Saturday, April 13, 2024

Is Lasik Surgery Covered By Insurance

Is Lasik Eye Surgery Worth The Cost

Is Lasik Covered By Insurance? Understand Lasik Eye Surgery Insurance with LasikPlus

LASIK eye surgery can be a significant investment but it is a one-time upfront cost that can result in long-term savings. After a decade, those who successfully undergo laser vision correction may see higher savings than those who opt for contact lenses. Wearing glasses, however, may still be a cheaper long-term alternative to corrective eye surgery.

Correction Method

$200 for one pair plus optometrist appointments


Lifestyle and preferences will also play an important factor in determining the worth of laser vision correction. If you lead an active lifestyle you play sports, go hiking or surfing, for instance then wearing glasses can be an annoyance. Some people may simply dislike the sensation of wearing glasses or contact lenses. The convenience LASIK eye surgery offers can be worth the cost for many people.

Lasik Surgery And Mediclaim

Eyecare is an expensive treatment, so being financially ready for obtaining the treatment is very important. Mediclaim policies in India have a broad say on the coverage offered on Lasik Surgery. Most of the insurance providers consider Lasik treatment as elective surgery. Earlier, the treatment was not covered under the Mediclaim policy as the insurance providers considered it as a cosmetic treatment. However, the providers used to provide the cover under certain circumstances as under:Eye surgery to be done for the correction of refractive errors that are caused due to an injury.

  • Eye surgery to be done for the correction of refractive errors that are caused due to errors of previous surgery.
  • Eye surgery to be done for correction of severe refractive errors. However, Insurance cover offered under these cases is generally very inconsistent. So, it is important to check the conditions of coverage with the insurance provider.
  • Eye surgery to be done when a patient has physical limitations and is unable to wear glasses or lenses.
  • In the case, KP Desai v/s The United India Insurance Company Ltd, the Maharashtra State Consumer Dispute Redressal Forum ruled in KP Desais favour that LASIK surgery is not cosmetic surgery. Therefore, it is imperative for individuals to ask whether LASIK surgery is covered under the Mediclaim Policy.
  • Does My Insurance Offer A Discount On Lasik

    Some vision care plans with the larger vision insurance carriers may offer specific laser vision correction benefits, including:

    • Discounts on laser vision correction procedures
    • Higher discounts on procedures performed by in-network surgeons
    • Frame benefits for non-prescription sunglasses after vision correction surgery

    Knowing what your individual plan offers can help you determine the cost associated with your LASIK procedure and help determine whether youre ready for the cost of LASIK surgery now or want to spend a little more time planning ahead.

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    Do I Take The Standard Deduction Or Itemize My Expenses

    Whether you take the standard deduction or itemize depends on your financial situation. Choosing one or the other is not permanent â you can change every year when you file your taxes. To determine what would work best for you, we suggest looking at the Schedule A . Add up all eligible itemized expenses, including medical, and compare that number with the standard deduction that would apply to you. If your itemized expenses total more than your standard deduction amount, you would save money by taking the time to itemize. You can also use this IRS tool to help you determine what medical expenses are deductible.

    Aetna Medical Plans And Coverage Costs

    Is LASIK Eye Surgery Covered by Health Insurance?

    On the Aetna Medicare solutions page, you can search specific coverage information for your location. Youll realize that coverage costs vary by location and some plans may not be available in certain counties or states.

    Your out-of-pocket expenses will also depend on the specific Aetna plan you have.

    For example, the Aetna Medicare Dual Preferred Plan is one of the coverage options for Alabama residents. In this state, the plan is only available in five counties, including Montgomery, Dallas, and Mobile.

    HMO D-SNP covers multiple medical issues, including eye care, and it costs up to $27.2 in monthly premiums. With this plan, you can pay up to $7,550 out of pocket per year.

    Youll usually pay nothing or 20% of eye exams under this plan. These tests include diabetic eye and glaucoma screening.

    If you live in certain counties in Texas, for example, your coverage options include the Aetna Medicare Choice II Plan . As with most other Aetna plans, only a handful of counties in this state offer this package, including Austin, Brazos, and Grimes.

    The monthly premium for the PPO is $15 and the maximum out-of-pocket amount for the year is $7,550. This plan pays the full cost of glaucoma screening, but diabetic eye exams may cost you up to $40.

    A routine eye exam is free under this plan, but only once per year. So, youd have to pay out of pocket for any additional routine checkup.

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    Is Lasik Eye Surgery In India Covered Under Health Insurance

    • Post author

    Health expenses are the costliest affairs. With the rise in multiple health problems and expensive treatments, it becomes crucial for people to have health insurance. Health insurance plans are intended to provide financial assistance to policyholders in case of medical urgency. When an individual has a medical insurance plan, most of his medical expenses incurred during hospitalization due to a medical emergency are compensated by the respective medical insurance company. There are numerous medical insurance companies in India. However, not all ailments are covered under health insurance policies.

    Many people wonder whether or not their Lasik eye surgery cost in India is covered under health insurance?

    Well, with the sharp rise in healthcare inflation, the cost of basic treatment in private hospitals has increased exponentially. Most government hospitals lack even basic facilities, and the ones that have everything are not easy to get admission in. In such a situation, people are left with no choice except to opt for a private hospital. Thankfully, a health insurance facility is there that people can use. In order to protect individuals from draining their finances, health insurance providers offer comprehensive and affordable health insurance plans that various groups in society can purchase.

    What Is Not Covered By Vision Insurance

    Vision plans are usually highly customizable, and you can often get discounts on essentially any eyecare product or service you may need. By default, many vision insurance plans cover only the basics, such as eye exams and contact lenses, so LASIK may not be covered. In general, the more you spend on your vision insurance monthly premium, the more coverage you get.

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    What Are My Best Steps For Getting Coverage

    If youre considering LASIK, you may be able to take certain steps to get coverage:

  • First, talk with your eye doctor. They probably have patients on Medicare who have had LASIK surgery done. If so, they may be able to provide insight into Part C plans in your area that cover the cost or a percentage of the cost for this procedure.
  • If youre new to Medicare, currently have original Medicare or a Medicare Part C plan that doesnt cover LASIK, you can use Medicares plan finder tool to compare plans in your area that are a better fit.
  • You can contact your local Medicare State Health Insurance Assistance Program to get information about plans in your area that provide this benefit.
  • If you want to switch from original Medicare to a Medicare Advantage plan that covers LASIK, you may do so during open enrollment, which runs annually from October 15 to December 7. During open enrollment, you can also switch from one Part C plan to another.
  • If you currently have Part C and wish to change plans, you can also do so during the annual Medicare Advantage open enrollment period, which runs from January 1 to March 31.
  • The costs for LASIK vary from doctor to doctor and from state to state. Factors that may play a role include:

    • your vision
    • the type of laser and technology used
    • the doctors level of expertise

    Youll also need follow-up visits after the procedure to see how your eyes are healing.

    What Are My Other Options

    How does laser eye surgery work? – Dan Reinstein

    LASIK is typically done to eliminate the need for eyeglasses or contact lenses. If LASIK is too expensive, you may be better off staying with your current prescription lenses or trying a different type that works better for you.

    When considering the costs, keep in mind that LASIK will save you the money you wouldve spent on eyeglasses or contact lenses and cleansing solutions.

    This can represent a savings of several thousand dollars over time, making LASIK an affordable option when considering the long-term costs.

    What should never be an option is LASIK thats advertised as very inexpensive or downright cheap. Your eyes and vision are precious and shouldnt be gambled with. If an offer sounds too good to be true, it probably is.

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    Am I A Good Candidate For Lasik Surgery

    Most people are considered good candidates for LASIK eye surgery. Because the operation has been around for more than 20 years, most doctors understand the benefits and drawbacks of laser vision correction surgery. Therefore, they can guide you in an informed manner and proactively answer your concerns.

    Is Lasik Covered By An Fsa Or Hsa

    According to the IRS, you can use money in an FSA or HSA to pay for Lasik eye surgery.

    Even when Lasik is an elective surgery that’s not medically necessary, it is still considered a qualified medical expense according to the IRS Publication 502. That means you can use funds from a health reimbursement arrangement or a flexible spending arrangement to pay for your surgery.

    Tax-advantaged accounts like an FSA or HSA are a useful tool for helping your money to go further when paying for health expenses. These accounts wont lower your actual medical bills. Instead, theyll eliminate the taxes that you owe on the money you use to pay for your surgery.

    A typical consumer can save 38% on the cost of Lasik by using an FSA. However, actual savings will vary based on your tax rate and the cost of your procedure.

    Plus, savings from an FSA or HSA can be on top of any insurance company discounts. By combining the two, you can make your Lasik surgery even more affordable.

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    Army Navy Air Force Marines And Coast Guard

    Its not unusual for members of the armed forces to receive refractive surgery, though they may have to get in line and wait. Glasses can be a burden and contact lenses are generally prohibited in combat zones, so the government understands the need to improve your eyesight before deployment.

    PRK is more common than LASIK in the military, but both options are available. Each branch has a different policy for enlistees to obtain refractive surgery. An active duty service member can ask for details through their chain of command. However, once you retire from the military, you and your family members are not eligible for LASIK through the VA.

    Is Health Insurance Tax

    Does Insurance or Medicare Cover LASIK for Astigmatism?

    Health insurance premiums are deductible on federal taxes, in some cases, as these monthly payments are classified as medical expenses. Generally, if you pay for medical insurance on your own, you can deduct the amount from your taxes. Your income and how you get your insurance help determine whether the costs are eligible for tax deductions.

    Below are some typical sources for health insurance and tax guidance for each item.

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    How To Know If Your Doctor Is In

    Stick with a doctor who is in your network when looking into LASIK eye surgery. A provider who is not in-network will often charge you the full price, and you wont get the discount on LASIK that an in-network provider can give you. Insurance companies have partnerships with LASIK providers to offer discounts on services when members use the partner providers.

    Check with your insurance carrier to ensure that your provider is in their network. Each vision insurance carrier has a comprehensive website with the ability to check on connected providers. The LASIK eye surgery provider can also often let you know which insurance providers and carriers they work with.

    You can also call your provider, carrier, or agent directly to learn more about your insurance coverage and to verify in-network providers.

    Contact Lenses For Masking Irregular Astigmatism Associated With Keratoconus And Other Corneal Disorders

    Aetna considers services that are part of an evaluation of keratoconus or other corneal disorders associated with irregular astigmatism medically necessary. This includes the general examination, advanced corneal topographic modeling, and fitting of contact lenses or scleral lenses.

    Note: Most Aetna medical benefit plans exclude coverage of contact lenses and other vision aids. Please check benefit plan descriptions for details. These benefit plans do not cover contact lenses or scleral lenses for correcting astigmatism associated with keratoconus or other corneal disorders under medical plans that exclude coverage of contact lenses and eyeglasses. This includes corneal contact lenses and scleral lenses that may be prescribed for masking irregular astigmatism associated with corneal ectasia , post-operative astigmatism , corneal scarring , and anterior corneal dystrophies . Contact lenses and scleral lenses provided to members with keratoconus and other corneal disorders associated with irregular astigmatism are covered under the provisions of the members vision care plan only.

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    Coverage For Lasik Is Rare

    For the most part, health insurers will pay only for glasses or contacts. Insurance has taken the position that LASIK is cosmetic, said Dr. Charles R. Moore, the founder of International EyeCare in Houston, Texas.

    Your healthcare provider will probably cover some, or all, of the cost of a pair of glasses. But if you want an expensive designer pair, or need bi-focal glasses, you will most likely pay a good portion of that expense out of pocket. Similarly, though many experts see pointing lasers into your eyes to improve your eyesight as a health-related procedure, high-end refractive surgery isnt typically viewed as medically necessary by insurers.

    Keep in mind, though, that even without insurance to share the cost of surgery, there are financial benefits to LASIK, particularly if you buy high-end contact lenses, designer eyeglasses or special bi-focal lenses.

    Considering A New Vision Plan

    Is Laser Eye Surgery covered by insurance?

    Find one that works for you.

    This material is provided for informational use only and should not be construed as medical advice or used in place of consulting a licensed medical professional. You should consult your doctor to determine what is right for you.

    Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. . Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state.

    Medical Plans

    Go365® is not an insurance product. Not available with all Humana health plans.

    Individual Dental and Vision Plans

    Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. For Arizona residents: Insured by Humana Insurance Company. For New Mexico residents: Insured by Humana Insurance Company. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc .

    Group Dental and Vision Plans

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    Even More Ways To Save On Lasik Surgery

    The answer to questions like will insurance cover LASIK? is most likely no. But there are other resources to save on the LASIK eye surgery cost without insurance:

    • You could look into financing options that help spread out the full payment amount.
    • Look into a FSA or HSA through your employer.
    • Take advantage of discount promotions and specialoffers at SharpeVision Modern LASIK.

    Ways To Pay For Lasik Surgery

    Due to the convenience of having perfect eyesight, many individuals are looking for ways to help pay for LASIK surgery but are unable to afford the full cost upfront. Outside of insurance, there are seven common ways to pay for LASIK:

  • Personal financing. A combination of savings, gifts, and sources of credit can be used to afford the procedure.
  • Tax refunds. When your tax refund comes in, it may cover a significant portion of your LASIK procedure. Even if it doesnt, itll likely take a big chunk out of the cost.
  • Insurance discounts. As mentioned, certain insurance companies will offer discounts on LASIK from certain providers, which can significantly help with associated costs.
  • Health Savings Account . An HSA is a tax-free savings account that can be used to pay for medical procedures. If LASIK is an approved procedure under your HSA, you can often pay for LASIK without spending a dime from your regular savings or checking accounts. HSAs are commonly offered in small business health insurance plans.
  • Installment plans. Certain LASIK providers may be able to work with you in setting up an installment plan for the procedure.
  • Healthcare financing. If your LASIK provider does not offer an installment plan, you may be able to outsource financing to a third party.
  • Vision insurance. Vision insurance is a special type of insurance plan that can help pay for elective vision procedures like LASIK.
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