technology lenses, such as toric (astigmatism-correcting), multifocal, and extended depth-of-focus (EDOF, the Symfony lens), must be paid for out of pocket by the patient. See this website for information on the many lens alternatives available after cataract surgery.

How long does it take for lens replacement surgery?

Cataract surgery is a simple and painless procedure. Patients hear that sentence all the time, and doctors feel it gives them all the comfort they require. There is something to be said for a procedure that can be completed in a short amount of time. A quick treatment implies little risk and downtime. However, we don’t want to minimize the importance of cataract and lens surgery. This is a vision- and life-changing treatment that can permanently eliminate the need for glasses, and it necessitates the use of cutting-edge technology as well as exceptional surgical abilities. “How quick is quick?” should perhaps be the true question. Is it true that faster surgery equals better results?”

The operation takes about 10 minutes each eye, regardless of whether the patient opts for traditional or laser cataract surgery.

Laser cataract surgery adds only a small amount of time to the procedure (actual laser time is about 30 seconds).

We should not associate speed with sloppiness when it comes to the relationship between how long a treatment takes and how safe it is.

The amount of post-operative edema and the overall healing period are reduced when a surgeon can execute an operation swiftly.

It’s also a sign of maturity; as with anything else in life, the more you do something, the more efficient you get at it.

So, be thankful for the quick (and safe!) process, and know that you’ll be up and about in no time!

Is lens replacement the same as cataract surgery?

Your specialized consultant eye surgeon will scan and test your eyes at your initial visit to establish your candidacy for lens replacement surgery. They’ll also go over the procedure’s advantages and disadvantages with you, as well as come up with a customized plan for you. Typically, surgery is done on one eye at a time. If you need surgery on both eyes, the procedures are usually scheduled one week apart.

To ensure that the process is painless, anaesthetizing eye drops and a little sedative will be given on the day of the surgery. An ultrasound will be used by the surgeon to soften your existing lens. After that, the lens is emulsified, removed, and replaced with an intraocular lens implant (a transparent artificial lens) maintained in place by the lens’s back membrane. At Moorfields Private, the most up-to-date multifocal lens implant alternatives are available to help with reading vision and allow greater freedom from glasses and contact lenses.

You will be able to go home the same day after the surgery, which takes 30 to 60 minutes.

How much is multifocal cataract lens cost?

If you paid for everything yourself, the typical basic laser cataract surgery cost in the United States in 2017 ranged from $3,600 to $6,000 per eye. The cost of an advanced technology lens that corrects astigmatism is typically $500 to $1,000 per eye. Extra expenditures for a multifocal lens range from $1,500 to $4,000; however, costs can also go outside of those limits.

What are the side effects of lens replacement surgery?

To reshape the cornea and cure refractive problems, procedures like LASIK and PRK are performed just on the surface of the eye. These procedures are laser-based at Brinton Vision, limiting direct human touch with the fragile eye tissue even more. Naturally, this level of precision entails a little amount of risk.

The implantation of an intraocular lens (IOL) is a whole other story. Because this operation includes removing the natural lens and replacing it with a man-made version, it is performed manually by the surgeon and requires opening the eye, which automatically increases the risk of complications.

Following an IOL operation, certain minor side effects are common. The majority aren’t deemed complications and aren’t cause for concern. If you have any concerns about your development, please contact the Brinton Vision medical staff to confirm that you are on the right road. Following a lens replacement procedure, the following are common adverse effects:

Fluctuations/disturbances in vision. After lens replacement surgery, the majority of patients report visual abnormalities such as glares and halos, starbursts, and blurred vision. The new lenses can make night vision problematic in the first few weeks, but this usually goes away within a few months. Consult your expert Brinton Vision doctor if the problem worsens or lasts longer than intended.

Irritation and/or dryness of the eyes. Following lens replacement, the majority of patients suffer discomfort and scratchiness in their eyes. This can linger a few days, a few weeks, or even a few months, but it usually goes away with time! Your doctor will prescribe a variety of treatments, including eyedrops, to help you manage your symptoms and recuperate faster.

Redness. After RLE, some patients may see little red blotches on the white area of their eyes. They may be unattractive, even frightening, but they are not harmful. Over the course of around 7-10 days, these will progressively fade.

RLE carries a little higher risk than PRK or LASIK, and the majority of issues aren’t related to the procedure. Patients who develop complications—problems that aren’t related to the common side effects—should contact their doctor for further treatment. The following are some complications:

  • Increased/changed floaters, flashes of light, or a curtain/veil in the vision are all indications of a detached retina (which is most frequent in people with extreme myopia).
  • There are generally no indications of ocular hypertension (high eye pressure), but your medical team will assess your eye pressure at each post-operative appointment.
  • Excessive or sustained haziness indicates decreased vision. The thickening of the tissue that contains the new IOL is the most common cause of this. This is easily fixed with a non-invasive laser surgery.

Why is cataract surgery not covered by insurance?

It must be causing a problem for removal to be medically essential. Refractive surgery (Lasik, PRK, etc.) is not covered by Medicare or most other insurance plans. The insurance industry’s general impression of refractive surgery is that it is NOT MEDICALLY NECESSARY.

What makes cataract surgery medically necessary?

In simple terms, cataract surgery is regarded medically required when cataracts have resulted in severe vision loss. The visual loss is too severe in many situations to be treated with less invasive methods like corrective lenses and assertive devices.

Is toric IOL covered by insurance?

The Toric IOL has been approved by Medicare. Most insurance companies, including Medicare, will cover a percentage of the cost of this surgery. Because of its astigmatism-correcting characteristics, new insurance guidelines enable patients to pay the increased costs associated with the Premium Toric IOL.

Does lens replacement surgery hurt?

Because your eyes are anesthetized with numbing medications, the lens replacement procedure is painless. When they wear off, you may experience some soreness, but this will usually subside as your recovery continues.