Does Medicare Advantage Cover Cataract Surgery?

Medicare Advantage may reduce your out-of-pocket costs, but cataract surgery will usually be covered by a Medicare Part A or Part B plan, states eHealth Medicare. Medicare Part A is likely to cover outpatient cataract surgery, while Medicare Part B is likely to cover inpatient cataract surgery.

Medicare does not cover all expenses related to cataract surgery, but it does cover pre-surgery examination and follow-up care, eHealth Medicare notes. If a patient has developed cataracts due to a pre-existing condition, Medicare does not cover any additional expenses for the treatment of that condition; it only pays for expenses directly attributable to cataracts. Medicare does not cover any specialized lenses a patient may opt for, only standard intraocular lenses.

Cataract surgery is typically outpatient, and it replaces the degraded lens of the eye with a new, artificial lens, explains eHealth Medicare. 98 percent of all cataract surgeries are fully successful, where the patients develop no complications from the procedure. After the surgery, the patient’s vision is likely to improve over a period of several weeks, but it may only improve up to a point; aids such as reading glasses may still be necessary. Cataracts may appear in one or both eyes, and in some cases treating one eye is sufficient to restore the patient’s vision.